HomeMy WebLinkAboutFAI18-0008 Fire Annual Inspection Archive5)
Butte County Fire Department-
�� California Department of Forestry and Fire Protection
.?s Fire Prevention Bureau
176 Nelson Avenue, Oroville, CA 95965
530-538-7888/530-538-2105(fax)
Fire Safety Inspection
Business Address: �'� t..�� • Business Name: A��,�.,, :-,�,}•�
Bus.
C.
owner/Mans er: :
g � �� 1157
Other. .
Other Contact: ��,� --... Bus: __; Other:
Building Owner: Bus: Other:
address: 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
X 17.
Other`
"c, S•c L c t N
9.
Fire drill log checked Yes )(0 No 0
18.
Other type of inspection -.:'State below
DETAILED EXPLANATION AND. CORRECTIONS: CORRECTED:
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'Date: Discussed with: Si
(Print)
e r.
'Battalion 1 2 3 5 6 7 Station: FPB..
'By order of the Fire Chief: You are hereby notified to correct all violatio s immediately or show cause 04 you should not be
required to do so. A re -inspection will be conducted on iot�k Calk \no 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)
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'Date: Discussed with: Si
(Print)
e r.
'Battalion 1 2 3 5 6 7 Station: FPB..
'By order of the Fire Chief: You are hereby notified to correct all violatio s immediately or show cause 04 you should not be
required to do so. A re -inspection will be conducted on iot�k Calk \no 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)
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npr 03 04 09:03a CDF Butte CountyFire
Fire prevention Bureau Butte County Fire Rescue
176 Nelson Avenue California Department of Forestry
Oroville, CA 95965 and Fire Protection
lephone 530-538-7888 Facility Inspection Report
`ax 530-538-2105 B Name:
Address: i3gty 1
Bus:'' '15-�1/�
AssistM Manager:
BvildI Owner:
Bus:
f 53QJ 891 -2791 P.1
White Copy - Business
Yellow Copy - occupancy File
Pink Copy - Station File
Occ. Class.
------
HM:
ddres
AN INSPECTION OF YOUR FACILITY xit( obstni lFOLLOW
gate OWING
1. Fire Extinguishers: Required, service due
11. Exit sigci(s) required, illumination
2. Extension cords: Excess use, defective 12 Exit sign lights need replacing
3. Excessive rubbish, trash, debris 13. Exit lighting: Required, defective
4. Fire alarm system defective 14. Smoke detectors: Required, defective
5. Sprinkler system: Sernce required, defective
service due 15. Wiring: Exposed, damaged connectors, etc.
6. Kitchen hood extinguishing system ap liance, flue combustibles
fire doors, draft stops 1 16. Heating system: Defective p
7. Fire walls' ceilings' 17. Address posted and visible from road
S. Knox Box keys 18. other
9. Fire Drill Witnessed Yes ❑ No
DETAILED EXPLANATION AND CORRECTIONS:
ORRECTED:
----with: Sin
Date: Discussed 8 �.:, �^
Cf Print .�.:
Inspecting Officer:
"Battalion 1 2 3 4 5 6 7 Station: _
�I FPB
NTI SAVES LIVES, PROPERTY, AND BUSINESS. YOUR COOPERA'T'ION WITH
FIRE PREVE
CORRECTING THE ABOVE LISTED ITEMS IS APPRECIATE D• RE -INSPECTION DAM �—
d - -
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e
A'Fire Prevention Bureau Butte CountyFire Rescue White Copy - Business
1
176 Nelson Avenue California Department of Forestry Yellow Copy — Occupancy File
Oroville, CA 95965 and Fire Protection Pink Copy -- Nation File
'Telephone 530-538-7888 FacilityInspection Report Occ. Class.')F
ax 530-538-2105
Address .Basi
ness Name:
O
g wners er: � -_�- .: - BUS: =:7 4����� . { f°�',� ��� , . Hm: Fax:
i aiVNiM�.t ManagrWm` �Bus: •Ir. T��
•
'ding Owner: Bus: ,• , -: , •:.... Hm:
ddress:
AN INSPECTION OF YOUR FACILITY REVEALED TFIE FOTJ,OWTNG
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
14. Fire alarm system defective
13. Est 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.
17. 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
1_9. Fire Drill Witnessed Yes 0 No p
18. Other
R1+ TAlLED E"LANA-FIUN AND CORRECTIONS: CORRECTED:
N�.� ¢�.S .lt'• ice:' '� : : I . j' �i f•'i✓ (i �i� ,v•� w., iF ,Y Q J�'!�'�� .�(1F l Jri.� Y•' " }��. ¢ 'f�
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��- T _!
ate:
Discussed with:
Si _ :
,oattalion 1 2 3 � 4 � � 5 6 7
Station: r FPB
Inspecting Officer:
�
f
FIRE PREVENTION SAVES LIVES, PROPERTY, AND BUSINESS. YOUR COOPERATION WITH .
CORRECTING THE ABOVE LISTED ITEMS IS APPRECIATEDe RE -INSPECTION DATE:
Apr 17 03 12:11p CDF Butte CounttiFire [530)891-2791 p.l
,r.
To email this form do the following:
1. Click on "File"
2. Click "Save"
I Click on "File" again
4. Click on "Send To"
5. Click on "Mail Reciplent"
6. Address. to Cyndi Wilson
7. Click "Send this Sheet"
Business Name
Hate of Inspection
Number of Violafionj—
Ingector Name
Re' bon Date Rik" I
"This form has been emailed to all stations. When they complete the inspection
they need to email or fax this for to me and then send our copy of the inspection form.
Cyndi Wilson
Fire Prevention Bureau
176 Nelson Avenue
oroville, CA 95965
Telephone 53&-538-7888
6 -0 -
Butte County Fire Rescue
California Department of Forestry
and Fire Protection
Facility Inspection Report
White Copy - Business
j
'Yellow Copy - 0c4cuPanCY File
Pink Copy �'�„/,He
oma. C. C I
< Name:
Addrew YS16 / - I Fwr-
HM:
Bus.*
owwft&mger-
0 HM:
Bus:
M=ger:
us.
rBus.
Building Owner. -.4
Addrm:
AN INSpEcn NO
YOUR FACILITY REVEALED THE FOLLOWING:
s 10. Exit(s) obstrud4 mdequate
Exfingwshers: Requ
1. Fire ir4 avice due 11. Exit sign(s) required, illumination
ion cords: Excess use, defective
2. Extew sign fights need replying ---
3. Excessive tubbisht Va* debris 126 Exit S
4. Fire aimm SYSWM
defective 13. Exit ightm'g- &fective
4 iefewve 14. Smoke detectors: Required, defective
5. SprinWer Wstem: Service required, 15. Wiring: Exposed, damaged connectors) etc -
6. Kitchen hood ctinguishing system service due ibles
Defcctive appliance, flue, combusb
7. Fire malls, fire doors, draft StqPS 16. Heating system: . I
� i 'bie from road
9. Knox Box keys 17. Address posted and vis,
Yes 0 No 18. other
9. Fire Drill Witnessed
raRiRECTED:
DFTA&ED EXPLANATION AND CORRtCTIONS:
, _2
Z �
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iied-
Diwjsed Wath:. /
.4"W*60, -1 . ... $.- ...
Date:
4 (ft- nf)
•
Inspecting Offi er*
r , 4( Yt
L'4 5 6 7 -FPB w
BatWion 1 2 3 Ty,5 A” BUSINESS. YOUR COOPERAIn011i
Sw pRopER
FMK PREVENTION- SAVES LWE
CORMCnNG THE ABOVE TE rrEMS IS APPRECIATED. RFINSPECnON DATE:
d ejzjA4uno3 e44ng jai doe :So co iso unr
Fire Prevention Bureau
176 Nelson Avenue
Oroville, CA 95965
Telephone 530-538-7888
Fax 530-538-2105
Address: I o. �4
owner/manager: fid �-
Assistant Manager: �, f IS
Building Owner:;,
3utte County Fire Rescue
California Department of Forestry
and Fire Protection
Facility Inspection Report
E S • , oY -.. Business Name:
«.l Bus:
Bus:
Bus.
un
White Copy - Business
Yellow Copy — Occupancy File
Pink Copy — Station File
Occ. Class.
Fax:
I AN YNgPF.f TTtnN nF YnI1R FACT .r]rV 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: CVKKr:U I Uil:
Date:
4
Discussed with
(print '' j r--f:F
Signed:
Battalion 1
2 3 4 5 6 7
Station: FPB
Inspecting Officer:
FIRE PREVENTION SAVES LIVES, PROPERTY, AND BUSINESS. YOUR COOPERATION WI'T'H
CORRECTING THE ABOVE LISTED ITEMS IS APPRECIATED. RE -INSPECTION DATE:
1
STATE FIRE MARSHAL COPY DISTRIBUTION
SEE REVERSE OF COPIES 2*AND 5 F
FIRE JAItt I Y iNJNE(;! 1UN FJ_QW:J l 1.3•STATE FIRE MARSHAL
1"5 nuC-TivN5 run 1.06rUi ivii
STO 65D (REV 8/86) 2•FIRE AUTHORITY
1. RMUgST OATS 1 2. PROGRAM
4.5 -LICENSING AGENCY
i 05/02/2002
3, AGENCY CONTACT 1 4. TELEPHONE NO. I S. EVALUATOR
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CODE
Department of Health Services
11. ORIGINAL A. FIRE CLEARANCE
iu. Awici Llcensirg dna berZ1T1cat1on
uaMF nuc I �r r�.?..r
12. RENEWAL B. LIFE SAFETY
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AND 1367 East LassenrAvenae. Su1t��8.1
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I a' OWNERSHIP CHANf,F
-ADDRESS Chleo, CA 95973
15. ADDRESS CHANGE
I b. UINtK
11. AMBULATORY NON AMBULATORY ITOTAL CAP.
DATE OF LAST FTRF rlFARANrF
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TO 18 1" 18 TO AND CAPACITY T0�18 1187T0 5�ANO IrAPA(
10 FACTITTY
I 65 I.OVER I I I I 65 I OVER I I
I CODE
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12. FACILITY NAME 1 13. NO. BLDGS
CODES
NOVA DEVELDPMENTAL CCNTC4G.11F1 CCY WI -Mr I
1 rale
14. STREET ADDRESS (ACTUAL LOCATION) 1E RFCTRaTNT
2. GACH 11. ADHC
T,20A1 I
13. CDRH :,_ ICFDDN
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4. Jrnuar 1J. 4.L1 11
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6. PHF 15. UNLICEN
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19.
ICFDOH
care n. Gram 1 (530) 343.2445 I
t
"wnu Steven J. Fowler t1 Pirp rloxrAnro for +,hie A
�r Fire Captain
Life Safety Officer
I TO BE COMPLETED BY
F
Office (530) 538-3859
1 1N5PECTING AUTHORITY
I Pgr. (530) 871-8381
Cell (530) 521-8768
120. LUAKANLe Wut
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LODES
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Department of Fore�tr% end Fire Protection
2. FIRE CLEAR. DENIED
Butte County Fire, Also Serving Cities of Biggs & Gridley
3. FIRE CLEAR. WITHHELD
176 Nelson Avenue, Oroville, California 95965
127. DENIAL CODE
_
TO BE COMPLETED BY INSPECTING AUTHORITY
I
CODES
ii. In ti,.+iJR a NAl1t I TELEPHONE NO. 122. CFIRS 123. T-19 OCC_
I -
_
I I I
a. J
17 rnNCTT?i Ir-T'TnAI
>S /
-IL
3. FIRE ALARM
G4. jNSF . DA I 45. 0b tLIUK' SLGNAIUlRt
14. 5PKINKLLK5
7
G UM Ir[V[/•!l tllr
6_ SPECIAL HAZARD
Z8. EXPLAIN DENIAL OR LIST SPECIAL OND IONS
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CTAT[ CTDC MADCUAI IICC MR y
ZO. State vire narsnal
nrctrc AAea [i__+., na rAnn
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ANDSacramento.. CA 95823 -
ADDRESS
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BUTTE COUNTY FIRE DEPARTMENT/CDF FIRE
TITLE 19/24
FACILITY INSPECTION
p..
INSPECTION NO. 1 �'f� 3
REINSPECT: I� YES ?� NO
Facility ;4; (;l/'�+�!-�T}L 7 2S Occupancy
Address- % X. Inspector
Phone � t�_� q C Station
Contact c`:,µri�_, ;1,��,-�- ,� Station Phone
Compliance: Yes = It No = 0 Not applicable = N/A
ACCESS --All inspections
Address correct/posted and visible from road (Bufte Co. Code 32-9)
',-"Access to public street or 20 ft. wide lane (T19-3.05)
(.- Gates wide enough to admit fire apparatus (T19-3.16)
A, Fire protection equipment visible/accessible (T19-3.14)
PORTABLE FIRE EXTINGUISHERS -- All Inspections
" Extinguishers have current annual service tag (T19 -575.1A)
OL Maximum travel 75 ft. (T19-567)
Provide clear access to fire extinguisher (T19-563.2)
ELECTRICAL --All inspections
Extension cords do not replace permanent wiring (CEC-400-8(1))
Extension cords do not pass through doorstwalls (CEC-400-8 (2,31)
30 inch clearance around all electrical panels (CEC-110-16A)
r-
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/lagged every 6 mo. by cert. tech. (r19-904)
Clean filters, hood, and duct area over cooking appliances (CFC 1009.2.8)
Extinguishers mounted on wall/or in cabinet, visible and signed (r19-563.8) {
EXITS -- All Inspections
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
Exit illumination and signs in place,%jCBC 1003.2.8.2)
Maximum occupancy sign in place (T19-3.30)
Two exit doors/panic hardware swing in direction of travel (CFC 2501.8.2)
iOUSEKEEPING --All Inspections
No waste or rubbish accumulation inside or outside T19-3.14)
Reduce storage to at least "below ceiling/ sprinklers (T19-3.14)
Remove combus. storage from heater, mech., elect. room (T19 -3.19f
Provide approved metal container for oily rag storage (T -19-3.19c)
Flammable liquids stored properly (r-19-3.15)
rrections and Comments
Maintain extinguishing systems (T19-3.24)
_•�.^�`,.F �xProvide spare sprinkler heads (6 min.) and/or sprinkler wrench (T19-904.5)
--Replace damaged, corroded, or painted sprinkler heads (T1s -904.5)
Identify sprinkler valves and secure in open position (r19-904.5)
V
,,Identify
Replace missing caps on fire department connection
(r19-904.3)
t% .�Provide 5 -yr. certification test for sprinkler/standpipe (r19-904)
MECHANICAL EQUIPMENT --All Inspections
t, Vents and chimneys -- No obvious hazards (CMC -Ch. 8)
SMOKE DETECTORS -- Day Care Sr. Res., Hospitals, Apts.
- Properly installed and tested (T19-749, 754)
SCHOOLS, JAILS AND HOSPITALS
Decorations and curtains fire retardant (r19-3.08)
LPG tanks fences) with locked gates (r19-3.22)
FIRE DRILLS -- School and Day Care (Title 193.13)
All systems operabje%hooked to office
Held monthly (elementary schools)
Held semi-anhually (high schools)
Evacuation plans posted in all rooms
:y procedures posted in office
take roll books
i _.: --'
above deficiencies must be corrected within days. Inspection Date:
AP #
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