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HomeMy WebLinkAboutFAI15-0064 Fire Annual Inspection ArchiveFire Prevention Bureau Butte County Fire Rescue White Copy - Business 176 Nelson Avenue California Department of Forestry Yellow Copy - Occupancy File Oroville, CA 95965 and Fire Protection Pink Copy - Station File Telephone 530-538-7888 Facility Inspection Report Occ. Class. Fax 530-538-2105 Fire alarm system defective 13. Address: Business Name: Sprinkler system: Service required, defective Owner/Manager: Bus: Hm: Fax. Assistant Manager: Bus: Hm: 7. Building Owner: Bus: Hm: 8. Address: 17. Address posted and visible from road AN Y?VQD1VPrr1 1N nF VnITR FACYI.ITV REVEALED THE FOLLOWING: 1. Fire Extinguishers: Required, service due 10. Exit(s) obstructed, inadequate 2. Extension cords: Excess use, defective 11. Exit sign(s) required, illumination 3. Excessive rubbish, trash, debris 12. Exit sign lights need replacing 4. Fire alarm system defective 13. Exit lighting: Required, defective 5. Sprinkler system: Service required, defective 14. Smoke detectors: Required, defective 6. Kitchen hood extinguishing system service due 15. Wiring: Exposed, damaged connectors, etc. 7. Fire walls, ceilings, fire doors, draft stops 16. Heating system: Defective appliance, flue combustibles 8. Knox Box keys 17. Address posted and visible from road 9. Fire Drill Witnessed Yes ❑ No ❑ 18. Other DETAILED EXPLANATION AND CORREC'110N 5: UUIC (EU I EL: Date:. 7 - /I /r Discussed with: Signed: f f '_ _� , J Tint Inspecting Officer: Battalion 1 2 3 4 5 .6 T Station: FPB YfRE PREVENTION SAVES LIVES, PROPERTY, AND BUSINESS. YOUR COOPERA110N Wrl'n CORRECTING THE ABOVE LISTED ITEMS IS APPRECIATED. RE -INSPECTION DATE: `'`" Fire Prevention Bureau 176 Nelson Avenue Oroville, CA 95965 Telephone 530-538-7888 Fax 530-538-2105 Address: (o' Owner/Manager: i l Assistant Manager: Building Owner. Address: Butte County Fire Rescue California Department of Forestry and Fire Protection Facility Inspection Report .•. White Copy - Business Yellow Copy — Occupancy File Pink Copy - Station File Occ. Class. �2N ").;� - k +►yBusiness Name: 5, Bus: % °l Hm: Bus: Hm: Bus: Hm: Fax: A iv n►reuiwrmTnrr nip vn7r12 FA('TT.TTV RFWALF,n TAF FOLLOWING: 1. Fire Extinguishers: Required, service due 10. Exit(s) obstructed, inadequate 2. Extension cords: Excess use, defective 11. Exit sign(s) required, illumination 3. Excessive rubbish, trash, debris 12. Exit sign lights need replacing 4. Fire alarm system defective 13. Exit lighting: Required, defective 5. Sprinkler system: Service required, defective 14. Smoke detectors: Required, defective 6. Kitchen hood extinguishing system service due 15. Wiring: Exposed, damaged connectors, etc. 7. Fire walls, ceilings, fire doors, draft stops 16. Heating system: Defective appliance, flue combustibles 8. Knox Box keys 17. Address posted and visible from road 9. Fire Drill Witnessed Yes 11 NO ❑ 18. Other DETAILED EXPLANATION AND CORREC11O1N N: i.ylcxr.k. i r.L: ( I ) �"t l Y+,I! (. u' -4c_4- � A.-Ij ,_ V-' 0),-m J -4j,", _4_� O k , Date: Discus ed with: Signed: Z (% Ci C Tint lJn r c ! 3 Ims e/cting Officer: T, Battalion 1 2 3 4 5 (, 7 Station: FPB JIq P FIRE PREVENTION SAVES LIVES, PROPERTY, AND BUSINESS. YOUR COOPERA'1'10N Wrrl1 CORRECTING THE ABOVE LISTED ITEMS IS APPRECIATED. RE -INSPECTION DATE: 3 aTj kTE OF UALIFORNIA F RE SAFETY INSPECTION REQ, ,T - See instructi is on reverse. ST . 850 (REV: 10-94) AG =-NCY CONTACTS NAME TELEPHONE NUMBER REQUEST DATE PROGRAM SS/OMN�UNITY CARE LICENSING 530 895-5033 03/03/98 EV LUATOR'S NAME REQUESTING AGENCY FACILITY NUMBER. REQUEST CODE 207/DONNA GURRIERE 041370640 7A CODES - 1. ORIGINAL A. FIRE CLEARANCE DEPARnOff OF SOCIAL SERVICES LIFE SAFETY' ICENSING 2. RENEWAL B. AGENCY` COMMITY CARE IJCENSING • AME AND O��S�ET R�A� SUITE 6 3. CAPACITY CHANGE 520 C , DDRESS SCO 9596 4. OWNERSHIP CHANGE S. ADDRESS CHANGE L 6. NAME CHANGE 7. OTHER AMBULATORY NONAMBULATORY BEDRIDDEN TOTAL CAPACITY CAPACITY PREVIOUS CAPACITY CAPACITY PREVIOUS CAPACITY CAPACITY PREVIOUS CAPACITY A� . � � . • ���.. -.fir ' • Y.. - _..��.y , r.• ... 1. _. � - _ � �. {{/'�■� :.w/waw•..'w.."t-� � rw .. ��.o..•...r • = ..rte. + �.. a.•. .+.ili•.+../Ai�__ ti� r I �"..+✓.�!►�� .. Ir .. ►• M ����0�/.F�.•111A�'M;N�Jt'. ��. y�_.wy .-r . .. . 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OTHER E • LAIN DENIAL,O6/1 ST SPECIAL CONDITIQNS tit yi.. j �( • `-- r i 4 tip'