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HomeMy WebLinkAboutFAI15-0019 Fire Annual Inspection Archive (2)'ire Prevention Bureau 76 Nelson Avenue lroville, CA 95965 telephone 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: Hm: Bus: ; acs- 533 - G, t 4, Hm: Bus: Hm: White Copy - Business Yellow Copy — Occupancy File Pink Copy — Station File Occ. Class. Fax: AN INSPECTION OF YOUR FACILITY REVEALED THE FOLLOWING: 1. Fire Extinguishers: Required, service due ,jc 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 4 14. Smoke detectors: Required, defective 6. Kitchen hood extinguishing system service due 4, 15. Wiring: Exposed, damaged connectors, etc. 7. Fire walls, ceilings, fire doors, draft stops o1( 16. Heating system: Defective appliance, flue combustibles 8. Knox Box keys ,k, 17. Address posted and visible from road 9. Fire Drill Witnessed Yes ❑ No ❑ 18. Other DETAILED EXPLANATION AND CORRECTIONS: CORRECTED: I IM_ , 11..1p c;. �?,w, . �� , :-i J,11, --ftz, a(,__ Ili. mss' S( Dat j Discussed with: Signed: �i l 1Q �$ Print Inspecting icer: `3attion 1 2 r3 ::' 4 5 6 7 Station: "�' " FPB �_ a ��� FIRE PREVENTION SAVES LIVES, PROPERTY, AND BUSINESS. YOUR COOPERATION WITH CO CTING 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 Oroville, CA 95965 and Fire Protection Pink Copy — Station File Telephone 530-538-7888 Facility Inspection Report Occ. Class. At% -ax 530-538-2105 Address: Business Name: Owner/Manager: Bus: _'_1205.33 Hm: Fax: Assistant Manager: Buse 3— /43 Hm: Building Owner. Bus: Hm: Address: AN nvcPFCTinx nF YOUR FACTLiTV 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 ❑ F18. Other DETAILED EXPLANATION AND CORRECTIONS: UOKKL(:Mli: I th t`rV/1 Lal C p > > -7I (-b--eCo o �Y'FtSF•CL l CC=��/ / L 1 / , /1P e- -/ iO✓1 I _ ate: E Discussed with: ,., Signed: (Print);'iii Inspecting Officer: attalion 12 3' 4 5 6 7 Station: 7r� FPB FW PREVENTION SAVES LIVES, PROPERTY, AND BUSINESS. YOUR COOPERATION WITH ORRECTING THE ABOVE LISTED ITEMS IS APPRECIATED. RE -INSPECTION DATE: ire 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 elephone 530-538-7888 Facility Inspection Report Occ. Class. ax 530-538-2105 Fire alarm system defective 13. Address: Business Name: Sprinkler system: Service required, defective er/Manager: Bus: Hm: Fax. sistManager: Bus: m: 11m:ant 7. uildine Owner: Bus: Hm: 8. AN WgPF.CTION nF VOIiR FACH.ITY RF,VFAI,ED TRE 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 0 No Il 18. Other DETAILED EXPLANATION AND CORRECTIONS: COUREC'1'Lll: Date: Discussed with: Signed: Tint 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: 'ire Prevention Bureau 76 Nelsons enue )roville, CA 95965 'elephone 530-538-7888 ax 530-538-2105 Address: Manager: Owner: 3utte County Fire Rescue California Department of Forestry and Fire Protection Facility Inspection Report Business Name: It Bus: Bus: Bus: White Copy - Business Yellow Copy — Occupancy File Pink Copy — Station File Occ. Class. Hm: Hm: Hm: Fax: A iv nvc1DFr•rTn1V nF VnITR FA CH .ITV RF.VF Al XD THF 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 1DF.TAHXD EXPLANATION AND C0FJtEC'HUINJ: U U ICKE U I V "". 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: � a ... �' xc-�_ - �' r �c�„, rr a �• .,k�}r trs'S,-- .. _ � �.... '�J,. _ s.'c �� ••�c� �. ,� -a � ".-�s>•-•i-=..ms's a`'i.�':_ - _ -ray s. ,� E _ r ..N cz 44 `�� � �<.��-�`'• �r°� Yom`" ,s ._ � �� "�+, r •t - i,���a r� 4 -sip C"'�'• �� .: r r 'i r � v d <-r ,�: �=.� ��� ,. S > i ' • _` [ + 'h r 1i,_�J' ! �t 1 .e 1. i A -A r4l j 17z 1 +YSJPINY poll - : ...Y ..� "�` �€ = aria• *,� b_i ,>�.`. pp iy WAW ..t r' fir'-: � ,.: .._ � _ _ 'c""^ �. Y yF2^�•�-L• • K•. �a 1 1 'mss �{ - - � - �� ire Prevention Bureau 76 Nelson Avenue Woville, CA 95965 'elephone 530-538-7888 ax 530-538-2105 Address: I Manager: Owner. .tte County Fire Rescue California Department of Forestry and Fire Protection Facility Inspection Report '0*"hite Copy - Business Yellow Copy — Occupancy File Pink Copy — Station File Occ. Class. Business Name: Bus: �- /� -2 Hm: Bus: HIn: Bus: Hin: Fax: wr YMQ'D d"1r11nAT n1V VnTTU WA d -H .1TV RF.VF.AI X1F) TAF F01J.0WING! 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 ■i �7�►V rI\►/\IY(�l►l_\►11ZK�Jaa7��ILIKr. R•i�•►•01.W■w.2= Date:Discussed with: Tint O / Signed Battalion 1 2 3 4 5 6 7 Station: �' J^ FPB Inspecting O f iFer: FIRE PREVENTION SAVES LIVES, PROPERTY, AND BUST NCSS. YOUK UUUrf'KA1101r W1111 CORRECTING THE ABOVE LISTED ITEMS IS APPRECIATED. RE -INSPECTION DATE: BUTTE COUNTY FIRE DEPARTMENT/CDF FIRE �F TITLE 19/24 FACILITY INSPECTION INSPECTION NO. 1 C)3 REINSPECT:YES. No Facility 6'3,1 Cow Occupancy -- Address i (61q NO*, -w.) %3Ae- ? Inspector M,414 Ta,r- Phone S-3"5- (�c,33 ^ Station �- 644-0 Contact MCI k Station Phone Compliance: Yes =J ACCESS --All inspections Address correct/posted and visible from road (Butte 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) Fire protection equipment visible/accessible (r19-3.14) PORTABLE FIRE EXTINGUISHERS -- All Inspections No = 0 Not applicable = N/A i -- Extinguishers have current annual service tag (r19 -575.1A) Maximum travel 75 ft. (T19-567) `Provide clear access to fire extinguisher (T19-563.2) Extinguishers mounted on wall/or in cabinet, visible and signed (T19-563.8) EXITS --All Inspections ✓Exits not obstructed Cr19-3.11) 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 V'Exit illumination and signs in place (CBC 1003.2.8.2) Maximum occupancy sign in place (rt9-3.30) Two exit doors/panic hardware swing in direction of travel (CFC 2501 8.2) HOUSEKEEPING -- 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, meth., elect. room Cr19-3.19F) 'Provide approved metal container for oily rag storage (T -19-3.19c) Flammable liquids stored properly (r-19-3.15) ELECTRICAL --All inspections Extension cords do not replace permanent wiring (CEC-400-8(1)) Extension cords do not pass through doors/walls (CEC-400-8 (2,3)) ✓"30 inch clearance around all electrical panels (CEC-110-16A) ✓AII panels and breakers are marked (CEC-110-17 C) i✓Repair holes in fire -resistive construction CEC (300-21,22) =:FAulti-plug power strips have circuit breaker (CEC 400-13) FIRE PROTECTION EQUIPMENT --All Inspections -"-Hood system serviced/tagged every 6 mo. by cert. tech. (T19-904) ✓Clean filters, hood, and duct area over cooking appliances (CFC 1006.2.8) 'Maintain extinguishing systems (T19-3.24) ;/Provide spare sprinkler heads (6 min.) and/or sprinkler wrench (r19-904.5) Replace damaged, corroded, or painted sprinkler heads (T19-904.5) ', Identify sprinkler valves and secure in open position Cris -904.5) 'Replace missing caps on fire department connection (r19-904.3) Provide 5 -yr. certification test for sprinkler/standpipe (T19-904) MECHANICAL EQUIPMENT -- All Inspections L --'Vents and chimneys -- No obvious hazards (CMC -Ch. 8) SMOKE DETECTORS -- Day Care Sr. Res., Hospitals, Apts. Properly installed and tested (r19-749, 754) SCHOOLS, JAILS AND HOSPITALS Decorations and curtains fire retardant (T19-3.08) ✓LPG tanks fenced with locked gates Cr19-3.22) FIRE DRILLS -- School and Day Care (Title 19-3.13) AII systems operable/hooked to office i✓ Held monthly (elementary schools) --Held semi-annually (high schools) Evacuation plans posted in all rooms 'Emergency procedures posted in office Teachers take roll books The above deficiencies must be within days. Inspection Date: 15' Io " 60 AP # BUTTE COUNTY FIRE DEPARTMENT/CDF FIRE �F TITLE 19/24 FACILITY INSPECTION INSPECTION NO. 02 3 REINSPECT: YES � i NO Facility LciAj � SC- /IyZ3 _ Occupancy Yll i=ll Address 11 4 '71 i�oW ate, Inspector Phone Station Contacts 12� L¢5'— ivisr_z�� r�?/�rh,T, Station Phone 53 b'— 71I-1�j Compliance: Yes= 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) (914 --Gates wide enough to admit fire apparatus (T19-3.16) ty_Fire protection equipment visible/accessible (T19-3.14) No = 0 Not applicable = N/A PORTABLE FIRE EXTINGUISHERS -- All Inspections Extinguishers have current annual service tag (T19 -575.1A) L`14 Maximum travel 75 ft. (T19-567) Provide clear access to fire extinguisher (r19-563.2) Extinguishers mounted on wall/or in cabinet, visible and signed (r19-563.8) Aie— EXITS --All Inspections 0Y-- Exits not obstructed (r19-3.11) Exit signs in place (CBC 1003.2.x.1) Gf!E:;�Lt�i 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 (CBC 1003.2.8.2) 014- Maximum occupancy sign in place (T19-3.30) Two exit doors/panic hardware swing in direction of travel (CFC 2501.8.2) HOUSEKEEPING — All Inspections f— No waste or rubbish accumulation inside or outside T19-3.14) Reduce storage to at least _" below ceiling/ sprinklers (r19-3.14) VIL Remove combus. storage from heater, mech., elect. room (r19 -3.19x) MY— Provide approved metal container for oily rag storage (T -19-3.19c) CIL- Flammable liquids stored properly (r-19-3.15) �J amg Corrections and Comme ELECTRICAL --All inspections (� Extension cords do not replace permanent wiring (CEC-400-8(1)) Extension cords do not pass through doorsMralls (CEC-400-8 (2,3)) 2 30 inch clearance around all electrical panels (CEC-110-16A) 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 i%- Hood system serviced/tagged every 6 mo. by cert. tech. (T19-904) AL Clean filters, hood, and duct area over cooking appliances (CFC 1006.2.8) Maintain extinguishing systems (T19-3.24) CIL Provide spare sprinkler heads (6 min.) and/or sprinkler wrench (T19-904.5) ')V-- Replace damaged, corroded, or painted sprinkler heads (r19-904.5) 04Identify sprinkler valves and secure in open position (r19-904.5) Replace missing caps on fire department connection (r19-904.3) Provide 5 -yr. certification test for sprinkler/standpipe (r19-904) MECHANICAL EQUIPMENT --All Inspections 04 Vents and chimneys -- No obvious hazards (CMC -Ch. 8) SMOKE DETECTORS -- Day Care Sr. Res., Hospitals, Apts. C/L Properly installed and tested (T19-749,754) SCHOOLS, JAILS AND HOSPITALS 04 Decorations and curtains fire retardant (r19-3.08) C 4 LPG tanks fenced with locked gates (T19-3.22) FIRE DRILLS -- School and Day Care (Title 19-3.13) L-A/-- All systems operable/hooked to office (BIZ— Held monthly (elementary schools) Held semi-annually (high schools) 'L'� Evacuation plans posted in all rooms Emergency procedures posted in office Teachers take roll books 0-1*0..u') C'LJ,7- 7H2 'taJ` �1G,cs 3i'� s must be correct within -'90 days. o _ 71- �, Inspection Date: 12- 0c) AP # ice of the State Fire Marshal REINSPECTION REPORT ile No.: 0 1—i�- r of Facility: of Building: d P-0 0 C.4- 4�t� Discussed with: Title: OiA V ft l ��Title:, Accompanied by.. � � Title 1` Fire Safety Deficiencies Numbered �` J noted on the Letter ❑ Fire Safety Correction Notice (EN -11) ® dated have been corrected. Uncorrected Deficiencies Numbered on the Fire Safety Correction. Notice dated In addition, were re -issued as shown , which is attached to and made a part of this Report. new deficiencies were identified at the time of this reinspection, and are shown as Items on the attached Fire Safety Correction Notice. Fire Clearance Instructions: cLe- ld X Ct"Z�- FRtE CLEARANCE GRANTED T -DATE STATUS s C DEPUTSTATE F RSHAL -. DATE OF R'INSPECI N D/ l C'8 GO -5 (Rev. 7/86) P, mice of the State Fire Marshal IINSPECTI(jN REPORT �o o o= a got Facility: 01-)k ) CAei..) �G;tM.Cf-JTr9fL4 3C[4 -To L of Building: ress: 0�2o��u.E �lsYt65� • ♦ . , :� "Q� '•"tai r''\ •� • ♦ ;}� -.ti{.' •i,� `il,:',. Y.'t 'jam a •4 :>.... 1 a#f i. . e!. �� ••ff f . a �.vtfi ••. 1.�, i•'1�'�'�t7��at..'t q•'AC W . . f..T S s !1 .s *•1 .� ;ri 'Jcussed t I ith. a'.:C ...•.: ..: i•S�4 i:. t ,f.. •'':ft.,. -•i �.1.. j •, . ._. C-•• •�: •!: f�•:y•. ,� title.. s,, •t . S ., : :3.. r•... 'f . '�'• : y - _ !L lirr�i- J f, itw�r• 'M .� 'f•' •e' s .,�;` •:i. 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'.1,:z:A:•:):lc...r.��. �' :!.,�� , :♦: 7 a ar R ,�•:ti, -dj\S>"'' :1% :•.. �Ye• ii .:. :, '..�S',;.•.,Y1•.�N�'i1, t 1ra•.,: t.,Vi1. .t-.:•. >✓y4Y•..:�.2�.t:.i.:,..i�..1•. -•:>%. 1<"itN. f":i..'lr-...��.I.a . �t� •c• sy�,�. <�i..+...a '.. .z :. -Y .k'hik'..•�•`' ,':�;••K�.' t�:-a./•- f 7• ' ••y�t�•l♦�+E•� •ii • A# -• :►..t.< 9•Y•!'s '.i.t+s:': :i ♦r, � • . �•a, • .r. f..• . su,'r t -iii, t, }tfl', .rTim E s T, f -*,, . 7.> � 'JJ7:r.. � .: •.•�Z • r�Z.f'aPnris � 'iA"I'.t .• .t i .I }•:.''.: . Y. '3s. : t. •� ' t.. r•. ,.f• :!'�•�.'f ii •>. .. .v •p e:. a'le ..T .f •, }• .I.• ,•.•' •i• aS� - -16 (Rev. 7186) CLEARANCE VNI" [J j Y: .z r .' t :F a1. . M: y-"�i•,••f...EaI :• S: ••1 ^ .L:j: r •�y.; : �` is e. 1 :i••R• { 9Ys t✓ 2: ,•4F'a,.,.`�;>Fy.£ t .. ♦4r,�,^ •s..� i .:. 1FIRE _ • �\,. •.t...i,Ns. [.: " .'. -•;�.� f a "'t",4,r . > .2 ,1 ',,ii>.c. �w;•'' ,. :.y.'. is '!.: 1:.+•w . ST, i .< ^ �&j -DEPUFY,STATE N tz,-�14 �••�*''•t'b�:/ •1;'<"1�n•�, i �...:a 'jrt; , 'v % �a.:+'.' 3.S`xtRu . .;�.y � f;.. .` s: r ..,.i. +, :"is' •.>h''r:,./t' .1� r .{ �,,t •, , 'J �;• �■y'A • ATE�: ,'i• :.. tea• <� f r. •.. ,} ,it<. r _� t .,�,,•. C.: .♦ 4,:f ;i: i. w .:.' t. i ` •:i •S Y) • d f, . < Iry <; ,' r •! 'w.. S a � Y -�f �;:• •,•'�.: ;bra, � •+4�c.^:w .i l' �a i.r •.�..i► , Z. C. il.' r. � "fC 'Y "'R'ak•.) ••J . � �•.w�3'..: •l�' `i''.. •�':. (` i. A.Z.. .•t E♦••f L': :!t♦ 'r.y •� Y" >. y • i t;" r,- � `i <'9 -16 (Rev. 7186) Office of the state Fire Marshal Fire Safety Correction Notice File No: 5�- C��- -P i GCS C)- Name: aGc�t✓J MC—=�J Address: C)"Ov� ir✓�sG/a. SF I I CALIFORNIA STATE FIRE MARSHAL The California Health and Safety Code and the deficiencies be corrected. State Fire Marshal's regulations require the following fire safety 1 r . =�J �� Lf( til 0 T L U A'fi� t- 7T �� i !. S-1>< 4, 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 Fare Marshal at ( - ISSUED BY (Deputy State Fire Marshall RECEIVED BY DATE _ry-i i Mev. from an .—I UuircroUiiUrv: u, rri —raaury -MIM—Kegion xtLLkJw—rieta Page of L File No.: — – ©�–� Office of the State Fire Marsh, REINSPECTION REPORT -000(P-000 9 Name of Facility: �Ma-� ,) �C �� � �– Name of Building: Address: Fire Safety Deficiencies Numbered 1 74R -u 4 noted on the Letter ❑ Fire Safety Correction Notice (EN -11) ( dated have been corrected. Uncorrected Deficiencies Numbered on the Fire Safety Correction. Notice dated In addition, Fire Clearance Instructions: were re -issued as shown which is attached to and made a part of this Report. new deXiencies were identified at the time of this reinspection, and are shown as Items on the attached Fire Safety Correction Notice. GO - 5 (Rev. 7/86) .. VIN _ �® 1 ON GO - 5 (Rev. 7/86) Office of the State Fire Marshal Fire Safety Correction Notice File No: � ( 0_)0b) - � rill Name- �00 6J 11��V T Address: SF CALIFORNIA STATE FIRE MARSHAL The California Health and Safety Code and the State Fire Marshal's regulations require the following fire safety deficiencies be corrected. <7 7j 6 11-41C, 1--;4 CO iL 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 Marshal) RECEIVED BY DATE Y/ 5/ EN -11 (Rev. 7/86) 89 88751 DISTRIBUTION: GREEN—Facility WHITE—Region YELLOW—Field \d Office of the State Fire Marsha Fire Safety Correction Notice File No: �- 0 `1- '1-2 1 Name:`<�Vt''���.L�l�'1N%�j���`�1�f0�L Address: SF I I CALIFORNIA STATE FIRE MARSHAL The California Health and Safety Code and the State Fire Marshal's regulations require the following fire safety deficiencies be corrected. i�L-r C r >� vj is 49US7- 37-'tF RCvyZtM C-O iS P�-iZ.= TV — P-7 /- i'l t Com-- St= -7'-V f < fi= 7D /4 t.� 1'C�/h Tl C- 3) F�qw 6C-- NA(L 6()1aC--7 C 14- 14 /P107 A -J i eA)Xr& 6 c- / A /SAC _C,r77 A /v/ CIO Aj 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 Marshal) RECEIVED BY DATE (� 1 ! G r Rt - -•I7111 i�d 7 � f Qlk OL A- ti 1 = T t wqw r' • ., -y- € - - 4404. Zp 4 z� r -_ ,�•- - �� St � _ - _ - � -7 - %mom-.- , -! L�--'--, � � � _ �. � `.y��� � �r -•-� _.,ms's � ; .: �,,,�- - w .-+..: - - -� � �_ - -�..���'1[_`� - - �r� ('� __t_ ��.1� r _ % � - -. ASK' • � > � - :#iv.-9G r � t;_.», �-_ ; Page of ffice of the State Fire Marsha! INSPECTION REPORT File No.:. 5c;? -0 4 --(,-) .0Qa 6_-_V0o_Sss_-q ts ame of Facility: - Name of Building: su*m_ Address: I U� Ni�LSOti( ��2 Q `l -S-q 6 s Discussed with {- A, Mv, Title Accompanied by, = t l�L�T y Title: M AV IW AI Y dd - 11V EPCe,77010 PilJ 6 ,c/2c5_ 52-1 L L UJ/ --S Co AJ c t c 4-C- �- f_ /h DEPUTY ST FIRE AL } `, DATE.OF INS tCC�TIO FUZE CLEARANCE GRANTED T -DATE`- STATUS f_ /h DEPUTY ST FIRE AL } `, DATE.OF INS tCC�TIO GO -6 (Rev. 7/86) lffice of the State Fire Marsha'— INSPECTION REPORT No.:.�—� of Facility: of Building: s5: i- L—t X42 L/A S7 r i r � �r �� � '" 3 -�'3�� �'`.,✓ ,$��q� ,�,. �. ,�C�s�"`' i+DISCUSSetdWith fiiAGt lel t-, �� o `� �%� e=IL-> rL-- .,+... *FIRE Office of the State Fire Marshal INSPECTION REPORT HAL e No.:.�� of Facility: of Building: ress: ix'�F' .i �'hi 4 s ate c §M a A [7paw ; �ISCUSSed Wltil r t a gq r3 RA, r z �s' �V �i- 6. 4,r w sn dSfi, ,Gr Accompanied by - g UJ 04 iAC7� 4:T- T!Ncs� Ae el) � .ice of the State Fire Marshal a�FKf�, �INSPECTION REPORT STATE FIRE MA AL mee of Facility: � � ti , 4m� of Building: dd{ess:i�--�— Vit`t A • �� . �',..a�: ��'. ,• � ;� x- ;� ,i' „t:;ky- 1 y.`,- esu+« ' ��K� ,;1^t'' j•?i; ��r,iY•,-t �. � �tg: ,•a. •` �i d .�.,iC"' �ca!•!,.•.• xp 1. •: tkt � r :..>;.`. �, "S'Fc'��= \lP: j•ixx�y, 1':�.. w., a' � ,i ,� tf��=. ,2�7. v'rt�aA l'; ^�f. _r; ...J• ,�,;'. $,. .r '7�•°r �•,fy � .t �A,3e 'S, iA� ,�• "•,t . 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"•S' :q'�� ;�7'' ,R'j z' ;„l• :! ����I"��. f �^ .f. � oa' Y, • ,,lye av M ��,r •(• av « ., .1'° �^ c.r-i,: .i�� :f• td ,�p Y).�i"3 ii•• "t i, . Y',`�- '� '��.�•: p.,�yy •�iatr ^:5�:. ) "j.{ a Cts yy.. �'���'.i1 ;1. n'trtaS•i• �• •rti :"�' ) -�. � �� if ..^. ,yyt •T„�/' sV' ,. � 7 �: %w ,i irrt:y `f q 0.�",�• Y���!•!'.A j'�t M• /!',ft �Ti.�I v ♦. •`v r'i :� •r >. `o' .e 't 9' ''.• �3!••.. .,:. ,, L. Q�x i••GY':Ird,,�„,' t t.�, y� „i. .i�.. s''.j'. �.`,�- �FKE� P of ( ice of the State Fire Marshal REINSPECTION REPORT STATE FIRE MA SHAL File No.: Name of Facility: L '�� � ' L j `n'ti I I Nalm'e of Building: Address: i . '�R -. i • ., 1 •. ,�, 7^... ,'1� '&. F'- '.y,, fi,• .'.XYZ - e \.." _ �g► f:w: ' .. .. -, ...' .:. .:: .: -. .. .... y.. - :: ,. . .- � . , :- .. 4. ..• - Vii... '�•t: ) ' l.. : W^7:.' .d�.'. Tn iv "i �v � :33" JI. 'e;K '�' .Y:. Sw'.y" N.Y. <.! '3 > 'T. .Y't i�• �5.. r .i•\.<�. :,.:.ri. d... t In :. '<.�.y <. .. <. .. "... ;, .2t EQ'Y •�. 601UP,;Wt k ''C< ^ 7bnv. �:,t'.-f "` .7 '�M. yra. �_ Y. `'�. 3<` AI:. ? �N?. ("e•.. �'fXL r i' N.• y] i ;<t rr X.' <f: x1.. <:': � I .4 �'o. �. ?.. ,:v�, �.< L; i!•: t !<.a' M:ti <i; y,, : ,�:. ,r �•z;... :� K.: j4 ,r a ':c,,. ^tt. "-rp, Ij, " .l. !rp\iM th• c�.YV _� ..fir. •.��.�• 11r�.i1P1�33Y ■ 1� '�iMii "Ir11MY�1 . < ..�-• �• .nor \ !.` •2 t') _ w'F, :J.. kG:: 'Y.'. ' p. J...,)., N' , M � : Y � L • y. , �" .,c., ��. ..i-. } ,,w `: it? � �..,iri., x' ^.:t.,. - tl� . .'i,... %5. � , � •+M i.:: .. .�.. n♦y, x �,_•y -.. ,. ..�.5�< r .. ,. tF -...r :, >Z � S.,, ,•.� fi�.�+ ..t '<?�.. .;', S< :`.•€ yq�. .! •K. _ ..h! •i v 1.. ,A:ir.. Y �� (:/Y , �<.i„ j. I �.xT '.Yi•LV' •.'. r -Y •�,� - n, �" .yt' •3 _ !y 1`•}y rk.:v,� .: /:1.'.i:�' •'(% • a -� ' T +:t ro a,►,, 'a'�. ... 'J ♦_.�. •<.♦I ,.•�3�,'t + �S . �'-t%i�. �}-�.r Y�. � .<�a•"C .r.�.. +� STN - Na Y.-. :F+• <�Z ';"\ '.i .. l� > /':+. .t ''r`r ! f. L.. )�.:lj n�::Aa 'M'•.I <wT-> � :. � C:. ..4j �. .A"- .p r� :3E'.' •... y A e.{ =�F - <. Iw. ✓' .-tM. ••1 L. •t ,.. : w a.:r. '� , . °tom . � ; .i .fOn cc ,ani:..Ae '.r`. ��'' }, :'YYi<. :i•dJ'' :Ya'• ^t _ ..y'f tt •♦ ':I:fi �♦ 1 - �.. n.,f- F.i, ,.,r;N..r, f� �'y� •K'+«.. \ .:. �, Y','Y r .3: � ,l1.. n S� ^T•�' 'fi' «4 y ry _ �'t• �. �> �� i? -`�Cx. •ice' •.' iK ..s '"� �"` C' :e 'a<- . •e. �t ' ::K w - o . 7!' =' - 3'.+:K �t"� .ir�•Ir' . •�+' <. rt. ! wc, , -Z 7b' �• V A r. Kc� +t.•. '.jC . �• �?•a�`«• . •L`•n�'<j x.y;6• �r. :i. •yr :. ..1X �<..' a•', :'.e• ✓- >-. a'•- 1.!�„�',: _ et f! s'1: ^`. ` -:R „'S f%'. •,s.� r... :r.'1•. .. -.µ- -$ /....Y •r •' J w Sa'�,giS"- 'ti:� Y' r.iY- a r : Y'.1.-_�<•'�'• .��.. t ,; < .4�:r .T' •:4. V' .A .: J•� a' Fie Safety Deficiencies Numbered noted on the Letter ❑ Fie c Safety Correction Notice (EN -11) E] dated have been corrected. ? ncorrected Deficiencies Numbered were re -issued as shown on the Fire Safety Correction. Notice dated , which is attached to and made a part of this Report. STATE FRi - - t )-l", Irk addition, new deficiencies were identified at the time of this reinspection, and are shown as Items ATE Of..RE�LSPECTtOIV 'i: <,\• .ly � 1 .=. y3'., on the attached Fire Safety Correction Notice. Jq Fre Clearance Instructions: l 0- (Rev. 7/86) C1EI1RIINCF ttANtEd x+vYY. ; :,T: •.9- a Tw �.1'K, ;"'+w• '. '. A.t:i.!. 'l. _ 4'�. •xa T�► s. S TlIfS: ,..yw •�-l't <} .. .- ,5�. ... ? dE�IJiY STATE FRi - - t )-l", ,�,ig1« _ rt� fi •+.- l ,ys e' �jT�• a. 't�'3 <...%'Fy .. -ej Jry. .'x ♦ �.:� ..t( �:Y: , 1♦�-t ::T 1`� '' I.J.: ATE Of..RE�LSPECTtOIV 'i: <,\• .ly � 1 .=. y3'., Jq l 0- (Rev. 7/86) PA ffe Of Am` OFFKE� fice of the State Fire Marshal INSPECTION REPORT STATE FIRE MA HAL Fil rr(A Jo.: �� 7 — �-' — —2� � C Name of Facility:�� 1 �� Naryle of Building: Address: Discussed with: Title: Accompanied by: ( 't .` {.;�a i``, ---_-.. tel-. t�9-.? �% ��C-f �t -. FIRE CLEARANCE GRANTED �.� _} T -DATE STATUS DEPUTY SR4TE FIRE MA HAL DATE OF INSPECTION 1� G -6 (Rev. 7/86). Office of the State Fire Marshai Fire Safety Correction Notice File No: — — - — Name: Address The California Health and Safety Code and the State Fire Marshal's ,regulations require the following fire safety deficiencies be corrected. 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 Marshall RECEIVED BY DATE EN -11 (Rev. 7/86) 86 96708 DISTRIBUTION: GREEN—Facility WHITE—Region YELLOW—Field ..ifice of the State fire Marshal INSPECTION REPORT No.:. I of Facility: of Building: l t:N k(. � k W-Lj OQOJI�,V"),O- (�ot�cu,,5 Discussed with: Title: �{ Accompanied by:L�� L���,�--'� Title: NAIA FIRE CLEARANCE GRAN T -DATE STATUS DEPUTY STAT FIRE MARSH DATE OF INSPECTION • 6 (Rev. 7/86) r e or , Owce of the Slate Fire Marshal �`��`�' INSPECTION IZLI'OItT'STAtE 11R1 KIA lAt "!n 1 rile 0.: .15*11 -z Nariie: � of racitity: �1�- Nat ie of Builditig: Ad tC'ss: 0,A beIS USSF.Id w th? N& 'Fui MID Y1, IN �t� L� ' � I �r, C) Fp,r 3 1, p WWIof 16 v I 044 11A f- LOW" x e•jS J -'U ly sv� in ?AAbt---. At mammas" 1 0.. Wo -411 4 16 .4 r �v tie )j "i . ' I C. MR Of 44 1" Fiv - A ! •". 4f; 44 f••�'ri I k4 t e -of office of the State Fire Marshal REINSPECTION REPORT No.. .._ ne of Facility: ne of Building: _ cress: I` C -1 Kj��564�-j7Q C'S V�\ .14 . visa sled with: Accompar� � �� • `, . � 11 i• • ', •. t • .`i�.1t;, J������ 4 '. i +J S .i i%r•- -, b ed by: r.+!• !^ .•!. •1►. Gel .w�iy •-- �fF- �:� •.�..• ' .�- y.,, ' STATUS Fire Safety Deficiencies Numbered noted on the letter ❑ Fire Safety Correction Notice (EN -11) El dated ID ;-0 G have been corrected. Uncorrected Deficiencies Numbered were re -issued as shown on the Fire Safety Correction. Notice dated , which is attached to and made a part of this Report. In addition, new deficiencies were identified at the time of this reinspection, and are shown as Items on the attached Fire Safety Correction Notice. Fire Clearance Instructions: _ STATE MARSHAL DOE of W06MCTlG�1 - 5 Rev 7 X86) ky 'I-,. �t7 E4m'c QtA�11ED THE STATUS STATE MARSHAL DOE of W06MCTlG�1 - 5 Rev 7 X86) ky 'I-,. � A... office of the State Fire Marshal Fire Safety Correction Notice File No: Name: - Address: The California Health and Safety `Code and the State Fire Marshal's regulations require the following fire safety deficiencies be corrected. 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 ( ) e ISSUED BY (Deputy State Fire Marshal) RECEIVED BY DATE EN -11 (Rev. 7/86) 86 96708 DISTRIBUTION: GREEN—Facility WHITE—Region YELLOW—Field e of ice of the State fire Marshal `�f�l�` REINSPECTION REPORT STATE Mt MA SHAT No.: 52 — 04 _ 21 of Facility: CONCOW ELEMENTARY SCHOOL of Building: Oroville, • •. V 5 (Rev 7/86) • Jim Lourd ' . ;. ;:._ � , .�:: �...• .. ';� � ;Ln narr�E STATI,lS ire Safety Deficiencies Numbered - 1-4 noted on the letter ❑ ire Safety Correction Notice (EN -11) ® dated 26 Feh 90 have been corrected. ncorrected Deficiencies Numbered none were re issued as shown n the Fire Safety Correction. Notice dated , which is attached to and made a part of this Report. n addition, _ one new deficiencies were identified at the time of this reinspection, and are shown as Items on e on the attached Fire Safety Correction Notice. ire Clearance Instructions: 1 easrnnm doors uzhich_•..open kuto a --common car- .i dar pro hay d .Qpen, An EN -11 was F--9011STATE DATE DATE vF 30 Oct 90 V 5 (Rev 7/86) C LEA M a GRANT® .. STATI,lS F--9011STATE DATE DATE vF 30 Oct 90 V 5 (Rev 7/86) _%_*� .. Office of the State Fire Marshal Fire Safety Correction Notice File No: Name: _ Address: FICEpFSTATE *FIRE HAL The California Health and Safety Code and the State Fire Marshal's regulations require the following fire safety deficiencies be corrected. 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 C ) ISSUED BY (Deputy State Fire Marshal) RECEIVED BY DATE EN -I I (Rev. 7/86) 86 96708 DISTRIBUTION: GREEN—Facility WHITE—Region YELLOW—Field of - Office of the State fire Marshal INSPECTION REPORT File No.:. me of Facility: me of Building: 11-6e7*�7--AL916aJ AoA-0 0A4L)'t(- r.Ie CZ948 17p& If p�FICE � STATE FIRE MA AL .A Z .. .. .. +, ... .. .: , .:. .,2 w , ... , n. Y. .. ...Jp,�. 5. :. .. Z`r -:t. :1< .Y. ••,C 2• ...(>, ,... .. :. . .,.. ♦... -., ,. ..,. .. .: ys . ...., u2' .... 1. rt. ....^xa. .T .5. .... .. ... .. . -... •. „. :. < ..... ;.i: :ca.... .... .., ... .. :.. y. .,,. a:: .•.. •..s ..,... ■■'��■ A`, _ ,.. ._ r... f ..,, _ <> , ,s....# .. _S5eC� .�• -.: ., -.. .: ., ... .. .. .:,'\. f, r.. r;_.::...:!.d,L2.. E... :.- .fY}:?'a-s J a v.i A:1Y"' ,FM nti.' 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R + F.`: >Y `2it���, /., 3!t ,} �Q h DATE DF 1NSKCT10N % sof Office of the State Fire Marshal REINSPECTION REPORT Fi e No.: :� ];�—__O c/ —'.2- L ame of Facility: Name of Building: Address:11697 1 /�dres- ' rt -f.. :f.♦ a.r... .�<. :�>�,. ..a.r .r::. y:> _ t: � .•i: • .iy{,>M:• Ck,` �.L: .,•: �ir•r i '•i +..va. • �>.i-�'•'+l '' '.�' .�. "_%•a.: r. :rAr'-' •L: :`x�.i^t ..�Y.�xRw' i� t►ia' •i•r� e<^ '•"i4.:Fr ems. .ni. .;tt'�;�> •"�: :�':•±.w.; .an <irj+` 'i ,�... 9'N . iM�S?7ys?��� � li ,,y -R. Ni .. _C^ •Ir NYM �j A) tscise t��`Q �.Y 'Y 1 �'� <�� r : a ....\'f<� .0 ;'. •Y• �••SM >.r, q-;rlr.� •r. Nm'F� .r:. ...��+{� Q�ct::'%�•f... '! .s� .K'lr�• [�. .M! �Y/.. +. •?•a.<".• .li jr �• .t%. .�sw[tft. y.• y r.r ' 4 }. �._ . Y S: iG` ,� .-. v < t>„:-» .`>,. ,< /... ..,•... • • is .•'_.. - _ -,:.•6` .:..r. ::c i[: • 'LI• .� t!'may '• .. s. 3 # C M ✓ • y i s�b,..ti' ' •<�: str,,-,c�rCC� Y k' �. s�Q <�' Y1 ' • `TT�y..+r �••> > r s. ,� '� -•r : iS.rs-•[+',}'r�2• `. .o+ t ,<:'v .•`� ,f:•• ..9s.. r...I.. :a ,.c. 'Fo. -.{. �M s . i� '-, .Y., , i. 'CC om'R W * _V an�ecf b w Fire Safety Deficiencies Numbered �-- noted on the Letter ❑ -E300'��- _ Fire SafetyCorrection Notice (EN 11) dated have been corrected. Uncorrected Deficiencies Numbered — were re -issued as shown on the Fire Safety Correction. Notice dated , which is attached to and made a part of this Report. In addition, 41 t:> new deficiencies were identified -at the time of this reinspection, and are shown as Items on the attached Fire Safety Correction Notice. Fire Clearance Instructions: `+t' Ahchr— LVE riA Q !iA&n:� - rig « ¢• .: .��rrR3'Y�>" :)t .:Z !.�+•:, ' '. 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' rs .:-'.ia }r s• i':,�, �i' # L•1.. r�.t �F,,i .r!'•••f.i•t7.+r-s.'.:fS _ ,s •'.r `�'.'s�.� '�✓.k..,.••..•,�e".�fs. i ire. .-:',e.�'"ti_• .n�.. �:..r Y.. ±!+w'•..i!4! ,r7`. r -r'^7 �` A .i" � "'� ��u' a'i �- ►�'T',:�•....r`.tr.l� .��'., ir.+....:.' ' ' :: .. :i'�'`' • �•r., yy++_ ... y �I:•-. �ri� r �i!.s � a O' Gs,. f, t'._ �''-'• .r=«.,, t' �...'- r`• J,,� .e. t s wsr it - � �'''.�ri' �_ �- w �: «• 7, '' ,: .v'_.. '%t"t�a•.�i: .3.r.�-.Z:.�.3R:.s..•:S'.fi n < y �. +i/I1�'•r- �:n �,�•+.� ..�_��'f:-.'Y�(��'��5i�t:• e..�cti]ti.•iif�.tri'�_��ii...=i..«.�.t�tl�'.rKx.'�. .]it�i:e."Ls �i1�t.�1L4x'�b,• A GO - S Wv. 7/8fi, ' 1 . Office of the State Fire Marsha. flfC JQICIy l.VffCI.UVII IVVUI.0 STATE TIRE MAR Al ffile No:52-b�-ZI me. Address: � � (0°l7 Pow cod 6_5��"57000' c�?PL-�1lE! L ��CCid77-prlJ !q/ 1 � k G/i �5 v7XJ L �✓ S7 Z: ,e8vr C 1� 5'/6'�✓S � L L JB�LS' Slid EGS 'Ur.rj L 0000017 4000 Wll-�, ,o 14eTiti.G Z ,c7 10 1(3 ISSUED (Depu tate Fire Mar N-11 (Rev. 7/86) 86 967a • P'z� P__'im �✓lie / RECEIVED BY DATE DISTRIBUTIO GREEN—Facility WHITE—Region YELLOW—Field 7 �- - J Certification of Corrections by Owner I certify that all deficiencies listed on the reverse of this form have been corrected SIGNATURE DATE tW17' (Fold on this line) ................................................................................................................................ (Fold on this line) .......................................................................................................................................................................................................................................................................................... PLACE STAMP HERE Page of ,--% -A" Office of the State Fire Mars[ f -z. File No.:. — 2� Name of Facility: Name of Building: Address: 4 �Y Discussed with: Title: Ccamparned Title: e�6/ ? r' .tea-o��`� TOATE C STATUS _Zj STATE MARS DATE OF N SPECTION I' 1*1 CLEARANCE GRANTED TOATE C STATUS _Zj STATE MARS DATE OF N SPECTION r v /GO -6 (Rev. 7/86) Office of the State Fire Marsha, Fire Safety Correction Notice ile No: I� ddress: '�11/L cl S_�� _ The California Health and Safety Code and the State 'Fire Marshal's regulations require the following fire safety deficiencies be corrected. /V �,Jc---c.- i�J c.,. �-=__z�r.� X17 � � � �-v �,�,�-� ; � �=v„,✓� . -611,51-7 4C TMJ' .; = The above deficiencies are to be corrected within days. When ALL deficiencies have been corrected, sign and return the certification an 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 Marshall RECEIVED BY DATF EN -11 (Rev. 7/86) 86 96708 DISTRIBUTION: GREEN—Facility WHITE—Region YELLOW—Field .. _. FILE N0. Fd ��T 1414 � DOD Fol REINSPECTIONOFFICE REPORT OF STATE FIRE MARSHAL lame of Facility—cox) \ddress 1j4 I ;ondi ti ons Discussed Wi th 1.S<3=� n .. Tit 1 e' ��. f �..� 7� � �.�' lccompanied By �'���.-�.r . Inspection This Date Discloses That Fire Safety Correction if1. Fire Safety Corrections Dated �-� �-�� Have Been Complied With. Fire Safety Corrections Were Discussed and Disposition Will Be Wi -th - As Follows* L S - Abo 4 New Fire Safety Corrections ns Should Be Reinspection I nd� Cates That e afety Correcti ons . Issued. See Reverse Side for omments an New Fir Depu Y GO -5 Comments and New Conditions New-..Fi re . Safety Corrections: E A i NA AD ESS Ij STATE FIRE MARSHAL r a= SAFETY CORRECTION NOTn_, R FILE NUMBER 0 0 i �o 1 -4 a li�aoK E� 9 a FT-� F;� a n accordance with they minimum standards- of Title 19, California Administrative Code, - the ollowing corrections are required: G ot 9� Ld n1 A> h.P.t L! ccrt w jai`q342)tnaj �..s 19 6 A The above deficiencies are to be corrected .within : 6 � --days. UJ on completion, lease sign and fp p �p g return the certification on the opposite side of this form. If you have any questions, contact the State Fire Marshal's Office at ( 916 ISSUED BY (DEPUTY STATE FIRE MARSHAL) R IVED -RY DATE EN -11 (EV. 7/81) YELLOW!!: REGIO! WRITE: FACILITY GREEN: FIELD 987-01-355 3-84 12M TRIP OSP SIGNATURE CERTIFICATION OF CORRECTIONS BY OWNER I certify that all items listed on the reverse of this form have been corrected in accordance with the requirements of Title 19, California Administrative Code. - - (Fold on. this line) DATE _'M _ �n, this line) PLACE STAMP HERE w�Fpp� STATE -EIRE MARSHAL 4 WILLIA SBURG LANE, SUITE 3 CHICO, CA 95926 ofTHE STATE FIRE MARSHAL ..__ , iNsPECTION LOG . CI 1 e C� ,tet v `� � � �. Tit File 6 Q � Q 0 o � �Q Q Q ,16sD ate •- i i --Y6 V1 Address l 1 ownerG A a, to C. 16 ti1c3 w•/ �� . Si omA q 3 • • • - • .M•• - r • • • - M / !"]moo. �.jh�' ot • •... •: - • •-. • - • • • _ .• • • � ? /� «. .. . •• : '' -' X4-•6 (Rev -- • • � � . _ :• • • _:moi. _ • _ ,•. .. • c .. • ' . - '•: _:':' : • _ :: .:.:.�,-�.�::.��----: -1 - •.. _'- ._ ;, A� II - .. ----.,.,,s,•••.,�c^•a�rs..—w•—,!,+►-•+wf•.i'[•F*+^r,..•rfJ+g•?ss"../'*:J"�'_JC.':�". EN -1 (T) 6/80 STATE FIRE MARSHAL •_ SPRINKLER INSPECTION GUIDE DATE . • r FILE NO.E&EM FACILITY NAME • XVDKESS • CITY Q INSPECTION PERFORMED BYowan-ow •'. '•' .. NOTE: *USE BACK SIDE OF REPORT TO RECORD COMMENTS AND T'0 SFI DW CO ACTION • REQurRED. • , RRECT�'VE • TYPE OF SYSTEM: WET 0 DRY [] DELUGE OPREtCTION UOTHER • A*. CONTROL VALVES ' • YES. NO NA S . 1.• System is electrically supervised. Re wired o � '• ' f C q only in -HEW aci1Itie.s IS 20 S steno control valves• turn easily-. 1 turas m�nitnum• 3. Control valves do not leak. . , 40* •Control valves are clean 'and lubricate . �-Control valve is secured in the os open - t ion . p p , 8. RISER 6. R ser is ree of leaks. 7. Supports and bracing are secure and ade uate. 8.' Extra s rinklers 'and a wrench are readilymilableg__ _9. Extra sprin lets are the same as those in the system. C. SPRINKLERS lo.. Sprinklers do .not leak, are not painte corroded and h ave not been damaged, 11. No -s rinklers are missin .12. Guards have been installed where needed. 13. Sprinklers are not .blocke b li hts beams ucts i es a. Sprinklers are installed in correct position(upright orendant. . •� 41S. Thereis nos1 stora a nearer than 18 below the &effectors. . i occupancy his not.chan 16. Use di ed w ' 8 hick would require ff6rent sprinkler airran ement. 17. Sprinklers are correct tem erature ratin •. 18. New construction has not altered system needs. Ds FIRE DE PARIXENT CONNECTIONS SPRINKLERS AND STANDPIPES). - 190 Cas are in place, 20. Threads and swivels are o era le: 21. Fire a artment connection 3.s easel v si le and accessible. 22. Fire de artment connection is labeled color coded as applic Ee GAUGES 23. Gau es, are in ood condition lundamaged2g 24. Gauge valves are turned on. 2S. Sy -stem ressure is pg10 26,s ammm d. PSI SL'I'1►'lZ Lrescurc s Co _ soconof�: Alarm :� t t v:� 1tic -woo •cc t sir`' - valve is opened, 8. Residual Pressure is '? PSI Mainrain open 9. Static pressure is A ter closln lnaln rAl n 1z MERMI AMMI �s ■" ■Yi ■E'er STATE tag AL BUILDING SURVEY REPORT ' Date: - "Z F le No: �., -off 7--1 -aeo 4._.. ooz Mme of Facility: Gv as c o�,.� �.cfc�F�atAc,n�'� dress: 11 tv A '7 N rt,"a 0.3 QyNvc_ vfo 0 L� , L�- • �jS10I �:�' r r : lel w i oi�j ��-toc � Q6ry,ncr- Telephone No. ame of Building: L-dwt,(J.-A6F- DESCRIPTION Cann_ 1. Oc . an class ie _ Use Capacity l3 2. Construction T .- 1 Year Built Total �,.'� Largest Floor Basement No. High Rise Yes No 3. Area (Sq Ft. 4. Stories 5a. Rxt-er i or Wall Construction } rs b. Opening Protection. I V -P -4z' 6. Interior Wall Construction .1 64� Q. cr S'TL1 p'� 7. Floor Construction - 8. Roof construction AM ILb P L''uJ400 6i -S L401, • 9. Attic Draft S t s No, p4e) n Oa. Om, Sep. Wall Construction b. Opening Protection No. Ila . Area Sep, Wall Construction b. opening Protection No, �,Z w - _____ r � -w � w.r�.. .wi.ri.rrr..�.�.r . _r��r�w�w.��.�r•rrwr■ 2a. Smoke Barrier Wall Construction t� b. Opening Protection 3a. Corridor Wall ' Construction b. Opening Protection 4a. Corridor Ceiling Construction b. Opening Protection 115a. Shafts Number/ tom' b. opening ' Protection �r�1 -cry tKev.S/ug) DESCRIPTION - f Comm. Room Corridor Exi t Encl. No.. Total width /�' �..__- •,.ii - r .....�.�wi .� r - Qo0ft.., h&Lrp4%A-,-, PLAU, SrARnO.r,3 r Type ,�..r . - Fuer%.. Vent 7.7 Ir sl xcted By: No. Attachments: HA" 044 -- Re ewed By: Date: U ted: . 6a. Stair Enclosure �b. opening Protection 17 . Stairs No. HOW No. 1 Interior Finish Class 2 Exits 2 Exit Hardware Type 2 a. Exit Signs/ Illumination b. Emergency Li htin 2 Auto Spri nk. Covera Standpipes Class/Location 259 Fiore Alarm Type/Coverage . Heating .. Electrical Installation . Stage/ Platform . Hazardous Areas . other NTS: DESCRIPTION - f Comm. Room Corridor Exi t Encl. No.. Total width /�' �..__- •,.ii - r .....�.�wi .� r - Qo0ft.., h&Lrp4%A-,-, PLAU, SrARnO.r,3 r Type ,�..r . - Fuer%.. Vent 7.7 Ir sl xcted By: No. Attachments: HA" 044 -- Re ewed By: Date: U ted: . NAN E - � �� eSC-1-bC4-,, FILE NUMBER ESS D il O 41 El D Df n accordance with -the 'minimum standards of Title 19, California Administrative Code, the following corrections are required: ADD 'm�e.e5"-Tt rJ tvJ fc, M/{c- I " AX-FA O V(._ST6 K.T, CA) t"c.K tn�1b LA Q LA I 1P C1 r��-'1 Ui -.)c LW PATZA l 'N�- :�.-� stn IT 10 VC: ���-t.�E'S-`---►n._._ 4 mei �l � t� ► v� 1.�0 tit V t �J TO 60K- 1 t.1 I&O`r' 1/iE- � - � -Ar-� �IA C--VSL- Lj"jC-- Ic 0 Z.4 Q410 0 L--O c iAm L.�. 64- C+� Ik !�4 . L--1T- m 0 C -(,f T?,4 Z The above deficiencies are to be corrected within days. Upon completion, please sign and turn -.the eertifieat on on the opposite side. f this form. If you have any questions, Contac the State FirerMarshal's Office at (f~� �) �� "-: �2:..: - ISS E $��' (P)-EPUT-Y TATE FIRE MARSHAL'): REGEIVED BY- DATE .(l:iTEiC11Et=t� �WdF: PFB�DEE�s�a-e_a1:zMrreie;os?: gou BUIMING SURVEY REPORT - : Date: S ATS IRU MA AL File No: ,. o -- �� --per Cry J c&Nahe f Facility, r��.- Add tescls 1 ""1 O 9A-tA- (L -V . ,D L1 t. ...-- U11�•.a SC�,01%-jvv�Tele one No. 33 - Com,Owner � �4c� Ph � �l� � �. Name of Building: � DESCRIPTION Cam - - - - 1:. 10ixm-2ancY 2. ICnstruction 3. A ea (Sq._ Ft.) 40'. S or ies 5a . E er i or Wall Total Largest Floor C nstruction b. 'ening Yes No P otection 6. I terior Wall Construction 7* loor ons t rust i on 8. oof onsttuction- C1 ass' l Use Capacity1' -"- 6=.. Year Bu i It ening Total Largest Floor Basement �. No. High Rise Yes No all Construction bo ening rotection 13a. 9* tt].0 raft St s 54>. No. t�1�.1� V�,PJv� i ►�(� 10a. cc. Sep. Wall onstnaction b.Hing rotection lla . rea Sep. Wall ons trust i on b, ening rotection 12a: Pmoke Barrier all Construction bo ening rotection 13a. orridor Wall onstruction bo Opening 0-rotection'. 14a. orridor Ceiling onstruct i on b* ening rotection 15a. hafts umber/'T b. Opening rotedtion Ga -4 (4,6v.5/84) No. _ 1#4� 09�- No. Oct Wz Apo �• - o�J .�-'" 6`t'Q. t3► is . 0 t.,j 5L of $ «t L4� Q ZO � ■..r �.��. nrr.r�r.r 4 �= I DESCRIPTION Comm. f Stai r Enclosure . opening Protection Stairs No. �.. . Ems No.P,�)l LTG %1� Interior Finish Class Roam Corridor Exi t Encl. fJ A No. Total Width o - +" Exits Exit Hardware*Type rl 7-+d . . Exit Signs/ Illumination 4M.-tooK... s . Emergency Lightip2 t� Auto Spr i nk. Covera a 1•.3 Standpipes Class oca t i on t� Fire Alarm -TypeXove ra a Vjvdvj vA-t.-- fwwL.- STAB o� l � mAtr4Vic.. cab • `; �, : - ._ Heating r Al YL-- Fuel vent - Electrical Installation WtU L--n6ARAIJE;�A..�, , Stage/ Platform Q� PL."K4"_—U _.. Hazardous Areas 1 i;'&i . Other ENTS:r ._.-- iL fl -►J G-0 f -,I E...�-�-- � . ected By: owft-A Fi ✓t&- No. Attachments: ewed By: Date: ted: r I _ BUIMING SURVEY REPORT Date. STATE FSK At Fi le No:. Z -C4 - 24 r cw(c - co(, Name of Faci I ty: �---, Address: Wner : LA L.51 ga,.j Telephone No. N of Bu i ld i ng: W1 Com► P�L.- 9 DESCRIPTION Cc al 0 1, occupancy Class Use 0.'ci�Wi Mm i KY4=. - L. Capacity t 7 _ rr%ncV rn&F i nn k k-4 t ri cel T .--•-. . uc�-TZ--�p Year Built Total 144-0. Largest Floor Basement No. High Rise Yes No 3 . Area Ft. 4* Stories 5a, Exterior' Wall Construction c = CLQ b. Opening ' Protection 6. Interior Wall Construction G.d1ft$. R, L�0CW-- 7. - Floor Construction . 8. Roof Construction �'V N3 9. Attic Dra-f t S t s Oa. occ. Sep. Wall Construction b. Opening Protection No. /- - ► la. Area Sep. Wall Cons t ruct i on 1.-.- b. Opening Protection No.,- o.2a. 2a.Smoke Barrier Wall Construction bib opening Protection 3a. Corridor Wall Construction h14�1 �.- b. opening Protection 4a. Corridor Ceiling Construction 00 Qr b. Opening Protection N 5a. Shafts Number/r b: Opening Protedtion ► 4 (Rev. 5/84 ) DESCRIPTION • . ,� Corm. 00 . Stai r Enclosure b. 7. Opening Protection Stairs No. 9e Interior Finish Class Room- Corridor No. C 04S Total Width -6WFITr, _ Exit Encl. 4(2so - 1 Z.- 6A�f,,s -- -2-4S +#4021a. O. Exits 1. Exit Hardware Exit Signs/ I llumi nat ion . Emergency Li tin _ 3w Auto Sprink. Covera �1.-- 4 Standpipes Class ovation fps 5 Fire Alarm Type/Covera!ge?� 46o Heating Type Fuel LT1 Vent ? Electrical Installation 8 Stage/ Platform �-- 9 Hazardous Areas e,4LOK4 60 f 2110'.. 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File No: 46�'Z Nane of Faci lit : 60,4 Ade r ss: �1 ,,,� Q C-4 �t Owrei,.-: c....,_-�.._� '1.. U-..a� a `� _�,;xA cr Telephone No. (4ell} S e,3 Nane of Building: M41,aJ i L�o J #"3 �. DMRI PTION Came 1.01 Occuj2anSy Class J:::: _ Use Capacity (AO - Construction Type D2�2E .--- r 1* Aw Year Built l Total i°''j'I Largest Floor Basement 3. Area (S Ft.) S for i es No. 1 High Rise Yes No t1 14 A a Exterior Wall Construction . aJ IL a� *X X Z/s� Q • .��,�; UQV60 o � .,-' �► Q. &o f b Opening Protection t\. �,j .. u l VA4,40 . Interior Wall Construction '•;� fl. C-X V Floor. Construction- , Roof ` Construction QpAA?6Grnm..A 'moi L4)tA P c pL.-%ewaac o#%j wo . Attic Draft S to s No. 4SVVAV..-- AMS-- KX>"4� Aa Occ.. Sep. Wall Construction V,tTCUSv--) 4SF�fb+ A4 M40 W i 4kifL y b. Opening "p-101, "� le)ST 1 W � Protection Noe (Cowi4 d'ou o a tA30 • D&ows w I y, w L kV-CA l a. Area Sep. Wall Construction - b. Opening Protection No. 0 12a. Smoke-Barrier Wall Construction b. opening Protection 1 a. Corridor Wall Construction �� dw � `I (40 o�• S\L.-'� �, .Q. �. 6� � mo b. • Opening Protection ��--�-,. 5�..- GSW144: 6 (A I a. Corridor Ceiling j �, Construction- 6 � �x t. �.--�LA 4 .3"8 Sss k-atc.-AA 1M 0U i,-3r�- b. Opening Protection 1 a . Shafts Nunber/'i' .- b. opening Protection Ar. G0+4� (Rev. 5/84) i a. Stair Enclosure 6. opening Protection Stairs No. Res No. Interior Finish Class Exits Exit Hardware - Type Exit Signs/ 11 lun-d nation be Emergency Lighting . Auto Sprink. Coverage . Standpipes C1assZLocation Fire Alarm Type/Coverage . Heatin'g Electrical Installation Stage/ ' . Platform Hazardous Areas Other NEWS: Z ccnm. � DESCRIPTION � -"' '� ��°►� `ice► ' �►T�_ �A� Room Corridor Exi t Encl. �- �►t� . No. is Total Width �e 4 -OA ebwu 00 A-4 UMAA vtf 0 Vt Fovts vf ore"(P..'�VL SP. 9-pmt-,� 0 deoy<-Rz;%� %-tj LA &Wwlw� "UX1114KVO4;t� e) o M014 -P, Type irev.Cle.-o pn vc-- Fuel wt L Vent ►�t•0 SC:�-:.s �u w` �°,�tc�An � .�v�1crP�S It t.O . Ar �'i3 � DP E.10 G.ovwu. 00<-- � Iek S rS t�O►�-A'�►- OF- x.%cted By: No. Attachments: iewed By: Date: ated: wo • Coate � -"' '� ��°►� `ice► ' �►T�_ �A� Room Corridor Exi t Encl. �- �►t� . No. is Total Width �e 4 -OA ebwu 00 A-4 UMAA vtf 0 Vt Fovts vf ore"(P..'�VL SP. 9-pmt-,� 0 deoy<-Rz;%� %-tj LA &Wwlw� "UX1114KVO4;t� e) o M014 -P, Type irev.Cle.-o pn vc-- Fuel wt L Vent ►�t•0 SC:�-:.s �u w` �°,�tc�An � .�v�1crP�S It t.O . Ar �'i3 � DP E.10 G.ovwu. 00<-- � Iek S rS t�O►�-A'�►- OF- x.%cted By: No. Attachments: iewed By: Date: ated: 0 0 U ao U N k P" w Blacktop Area 03 \ w a H ~ � E y � r E-4 w _J ill � 1 sgjnoD IIpQgaxsPu oy 7 7 r., "Ilk 4 N4101 T Mr�fIJ� "n rg k �A Ay, YT c 2i M�L 7 7 r., "Ilk 4 N4101 Mr�fIJ� fig rg YT c M�L rg