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HomeMy WebLinkAboutFAI15-0038 Fire Annual Inspection ArchiveButte County Fire Department California Department of Forestry and Fire Protection Fire Prevention Bureau (D176 Nelson Avenue, Oroville, CA 95965 FIRE530-538-7888/530-538-2105(fax) E Fire Safety Inspection 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: ate: Discussed with: Signed: (Print) �attalion Inspecting Officer: 1 2 3 4 'S 6 7 Station: FPB y order of the Fire Chief: You are hereby notified to correct all violations immediately or show cause why you should not be quired to do so. A re -inspection will be conducted on . Willful failure to comply with this notice is a isdemeanor. Violations that are not corrected immediately and/or remain after the re -inspection may be processed as a criminal ffense. 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 TATE OF CALIFORNIA IRE SAFETY INSPECTION REQUEST - See instructions on reverse. TD. 850 (REV. 10-94) AGENCY CONTACT'S NAME :TELEPHONE NUMBER REQUEST DATE PROGRAM CDSS/COMMUNITY CARE LICENSING 530 ) 895-5033 9/16/08 CCL ___... _._._.........__ ....__ _.........._ _..__.._.._._.__...._.._..._.__ ..._ _ ........_._ ..._... _ ._..__._... _... _...._.... __.......... _ __....._ _... _........_._.._ __....._._ ._ ........_.. _._...............................__ ......... VALUATOR'S NAME REQUESTING AGENCY FACILITY NUMBER ; REQUEST CODE MARGIE WHITAKER 045405532 4A CODES -- 1. ORIGINAL A. FIRE CLEARANCE LICENSING DEPARTMENT OF SOCIAL SERVICES 2. RENEWAL B. LIFE SAFETY AGENCY COMMUNITY CARE IICENSING NAME AND 520 COHASSET ROAD, SUITE 170 3. CAPACITY CHANGE ADDRESS CHICO, CA 95926 4. OWNERSHIP CHANGE 5. ADDRESS CHANGE FAX # (530) 895-5934 s. NAME CHANGE 7. OTHER AMBULATORY NONAMBULATORY BEDRIDDEN TOTAL CAPACITY CAPACITY PREVIOUS CAPACITY CAPACITY PREVIOUS CAPACITY CAPACITY PREVIOUS CAPACITY 2 4 0 24 F CILITY NAME �- ~ LICENSE CATEGORY ITTLE FOLKS PRESCHOOL 850 ...._ ........ _........ ........._......_...._................... I. .... .......... ................. ...... ...... _........... . _ ...... ._._ ............ ....... _ ........... . S REET ADDRESS (ActualLocation) NUMBER OF BUILDINGS 855 BURNAP AVE. _ ......_ ......... .. Cl TY RESTRAINT HICO NO F CILITY CONTACT PERSON'S NAME — - HOURS ATHLEEN CORBETT (530) 894-5437 M -F 7AM - 6PM S ECTAL CONDITIONS RANGE OF OWNERSHIP. REQUESTING FIRE CLEARANCE: FOR 24 AMBULATORY PRI SCI -1001, CI-1II,DREN (AGES 2 - K) TO BE COMPLETED BY INSPECTING AUTHORITY CLEARANCE +DENIAL CO _ . CODtS FIRE BUTTE COUNTY FIRE DEPT. di FIRE CLEARANCE GRANTED AUTHORITY 176 NELSON AVE. AME AND 2. FIRE CLEARANCE DENIED DDRESS OROVILLE, CA 95965-3425 A. EXITS ATTN B. CONSTRUCTION r 01 L4J IN PECTOR'S NAME (TypedorPrl �ld) 154 00 07p-- 5 � e IN PECTION DATE INSPECTOR'S SIGNATURE(7+ 2 3 �S EX LAIN DENIAL OR LIST SPECIAL CONDITION `"�- C. FIRE ALARM D. SPRINKLERS f ELEPHUNE NUMBER f CFIRS NUMBER € OCCUP/CY LASS 6 E. HOUSEKEEPING F. SPECIAL HAZARD Pr' ed G. OTHER RECEIVED SE? 2 8 2008 L•anmunllY Can Ua�ln9 Fire Prevention Bureau Butte County Fire Rescue White CoPY- Busine/ 176 Nelson Avenue California Department of Forestry Yellow Copy — Occupancy File Oroville, CA 95965 and Fire Protection Pink Copy — Station File Telephone 530-538-7888Facility Inspection Report Occ. Class. 530-538-2105 Address: 7e<j— j � 1T�,. , P Business Name: � � f � S Owner/Manager: 1C Bus: c 3 Hm: Fax. Assistant Manager: Bus: Hm: Building Owner:�v50�� Bus: •^ e , Hin: Address: AN iNCPFf TTInN nF V[IITR FAf'HXrV REVEALED TAE 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 C 5. Sprinkler -system: Service required, defective 14. Smoke detectors: Required, defective v 1 _6. Kitchen hood extinguishing system service -due 15. Wiring: Exposed, damaged connectors, etc. 7. Fire walls, ceilings, fire doors, draft stops ; r ' 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 CORREUHUAS: I:VKK>N:(:1ED: W U L i I Z�L. Nfou 21- C G L ✓ �! r �� I - r" G, it, QS '-, i t rr- Z t — 1j.I (. -2 0Xfi J I#J 72-L4 1 JL2_1-7"; -'a e� NiCI'' 2IZOr- Fle"I/:. ate: f G Discussed with: Signed: / Y(Print) &-W tf 4 , Inspecfm icer:,,� 7 r — Battalion 1 2 3 '4 5 6 7 Station: Lf FPB K� ERE PREVENTION SAVES LIVES, PROPERTY, AND BUSINESS. YOUR COOPERATION WITH ORRECTING THE ABOVE LISTED ITEMS IS APPRECIATED. RE -INSPECTION DATE: Fire Prevention Bureau Butte 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 lephone 530-538-7888 Facility Inspection Report Occ. Class. DCL F - 3— Fax 530-538-2105 Fire alarm system defective 13. Address: 2e5 Business Name: c.tTl 9w - �pLY$ ev !✓5CAA CO Owner/Manager: Bus: 43-M 37 Hm: -34S-3312 Fax: Assistant Manager: Bus: Hm: Wiring: Exposed, damaged connectors, etc. Building Owner: T"Ff ke .. Bus: Hm: 3 tj . gr-9fia Heating system: Defective appliance, flue combustibles Address: Knox Box keys 17. AN nvcpFCT1nN nF VnTTR FACYLITV RFVFAi,F,D TAF. 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 Knox Box keys 17. Address posted and visible from road '77[8. 9. Fire Drill Witnessed Yes ❑ No ❑ 18. Other DETAILED EXPLANATION AND CORREC'FIONN: UVKKE(l1 L": ate: Discussed with: Signed: 7hj 10 (Print) KATXe M0 VO4_� �attalion Inspecting Offic r:' 1 2 3 4%5 6 7 Station: r2 FPB 4 PIRE PREVENTION SAVES LIVES, PROPERTY, AND BUSINESS. (YO)UH COUPE1WHON W1,171 ORRECTING THE ABOVE LISTED ITEMS IS APPRECIATED. RE -INSPECTION DATE: _-r Fire Prevention Bureau 176 Nelson Avenue Qroville, CA 95965 ;lephone 530-538-7888 Fax 530-538-2105 A.�3utte County Fire Rescue '-'White Copy - Business California Department of Forestry Yellow Copy - Occupancy File and Fire Protection Pink Copy - Station File Facility Inspection Report Occ. Class. )E_ :' Address: Business Name: r Owner/Manager: Bus: =,t Fax: Assistant Manager: Bus: ' Hm: Building Owner. ! Bus: Hm: 4,1 2 !�; Address: .,.r n►mnsrrrrniv nT WITT'D FA(n TrV RF.VF.AT.FM TAF FOLLOWING: I. 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 yE� XPLANATlUN AMU UUxtCLU 11VAn: v���- iLL• tit?^Y�Pi l frT"ii1 iA�i is-' Discussed with: Signed: Battalion 1 2 3' 4 5 6 7 I Station: FPB FIRE PREVENTION SAVES LIVES, PROPERTY, AND BUSINESS. YOUR COOPERATIONW CORRECTING THE ABOVE LISTED ITEMS IS APPRECIATED. RE -INSPECTION DATE: t Office of the State Fire Marsha{ Fire Safety Correction Notice File No: ----_-__ Name: G fie`y L e, ,�!' CC 1°�ZJr� Address: SF I I CALIFORNIA STATE FIRE MARSHAL The California Health and Safety Code and the State deficiencies be corrected. Fire Marshal's regulations require the following fire safety 1..i v IJ +l / �.G ✓ [_ r`-� / "C..e f f� J w v i=,2 The above deficiencies are to be corrected within days. When ALL deficiencies have been corrected, sign and return the certification on the opposite side of this form. If you have any questions, contact the Office of the State Fire Marshal at ( ) ISSUED BY (Deputy State Fire Mar,hah RECEIVED BY DATE J EN -11 (Rev. 7/86) 89 88751 DISTRIBUTION: GREEN—Facility WHITE—Region YELLOW—Field Q STATE OF CALIFORNIA FIRE SAFETY INSPECTION REQ.. JEST 1. 3. 4. 6. 7. 8. 9. 850 (REV. 10-94) (REVERSE) INSTRUCTIONS This form is designed for use with a window envelope Licensing or Requesting Agencies --Complete the following 19 sections -on this form before submitting it to the fire authority having jurisdiction. AGENCY CONTACT, 2. TELEPHONE 10. FACILI i Y NAME. Insert the name of the facility as it NUMBER, 5. EVALUATOR. Enter the name and will appear on the license. List identifying sub name ifknown telephone number of agency contact person. (i.e., Hacienda Corp/Medina Lodge). PROGRAM. Licensing agency use. 11. LICENSE CATEGORY. Insert the category of license REQUEST DATE. Enter date request was prepared. being sought as it will appear on the license certificat REQUESTING AGENCY FACILITY NUMBER. This 12. ADDRESS. Insert street address and city only. A post is the file office box is not acceptable as only location. e le number assigned by the licensing agency. REQUEST in J3. NUMBER OF BUILDINGS. Insert the total number of U ST CODE. Use the seven codes shown and se . Q buildings to be used for housing of the occupants covered b the appropriate number in the box following "Request Code". If g g p � y the license.NAME CHANGE, please list previous -name. Insert date of original request- is other-.-than--an- --original, - _ __ _14.._RES-CRARNT. Indicate if physical restraint (locked in a AGENCY NAME AND ADDRESS. Enter the name and room or the building) is to be used in the housing of the address of the licensing facility requesting the inspection. occupants. AMBULATORY--NONAMBULATORY--BEDRID- DEN. Capacity: Insert in the appropriate section, the capacity of licensed ambulatory or nonambulatory oc- cupants covered by this request. 15. FACILITY CONTACT PERSON --TELEPHONE NUMBER..Indicate the name and telephone number of the responsible individual at the facility to be contacted by the fire authority. 16. HOURS. Indicate the number of hours the occupants are housed at the facility (less than 24 or 24+). Previous If request is for renewal or capacity changb. SPECIAL CONDITIONS. Indicate any conditions Capacity insert capacity of previous clearance. unique to this request. As an example, if the inspection q q p p Total Show total licensed capacity. If the facility is request is for one building in a multi -building facility. Capacity: intended to house part ambulatory, nonambu- latory, and part bedridden, show the total of the three types of occupants. FIRE AUTHORITY CONDUCTING THE INSPECTION --COMPLETE THE FOLLOWING: 18. IRE AUTHORITY, NAME AND ADDRESS. Insert 22. OCCUPANCY CLASSIFICATION. Use California e name and address of the fire authority where the facility is Building Code occupancy classifications and insert the ocated. occupancy determined by the inspector. 19. LEARANCE/DENIAL CODE. Use the two codes: 1 23. INSPECTION DATE. Enter the actual date of the or clearance granted, and 2 for clearance denied. If denied, inspection. Iso include the appropriate letter code. As an example, De��. INSPECTOR'S SIGNATURE. To be signed b the ased upon exiting would be coded 2A. inspector conducting the inspection. 20. NSPECTOR'S NAME.. Print the initial of the inspector's 25. EXPLAIN DENIAL OR SPECIAL rst name and fu11 last name; insert the 'telephone number CONDITIONS. If clearance code ##2 is used briefly here the inspector may be contacted. ' • p y explain reason. This space is also to be used to specify any 21. FIRS I.D. NUMBER. Insert the fire department's num- additional limitations placed by the fire authority, such as the er assigned by California Fire Incident Reporting System. use of certain floors or sleeping rooms approved for nonambulatory clients. •4 STA EOFCALIFC-'.41A FI;E SAFETY INSPECTION REkjEST - See instructions on reverse. STD 850(REV.10-94) AGE 4CY CONTACTS NAME TELEPHONE NUMBER I REQUEST DATE PROGRAM D S/COMMUNITY CARE LICENSING 530 895-5033 1/12/00 EVALUATOR'S NAME REQUESTING AGENCY FACILITY NUMBER REQUEST CODE 01 1/PAMALA SEXTON : 045402323 7A CODES - ----- 1. ORIGINAL A. FIRE CLEARANCE LI ENSING GENCY DEPARTMENT OF SOCIAL SERVICES 2. RENEWAL B. LIFE SAFETY N ME AND COMMUNITY CARE LICENSING 3. CAPACITY CHANGE ADDRESS 520 COHASSET ROAD, SUITE 6 4. OWNERSHIP CHANGE CHICO, CA 95926 5. ADDRESS CHANGE 6. NAME CHANGE 7. OTHER AMBULATORY NONAMBULATORY BEDhDDEN TOTAL CAPACITY CAP CITY PREVIOUS CAPACITY CAPACITY PREVIOUS CAPACITY CAPACITY PREVIOUS CAPACITY 23 24 1 G 0 i 0 24 FACI ITY NAME t LICENSE CATEGORY LIr 7LE FOLKS PRESCHOOL I n06/��-� C� 850 CCC STR ADDRESS (Actual Location) NUMBER OF BUILDINGS 28 5 BURNAP CITY RESTRAINT c CO NONE FACIL ITY CONTACT PERSON'S NAME HOURS TAMARA FERGUSON (530) 894-5437 DAYS SPEC ALCONDITIONS *FIRE CLEARANCE NEED .:.,. .. -: ..... yr ....... s ':'. ... .. :. J.. .- :.. .:... :. ....,....<.. .: :.-.... ... ......, ...- r... -. -- .. -. ti. .. .. - . - .... .... : - . - ......... .. -ti : CO.IUIPLETEO. ��.. SPECTINC,�- AUTHORITY. J .`;.: : ,.: CLEARANCE/DENIAL CODE CODES IRE STATE FIRE HAL 1. FIRE CLEARANCE GRANTED AU1 HORITY 4 WILL URG LANE, SUITE A 1-7(o ^ I ✓,. I �� 2, FIRE CLEARANCE DENIED NA E AND CHI , CA 95926 ' v`� ADDRESS �' A. EXITS B. CONSTRUCTION C. FIRE ALARM D. SPRINKLERS INSPE TOR'SNAME(TypedorPrinted) TELEPHONE NUMBER CFIRS NUMBER OCCUPANCYCLASS ' E. HOUSEKEEPING • ��F. SPECIAL HAZARD � 00 � 3 INSPE TION DATE INSPECTOR'S SIG TU (T orPrinted) G. OTHER l 2�- EXPLA N DENIAL OR LIST SPECIAL CONDITIONS Z Office of the State Fire Marshal Fire Safety Correction Notice File No: — _ - Name: I 1 L L Address: F) " SF � a l I CALIFORNIA STATE FIRE MARSHAL The California Health and Safety Code and deficiencies be corrected. the State Fire Marshal's regulations require the following fire safety - ,7 V The above deficiencies are to be corrected within days. When ALL deficiencies have been corrected, sign and return the certificationonthe opposite side of this form. If you have any questions, contact the Office of the State Fire Marshal at( ) ISSUED BY (Deputy State Fire Marshal) RECEIVED BY DATE EN -11 (Rev. 7/86) 89 88751 DISTRIBUTION: GREEN—Facility WHITE—Region YELLOW—Field ST CALIFORNIA NONAMBULA-fORY J BEDRIDDEN- TOTAL CAPACITY F RE SAFETY INSPECTION RE ST �-�- CAPACITY , PREVIOUS CAPACITY ---See instructions -on reverse. ST . 850 (REV. 10-94) - . 17 AG IyCY CONTACTS NAME TELEPHONE NUMBER FACILI rY NAME REQUEST DATE PROGRAM _ ` S, C011 TUNIIY CARE -.-LENSING 530 895-50339/28/99 2. FIRE CLEARANCE DENIED 550- CCC ST E pp DR R AP-.$.',._ A. EXITS EV LUATOR'S_ NAME.. _ -: ;- , - "'REQUESTING AGENCY •FACILITY NUMBER r - f. REQUEST CODE i) i /SEXTON0454 02323 "RESTRAINT qlipo lA r� it�{ REQUESTEDRES FACILIT e CONTACT -PERSON'S NAME CF1RS NUMBER CODES "HOURS TA14ARA FERGUSON 530 343--559 .- i - = -- E. HOUSEKEEPING - F. SPECIAL HAZARD 1. ORIGINAL A. FIRE CLEARANCE LI ENSING�` SOCIAL SR ICES G. OTHER INSPECT16 DATE 2. RENEWAL B. LIFE SAFETY . GENCY N ME AND CO C LICE.' SING 520. S 64.. 3. CAPACITY CHANGE a' DRESS I ISDIM OWNERSHIP CHANGE _ CHICO CRS95926, _'r,_ _ _ 5. ADDRESS CHANGE 6. NAME CHANGE- ...7:OTHER` .... AMBULATORY NONAMBULA-fORY J BEDRIDDEN- TOTAL CAPACITY CAPA ITY PREVIOUS CAPACITY CAPACITY , PREVIOUS CAPACITY CAPACITY PREVIOUS CAPACITY 17 CODES FIE STATE - SIRE MARSHAL ~ : y' FACILI rY NAME AUTH. 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FIRE CLEARANCE GRANTED NAM AND . - CICO CA 95926 �� '•� �- - - - t -' ' • r` 2. FIRE CLEARANCE DENIED ADD ESS A. EXITS r r i I B. CONSTRUCTION - C. FIRE ALARM D. SPRINKLERS INSPECTO 'SEIAME ) (Typed or Printed , TELEPHONE NUMBER CF1RS NUMBER OCCUPANCY CLASS. q / �- �� E. HOUSEKEEPING - F. SPECIAL HAZARD G. OTHER INSPECT16 DATE INSPECTOR'SSIGNATU (T orPrirted) EXPLAIN D NIAL OR UST SPECIAL CONDITIONS iW. L. . STATE OF CALIFORNIA FIRE SAFETY INSPECTION REQu-ST SM 8,50 (REV. 10-94) (REVERSE) INSTRUCTIONS 'his form is designed for use with a Window envelope Licensing or Requesting Agencies --Comp et the following 19 sections -on this form before submitting it to the fire authority.having Jurisdiction. 1. AGENCY CONTACT, 2. TELEPHONE NUMBER, 5. EVALUATOR. _r Enter the name and telephone number of agency -contact person. 3. PROGRAM, Licensing agency use. 4. REQUEST DATE, Enter date request was prepared. 6. REQUESTING AGENCY FACILITY NUMBER. This is the file number assigned 'by the licensing agency. 7. REQUEST CODE, Use the seven codes shown and insert the appropriate number in the box following VvRe- quest Code If NAME CHANGE, please list previous name. Insert date of original request is other than an * original. 8. AGENCY NAME AND APDRESS. Enterthe name and address of the licensing -facility requesting the inspection. M Capacity: Insert in the appropriate section, the capacity of licensed ambulatory or nonambulatory oc- cupants covered by this request. Previous If request is for renewal or capacity change, Capacity: insert capacity of previous clearance. Total Show total licensed capacity. If the facility IS Capacity: intendedtohouse part arnbulatory,--nonambu- lat6r*y-,. and part bedridden, show the total bf the three types of occupants. 10. FACILITY NAME. Insert the name of the facility as It will appear on the license. - List identifying sub narnt-31 if known (i.e., Hacienda Corp/Medina Lodge). 11, LICENSE CATEGORY, Insert the category of license being sought as it will appe.aromthe license cerfific-ate. 12.ADDRESS. Insert street address and city only. A post office box is not acceptable as only location. 13. NUMBER OF BUILDINGS. Insert the total number of buildings to be used for housing of the occupants covered by the license. 14. RESTRAINT. Indicate if physical restraint (locked in a ro-om or the building) is to be used inthehousing of the occupants. 15. FACILITY CONTACT PERsod 4ZLEPHONEWUMP BER, Indicate the name and telephone _number of the responsible individual at the facility to be contacted by -the fire authority. 16.HOURS. Indicate the number of hours -the occupants are housed at the facility (less than 24 or 24+). 17., SPECIAL CONDITIONS. Indicate any conditions unique to this request. As an example, if the inspection request is for one building in a mu'Iti-building facility, FIRE AUTHORITY CONDUCTING THE INSPECTION—COMPLETE THE FOLLOWING: 18, FIRE AUTHORITY, NAME AND ADDRESS,, Insert the name and address of the fire authority where the facility is located 19. CLEARANCE/PENIAL COEM Use the two codes: I for clearance granted, and 2 for clearance denied. If denied, also include the appropriate letter code. As an example, Denial based upon exiting would be coded 2A. 20. INSPECTOR'S NAME. Print the initial of the i1rispector's L first name and full last nafne;insert the telephone number where the inspector may be contacted. 21. CFIRS I.D. NUMBER. Inisert the fire depart.ment"s num- ber r -.0 ber assigned by California ire Incident Reporting System. 22. OCCUPANCY CLASSIFICAMON. Use California Building Code occupancy classifications and insert the occupancy determined by the 'inspector. 23. INSPECTION DATE. Enter the actual date of the inspection. 24. 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