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HomeMy WebLinkAboutFAI15-0081 Fire Annual Inspection ArchiveMlOsz3zzzcz=zMC �XQffl; lf 7-1 s7v. ffj! T *!R ff;lb� 41- n -M 72 77, j9 A F I - ir I; 11; Ar.112MMENEEMMEN ■tt��tiww�tiw��r®wt�twwwtwwiw���t�t��ww�tw®�w������ A OWEN *..ol/w N VENOMS Enum memo IN WIEN��������t��� "w3mmus ■t���Ja����.4���:��7�tat��t��ttt�����tt�ttt� ���������� -%JIKB aim M Ml a a w 0 OR! 5 �a P 0 M A Map No AVS �`R'U-FkM On?. w-, E N 0 K. a 0 0 H F:: n. jNo i [NEW Ab 0 lU U tl JF: �� �» ■iww���t������;i�iwwt�tt�it.-ttt�� � t��r��Jt��:i�����=.����:�t it�it�ti����:�r��,�tttiw��iww�t�w�t�i�K=�����•�t��t��= �t���=r�����t ■����=t�w������wi�ttt�wtitwwwt�it��:�t�w���■�w: A ��t�wiw���w'1'�.�t_,�Ira F, ��®��-�a��_ .�`:�'if�wiw�wtttwrt�i®t��:�t�t �.���,�,�:��=t�, '���r����;�1 tt�t�tt�:�r-�:.����:�-��•��t�w�����t������w� ~- .--���r►�.��:����tt��,rl1�,/1��� ■titt�9t�d�tt�1►��iittti•��i�t�}��- - �.�t��•�!!��i�.r.�i���.rc���r=��:�1 ��i��i��i- ■■���t�tt��tt�s�•���ttt����.��.��� ��t����r�����s���rr:r�a�.��f�s�������t�t�ut�■ tt�t�tiwott�w��t�it�ttiw��wt���`�wttitw�t��tt�w���titt�■ ■iwtt�wwwwtiw�������r������ic.� �a������r��r������c�:�ttiw�■ �ilti�itttt�t��t����ii� ��� ��,�r�-��t�t�tttt��l���%�.�:���`'��'�iwt�ittlt®■ �tt t��t�ttt��®�t��r��it�=��t���t���it������:����;�e��is���■ ttt�t��t�ti��t�:��tt���■t��.��it������w�tt�t��t���t��®���•�■ �ritit�ritrr���t�t�=�tt���tit�=����tt�t��t����tt�s�ttt�tt MEMO #jTTF4PS7fL L Fr LTAlulilf." Sl ATE OF CALIFOF "7A IRE SAFETY INSPECTION REQUEST S . 850 (REV. to -B4) See Instructions on reverse. AK ENCY CONTACT'S NAME TELEPHONE NUMBER REQUEST DATE PROGRAM DSS/COMMUNITY CARE LICENSING 530 895-5033 10/19/06 RCFE ALUATORS NAME REQUESTING AGENCY FACILITY NUMBER REQUEST CODE 205/PAT COFFMAN 045001839 1A CODES 1. ORIGINAL A. FIRE CLEARANCE B. LIFE SAFETY LENSING DEPARTMENT OF SOCIAL SERVICES 2. RENEWAL AGENCY ME AND COMMUNITY CARE LICENSING 3. CAPACITY CHANGE ADDRESS 520 COHASSET ROAD, SUITE 6 4. OWNERSHIP CHANGE CHICO, CA 95926 5. ADDRESS CHANGE I t— 6, NAME CHANGE 7. OTHER FAX #: (530) 895-5934 AMBULATORY NONAMBULATORY BEDRIDDEN TOTAL CAPACffY A TY PREVIOUS CAPACITY CAPACITY PREVIOUS CAPACITY CAPACITY PREVIOUS CAPACITY 0 O 0 G CILITY NAME LICENSE CATEGORY �, RCFE IRS CARE H S' rREET ADDRESS (Adw/ WWI-) NUMBER OF BUILDINGS 117 LOWER WYANDOTTE RD. 1 CITY/ `l/ RESTRAINT ROVILLE, CA 95966 6 —' NO F L1TY CONTACT PERSONS NAME "" NICOLETA ANGHELUTA (530) 534-7996 r 24 CAL CONDITIONS CLEARANCE /DENIAL CODE BUTTE COUNTY FIRE DEPARTMENT CODES FIRE ATTN: FIRE INSPECTION 1. 'IRE CLEARANCE GRANTED IUTHORITY 2. FIRE CLEARANCE DENIED NAME AND 176 NELSON AVENUE ADDRESS OROVILLE, CA 95965-3425 A. EXITS B. CONSTRUCTION J C. FIRE ALARM D. SPRINKLERS NPECTOR'S NAME (ryW orPbbd) TELEPHONE NUMBER CFIRS NUMBER OCCUPANCY CLASS E. HOUSEKEEPING �� / v it )L Fi/�— 1 yL%) i �� 5 ! O �✓ �:� j� F. SPECIALHAZARD WECTTON DATE WSPECTORS SIGNATURE (ryw or Pdwoo G. OTHER PLAIN DENIAL OR UST SPECIAL CONDIT16NS s I .L&V �i�iiMii�[�i■ l��l�l� 9 rlfll i►��;�iiii��iii[ �[��J ■fi�ilit.iir_��■ Ilk sain ..-IRMSME 7 �mv- MER, ME ■INSET-!lNIMS ■lfmi=9— 901s0►� 11101010919EAKIN RolR MIN& .�[[RAW ■M■M!■■ME ■lois■ :��tfi U ��■ii■1���!!� llm!!i■ftiil ��S■ll��lf /�i�i I�'�li�ill��111i�j[iif�li! ■■■■iiN[ii■�f�l���ii�f ■ IVA MENU iin"W101MNL OIW-- �VIEEN `/IWAti ����1 �l�i■lil��ili KQM Vii!!"a NONE WENNOOM!!N1■ ■!ii!!� �ii■fllfififa���illlii■ !�l■rli�i�ilil��!■■■!■!f 1����!![���uli■ ■l���il�■■■■■��■■■!!■fl����o !ilii i■IMMIMMUMMM ■ENEEM■■■■ ■!MI!!!■!!■ ■!!llrii!■ :,a ■R■M.M* ��� �..-="�s�allta��s�llrlt�;aw..sw. flii!!lirn m-= !r!■S. - 92 s�iil�s 1 fl�i!!*'� 9li��lL�■�il!l��fi 'l�l�t� UNIUMUMSEMI fi�■t�i�v°�/��i�!ll�:lii�� - if i�i:�il�rJ� [�i■�!ll�.l■lliti��.l■ tlililld►l�ilit■■!''/� i'li�::ll��ll��ll�;i�� ��•" .I��i�/,�il�S� iLit�l�lt�l���..�/I���II�J[�� IN, AMR lqorrmma M!! ll�rlr!lli�rir��r�w►,��l�lr Iir1!!!!rlld■��f�®�i�r�!!i ■�■ ! / !!fir ■���i7�•�1i�Y.�...��/�T,�[Y /`#!lrl mom ■>Il�1!!lliil!!!■ i!l1i1�!lli�irllt�M��wl�R MEN ■I1�J!!■.ihr�r■�!!!lrrsirir�■ ■lrr�i�i3���� ■r�■ �nONSONrRi �l ir1■ ■�I�,�!!l��!■■!w1!!lff�lrrrl�!�!!I!!!!l!!!!,1 ir��,!!l� l �ll �if�i��i1r!liiirlr�ri�!l��r�!! if, 19015 4_1;11 ■� rii�l- NEENNr.■ �r r� �irrr►Y��ir� rwlls�i� r: r;■ ■ i■!■!l�i■■■�riw�irr.1!!!.�■■�r�i�rlr�r�! orf brl! �l�r�!l:����n�ll�anrl��iii�!!I®lrr�i��irr!l�lr�l,;�i�■ ���iri�!ll:��i��!�lleEli�itl�i 7th �(1�'!1®��lli'�!■ im ■wwmm►''ldAr1 Idi .�:tilf?,lli�t�1mml mcfssam■\!a ■Aft ��=_I.•100IVI �Iiai1!! ��rl■ ��� .r� i��ril1 i!!lli� � r►���.�.5-u�il urlirr;rc�l��!l�il i!!ll�i�rrrlliL�i�' It mlm !!!rrOMN l!!!ol ' m ommllrn [rrl!■ r{r ■lrwrlrri� tcf�ii!!� r� rrriwr!!; .4ILW.!:.�!_!0 ■ ! ►. 20 N: ��`V0lriWNWIs r. Mires»/�r!!!Q1lil c�!lralr�rr�irm OWN ■olumrrlini !N rlrlii n r.�ilif l/nmomm:mnrlmr&l r1 �S ► �1 � aP 'j0.lrrl Iimmmm - imm Iir�i tW19 ri%. "NEMESES Is NMI ■!I NMI "' !u1 J_ ' slAGENCY DfsM `� fiMM . COMMY CAMS. LICSMSM- -Floor Dian) A. L11 -I- - --- „ - Is - the ficar pp.5mraft are required ta providle skstehd ...n of aw h-orne , f •i'a a�. d de y a.T= T* h.. s 0 c 5 k s h- iia t 0 Wt inn vtowrw !'► 3 C! �s ^ T �l+I+� .i%� it by �J='��adents'd— 'ent' i�,L3� Door i2). %seep close to scs-IMS-0. Use ff ie space be Lfw. See bee' _:.ca- -S:Ketcb-. -a roms C {I _ F ie- cO nd F_ roT -,r I it -11 r - L -13 v sm �4 WS IM IVIIT1.:g 0or. e�k 3 er% Imb .,r ,u,.,r* s,r• a1 s.scAu ig u r A fto Nits from' the rooms s vv« i= %O&W. Y99 vIv must be shown in %44%.# 4 31kAI t {vv %J8 W sv 6 case of an emerge close to scale. Use the space below. See back for yard �F. 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