HomeMy WebLinkAboutFAI15-0090 Fire Annual Inspection Archive (2)Fire Prevention Bureau
176 Nelson Avenue
Oroville, CA 95965
Telephone 530-538-7888
Fax 530-538-2105
Address:
Owner/Manager:
Assistant Manager:
Building Owner.
Address:
Butte County Fire Rescue
California Department of Forestry
and Fire Protection
Facility Inspection Report
Business Name:
Bus:
Bus:
Bus:
White Copy - Business
Yellow Copy — Occupancy File
Pink Copy — Station File
Occ. Class.
Fax:
AV rnrevrrrr1nN nF VnITR FAfH,TrV RFVF,AI,F,D THE 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 ❑ No ❑
18.
Other
DETAILED EXPLANATION AND CORREUTIONa: UUM CLU IES L:
Date:
Discussed with:
Signed:
(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:
outte County Fire Department
;f. Cpl California Department of Forestry and Fire Protection
Cp
Fire Prevention Bureau �'� try
176 Nelson Avenue, Oroville, CA 95965
FIRE 530-538-7888/530-538-2105(fax)
Fire Safety Inspection
Business Address: Business Name:
Owner/Manager:rldr ; Bus: _ 2. Other:
Other Contact: ��;� �,�,� Bus: Other:
Building Owner: Clqt - ,ZgvL C Bus: Other:
Address: Occ. Class:
AN INSPECTION OF YOUR FACILITY REVEALED THE FOLLOWING:
DETAILED EXPLANATION AND CORRECTIONS: CORRECTED:
Date: Discusse with: Signed:
iv /a
(Print)���
Inspecting O cer:
Battalion 1 2 3 4 5 6 7 Station: Z FPB SOS`[. = .9">
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)
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
v/4
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.
A/6
7.
Fire walls, ceilings, fire doors, draft stops
16.
Address posted and visible from road
mjy
8.
Smoke detectors: required, defective
17.
Other
9.
Fire drill loq checked Yes ❑ No ❑
18.
Other type of inspection — State below
DETAILED EXPLANATION AND CORRECTIONS: CORRECTED:
Date: Discusse with: Signed:
iv /a
(Print)���
Inspecting O cer:
Battalion 1 2 3 4 5 6 7 Station: Z FPB SOS`[. = .9">
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)
outte County Fire Department
�, Y' Cp-� California Department of Forestry and Fire Protection
. Fire Prevention Bureau
176 Nelson Avenue, Oroville, CA 95965
FIRE 530-538-7888/530-538-2105(fax)
Fire Safety Inspection
���CFBZZ
a�
Business Address:
Business Name:
10.
Owner/Manager:
Bus:
Other:
Other Contact:
Bus:
Other:
Building Owner:
Bus:
Other:
Address:
Fire alarms stem defective
Occ. Class:
1t1t1kMU*Q 1111ORK91 W10111 Z41 1-11 11=1 oil I
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:
Date: Discussed with: Signed:
(Print)
Inspecting Officer:
Battalion 1 2 3 4 5 6 7 1 Station: FPB
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 ❑ Check when sent to prevention
„laayS slgl PUGS., mollo I
uosl!/N !PUAO 01 ssaJppy *g
„lua!d!oa�l p1m, uo M3110 'S
„ol PUGS„ uo mollo 't,
ulebe „al!�„ uo mollo '£
„aneS„ )10110 'Z
„al!j„ U010110 ' L
:6ulMollol ayt op uwoJ SM l!et,ua of
pataldwooEaleC]oN
uo!taadsula�j
saIs3 uanaIS
aweN jotaadsul
auoN
suo!Ielo!n 10 jagwnN
ti00Z-8Z-v0
uolpadsul jo a}e4
96ueaE) owJaled
aweN sseu!sn8
„laayS slgl PUGS., mollo I
uosl!/N !PUAO 01 ssaJppy *g
„lua!d!oa�l p1m, uo M3110 'S
„ol PUGS„ uo mollo 't,
ulebe „al!�„ uo mollo '£
„aneS„ )10110 'Z
„al!j„ U010110 ' L
:6ulMollol ayt op uwoJ SM l!et,ua of
Fire Prevention Bureau
176 Nelson Avenue
Oroville, CA 95965
Telephone 530-538-7888
ax 530-538-2105
Address:
Owner/Manager:
Assistant Manager:
Jutte County Fire Rescue
California Department of Forestry
and Fire Protection
Facility Inspection Report
Business Name:
Bus: Hm:
Bus: Hm:
Buse Hm-
White Copy - Business
Yellow Copy — Occupancy File
Pink Copy — Station File
Occ. Class.
Fax:
Building Owner.
Address:
AN 7NQPFl TinN OF vnITR FAf'nXrV RF,VF.ALED THE 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 ❑ No ❑
18.
Other
DETAILED EXPLANATION AND CORRIJCTIONS:
CORRECTED:
Qz
Date:
Discussed with:
(Print)
Signed:
Battalion 1 2 3 4 5 6 7
Station:
FPB
Inspecting Officer:
FIRE PREVENTION SAVES LIVES, PROPERTY, AND BUSINESS. YOUR COOPERATION WITH
CORRECTING THE ABOVE LISTED ITEMS IS APPRECIATED. RE -INSPECTION DATE:
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
Palermo Grange
Date of Inspection
6/11/2003
Number of Violations
None
Inspector Name
Steven Estes
,Reinspection Date
None Completed
.J
• Vic- :ice; :�.'�,• � y - '•j : '.
♦
! •r- •Ir -Its• � /, 1 • �! It ,- •ti
... -. _ - .. _ � Sl' . ••. ., . _.. •1. _ -•A• • . •r .r ...1 • ., r . •, .. ` ..- .' ._ 11 � ru. � -•y ....... .r. �•. r �. Y •.. __
0
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
Palermo Grange
Date of Inspection
5/28/2003
Number of Violations
None
Inspector Name
Steven Estes
,Reinspection Date
6/11/2003
. tet.. .. !"! .•. �-.. ._ - ... - _..... .,�. _. ., t• .• .. -t ., .. t.. - - .-....�- ..' ... ... .. .. . ... _.. .,. •. --.• , ... - ► - .. -..
- q•
A
Z
R
Fire Prevention Bureau Butte County Fire Rescue White Copy - Business
176 Nelson Avenue California Department of Forestry Yellow Copy — Occupancy File
Oroville, CA 95965 and Fire Protection Pink Copy — Station File
Telephone 530-538-7888 Facility Inspection Report Occ. Class. 1r
Fax 530-538-2105
Address: w /jy, e Business Name: , �r"�O ,•vq v G
Owner/Manager:A.,G�% }�: Bus: Fax:
Assistant Manager: Bus: I -lm:
Building Owner: I r jL !3 14 _ ,.o,s us: 116 `/s qi ge- :, Hm:
Address: T7_ ! o I S �el - �, ,>:. _ ,�� q5 S !
AN iNCPF(`T1n1V nF VnITR TiACTLITV REVEALED THE 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
V 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
DETAILED EXPLANATION AND UORRE :TIUN N:
1 /
r_ -
.w.,
;w., 04 lI —
-- 1.4 K.G
�� �,¢ ij � �" ..rte f✓C.� i /d iy S
.' � Z. �cs�a.a, „� �..u,G� SSG tii� � i � k � C �•r� !r'�."c� fiy'".e�2
1 r
Date- f Discussed with: , , l Signed:
Insp ting Office
Battalion 1 2 3 4 5 6 012 Station: `7Z FPB -> S
[RE PREVENTION SAVKS LIVES, PROPERTY, AND BUSINESS. YOUR COOPERATION WITH
ORRECTING THE ABOVE LISTED ITEMS IS APPRECIATED. RE -INSPECTION DATE: - I I - C;� _S