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Home My WebLink AboutFAI15-0086 Fire Annual Inspection ArchiveButte County Fire Department California Department of Forestry and Fire Protection Fire Prevention Bureau 176 Nelson Avenue, Oroville, CA 95965 530-538-7888/530-538-2105(fax) Fire Safety Inspection Business Address:; Business Name:e--A-ra'14e.,CUOP-M�[Alta a r. Owner/Manager: Luc,4 Bus: Tao, 892,—%ALAI "l Other: sol o�- 0 -9... - -.9. -Other Other Contact: JZL.& r Bus: r? l7> � Other: Building Owner: Bus: Other: Address: Occ. Class: ',Z-'!> 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 N-- No 0 18. Other type of inspection — State below DETAILED EXPLANATION AND CORRECTIONS: COKKht; I tu: Date: Discussed yvith: (Print) ��.� 4 Sign spectiilg Officdr: ' `w Battalion 1 2 4 5 6 7 Station: I I FPB AQ-t-44V'VM A &'V r-SqLC42'. By order of the 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 Mft. 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 "'FIRE SAFETY INSPECTION REPO. Butte County Fire Department California Department of Forestry and Fire Protection Oroville, California 95965 • (530) 538-7888 Business Address: I / p t / L ' r �(� I,?- City. Business Name: Owner/Property Management Inspection Date: Business Phone AP#: NO. CORRECTIONS RECKARED NO. LOCATION I REMARKS CL ERM LOCATION /I 1 Provide address numbffsbuilcling I.D. vsbte from street��ild£jS EXITING _ 2 Remove obstructions at exits, does, axles, stairways, etc. 3 Exit door to open without a key or arty special Imowledgd effort. 4 Repair exit door hardware. 5 Remove obstructions from door requind to be dosed. / 1 6 Remove locks/latches from doors with panic hardware. 7 Provide sign over main ext: door - "This door to remain unlocked during business hours". 8 Remove storage from under unprotected staff 9 Provide/maintain exit skjrVemergemy lighting. , FIRE EaNGUISINERS 10 Have fire e&Wisher(s)serviced and tagged. RE -INSPECTION DATES INSPECTOR 11 Provide/mount fire exfjngusher as hcticated. 1st / / 12 1 Post a sign indiica fire add usher lova ion. 13 Provide dear access to fire extinguisher. 2nd / / FIREPROTECTIONECOPMENf 14 Maintain, repair, paint, inspect, ardor test spOnkler/stankilloipe system/hydranVFDC/PIV. Refer to FPB / / 15 Maintain 3 feet minimum clearance for access/use of fire appliances/equipment. District Attorney / / 16 Replace damaged1paintedrmssing sprinkler heads/FDC caps. Final Clearance / / 17 1 Provide 5 -year certification test for sprinklerklandlpipe system. OOMPRICY Clens 1 ❑ Check Pre -Fire Phan for accuracy. 18 Provide spare spfinklerheads min. ardor compaft wrench. 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 reinspection will be conducted on — Willful failure to comply with this notice is a misdemeanor. Violations that are not corrected immediately and/or remain atter the reinspection may be processed as a criminal offense. Thank you for your assistance and cooperation in minimizing the fire and life loss in your community. 19 Hoodlduct extinguishing tem to be serviced) taggedevery 6 mo. 20 Remove grease from hood, dud, and filters. (KEEP CLEAN) FIRE SYSTEMS ALARM 21 Maintain, repair, inspect, ardor test fire alarm system. FIRE SEPARATIONS 22 Repair holes in required fire resistive consh rlion. 23 Prwide/r it self or automatic closing fire rated assemblies. 24 Keep attic access and scuttle openings closed. ELECTRICAL Signature of Recipient: 25 Discontinue use of extension cards. 26 Install permanent wiring for feed and stationary appliances. ❑ Owner ON11anager OEmployee ❑ Other 27 Provide cover plates for all junction boxes. Inspecting Officer: 28 Remove exposed wiring or protect in approved conduit. 29 Provide a 30 -inch dear space to and in front of ell panel. FPB: Engine Compar : 30 Maintain wiring in good condition and protect from damage. ❑ NO VIOLATIONS NOTED THIS DATE THANK YOU FOR BEING FIRE SAFE! FLAMMAM LIgL - COMPRESSED GASES`; 31 Provide a flammable liquid storage cabinet or reduce storage to 10 gallons or less. Additional Comments: Page_ of '` 32 Remove all flammable liquicis not used for maintenance purposes. 33 Store flammable I' ids myW from exits, stairs, or corridors. 34 Secure compressed orders. STORAGE • HOUSEKEEPING 35 Arrange storage in an orderly manner to provide access/egress. 36 Remove combustible storage from water treater and electrical room. 37 Remove storage to 24 inches below ceiling or 18 inches below sprinkler treads. 38 Remove Iiddebrs from behind washers and dryers. 39 Remove wastefitrbish maf, mals from the premises. 40 Keep dumpsters 5 feet away from combustible walls, eaves, or openings. ML'Y:IyLUMOUS = 41 Other violations ardor comments. "'FIRE SAFETY INSPECTION REPO, Butte County Fire Department California Department of Forestry and Fire Protection Oroville, California 95965 • (530) 538-7888 Address City: Inspection Date: Name: Business Phone: operty Management AP#: N0. CORRECTIONS REQURED NQ LOCATION / REMARKS CLEARED LOCATION 1 Provide address numbersWIding I.D. visNe from street EXMNG . 2 Remove obstructions at exits, doors, aisles, etc. 3 Exit door to open without a key or arry spew knowledgd effort. 4 Repair exit door hardware. 5 Remove obstructions from door requied to be closed 6 Remove locl&Wches from doors with panc hardware. 7 Provide sign over main exit door - 'This door to remain unlocked during business hours". 8 Remove storage from under unprotected staff I / 9 Provide/maintain erut SigrVernergency lighting. FIRE EXTINGUISHERS 10 Have fire s serviced and tagged. RE -INSPECTION DATES INSPECTOR 11 12 Provide/mount fire extinguisher as indicated. Post a sign indicating fire extinguisher location. 1st 13 Provide clear access to fire extinguisher. FIRE PROTECTION EQUiPME#IT 2nd 14 Maintain, repair, paint, inspect, arrdbr test sprinklerMarxioipe systemRrydrantlFDC/PN. Refer to FPB 15 Maintain 3 feet minimum clearance for accessluse of fire appliances/equipment. District Attorney 16 Replace damagedrpaintedhnssing sprinkler heads/FDC caps. Feral Clearance 17 1 Provide 5 -year certification test for sprinklaklaern. I OcwPawVC1= ❑ Check Pre -Fire Plan for accuracy. 18 Provide sprinkler heads min. ardorcompatible wrench. 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 re4nspection will be conducted on . Willful failure to comply with this notice is a misdemeanor. Violations that are not corrected immediately ancl/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 your community. 19 Hoodfduct efinguishing system to be serviced/ tagged every 6 mo. 20 Remove rease from hood, duct, and filters. (KEEP CLEAN) �A� - SYSTEMS 21 Maintain, repair, inspect, ardor test fire alarm system. FIRE SEPARATIONS Repair toles in required fire resistive construction. Providef it selfor automatic closin fire rated assemblies. ff23 Keep attic access and scuttle openings closed. ELECTRICAL Signature of Recipient - 25 Discontinue use of edension cords. 26 Install permanent wiring for fixed and stationary appliances. ❑ Orrner ❑ Manager ❑ Employee ❑ Other 27 Provide cover plates for all junction boxes. Inspecting Officer: 28 Remove exposed wiring or rroted in approved conduit 29 Provide a 3Nnch clear space to and in front of elechical panel. FPB: Engine Com 30 Maintain wiring in good corrdrtion and protect from damage. p ;NO VIOLATIONS NOTED THIS DATE THANK YOU FOR BEING FIRE SAFE! FLAMMABLE LlQtI - COMPRESSED GASES 31 Provide a flammable fpuid storage cabinet or reduce storage to 10 gallons or less. Addlional Commends: C Page of 32 Remove all flammable f ids not used for maintenance purposes. 33 Store flammable liquids avay from exits, stairs, or corridors. 34 Secure compressed finders. STORRAGE • 35 s inan ordedy manner to provide acoesslegress. 36 Remove combustible storage from water treater and electrical room. 37 Remove storage to 24 inches below ceiling or 18 inches belay sprinkler heads. 38 Remove linildebris from behind washers and dryers. 39 Remove waste/nbbsh mac -rials from the premises. 40 Keep dumpsters 5 feet away from combustible walls, eaves, or openings. MISCELLANEOUS 41. Other viciabons ardor comments. ATE OF CALIFORNIA IRE SAFETY INSPECTION REQUEST Si u.850(REV. taw) See Instructions on reverse. CONTACTS NAME TELEPHONE NUMBER REQUEST DATE PROGRAM 08735/ARF SS/COMMUNITY CARE LICENSING 530 895-5033 08/23/07 TORS NAME REQUESTING AGENCY FACILITY NUMBER REQUEST CODE ONNA GURRIERE/0212 045002069 CODES 1. ORIGINAL A. FIRE CLEARANCE LENSING DEPARTMENT OF SOCIAL SERVICES 2. RENEWAL B. LIFE SAFETY AGENCY EAND COMMUNITY CARE LICENSING 3. CAPACITY CHANGE DORESS 520 COHASSET ROAD, SUITE 6 4. OWNERSHIP CHANGE CHICO, CA 95926 5. ADDRESS CHANGE L 6. NAME CHANGE 7. OTHER AMBULATORY NONAMBULATORY BEDRIDDEN TOTAL CAPACITY ACITY PREVWS CAPACITY CAPACITY PREVIOUS CAPACITY CAPACITY PREVIOUS CAPACITY 6 6 F LITY NAME LICENSE CATEGORY ATHY'S CHRISITAN COTTAGE 84735/ARF SWEET ADDRESS (Adwl Loanon) NUMBER OF BUILDINGS 136 FRUITVALE ROAD 1 RESTRAINT ICHVALE, CA 95974 NO F CONTACT PERSON'S NAME UCI MATTSON (530) 822-4487 24 wkLAL comxno s BUTTE CFD FIRE 'HORITY 176 NELSON AVENUE WE AND OROVILLE, CA 95965-3425 L MS NAME (rymd or Prk"o IDN DA INSPE DERIIG C OR UST SPECIAL copktraTs I TELEPHONE NUMBER CFIRS NUMBER OCCUPANCY CLASS 1. FIRE CLEARANCE GRANTED 2. FIRE CLEARANCE DENIED A. EXITS B. CONSTRUCTION C. FIRE ALARM D. SPRINKLERS E. HOUSEKEEPING F. SPECIAL HAZARD G. OTHER OF CALIFORNIA FIDo(REv. 10-94)E SAFETY INSPECTION REQUEST S750 es ,� See instructions on reverse. AGENCY CONTACTS NAME TELEPHONE NUMBER REQUEST DATE f-P.OGRAM DSS/COMMUNITY CARE LICENSING 530 895-5033 08/23/07 08735/ARF EVALUATORS NAME REQUESTING AGENCY FACILITY NUMBER REQUEST CODE DONNA GURRIERE/0212 045002069 1. FIRE CLEARANCE GRANTED CODES 1. ORIGINAL A. FIRE CLEARANCE OROVILLE, CA 95965-3425 LICENSING DEPARTMENT OF SOCIAL SERVICES 2. RENEWAL B. LIFE SAFETY AGENCY AlDRESS NAMEAND COMMUNITY CARE LICENSING 3. CAPACITY CHANGE ADDRESS 520 COHASSET ROAD, SUITE 6 4, OWNERSHIP CHANGE CHICO, CA 95926 5. ADDRESSCHANGE S 6. NAME CHANGE B. CONSTRUCTION C. FIRE ALARM T OTHER AMBULATORY NONAMBULATORY BEDRIDDEN TOTAL CAPACITY CAIPACITY PREVIOUS CAPACITY CAPACITY PREVIOUS CAPACITY CAPACITY PREVIOUS CAPACI 0' 6 FACILITY NAME LICENSE CATEGORY C!ATHY'S CHRISITAN COTTAGE 84735/ARF STREET ADDRESS (Actual Location) NUMBER OF BUILDINGS 1136 FRUITVALE ROAD 1 CITY nFSTRAINT RICHVALE, CA 95974 NO FACILITY CONTACT PERSONS NAME HOURS LUCI MATTSON 530 822-4487 24 SPECIAL CONDITIONS J CLEARANCE /DENIAL CODE BUTTE CFD CODES 1. FIRE CLEARANCE GRANTED FIRE 176 NELSON AVENUE AUTHORITY NAMEAND OROVILLE, CA 95965-3425 2. FIRE CLEARANCE DENIED AlDRESS A. EXITS S B. CONSTRUCTION C. FIRE ALARM — _ — D. SPRINKLERS OW -CTOFrS NAME (Typd orP*W TELEPHONE NUMBER CFIRS NUMBER OCCUPANCY CLASS E. HOUSEKEEPING F. SPECIALHAZARD G. OTHER DATE INSPECTORS SIGNATURE (Typed orPrintad) EXPLUN DENIAL OR UST SPECIAL CONDITIONS J