HomeMy WebLinkAboutB22-3830 SOIU CAL
FIRE Butte County Fire Department
Fire Prevention Bureau ;,
176 Nelson Arenue Oroville CA 95965
Office(530)5:38-7888 Fax(530)538-2105
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STATEMENT OF INTENDED USE
Various process and situations in commercial and industrial establishments can create fire and life safety hazards. In
order to provide a reasonable degree of safety to life and property, specific requirements have been established in the
Fire, Building, and Life Safety Codes. To help us determine what particular laws apply to your business, please provide
the following information:
PART I— Building Information
Business Name:
Business Address:Number of Buildings: I Type of Construction:11,4 L L7 Lj j pm Square foota e: c
PART II —Questionnaire Yes No
1. Will your store or handle an aggregate quantity aerosol products in excess of 500 lbs.? [ ] [�
2. Will you install or operate a stationary lead-acid battery system more than 100 gallons? [ ] [i,]'
3. Will you produce dust or loose combustible fibers in excess of 100 cubic feet? [ ] [
4. Will you be storing more than 2500 cubic feet of combustible materials(boxes,rubber)? I
5. Will you store, handle or use compressed oases?(Table 105.6.8) [ ] [
6. Will you produce,store or handle cryogens?(Table 105.6.10) [ ] [
7. Will you engage in the business of dry cleaning? [ ] [
8. Will you conduct an operation which produces combustible dusts(i.e.flour,magnesium) ( ] [yY
9. Will you have any explosives or blasting agents? [ ] [ "
10. Will you store,handle,use or dispense flammable or combustible liquids? [ ] [f
11. Will you store,transport on site,dispense,use or handle hazardous materials?(Table 105.6.20) [ ] [y]'
12. Will you have over 500 square feet of high-piled combustible storage?(>12 feet) [ ] [
13. Will you store,handle or use liquefied petroleum apses?(LPG) [ ] [V✓
14. Will you melt,cast, heat treat or grind more than 10 lbs. of magnesium? [ ] [
15. Will you have a motor vehicle fuel-dispensing station? [ I [
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YES
16. Will you manufacture more than 1 gallon of organic:coating per day? [ I [
17. Will you operate an industrial baking or drying oven? I ] [
18. Will you operate a place of assembly(Drinking, Dining, Gathering)for more than 50 people? [ I [
19. Will you store or handle radioactive materials? [ ] [
20. Will you have a refrigeration system with>220 lbs. Group Al or>30 pounds of any other refrigerant? [ ] [�J
21. Will you operate a repair garage for servicing or repairing automobiles? [ ] V]
22. Will you be conducting hot work? (welding, cutting or use flame producing devices or torches) [ [ [
23. Will you apply flammable or combustible liquids? (Spray booth, Dip tank, Powder Coating, Rolling) [ ] [LA/
24. Will you store over 1000 cubic feet of tires in an outside area? I ] NA/
25. Will you store, lumber, wood chips, hogged material or plywood in excess of 200 cubic feet? [ ] [`.e
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26. Is your building equipped with automatic fire sprinklers? If YES then: [
a) Calculated sprinkler system GPM/Sf t Design Area(i.e. .3/3000)
(Density and certification information can usually be found labels on the main sprinkler system riser for each system)
b) Pipe Schedule(non-calculated) sprinkler system, Date system installed
c) Early Suppression Fast-Response(ESFR)sprir kler system PSI
d) Other type Sprinkler System —list type and location:
e) Date of last sprinkler system 5 year certification (Title 19 CCR):
f) Fire sprinkler alarm monitoring company:
27. Is your building equipped with automatic fire detecti Dn?(smoke detector, heat detector, manual pull) [ ] [ ]
a) Date of last alarm system certification:
b) Alarm monitoring company:
28. Number of employees: C
29. Hours of operations: To
30. In a few brief sentences describe how the building will be used and what processes or operations will take place inside
(i.e. Storage of chemicals with some filling of containers for use, moderate to heavy welding with assembling and
fabrication of metal parts, powder coating and painting, etc.)
We are currently using the building days every other month. Most of the time
it is vacant
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PART III — Fire Extinguisher Requirements
I ] Light Hazard occupancy (office, classrooms, n-edical offices, etc.) Provide a minimum of (1) 2A1OBC rated fire
extinguisher mounted in an accessible conspicuous area. One extinguisher is required for every 6000 square feet
and the travel distance to a fire extinguisher sha I not exceed 75 feet from any point.
[ ] Ordinary Hazard occupancy (mercantile storage, dining areas, and display, warehouses, light manufacturing)
Provide a minimum of (1) 2A2OBC rated fire extinguisher mounted in an accessible conspicuous area. One
extinguisher is required for every 3000 square feet and the travel distance to a fire extinguisher shall not exceed
75 feet from any point.
[X] Extra Hazard Occupancy (Hazardous Materiels, flammable liquid, vehicle repair, cooking areas, woodworking
uses) Provide a minimum of (1) 4A4OBC rated fire extinguisher mounted in an accessible conspicuous area. One
extinguisher is required for every 4000 square feet and the travel distance to a fire extinguisher shall not exceed
50 feet from any point.
[ ] Kitchen Hood System —One 40B fire extinguisher (no "A or C" rating shall be mounted near kitchen hood system)
(ABC multi-purpose fire extinguishers may compromise the powder in fixed kitchen hood systems)
NOTE: These are typical minimum requirements. Mori fire extinguishers may be required due to special operations or
processes being used. For example: spray booths, special electrical hazards, exotic metals, and other
situations will require increased protection.
PART IV — High Piled Combustible Storage
In Chapter 32 of the California Fire Code, high piled combustible storage is defined as: Storage of combustible materials
[product and/or packaging] in closely packed piles(floor storage) or combustible materials on pallets, in racks, or on
shelves where the top of storage is greater than 12 feet in height. High piled combustible storage also includes
certain high hazard commodities, such as rubber tires, group A plastics, flammable liquids, idle pallets, and similar
commodities, where the top of the storage is greater than 6 feet in height.
It is very important to contact the Fire Department prior :o consideration of storing high-piled combustible storage. Many
of the permit requirements must be built into your building. If your building is not approved for high-piled combustible
storage it may be cost prohibitive. For example if you have a pipe schedule sprinkler system —no high piled storage is
permitted until the system is calculated. Securing a de,;ign professional is recommended to assist you with the code
require is
[ H S BUILDING WILL NOT BE USED FOR HIGH-PILED COMBUSTIBLE STORAGE.
THIS BUILDING WILL BE USED FOR HIGH-PILED COMBUSTIBLE STORAGE.
TH1S BUILDING IS A SPECULATION BUILDING WITHOUT A TENANT AT THIS TIME.
*TO OBTAIN FIRE DEPARTMENT APPROVAL YOU MUST SUBMIT THIS COMPLETED FORM
WITH THE BUILDING PERMIT APPLICATION
Name: Nicholas Horton .
Signet ��-� Date: 12/28/2022
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