HomeMy WebLinkAboutFAI15-0032 Fire Annual Inspection ArchiveButte County Fire Department
California Department of Forestry and Fire Protection
Fire Prevention Bureau
176 Nelson Avenue, Oroville, CA 95965 ,
530-538-7888/530-538-2105(fax)
x�t�st�
Fire Safety Inspection
B I siness Address: 4610
Business Name:
10.
vnerlManager: GAJ, .�� ,.,,�
Bus: eoity - tend
Other:
O her Contact: ��..o -,� .� � �,�..�
Bus:
Other: 5%4. 4sz�w
B l ilding Owner:
Bus:
Other:
dress:
Fire alarms stem defective
Occ. Class:
IN ±1i's IIU:["NCG11[6»'[g111ra;FAMIIIIkwaONAT/0±IA:IC&I:l:2 :1010W6111TII0,[
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 s stem: 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 D No D
18.
Other type of inspection — State below
DETAILED EXPLANATION AND CORRECTIONS: CORRECTED:
' I I *"'Sa v c
Date: Discus ed with: ned-
t (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)
Whit= i,nn%i — Ct3finn Giro VoNnuu i`nn�i — Qo_irtcnni+t/110 iv;noco Dino at-Annoc- f"1 r`�,nnL •aiknn enn♦
n nre�ie�n♦i+r
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Name:
er/Property Managemer
_
Butte Court Fire Departrttent .
Cafforria Departrner►t of Forestry wW Fir e Pratec6ian
grovi�e, Ca6fomia 85965l�jCi2D LA � city...Mile-
y/
NO,
NCL
!, OCA7MI REMARKS
I
v
L
--$ 43
j� I !
Z
77.7.
�. aW A 5
2
R aces, dais, ate, e,.
l� door �apen wi�tauta icy �anyspecs� krrowiedgelefiort.
I 1
R 'r exit door hardwe.
Rome obsbulais km do% tobedosed
/ 1
Remove hkAgUm from doors wfth ' ham6we.
Prmvkle sign over main exit door -This door torer on w* dwd dwing
buses hours".
1 1
Rye sbrcW from can
! 1
Prvvicie/man e�ai
-
FIRE 7-
10
Have a stand
RE- SPEG�i0�1IDATM OiSPE7 GiCR
11
PQV Providehnount fre as heated.
12
Post a fire ' her On
' .
1st
I i
13Praaide
dear access to fire 6.
_
U
,pest, inspect, ar drortestcVW
systernftftntf DCfPN.
Refer to FPS
I I
15
Maim h 3 feet mhmten deamnoe for aoo of fie
40brcerdikPowl.
DM dAftarney
1 1
16
Rq*w c srnagec a tedlmissing h Caps.
f e
11
1 17
Pr+c rtde Ca fica - testfor
Class � • ❑ Gterdc Pte~Fse Pian for a=rapy.
1g
p heads. anc wmenck
B Y ORDER OF THE FIRE CHIEF
19
�
Hoodlductis ' tarn to be serviced/ 6 mo.
Removerea�from trood, and f�ters. CLEAN}
You are hereby notified to c�reci dviolations imrrrediateiy or show cage
:.
why you should not be required to do so. A re4 on wml be conducted
FIREALAWZY57 S: = :.
on . VVM fafiure to eoff* with this notice is a
21
Mak�, Fq)ertr, eci, ardor Iasi fire aim gEtT.
11isdemeano r. Vocations that we not corrected lmmec Meiy and/or remain
altar re-mspedian may be p� as a cry bml offense. That* you
2
' holes in requimW fie ressMao
tar your a a�rx a and rt in r rirnr�ing the frt'e aril a loss in
23
' sal or a ft ane rAda emb es.
Y contort n y.
24
Keep a& access and smMe ofmirgs used.
E1LlEt CAI::. -
S%Pld re Of
25
Disse use of aftnion cords.
Z
instd pffmmwtori i forfixed and sMMaWWnces.
0 Owner D WE& O Employee Q Ofher
27
Provide cover pkfts for A ' tip baps.
l ing Officer: *14RIS VATOIEP,
C
28
Remove aprAwifffv ar Eted to fit.
-
2g
Roble a Unch dear to and in Wd of et at panel.
FPB: _.______.. Emjm
33
' " in good own and from damage
❑ NO VIOLATKM NOTED Ti -IIS DATE
Lam* u CAS ; r
THAW YOU FOR BEING FIRE SAFE
31
Provide a ftnmab4e kpd stage whriet or mduaeshmage b 10 gd= or
AdffaW Comments:
Less.
32
Rwre A f�rni f ' rvot used for mamt
&TH VIOLATIOMS
33
Store ftff&le figygds qvr4 from aub, stems, orcarixbs.
34 sem
-- �!� ILIP-_5
3Fi6mcffin
marmertQ -
37
RamecombusftshWkmw-4ffheedffwdekckicWmm.
Remove to 24 nchm below mft c r 18 khes below sphdMe heads.
j C.
�► S r !> t
38
Remora Entldbiis from behind washers and ers.
38
Remove wastelr h mem from ft p wism
40
Keep dspstws 5 t+eet away firm carrbmftw* eaares,(wap
,
M
41
Otter d�� arxttcanmenis.
Pw_L of
ire Prevention Bureau
176 Nelson Avenue
ro;ville, CA 95965
elephone 530-538-7888
'ax 530-538-2105
Address: T WR,i
Manager:
Owner.
Butte County Fire Rescue
California Department of Forestry
and Fire Protection
Facility Inspection Report
Business Name:
.Aj Bus::37(, -191)0
Bus:
Bus:
Hm:
Hm:
Hm:
White Copy - Business
Yellow Copy — Occupancy File
Pink Copy — Station File
Occ. Class. ,R_z
Fax:
AN TNCPF.CT1rnN nF VCITTR FAC H.1TV RFVFA1,F.D TAF, FOLLOWMG:
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:
4�,TA7"— /F4x oGUi�E.Ur,9�rAo
Date: r
Discussed with:
Signed:
(Print)
**)5
Innyecting Off er:
%s1i.&IAug
Battalion 1 2 3 (46 7
Station: FPB
PREVENTION SAVES LIVES, PROPERTY, AND BUSINESS. YOUR COOPERATION WITH
CORRECTING THE ABOVE LISTED ITEMS IS APPRECIATED. RE -INSPECTION DATE:
Fire Prevention Bureau
176 -Nelson Avenue
Otoville, CA 95965
Telephone 530-538-7888
Fax 530-538-2105
Butte County Fire Rescue White Copy - Business
California Department of Forestry Yellow Copy — Occupancy File
and Fire Protection Pink Copy — Station File
Facili Ins ection Re ort 0cc. Class. �'° rt
p p
' f a
'•
�
7
�.aA
Business Name:
~
yi� .�W�•L�f .�y�,�iAftess•
;Yr��
fi'
Owner/lVtasager•
.�.!��_..
' " '° °
Bus. �,�`�_:,��_ ,� ���,�,,�
•
Hm. Fax.
Assistant Manager.
[-114. Fire alarm system defective
Bus.
Hm.
Building Owner
14.
Bus:
Hm•
15. Wiring: Exposed, damaged connectors, etc.
1-117. Fire walls, ceilings, fire doors, draft stops
16. Heating system: Defective appliance, flue combustibles
118. Knox Box keys
Address:
A N TucvlWngrTnV t1Ti Vf1TT12 Ti A f' H .TTV 'RFV F. A T .F.D TNF. FnT J,0WTN[Y!
.�j1. Fire-- xtinguishers: 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
[-114. Fire alarm system defective
13.
Exit lighting: Required; defective
5. Sprinkler system: Service required, defective
14.
Smoke detectors: Required, defective
116. Kitchen hood extinguishing system service due
15. Wiring: Exposed, damaged connectors, etc.
1-117. Fire walls, ceilings, fire doors, draft stops
16. Heating system: Defective appliance, flue combustibles
118. Knox Box keys
17.
Address posted and visible from road
It 9. Fire Drill Witnessed Yes 0 No ❑
18.
Other
nW.TAlff ED EXPI.ANATION AND UORKLUTIU NN: I UUMMM , IM";
Date:
-
Discussed with: .. r•
Signed: •• r _.
(Print)F
•
In§pecting 0 cer:
Battalion 1 2 3 4 5 b 7
Station: FPBr
ARE PREVENTION SAVES LIVES, PROPERTY, AND BUSINESS. YOUR UUOrJCKA'11U14 , W11-11
�ORREC G THE ABOVE LISTED ITEMS IS APPRECIATED. RE -INSPECTION -DATE: -/,
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r+�/w/ V�j�M.si �i�.4 r tires ��• . rr•%i-%1 S Z"� �•�.r• s r.-►• w •.•. .
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6.3-02 RCFE
.rw . w •. •.&6 ake'MU9M �Gf�t &JZY PACWY NUMMR
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AECt�Fs:Tr''ppE
0450012054
-- CODES
_. �T1�?Y?o!Q'I"M•� 'i` f1Ft � C.IaI. S V S !
I . 01UMINAL A. MAE CLEARANCL
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gr::�Nw COMMUNITY' CARE LICENSING
t ' eeb.►ewas st t 19F RO.FM
- . -- _ _
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NAME AND 520 COHASSM, RD., STE. 6
ADDRESS MC0. CA 95926
a7. L:7Ttu T=1it7'tT• v-,•w+►tss
,
`yrs �♦ ffM.� `
O. NAME VMANUL i
7. OTFtER
AURKATQRY NONAMBULATARY SRDRIDDEN —TOTAL DAPACffY
umnaWrry MLVOUBGAPA W GWACITY EvjouSC ApTyT64wA&rf
M� ( wrmnou6CAPAOTY
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ACIUTYNAME
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. n It A C% IM T1i�y 7
to AV r1tALIf4ii4lt�L DR& rte••
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AESfRApVY
rx�r.n. CA 95973
NONE
tuTYC&i TjCTPM8M'SwwIE
HOUR$
FLORIBDITH kUPPERMAN (530) 8942477 OR (530) 896- 1900
�
3 aALCONDInONS
ilacility is approved for dementia and hospice
clients.
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CLEAFlAN0E9KMALCODE
— But tP Ccs , CDP
�CODES
175 NELSON AVE.
1. FIRE CLEARANCE GRANTED
AUTHORITY ORa'v' LFw, CA 95965
AME AND FIRE MARSHAL: STEVE FOWLER
1 MRS CLEARANCE 09NIEQ
ADORES$
A. EX. rrS
r7S i•/+..• i l
C. F. r AE w Ai.AAM .. A !
"FaCTQ i5N04-AE GI Cr-In NUMOER
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OCCUPANCY CLAM 0. SAAINKLEft
E. HOUSEKtE�G
1 Ii
sPriclaL hit,Ir
I SP£CTIQN DATE INSPGCTOA•S SIGNATURG P
G. CTMER
X6;19/02
07N DENIAL CA U6TSPEC1& C0f*T4W
j j 02 : 74 I BAIL APPROVU rjVrN TO t.PA CURRIERE BY CHIEF TED CRAWFORD, � l