HomeMy WebLinkAboutFAI15-0093 Fire Annual Inspection Archive\ 'te Co Business
ire Prevention Bureau Witte County Fire Rescue �l� PY
76 Nelson Avenue California Department of Forestry Yellow Copy —Occupancy File
oville, CA 95965 and Fire Protection Pink Copy —Station File
elephone 53A-538-7888 Facility Inspection Report Occ. Class.
ax 530-538-2105
Address: sc'�O Business Name:
r/Maeager: �� %r /�,� Bus: Hm: Fax:
Assistant Manager: Bus: thn:
Building Oamer. Bus: Hm:
Address:
W ruQ'D1WJ"►rTnTJ n1VVnTm r A f -9M .TTV 1QF.VF. A T .F.11 TMW. FO ,T ,nWTXG2
I.
Fire Extinguishers: Required, service due
10. Exit(s) obstructed, inadequate
2. Extension cords: Excess use, defective
11. Exit signs)required, illumination
3. Excessive rubbish, trash, debris
12. Exit sign lights need replacing
4.
Fire alarm system defective
13. Exit lighting: Required, defective
1 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 0 No 0
18. Other
DETAILED EXPLANATION AND C OICKL+' UTIU N b: U VIUCLU I ML:
Date:
2 .- -- f l
Discussed with:
(Print)72
Sip -,W:
,.-
Battalion 1 2 3 4 5
Station. FPB
lnspectin 4f�ic
FIRE PREVENTION SAVES LIVES, PROPERTY, AND B U SIN ESS. Y U U K UUUrK A-11UJN W 11 li
CORRECTING THE ABOVE LISTED ITEMS IS APPRECIATED, REINSPECTION DATE:
'ire Prevention Bureau
76 Nelson Avenue
)roville, CA 95965
telephone 530-538-7888
ax 530-538-2105
—Butte County Fire Rescue
..alifornia Department of Forestry
and Fire Protection
Facility Inspection Report
Address: $ j N Ce C_ � i
ro afflanager:
ssistant Manager:
uildinQ Owner.
'~ White Copy - Business
Yellow Copy — Occupancy File
Pink Copy — Station File
Occ. Class. V_ 1
Business Name: IH C,.1 ck" i
Bus: S 3_- J j S 1 Hm:
Bus: Hm:
Bus: Hm:
Fax:
AN INSPECTION OF YOUR FACILITY REVEALED THF FC)LLOWTNG-
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
11DETA1LED EXPLANATION AND CORRECTIONS: C ORRFCTFD-
Date:
it-?- t(Print)
Discussed with:
—
Si,Snd
J-,-� /
Battalion 1 2 3 4 5 7
Station: Z FPB
specting Offi r:
FIRE PREVENTION SAVES LIVES, PROPERTY, AND BUSINESS. YOUR COOPERATION WITH
CORRECTING THE ABOVE LISTED ITEMS IS APPRECIATED. RE -INSPECTION DATE: -t)—
FIRE SAFETY INSPECTION REPORT
Butke County Fie D�artrne�eo*�'
.:affortua Deparbnent of Forestry and Fre ProtedL .
Orovine, Ca6fomia 95965 • (53 38-788
:IprAddress-. f' caY
nagement
Name: O
1r1 ; 91 c"«, tee: 1112.110
Business Phone: f S� OfEznr
AP#:
NO.
CORRECTIONS 1 4 RED
NQ
LOCATLONI REMAIM
CLENM
! /
1 Provide address I_.D. viable from stied
t �r2 ,. ,. , .. ti << ✓
t t
I I
2 Remove obstructions at'eaats, doors, ales, eta
3
Eat door togmn without a key or any special efort.
/ !
4 R est door hardware.
5
Remove obstructions from door m#W lobe dosed.
/ !
6 Remove loclellatches from doors with panic hmdwane.
7
PwvkIe sign over main W door- "This door to remain w* dked during
bminew hours'.
!
8
Remove from
9 Prouide<maintain exit
10
fine ' s servicedandfted.
REMSPECTION DATES INSPECTOR
11
ProvkWmount free aftisher as irr rated.
12
Post a sign indc ft_* fie aftuisher location.
1st
I I
13
Provide dear access to fire isher.
IICI't0[;1
2nd
14
N Wain, repair, Punt, i qmd, ancVor lestsprinlder arx ripe
systernlhydmnVFDC/PiV.
Refer to FPB
/ !
15
Maintain 3 feet minimum clearance for accessAw of fire
appCranoeslequOnent.
Districts
I I
16
Replace damaged*ntedfmissing sprhlder 1 - ead9FDC ceps.
Dial wee
/ I
17
Provide &Year certification test for em.
Class ❑ Check Pre-F'ffe Pian for accuracy.
18
Rovide M spkW heads mh ardor cmpft wrench
BY ORDER OF THE FIRE C H I E F
19
- Hoodlduct eftuishN system to be servioedl taggW M 6 mo.
20
Remove reease from hood, dud, and filters. EEP C
You are hereby notified to cared all violations immediately or show cause
..
AL
why you should not be required to do so. A re -inspection will be conducted
21
Mo nta n arxYor taste alarm tem
on 111 WU failure to comply with this notice is a
�. Violations that are not corrected Immediately a or remain
after the re! -i may be as a criminal offense. Thank you
22
R holes in fine resistive
for your nce and cooperation in minim¢ing the fire and fife toss in
23
Providel it self or automatic dos' fire rated assemblies.
your unity.
/
24
KeT attic access and saltie gwings dosed.
-".�
Et
re of pterrt;
2
Disco .tinU WY of adension cards.
26
Install permanent mMng for foced and sta ' iarmes.
0 Owner 0 Ma ee l] Ofher
27
Provide cow plates for all 'unction boxes.
Irrspec8ng Ofllcer.
28
Remove or protect in approved oond A
29
Pm vide a 30 inch cheat ME to and in front of electrical
FPB: Com
30
horn in condtion and from <y1NOVIOLATIONS NOTED THIS DATE
T`
.
t..r f r .7 '- >r:+ ..t.,,: .vI .:'i 'pit ,,,...i u .y i•. i .,.: • t S<. - t ... 4 .r:i:.
THANK YOU FOR BEING FIRE SAFE
31
Provide a flarmrrable storage or reduce storage b 10 gafons or
less.
AdditW Comments:
32
Remove all fanomble fiquids not used for maintenance
33
34
Stone flammable_!from ants, stairs, or corridors:
Secure
-
; , •� Jam: .I - .•1C• �:`t •,♦ J_'... \ ..".• \ s.
vn't
in an j�
mamw D
36
Remove wnbustble from water heater and electrics# room.
37
Remove to 24 inches below Wft or 18 inches below 'nkler heads.
38
Remove IiMtris from behind washem and
39
Remove wastelrubbish materials from the premises.
40
Keep "r paters 5W away from cai xz ble wags, eaves, or openhgs.
•
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..J 1
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w �: .fr. ••' ..i :.�l i•itt,,tt ..,.•t ;ji:'•'t .. %:C?T'c.: {.`'tt.. ;�fr..�__�.•,r•:.N,. t•..
t, %> -•/Tt.'. V-\ i / �y <i I 4'♦ Sf Y;�TAMC
t % T.= /._ F• r = `�L �(tly ~} ~ • ti- •S 1 > ! ` \t y.^, K•J y'J tit 1 I .t a) /✓, t 1 i / ♦I
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MI �•.�». .. p t:tf ),t y.. =,,{f> \•r t�.i f?:(:'C .? 'I i.S•"y `::.:fir';•r yv�.It1ti/ f 't f! S tt
'h Y• c . :• .'ttf, �^\' w✓:i . . ✓.t ,.a.7. .J.. ..i < a i ` t S . r . 3.A�:•
41
Other violations andfor comments.
Poge of
Page 1 of 1
Fowler, Steve
From: Wilson, Cyndi
Sent: October 20, 2004 6:29 AM
To: Fowler, Steve
Subject: FW: Inspection Completion Notification.xls
Cyndi Wilson 40;>(
Office Technician
CDFBCFR
530-538-7888
530-538-2105 (fax)
-----Original Message -----
From: BTU Palermo Stn
Sent: Tuesday, October 19, 2004 5:45 PM
To: Wilson, Cyndi
Subject: Inspection Completion Notification.As
To email this form do the following:
1. Click on "File"
2. Click "Save"
3. Click on "File" again
4. Click on "Send To"
5. Click on "Mail Recipient"
6. Address to Cyndi Wilson
7. Click "Send this Sheet'
Business Name Honcut School
Date of Inspection 10/19/2004
Number of Violations 0
Inspector Name Matt Damon
,Reinspection Date None
10-20-2004
ire Prevention Bureau
76 Nelson Avenue
)roville, CA 95965
'elephone 530-538-7888
ax 530-538-2105
Address: _
Iwner/Manager: 7 f �?
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
Oce. Class.
{ Business Name: fo,,rr(r,/ 7
Bus:/. Hm:�� ��f" ?..' Fax:
Manager. Bus: Hm:
Owner: Bus: Z T _ !/ 1/2 mu:
AN UVCP1V!"T1nm nF V[IITR FACH.1TV RFVFAI.Fn THF 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 11No [I18.
Other
DETAILED EXPLANATION AND CORRECTIONS:
CORRECTED:
Date:
Discussed with:
Signed:
�U �9LC-7 V
(Print)
Inspecting, Officer:
Battalion 1 2 3 4 5 6 7
Station: FPB
FIRE PREVENTION SAVES LIVES, PROPERTY, AND BUSINESS. YOUR COOPERATION WITH
CORRECTING THE ABOVE LISTED ITEMS IS APPRECIATED. RE -INSPECTION DATE:
'ire Prevention Bureau
76 Nelson Avenue
)roville, CA 95965
'elephone 530-538-7888
'ax 530-538-2105
Address:
lwner/Manager: r,
Manager:
Owner:
.00.
3utte County Fire Rescue
California Department of Forestry
and Fire Protection
Facility Inspection Report
AV TNCVF!`1rI(11V nF VnI
White Copy - Business
Yellow Copy - Occupancy File
Pink Copy - Station File
Occ. Class.
Business Name:
Bus: 9/ r2- Hm: 3y- .S / / Fax:
Bus: Hm:
v. Bus: j33— 9 9e12 Hm:
FACH.ITV RFVFAI.VD TAF FOLLOWING:
-1.
Fire Extinguishers: Required, service due
,-1-10.
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
<' S.
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
0F.TAHXD F,XPLANATION AND CORREC 10NN: UVKK_ _ ]LU :
Date:
DiscusseFd with: �-
Signed: )
'%
InSD ting Office;.- ,r -
5 �= ;4. f`4i
Battalion 1 2 3 4 5 6
Station: FPB
-�v'
FIRE PREVENTION SAVES LIVES, PROPERTY, AND BUSINESS. YOUR COOPERATION WITH
CORRECTING THE ABOVE LISTED ITEMS IS APPRECIATED. RE -INSPECTION DATE: --
BUTTE COUNTY FIRE DEPARTMENT/CDF FIRE
TITLE 19/24
FACILITY INSPECTION
INSPECTION NO. 1� 2 3
REINSPECT: YES r V NO
Facility Occupancy
Address i Inspector rm/0—
Phone GSL —915"L Station 7'z 'vTJa�n a�
Contact J 1 p^ I Y L CIZ Station Phone -530 S_Vh. 7s7cS
Compliance: Yes=
ACC SS -- All inspections
ddress correct/posted and visible from road (Butte Co. Code 32-9)
ccess to public street or 20 ft. wide lane (T1s -3.05)
Gates wide enough to admit fire apparatus (T1s -316)
Fire protection equipment visible/accessible (T19-314)
No = 0 Not applicable = N/A
PORTABLE FIRE EXTINGUISHERS — All Inspections
Extinguishers have current annual service tag (r19 -575.1A)
V Maximum travel 75 ft. (T19-567)
rovide clear access to fire extinguisher (T19-563.2)
Extinguishers mounted on wall/or in cabinet, visible and signed (T19-563 8)
EXITS --All Inspections
L/
Exits not obstructed (r19-3.11)
Exit signs in place (CBC 1003.2.9.1)
Doors operate without key or special knowledge (CFC 1207.3)
Rooms with Occupant Load of 50 Persons or More
_J_/Exit illumination and signs in place (CBC 1003.2.82)
--X/—Maximum occupancy sign in place (r19-3.30)
Two exit doors/panic hardware swing in direction of travel (CFC 2501 82)
HOUSEKEEPING —All Inspections
v No waste or rubbish accumulation inside or outside T19-3.14)
_V—Reduce storage to at least "below ceiling/ sprinklers (T19-3.14)
Remove combus. storage from heater, mech., elect. room (r19 -3.19f)
�rovide approved metal container for oily rag storage (T -19-3.19c)
Flammable liquids stored properly (T-19-3.15)
Corrections and Comme
ELECTRICAL --All inspections
t xtension cords do not replace permanent wiring (CEC-400-8(1))
:/Extension cords do not pass through doors/walls (CEC-400-8 (2,3))
t/ inch clearance around all electrical panels (CEC-110-16A)
i1 All panels and breakers are marked (CEC-110.17 C)
*Repair holes in fire -resistive construction CEC (300-21,22)
Multi -plug power strips have circuit breaker (CEC 400-13)
FIRE PROTECTION EQUIPMENT -- All Inspections
Hood system serviced/tagged every 6 mo. by cert. tech. (T19- 04)
Clean filters, hood, and duct area over cooking a ' es (c,C 1006.2.8)
Maintain extinguishing systems
Provide spare sprinkler he min.) and/or sprinkler wrench (r19-904
Replace damage orroded, or painted sprinkler heads (r19-904.5)
;prilikler valves and secure in open position (T19-904.5)
missing caps on fire department connection (r19-904.3)
I— Provide 5 -yr. certification test for sprinkler/standpipe (T19-904)
MECHANICAL EQUIPMENT -- All Inspections
0_1 Vents and chimneys -- No obvious hazards (CMC -Ch. 8)
SMOKE DETECTORS -- Day Care Sr. Res., Hospitals, Apts.
Properly installed and tested (r19-749, 754)
SHOOLS, JAILS AND HOSPITALS y
N r` Decorations and curtains fire retardant (r19-3.08)
LPG tanks fenced with locked gates (T19-3.22)
FIRE DRILLS -- School and Day Care (Title 19-3.13)
/All systems operable/hooked to office
Held monthly (elementary schools)
IkHeld semi-annually (high schools)
Evacuation plans posted in all rooms
mergency procedures posted in office
Teachers take roll books
The above deficiencies must be corrected within days.
Inspection Date: AM&W O , Z007--
owner/Manage
00is
owner/Manager AP #