HomeMy WebLinkAboutFAI15-0096 Fire Annual Inspection Archive (2)--,.,,mf1RE SAFETY INSPEC110N REPOFq,
Butte County Fire Department
Cafifornia Department of Forestry and Fire Protection
rovineC ' omia 95965 (530) 538;7 88
Buskms Adafress: G Y
Buskxw Name: S
Owner/Propeft Management" pl Lam." N? A go7 &Ze-
�72
Inspection Date: / O a Z ap
Business Phone: 7 7 y
AP#:
NO.
CORRECI
Ido!
LOCATMIREMAMGLS
L TIM .
1 !
1 Provide adds rimbetsbidng I.D. visble from street.
EXIIIIG
I I
2 Remove obstructions at a is, doors, aisles, , etc.
3
Exit door to open without a key or any special krmledget of brL
/ !
4 Repair exit door hardware.
5
Remove abstractions from door reqzed tD be dosed.
! I
6 Remove bcks/Mches from doors with panic hardware.
7
Provide sign over main exit door - "This door to remain unlocked during
business hours'.
/ I
8
Remove st firm under u tested '
1
9 Provide/maintain exit s' em l' ti
FIRE E'OERS
.
10
Have fire s serywd ard tagged.
RUNSPECTION DATES INSPECTOR
11
Pro dehount fire wtinguisher as indicated.
1st
I /
12 Post a s' n indicating fire acts uissher location.
13
Provide clear access to fire extinguisher.
2nd
I I
FIRE PROI.ECIKM.
14
Maintain, repair, pains, inspect, ardor test sprinkWMarx0ipe
system/hydranWDC/PI1!"
Refer to FPB
! /
15
Maintain 3 feet minimum clearance for access/use of fine
appliances/equoment.
District Attomey
1 I
16
Replace damagedlpaintedfmisssing sprinkler headSIFDC caps.
Final Clearance
/ !
17
Provide 5- ear certification test for 'nikler em.
2MEM Class ❑ Check Pre -Fire Pfau for accu
18
Provide MTspnnkler Feeds mn 9 ardorcomp2jU2 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 re4rrspection 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 re4 pertion may be processed as a criminal offense. Thank you
for your assistance and cooperation in mmim¢irtg the Erre and life loss in
your gnmmurifty.
signature of Reci •
19 Hoodlduct actin uishin tern to be serviced/ fa eve 6 mo.
20 Remove cease from hood, duct, and filters. KEEP CLEA
: fIRE .: ;
21 fUfaintain, repair, i , anrilor test fire alarm system.
FIR PI 'f lS
22 R it holes in required fire resistive oonstruciion.
23 RwWrepair self or automatic closing fire rated assemblies.
24 Keep attic access and scuttle wjm closed.
ELECTRI'CL
25 Discontinue use of extension cords.
26
Install permanent wiring for fixed and stations lances.
40 Owner ❑ Manager ❑ Employee ❑ Other
27
28
Provide cover res for all 'unction be xes.
Remove exposed wiring or protect in approved conduit
inspecting Officer.
G C0''?a
29
Provide a 30 -inch dear to and in front of electrical panel.
FPB: Engine Company: EL7,
30
maintain wiring in good oondition and test from damage.
FB�I� UQLRDSGSF
NO VIOLATIONS NOTED THIS DATE
THANK YOU FOR BEING FIRE SAFE!
31
32
33
34
35
36
37
38
39
40
41
Provide a flammable liquid storage curet or reduce storage to 10 gallons or
less.
Remove all flammable liquids not used #or maintenance purposes.
Store flammable liquids from exits, stairs, or carkbm.
Secure comp2nW gas cylinders.
VORAGE HC11MS3' "
Anange stmage in an manner to ass/ egress -
Remove cornbustble story a from water heater and electrical room.
Remove 2LoM to 24 inches below ceiling or 18 inches below sprinkler heads.
Remove linVdebris from behind washers and dryers.
Remove waste/nrbbish materials from the premises.
Keep dumpsters 5 feet away from combustible walls, eaves, or openings.
;#4A
Other violations and/or comments.
Adcfitio W Comments:
Page of
ST TE OF CALIFORNIA
F RE SAFETY INSPECTION REQUEST
See instructions on reverse.
ST .850 (REV. 10-94)
AGENCY CONTACTS NAME I TELEPHONE NUMBER REQUEST DATE PROGRAM
DSS/COMMUNITY CARE LICENSING 530 895-5033 8/31/04 CCL
EV LUATOR'S NAME REQUESTING AGENCY FACILITY NUMBER REQUEST CODE
101 /MARGIE WHITAKER 045404218 IA
CODES
1. ORIGINAL A. FIRE CLEARANCE
DEPARTMENT OF SOCIAL SERVICES
LICENSING 2. RENEWAL B. LIFE SAFETY
AGENCY COMMUNITY CARE LICENSING
AME AND 520 COHASSET ROAD, SUITE 6 3. CAPACITY CHANGE
DDRESS CHICO, CA 95926 a. OWNERSHIP CHANGE
5. ADDRESS CHANGE
L 6. NAME CHANGE
OTHER
AMBULATORY
NONAMBULATORY BEDRIDDEN
TOTAL CAPACITY
CAPACITY PREVIOUS CAPACITY CAPACITY PREVIOUS CAPACITY CAPACITY PREVIOUS CAPACITY
i
4
5
45
LICENSE CATEGORY
FA CILITY NAME
44 ONSHINE ACRES
850
Sl REET ADDRESS (ActualLocation)
NUMBER OF BUILDINGS /
/
597 LOWER WYANDOTTE RD.
CITY
RESTRAINT
ROVILLE
NO
FA ILITY CONTACT PERSON'S NAME
HOURS
PIANA MARQUEZ (530) 589-0733 I
M -F 6:30AM - 6PM
CIAL CONDITIONS
TO BE COMPLETED BY INSPECTING AUTHORITY
CLEARANCE/DENIAL CODE `
F CODES
FIRE CDF - BUTTE COUNTY 0 FIRE CLEARANCE GRANTED
AUTHORITY 176 NELSON AVE.
AME AND � CA 95965 2. FIRE CLEARANCE DENIED
ADDRESS ORO LLE A. EXITS
{ ATTN: C-A-PI.F *DEED B. CONSTRUCTION
L�
C. FIRE ALARM
-- — D. SPRINKLERS
IN SPECTOR'S NAME (Typed orPrinted) TELEPHONE NUMBER CFIRS NUMBER I OCCl1PANCY CLASS
E. HOUSEKEEPING
LO
V _ F. SPECIAL HAZARD /A.) (55
IN PECTION DATE INSPECTOR'S SIG NATURE(Typed orPrinted) G. OTHER
I' IN DENIAL OR LIST SPECIAL CONDITIONS
f