HomeMy WebLinkAboutFAI15-0096 Fire Annual Inspection ArchiveSTA EOFCALIFORNIA
FI E SAFETY INSPECTION REk,--.EST
STD 850(REV.10-94) See instructions on reverse.
AGE SICY CONTACTS NAME TELEPHONE NUMBER REQUEST DATE PROGRAM
C SS/COMMUNITY CARE LICENSING 530 895-5033 4/6/10 CCL
EVA UATOR'S NAME REQUESTING AGENCY FACILITY NUMBER REQUEST CODE
J 101 /MARGIE WHITAKER 045405 850 1 A
CODES
AMBULATORY
NONAMBULATORY
�
1. ORIGINAL A. FIRE CLEARANCE
LI ENSINGDEPARTMENT
GENCY
OF SOCIAL SERVICES
COMMUNITY CARE LICENSING
PREVIOUS CAPACITY
2. RENEWAL B. LIFE SAFETY
NAME AND
520 COHASSET ROAD, SUITE 170
3. CAPACITY CHANGE
ADDRESS
CHICO, CA 95926
1. FIRE CLEARANCE GRANTED
4. OWNERSHIP CHANGE
176 NELSON AVE.
5. ADDRESS CHANGE
45
FACT ITY NAME
ADDRESS
6. NAME CHANGE
A BRIGHT STARR PRESCHOOL & DAYCARE
pATTN: PREVENTION
850
7. OTHER
AMBULATORY
NONAMBULATORY
_ ._ ... .... .. .,
BEDRIDDEN
TOTAL CAPACITY
CAP CITY
PREVIOUS CAPACITY
CAPACITY
PREVIOUS CAPACITY
CAPACITY
PREVIOUS CAPACITY
42
1. FIRE CLEARANCE GRANTED
3
176 NELSON AVE.
NAME AND OROVILLE, CA 95965
45
FACT ITY NAME
ADDRESS
LICENSE CATEGORY
A BRIGHT STARR PRESCHOOL & DAYCARE
pATTN: PREVENTION
850
STR ETADDRESS (ActualLocadon)
NUMBER OF BUILDINGS
5597 LOWER WYANDOTTE ROAD
CITY
INSP CTOR'SNAME(TypedorPrinted)
RESTRAINT
O OVILLE 95966
'�J
//"/ d
NO
FACT ITY CONTACT PERSON'S NAME
�r
HOURS
S ARR SULLENS (530) 230-8701 OR (530) 533-7160
M -F 7AM-5:30PM
�r� irw .vrvui wives
R UESTING FIRE CLEARANCE FOR 45 PRESCHOOL CHILDREN (AGES 2 - 5 YEARS); 3 MAY BE NON-AMBULATORY. ALSO
M Y INCLUDE UP TO 12 CHILDREN AGES K - 12 YEARS.
.. ♦. ..,... .%>, .., ... u-.,.. • ,. ...... :. ... : : ).. r .. r .A / : ... ..0.y -C t !
:
L..
v
�r.. OLS LST'
_ ._ ... .... .. .,
.. . _ ..
CLEARANCE /DENIAL CODE
CODES
1. FIRE CLEARANCE GRANTED
FIRE CAL FIRE
AUTHORITY
176 NELSON AVE.
NAME AND OROVILLE, CA 95965
2. FIRE CLEARANCE DENIED
ADDRESS
A. EXITS
pATTN: PREVENTION
B. CONSTRUCTION
C. FIRE ALARM
D. SPRINKLERS
INSP CTOR'SNAME(TypedorPrinted)
TELEPHONENUMBER CFIRS NUMBER
OCCUPANCYCLASS
'�J
//"/ d
1(5305-3�
�r
E. HOUSEKEEPING
F. SPECIAL HAZARD
G. OTHER
INSr/INSPECTOR'S NDA
S U orP ' to
/y
C77
EXP
INDENALORLISTSPECIALCON
ION
Butte County Fire Department
California Department of Forestry and Fire Protection
.� Fire Prevention Bureau
176 Nelson Avenue, Oroville, CA 95965 r�
XIRE 530-538-7888/530-538-2105(fax) ��..
Fire Safety Inspection
Business Address: �5(%� L wsti L*',�141��iess Name:
Owner/Manager-.S, SBus: 33— ;1/,6'd Other:
Other Contact: Bus: Other:
Building Owner: Bus: Other:
Address: Occ. Class:
AN INSPECTION OF YOUR FACILITY REVEALED THE FOLLOWING:
�4r Sia)C 74-
1.
Fire extinguishers: required, service due
10.
Exit(s): obstructed, inadequate
2.
Extension cords: Excessive use, defective
11.
Exit sign(s): required, illumination, photo luminescent
3.
Excessive rubbish, trash, debris
12.
Exit sign lights: obstructed, defective
4.
Fire alarms stem defective
13.
Exit lighting: required, defective
5.
Sprinkler system: service required, defective
14.
Heating system: defective appliance, flue combustibles
6.
Kitchen hood ext. system: service due
15.
Wiring: exposed, damaged connectors, etc.
7.
Fire walls, ceilings, fire doors, draft stops
16.
Address posted and visible from road
8.
Smoke detectors: required, defective
17.
Other
9.
Fire drill log checked Yes ❑ No ❑
18.
Other type of inspection — State below
DETAILED EXPLANATION AND CORRECTIONS: CORRECTED:
J.
o�I ve 0 "O't v tiles
l/ �v .X ��.✓�/ /.� �Te � tet/,
Z4,0-5 'te-'A 0001
Date: � /� Discussed with: Si ed:
;� (Print)�o-r L-, Stiteils
Inspec r:
Battalion 1 2 3 4 5 /fi% 7 Station: 7c;� P zor-L%
By order of the Fire Chief:`- You are hereby notified to correct all violations immediately or show cause why you should not be
required to do so. A re -inspection will be conducted on . Willful failure to comply with this notice is a
misdemeanor. Violations that are not corrected immediately and/or remain after the re -inspection may be processed as a criminal
offense. Thank you for your assistance and cooperation in minimizing the fire and life loss in our community. (H & S sec. 13112)
White Copy — Station File Yellow Copy — Re-inspect/business Pink Copy — Business 0 Check when sent to prevention