HomeMy WebLinkAboutFAI19-0004 Fire Annual Inspection Archivebutte County Fire Department
Business Name:
California Department of Forestry and Fire Protection
Owner/Manager.
Fire Prevention Bureau
Other:
176 Nelson Avenue, Oroville, CA 95965
(D
530-538-7888/530-538-2105(fax)
Building Owner:
Bus:
Other:
Fire Safety Inspection
Fire alarms stem defective
Business Address:
Business Name:
10.
Owner/Manager.
Bus:
Other:
Other Contact:
Bus:
Other:
Building Owner:
Bus:
Other:
Address:
Fire alarms stem defective
Occ. Class:
AN INSPECTION OF YOUR FACILITY REVEALED THE FOLLOWING:
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
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 0 Check when sent to prevention
' 000W IRE SAFETY INSPECTION REPO'
Butte County Fire Department
California Department of Forestry and Fire Protection
roville, California 95965 • (530111538-7888 �J
Business Address: t§ Cdy: Inspection Date: /j /
Aksiness Name: Business Phone:
ier/Properly Manage ent: AP#:
.._.
1 11
_______._.___-,
1
Y�
r
LOCATION
N bit (< 19r Com` i
! /
1 Provide address numbersbAdng I.D. visible from street
EXMNG
p
2 Remove obstructions at exits, doors, aisles, staffways, etc.
3
Exit door to open without a key or any spew knowledge/ effort.
,
Vey
4 Repair exit door hardware.
5
Remove obstructions from door reqxred to be closed.
/ I
6 Remove bcksllatches from doors with panic 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 Providelmaintain exil WVernaWq lighting.
FIRE EKTW USHERS
10
Have fire exti s serviced and tagged.
RE -INSPECTION DATES
INSPECTOR
11
Provide/mount fire Winguisher as indicated.
1st
/ /
12 Post a sign indicating fire extinguisher location.
13
Provide clear access to fire edi usher.
2nd
/ /
FIRE PRO EC71ON EQU1PF W
14
Maintain, repair, paint, inspect, and/or test sprinkler/slaandpipe
system/hydrant/FDC/PN.
Refer to FPB
/ /
15
Maintain 3 feet minimum clearance for accessluse of fire
applsnoes/equipment.
Dstrid Attorney
/ /
16
Replace damaged'paintedhrrssing sprinkler heads/FDC caps.
Final Clearance
/ /
17
1 Provide 5 -year certification test for sprinklerMandpipe system.
Ocotparwaass
❑ Check Pre -Fire Flan for accuracy.
18
Provide sprinkler treads min. ardorwrench.
BY ORDER OF THE FIRE CHI EF
You are hereby notified to correct all violations immediately or show cause
why y u lou be required to do so. A re -inspection will be conducted
VVdlful failure to comply with this notice is a
m' or. VkAations that are not corrected immediately and/or remain
after the reinspection may be processed as a criminal offense. Thank you
for your assistance and cooperation in minimizing the fire -life in
your com
L19 Hood/duct edinguishing system to be senrioedt tagged every 6 mo.
20 Remove grease from hood, duct, and filters.(KEEP CLEAN)
FIREAL ARM SYSTEMS
21 Maintain, repair, inspect, and/or test fire alarm system.on
FIRE SEPARATIONS
22 Repair toles in required fire resistive construction.
23 Providetrepair self or automatic closing fire rated assemblies.
24 Keep attic access and scuttle openings closed.
ELECTRICAL
Signature Recipient:
25 Discontinue use of edension cords.
26
Install permanent wiring for fixed and stationary appliances.
❑ Owner 2!LMnagg; Mmployee ❑ Other
27
Provide cover plates for all junction boxes.
Inspecting Officer
28 Remove exposed wiring or protect in approved conduit.
29
Provide a 304nch dear space to and in front of electrical panel.
FPB: Com
30
Maintain wiring in good cordtion and protect from damage.
❑ NO VIOLATIONS NOTED TH8 DATE
THANK YOU FOR BEING FIRE SAFE,
FLANIIIIABILE t1Qi1K)S • COMPRESSED GASES
31
Provide a flammable liquid storage cabinet or reduce storage to 10 gallons or
less.
Addborral Comments:
ip � b Q �3
1"`
32 Remove all flammable liquids not used for maintenance purposes.
33 Store flammable liquids from exits, stairs, or corridors.
34 Secure compressed inders.
35 storage in an orderly manner to prowde access!
36 Remove combustible stomp from water hater and electrical room.
37 Remove stordge to 24 inches below ceiling or 18 inches below sprinkler heads.
38 Remove lintldebrs from behind washers and dryers.
39 Remove waste/nrb mh materials from the premses.
40 Keep dumpsters 5 feet away from combustible walls, eaves, or openings.
.:MISCELLANEOUS
1 Othervi ions and/orcDmments.
Page of
' _ '. � , ��
.,
-• r ` �
i '� .. - � .. � - .. it 1 � r ♦ • � � / �`� _.
• - � J -
�. •'•fin.. - - �' a �� w .. r'� 3'lM fY�� - 1� j
- � v } • - Jia -
� _ ,• ; ti i i
• � .._. .. —� .', �•� - •ter � t :.:•.; - � ,' ... ,_ _ .. ,,
. � � S lye � - �.. ? .f. _ � _ � -
. � � � �' ��
' � � -
�`
1
� T_ ,-, 32811
HAYDEN
FIRE PROTECTION -
P.O. Box 1504 e Paradise, CA 95967
1-800-4 otit 1 A 2M
RIECEIV��3
MOT M M WN R, 11�
ADDRESS
VJ Ar".• v �►
CITY & STATE
ZZ2
L -WWI'% I 1%.01,v
DATE ACCT#
CASH
G
NEW A N L
CUSTOMERS PO#
SALESMAN
EXTINGUISHER SERVICED
)0
L11 0
EXTINGUISHER SERVICED
EXTINGUISHER SERVICED
-HYDROSTATIC TESTS
LBS. CHEMICAL
A
Aa
f U SALES. TAX ON
SIGNATURE
PLEASE PAY FROM THIS ' INVOICE 0 L'N,-
FAP STATEMENT WILL NOT BE SENTT,
TI -11
Terms. Net 30 Days. Past Due accounts subject to a late• charge of TO T
.1-1/2% per month (18% per annum).%--tD'S PNNT11INHICO-, CA 891-4625
Plus all costs of collection suit and reasonable attorney's fees. 377674 PC -2
„”,
ire Prevention Bureau
, '"`te County Fire Rescue
v bite Copy - Business
76 Nelson Avenue
California Department of Forestry
Yellow Copy — Occupancy File
roville, CA 95965
and Fire Protection
Pink Copy — Station File
elephone 530-538-7888
Facility Inspection Report
Occ. Class.
x 530-538-2105
Fire alarm system defective
Iq
Address:
Business Name: ;(44A-MtL-)L&
Sprinkler system: Service required, defective
Dwner/Manager:
Bus:
Hm: Fax.
sistant Manager:
Bus:
Hm:
Fire walls, ceilings, fire doors, draft stops
undine Owner.
Bus:
Hm:
Knox Box keys
AN WgPFCTInN nF VnITR FAC'.IT,ITV RFVF.AI,F,D TRF, 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 CORRECTIONS: CORRECTED:
Date:
Discussed with:
(Print)M�
Signed:
k
Battalion 1 2 3 74 5 6 7
Station: FPB
In specting. Officer:
FIRE PREVENTION SAVES LIVES, PROPERTY, AND BUSINESS. YOUR COOPERATION WITH
CORRECTING THE ABOVE LISTED ITEMS IS APPRECIATED. RE -INSPECTION DATE: `; ,`
F iret"revention Bureau Butte County Fire Rescue White Copy - Business
176 Nelson Avenue Alifornia Department of Forestry Yellow Copy — Occupancy File
Oroville, CA 95965 and Fire Protection Pink Copy — Station File
Telephone 530.538-7888 Facility Inspection Report •A.P No.
Fax 530-538-2105e��3�e r^
Address: t,2 �rJ.G—'� siness Name:
Owner/Manager: Bus: Hm: Fax:
Assistant Manager: Bus: Hm:
Building Owner: Bus: Hm:
FA-ddress:
AN INSPECTION OF YOUR FACILITY REVEALED THE FOLLOWING:
1.
Fire Extinguishers: Required for service, due
9.
Exit(s) obstructed, inadequate
2.
Extension cords: Excess use, defective
10.
Exit sign(s) required, illumination
3.
Excessive rubbish, trash, debris
11.
Exit sign lights need replacing
4.
Fire alarm system defective
12.
Exit lighting: Required, defective
5.
Sprinkler system: Service required, defective
13.
Smoke detectors: Required, defective
6.
Kitchen hood extinguishing system service due
14.
Wiring: Exposed, damaged connectors, etc.
7.
Fire walls, ceilings, fire doors, draft stops
15.
Heating system: Defective appliance, flue combustibles
8.
Knox Box keys
16.
Other:
DETAILED EXPLANATION AND CORRECTIONS: CORRECTED:
FIRE PREVENTION SAVES LIVES, PROPERTY, AND BUSINESS. YOUR COOPERATION
CORRECTING THE ABOVE LISTED ITEMS IS APPRECIATED. RE -INSPECTION DATE:
ire Prevention Bureau futte County Fire Rescue White Copy - Business
176 Nelson Avenue California Department of Forestry Yellow Copy — Occupancy File
roville, CA 95965 and Fire Protection Pink Copy — Station File
ephone 530-538-7888 Facility Inspection Report Occ. Class. "..
ax 530-538-2105
Address: L3 3J 739 klewas Business Name: Ay�rr�e •� 3
Owner/Bus: °j' 7 j 3 Hm: Fax:
Assistant Manager: Bus: Hm:
Tint -w /Wet
Building Owner: Bus: Hm:
Address:
AN INSPECTION OF YOUR FACILITY 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 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 CORRECTIONS: CORRECTED:
Gin4Nce
c tun c!,'u f-oo rrt ext*
Date:
Discussed with:�t /
Ai �C
§igned:
;94,0
Tint -w /Wet
11�/�
Inspecting 0iicer:
Battalion 1 2 35 6 7
Station: f 'FPB
FIRE PREVENTION SAVES LIVES, PROPERTY, AND BUSINESS. YOUR COOPERA14UIN WfM
CORRECTING THE ABOVE LISTED ITEMS IS APPRECIATED. RE -INSPECTION DATE:
ire Prevention Bureau
76 Nelson Avenue
lroville, CA 95965
'elephone 530-538-7888
ax 530-538-2105
Address:
Manager:
Owner:
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.
Hm: Fax
Hm:
Hm:
nsrrr7nAT nU Vn1T1D IRACH.TTV M1FV1W.AI._Fn TRF FnIJ.0W1NG!
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 CORRECTIONJ:
"=�-_;. g_P .�--'SL 7`��>t /_.✓r"S�iffi- i1/�/ff 2/� C-lC�`F"-I-"��S 6 G'
Date:
Discussed with:
Signed:
(Print)
Inspecting Officer:,,,--'
Battalion 1 2 3 4 5 6 7
Station: FPB
FIRE PREVENTION PREVENTION SAVES LIVES, PROPERTY, AND BUSINESS. YOUR COOFEMA'HON W111t
CORRECTING THE ABOVE LISTED ITEMS IS APPRECIATED. RE -INSPECTION DATE: