HomeMy WebLinkAboutFAI15-0001 Fire Annual Inspection ArchiveCOUNCIL NO. 36
MOUNT LASSEN ARLA COUNCIL
BOY SCOUTS OF AMERICA
559 East Lindo Avenue - Chico, California 95926 - 916/342-7460
Mailing Address: P.O. BOX 797, CHICO, CALIFORNIA 95927
� ,oY %l—rccar - -`� -.s---J
August 28, 1989
Deputy State Fire Marshall
842 Salem St
Chico, CA 95928
Dear Jack:
In reviewing the correction items in our last inspection, the
problems will be addressed as follows:
1. Dead bolt in new rest rooms: The locks will be changed to a
single key and dead bolt type. The main door will also lock
open.
2. Smoke Detectors: All smoke detectors will be strapped in
with plumber tape held by a metal screw, allowing easy access
for battery change. All missing detectors will be re -installed.
(We spent $400 in replacement alarms and batteries)
Thanks for your help and cooperation. If possible, would you
please send the specific information related to upgrading the
dining hall capacity to above the 300 level.
Thanks again, see you next year.
Sincerely your ,
/aures 0. Thorup'
District Executive/Camp Director
s rb
Office of the State fire Marshal
CAMP INSPECTION REPORT
File No.. 5— 1
Name of Camp:
Address: Z 1 �-�J �S L E �� % �/� /�T
Business/ Headquarters Address: 797
Director's Name:-�r��S �`7�� Interviewed:
' DATES OF OPERATION:
Summer:.J�tic- to Winter: to
I.
to _ to
{ to to
CHECKLIST
NA = Not Applicable
OK = In Compliance
SR = See Remarks (use other side)
T -DATE
� `
.9
1
8
s
1 �
Tents Under 80 sq. ft. No. c
_..�
ea& &i(-
A,111 k N
Tents/Tent Structures No.
(max 800 sq. ft. 1 story 12 cap)
N
Special Buildings No.
(max 800 sq. ft. 1 story 12 cap)
��-
< J n
5/� �tJ �'�.'�i
/
(�
Buildings over 800 sq. ft.: Name/Use
a.
b.
C.
d.
e.
In accordance with the Building
Survey Report dated
❑ Portable Fire Extinguishers: Date Serviced / P�Carnp Alarm
❑ Flammable Liquids General Order -Housekeeping ❑ Fire Drills
❑ Fire Safety Corrections: — Letter _ EN -11 issued in field (copy attached)
ME CU QtANCE CRANUD
T -DATE
STATUS
DEPU7.,SYATE FW .0
DATE
_..�
N-6 (Rev. 7/86) /
1
• 1
SL' _4,F �AUFORNIA—STATE AND CONSU , . ', ERVICES AGENCY GEORGE DEUKMEJIAN, Gowmw
IWANO
LTNfXN
ATE FIRE MARSHAL
REGION (916) 427-4325F3 .
FLORIN ROAD, SUITE 400
ATSS A6&,4325
9
Q, G1 93823 TOD (916) 4V --4I"
CRAAiW4
ORGANIZED CAMP FIRE CLEARANCE
Camp Name:
. Camp Location
SFM File Number: �� - �� - 7/
An inspection of this facility indicates substantial' compliance with the
applicable provisions of Titles 19 and 24, California Administrative Code.
PP
Fire clearance is granted for a period not to exceed one year from the date of
the inspection.
Date of Inspection:
7
Special Conditions:-
e --`e-+ r .—.1 �-� % �� '7 --�.-- i . ♦ T�—� it /� iC� G%���
PW
Issued by:
REF: SACR01@01 EN4
Date: 7- 1 " /
Office of the State Fire Marsha.
Fire Safety Correction Notice
File No: _.�2 --
Name:
Address:
The California Health and Safety Code and the
deficiencies be corrected.
State Fire Marshal's regulations
require the following fire safety
—7
2�"
�
The above deficiencies are to be corrected within days. When ALL deficiencies have been corrected, sign
land 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
EN -17 (Rev. 7/86) 86 96708 DISTRIBUTION: GREEN—Facility WHITE—Region YELLOW—Field
Office of the State Fire Marsha,
CAMP INSPECTION REPORT
File No.: ,:.t
Name of Camp:
Address: 2- / 5 S ��' �S` c v -L >T•- �-;� ,—'6P.�C-= 5 � i/Jrt/G�`� C'�
Business/Headquarters Address: /`10 g� -7 cr 7G° �r y
Director's Name: �%L�5 _774"W -lo Interviewed:
EN -6 (Rev. 7/86)
i,1 AiE
DATES OF OPERA`flGN:
j
Winter:
to
CHECKLIST
NA = Not Applicable
OK = In Compliance
a
£
See Remarks side)"
SR = (use other
Tents Under 80 sq. ft. Noa��L.=�
�y ��
a4l—-
Tents/Tent Structures No.
--
—`
(max am sq. tt. 1 story 12 cap)
Special Buildings No.
C C�
;7 �t//��
Lci�G—
(`yCL /IJ�
(max 800 sq. ft. 1 story 12 cap) c�
Buildings over 800 sq. ft.: Name/Use
In accordance with the Building
Survey Report dated
L/ C,
a.
b.
C. --
d.
e. -
<.
tsable Fire Date Set -vice
.t�t�
:ar.P
p Alarm
Ran ,,finable LigUids D General
Order-Flousekeeping
El' 'Fire Drill;
Fire= Sa nity Corrections: ns: m_ Letter
" FN 11 issued in field (copy attache)
EN -6 (Rev. 7/86)
i,1 AiE
Office of the State Fire Marsh -..Ili
Fire Safety Correction Notice
File No:
Name:
Address: --
�I
The California Health and Safety Code and the State Fire Marshal's regulations require the following fire safety
deficiencies be corrected.
777
/e-,
he above deficiencies are to be corrected within days. When ALL deficiencies have been corrected, sign,
nd return the certification on the opposite side, of this form. If you have any questions, contact the Office of the State
rr
ire 'Marshaf at;(
E
ISSUED BY IDeputy St4te Fire Marshal
RECEIVED BY
DATE
EN.I l (Rev. 7/85) 86 96708 DISTRIBUTION: GREEN—Facility WHITE—Region YELLOW—Field
Jp
tr
•
Bristow Hood Scout Reservation i�i'T. LASSEN AREA COUNCIL
CAMP LAS SEN
Red Bluff
HWY 3 b
Susanville
Butte Meadows
r
Ling City
00 /X .2 0
Cv-
/ L/, X / Z tl-6)11V4�
v
o
a--0 0
-0
CD V/
7--Itle�l
L70'
0 0,
F19
a'� Kek�G�.
..........
,w CADolP QTM-S TIOwr1AI R.F - • . - - -- . • •. •.
N BU
10 Camp Name. and Address • C -
12 4C
'
73
6eej c4.ji
2. Camp • Telephone• Number • � � � • �ql6v-
(Area Code) (Number)
30 ameofPerson(s) in Charge of C =-_�'
-Liu a
U C,
-_
4. Daus of operation -- Sumner FromTo - .� _ sr77- ' -: •_=Y=_
..
• • . • , • _ • • •. r. • •' Front 7 _ , `� � � To
• .: , .. : ;; _ - From -- �! ._ .7 To :- . ,..y 77
f3 _ - -:
• ' - •- •. .. .• _ - .. • •MOW• +_ _yam
16
Winter: From
Alld To.
5..,' . Business or-- Headquarters. Tele hong
P
1 (Area Code) (number) _
. 6•.. Business or Headquarters Address � - = • • •: • •- •' .. •' - : - : -. = -_ -....• :-_-•.
..
7- Nameof Director of Campj.ng Operations:
8 Please provide a map indicating how to reach camp(if-mmp not pre - -
v Z o us Zy submitted), Show any. lan&da*rk., building.' etc that
. l
will - be helpful,,-
66
elpful - = : - • • _ - .:
--• :. Map ' -s on. fi le%il.
'• • ' , • ... . f - • • • .. ..Y .► _ fes. : •J
•
E C
U AR 2 2
--2 19.77
e TAT• FIRE NMARS(4AL - `= =
ON
NORTHERN kEGI
Return questionnaire to the State -Fire Marshal
XX3 7300 Lincolnshire Dr;r3 Marina -Merced off ice Complex � 107 Sou ' - =
' suite 170 .� � f i3 � Broadway .
2300 M -arced Street Roost 9035 _
Sacramento, CA 95823 San Leandro', CA 94577 • Los Angeles, CPL 90012
• . (916) 445--3.762 - (415) 357-8173 (213)620--,2126 .
0
CAMP INSPECTIOiV REPORT
Office of
t_
State Fire Marshal
Name of Camp _ ` ��%% � ate- i�..le-�
File
Date
Deputy
Address C4= ,
Business/Headquarters Address � � t,6141c�
Di rector's Name � G��/�,� Interviewed 77
Dates of D eration Summer. From 6/1 To
7/3 .�
Winter: From To
CHECK LISTS`
NA Not Applicable -♦.Cj
CK In Compliance ,IC2
SR =See Remarks(use other side) .�� o, . o� •-•�' °� .�� •..� •.; • ofi G
ca
C4Z 40 0
Tents Under 80, s ,
l. T . ft. No., q
Survey Re�nort •dated:
la"
-
w;/.J7"S_
2. Tents/Tent Structures No,
:.�. 800 sq. i~t. l story 12 cap),-
.
.3. Special Buildings No.
;
(max. 800 sq. ft. 1 story 12 cap)i
4. 8llILDTNGS OVER 800 SQ. FT. In accordance with
(a)
.
(b.)
CC)
(d)
(E)
- Name/Use
Survey Re�nort •dated:
la"
5. -Portable Fire Extinguishers Date Servi ced 77 6. Camp Al arm
7. Fi re DrIJ l s 8. General Order -Housekeeping 9. Fl arrrnaUl e Liquids
1 Q. RECOMMENDATIONS* Letter (use other s1de) Issued in field (copy attached) .
11. FIRS CLEARANCE : Recorr vended Issued i Field HoZ d "T" Date cz A49,
CAMP
R
-' File .
_ Officeof -
• _ .... _ - -.. �• • • .
. State Fire Marshal. Date
Deputy
Name of Camp. _ -
Address
Bus i ness/Headquarters- Address za ,
_011 leto
Director's Name.' � • - � Interviewed
- - •.- :.•-..-�--
Dates of 0 erati on:. ' . Summer. From To
.............n.+r�e�n .rrowrwks r1
Winter: From TO ,-. -
8_0
N meow
CHECK LIST _ • .: ' - , �.
NA — Not Apel 1 cabl e
CK = In Gompl z ance �� �.. ,� = F7- - .�. - � C�'
SR See Remarks (use other side) - .�� �. � . � � � �� .�Ci C
' a ,►„Q' _ Q,� '2 - " is
Ne
1. Tents under 80 sq ft. No.Ole
-
2.' Tents/Tent Structures No. � I
I
i
I
j I
� I
I
I
' :.
.(max. 800 sq.ft. i story 72 cap
3. Special Buildings No.
{max. 800 sq. ft. 1 12 �� �'°� -
p �
411
story � ca
4e BUILDINGS OVER 800 SQ& FT. In accordance with = -
• _ Name/Use curve Reoor-� datad-
a Aide d�2e ala g
(b
(C)
(a)
(e)
S. Portable Fire Extinguishers skiers Date Se-rv1 ced --
9 - �� 6 _ Gar:jQ Al am,
7. Fire Drills 8. General order--Housekeeo • :-. _ -
- , �n� '' 9_ F1ar�a�le �z�u�ds
10. RECOPNENDATIQNS: Letter (use' other side) Issued 1n -'fieldc.a
{ py attached)
11. FIRE CLEARANCE:--- Recorrended Issued in' FieldHold " T " D
� � ate
!�
1. Camp Name and Kb, ss:
CA
CAMP QUESTIONNAIRE
CAMP LASSEN
:)c 0,
v u r -c=
BU 21 C
P7
2. Camp Telephone Number: IWjV V /
(Area Code) (Number)
3. Name of Person (s) in Charge of Camp
4. Dates of Operation - Summer: From JJ L�4 ZZP;-To j -j L, L y Z- /52k
i► u E 8 V E D From J[ y o IeI2
MAY ] 2 13973 Erom To
BTA I �-: Fi= MARSHAL Winter: From To
NORTHc4N REGION -
5. Business or Headquarters Telephone: �/6 L1Z - 7I -1Z
(Area Code) (Number)
6. Business or Headquarters Address:
C%l / C- C)
7. Name`of Director of Camping Operations:
R -
Please provide a map indicating how to reach camp (if not pre-
viously submitted). Show any landmark, building, etc., that
will be helpful.
�r
Map is on file, r -
�sr,i --p
Sura
h0RPOw.s
sn-el .
Return questionnaire to the State Fire jjarsrtal=
7300 Lir.colr_s'r�ize Dr, b Z"2L In a -"arced Office Corm) e� 107 South }3ro�daa
Suite 170 II Y
2300 .'erced Street
Sacrazento CA 95823FOO= 9035
{9I6) 445-1762 .,an Leandro, C� 94577 Los Angeles, CA 90012
{ 15) 3 7- X73 (213) 620-2120
LA 11" u ffi�uE 110N REPORI
Fz l e —. I• ,,.
. •_ Office ofDate
.!.
. S gate Fire Marshal • -
Deputy
41 Eta
ti am of Gamy z -v
Ades s
Susi ness/P'eadquarters Address _ - •. ..:-�
rentor= s awe a - - _ - •- :`.:
• ,;.�' Int�.rviewed "� . •.
a tes ofoerat- Q • . Sumer: Fromm y..
• . _ Winter,& - From To -
CHECK. LIST*-
• _A --- apt Apel -� cabl e - -
CK In Compliance �c.
Al
is '� - F?
SR — See Remarks (use o Cher si de-) L o •- � .,,<"**
- .l` X. - •..' - - w -
1. Tents . under 80 sq _ ft_ No.
2. Vents/Fent. Structures. No.
(max. 800 sq.ft. .1 story 12 c 3 �
.3. Special Buildings : • Poo.Xor- - ' "'.01 _,,, -
(max_ 800 sq. ft. I story 1-2 cap
4. BUILDINGS OVER 800 SQ%P., Fi. In accordance with-
• Nage/use . _ = - _ - u ry Report da- ed
- .
I e. -e eK2
(a) Z/
a2_
(b)
(C),
(d)
S. - Portab`� e Fi re 8xti n ui sbers Oa to Sir �.
g v i ced U1 ,% 6. Camp Al a m
7.. Fi re Drills S. General Order--Housekee F� a � abs� . �T� ds3n g -----
10, RFCOMNEPIDATIMS: Letter (use other side) Issued in fleld
(copy atacnd
FIRS CLEAPA-110E: _ RQccmm.end2d Issued in- Field Hold " a z� .�
OFFICE OF STATE FIRE MARSHAL .
For office Use Only
FIRE & PANIC SAFETY'NOARDS - INSPECTION REPORT NEW DELFT
ANNUAL
FOLLOW-UP PREY. INSP. DATE: F3.LE-
FACILITY NAME. PHONE
FACILITY A -
DDR ESS : �. � =; •, . �, , � .: - ,� .- _
(Street) .
INTERVIEWED _(City)F
�
ACCOMPANIED BY
e
INSPECTION OF INDIVIDUAL BUILDING - OCCUPANCY CLASSIFICATION HIGH RISE.
I INSPECTION OF ENTIRE FACILITY CONSISTING'0 THE FOLLOWING V BUILD •
IGS.
FILE I.D. FILE I.D.
FILE I D.
NO.80GS, OCC. CLASS. N0. BLOGS. OCC. CLASS.. N0. BLD
GS .OCC * C LASS.
FILE I.D. FILE I.D. � FILE ID `----
NO. LDGS. OCC.CLASS, NO.BLDGS, OCC.CLASS,.N0.8 "
LDGS. OCC. CLASS.
CHECK LIS
TT-FM-REF*I MAI T-ri C C�
ua Capacity -
9,58
F=ITEM
:.- 1b.. �-iousekeePz ng
REQ N i CN
52
sement
re rotecti on7y-stems
2
23
17.,
- 18.
Pre- re -Man
Supervision Staffi n
� 9
53 .--
56
osur
fl,ces24
s
�- 19.
Portable Pire Exp57
28
20,
terror Construction -,
29,330231:.
=- 21.
re Assemblies �3093123.01
^ 220
teri orFinish
32-
23.
zardous Areas
40-�
24.
Tt- ng
3
�- 25.
e Protective Si g. Sys
- 26.
P-5-
- 27.
=
Fo
: 28.
ive Materia s
29.
rage
�.-- 30.
�4UDATE ONSLOGS NO. -
amNS:
DIS SITION: GO -6 Attached CLEAR -RE INSPECT-LO,A
D TE CORRECTION NOTICE
- EN -31 Attached
CAPAC I T)
N=2E I O'US
-�r �q1TY
.
C.Lr ,R ED
''PAC ITY
a' - A-olicable
I -4 Item leo.
AMBULATORY --NONAMBULATORY
TOTAL CAPACITY
AGE RANGE (YEARS) CAPAC I T AGE RANGE YEARS _
To I 18 to 6.1w 65 & Ove To 1. 18 to 6165 & 0v41
IC in Compliance C!%i = CQr ection tyeNedad Cz-Ni = Corraction F� s+. Woted.
., %ISPE TION TIME:
•Jar
,st 10th of hour)
IkISPECTEED BY
REVIEWED BY DAT` .
[ii1pi'v1 cznr1
PUBLIC ASSEMBLIES
IteM
20
- Stage/Platform area REF* 42
Item
21
- Stage. iPl•atrom vents (REF* 42)
Item
22
- Stage/Platform sprinklers {REF* 42 .
}
Item
23
- Stage/Platform access rooms (REF* 42)
Item
21
- Stage/Platform curtains {REF* SO
Item
25 .-
Seating/Aisles (R&Y* 43)
INSTITUT-IONS
' Iters
'Item
23
- Nonfl ammaal a as systems tens(REF*
9 ,� 54 }
-
24 -
Surgery floor {REF* 40}
} . • Item
25 -
Surgery air change -(REF* 40) -
- Item
26 -
Surgery equipment/Furnishings REF* 40
Item
27 -
Surgery electrical systema45 * REF-
{ }
Item
28 -
Restraint (REF* 9 } •
CAMPS
ILem
2�
'Tent , abri c
Item
27 -
Teat heating
Item
2§ --
Tent electrical
Iters
29 -
Tent 1 ocati.on. se a rati on
l P
Item
30 -
.
Tent ground clearance
PUBLIC ASSEMBLIE'S
Item 20 - Sta a Pl atform are(REF*9 / a 42}
Item 23 - Stage/Pl•atform vents(REF* 42. }
Item 22 - St-age/Platform seri nkl ersREF*
{ 2)
Item 23 _ Stage/P1 atform access rooms(RcEr�*
40%)
Item 21� - Stage/Platform curtains REF* .50)
Item 2,5 - Sea t i n g/Ai s 1 esREQ* 43
INSTITUT-IQNS
Iters 23 - Nonflammable gas systems REF* 54 •
Item 24 Surgery floor (REF* 40
)
. Item 25 - Surgery air change (REF* 40) -
Item 26 _ Surgery equipment/Furnishings REF* 40
-Item 27 - Surgery electrical system REF* 45
Item 28 - Restraint (REF* 9) •
CAMPS
Item 26 -Tentabri c
Iters 27 - Tent heating
Iters 29 Tent electrical
Item 29 - Tent 1 ocati•on-/se aratl.on
.Item 30 -. Tent ground clearance
REINSPECTION REPORT
OFFICE OF
STATE FIRE MARSHAL
FILE N0.
Er� E61 � 0 DEp1 E 11 111331 L1 Date Reinspected 1^ «� 3
Nance of Faci 1 ity C A NA Le-SSe�
__ _ ___._.___--._.____-_--_-_ ---------------------
Address,21_';y�?�A� _ Ep('?S T _ iI`1NC
Conditions Discussed With----4LU..&_kr�---__
Title
Accompanied By --
Inspection This Date Discloses That Fi re Safety Corrections Number j �cr 3 ALS- ____.___-_
-----------------------------------
of Fire Safety Corrections
Dated Have Been Comp] ied With.
Fire Safety Corrections Number ---___--_-__--__
With
— _._._ �eJ3no(
______._._-1r1�)--------------- ._._---------
As Follows:
Were Discussed
and Disposition Will Be
------ ...._—__ `J _--__—__—___._--._--__.------------------
_ --___----__-------_--__-_______-___
______------------------
-._------
-------------------
___..
keinspection Indicates That Z_SL.__ - _ New Fire Safety Corrections Should Be
Issued. See keverse Side for rien
Comts and f4ew Fire Safety Corrections.
(3/70) F.IV 5/81
Comments and New Conditions: `
L uOr
_
� Pe rO All�[0Vx/\�
-����--�--�����-l--
'-----------
------'-- -----
'
- _--
------------
~
New Fire Fire Sdfety Corrections:
70 /�0
--------------------
-
nts and New Conditions:
Lu
Ll
/A 4% vo .-V
m h.:6
A
v Fire Safety Corrections:
011-1
D t-! U �y�l NQ s b t t i
rno�aT C11sSErJ__E ca v t,,) c i %bwl---
r-, i
10. X����
Co u AAD-- --SIS'A', Ir
- .�-•fir•-�-- �v'-- ---� ._.�._ .��......
tA# Ce
%41
vo a6"
coh -74t6,
31
VIP"
cif
L
_ � _pt1.p,�.� a fi t, --1.�9
ca
!'%k
s_
Tt
/001MIN
Office of the State Fire Marshal
CAMP INSPECTION REPORT
File NO.: -- —
e-1 e,--, -Be5,r—,5 se- c)
Name of Camp:
Address: 2-/ 3 �-„ S" u �— /`C'/'C--s7-- r✓it/�_r� C„0'
Business/Headquarters Address:
Director's Name: %`f>� �/�Z`�'`'� Interviewed:
RE < uNZAtJCE C,RnJYiEr3 i iaA'it J—
5 ATUS +
J
DATES OF OPERATION:
..... _
0A IT
J
to Winter:
.— to _
�
to
to
to _ _
— to _
CHECKLIST
NA = Not Applicable
OK = In Compliance
i
�,
y
r
SR = See Remarks (use other
side)
c7a W c7 r
x�
S
Tents Under 80 sq. ft. No.
Al1
Tents/Tent Structures No.
(max 800 sq. it. 1 story 12 cap)
-
--
Special Buildings No.
(max 800 sq. it. 1 story 12 cap)
��'"" _J/�— �/l cY=•1L `tiC- �L�_-C�
'�_ C.G�
c:yfG_"
Ci1:C "
Buildings over 800 sq. ft.: Name/Use
In accordance with the Building
Survey Report dated
C.
d.
e.
t
j �, ''Portable Fire Extinguishers:
Date Camp Alarm
' Flammable Liquids
,r General Carder-Hog5ekeeping Fire Drills
Fire Safety Corrections:
.._ Letter �EN-I-I issued in field (copy attached)
RE < uNZAtJCE C,RnJYiEr3 i iaA'it J—
5 ATUS +
J
{ ,11 �l, i,;: llR i'.•rt.'J:�s9,at. ..
..... _
0A IT
J
ff
EN -6 (Rev. 7,,86)
NATE OF CALIFORNIA --STATE AND CONS, -.ER SERVICES AGENCY GEORGE DEUKMEJIAN, Goverwr
STATE FIRE MARSHAL �N •
NORTHERN REGION (9I6j 427-4325 A •
4433 FINN ROAD, SUITE 400 ATSS 466,4325 �
SACRAMENTO, CA 95823 TDD (91 b) 427-4186
ORGANIZED CAMP FIRE CLEARANCE
Cam Name:
. P
Camp Location:
SFM F 1 e Number: - &-) 7/ -Ca o�
An inspection of this facility indicates substantial compliance with the
applicable provisions of Titles 19 and 24, California Administrative Code.
Fire clearance is granted for a period not to exceed one year from the date of
the inspection,
Date of Inspection: e 7
Special Conditions:
• -- _
Date:
Issued b.-.�._._
REF: SACR01001 EV4
11mb,, +.
Office of the State Fire Marsh...
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.
C
- ��� i � r'T1� / /
..0 /�'/�
Asir-�-..�•' - - .'� { /" �
-s; Y_
%
s
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
N-1 i(Rev. 7/86) 86 96708 DISTRIBUTION: GREEN—Facility WHITE—Region YELLOW—Field
Office of the State Fire Marsh..,
Fire Safety Correction Notice
File No:�-- L
Name: /' i.- `-z—d C_� ,�
Address: fs 5 `T -/T
J i, 2S � V2 --
O
'f'
HAL
The California Health and Safety Code and the State Fire Marshal's regulations require the following fire safety
deficiencies be corrected.
40W ^— ` ,
G_-- ! �>
2 r C' j ! 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
Fire Marshal at ( )
ISSUED BY (Deputy State Fire Marshal RECEIVED BY DATE
EN -1I (Rev. 7/86) 86 96708 DISTRIBUTION: GREEN—Facility WHITE—Region YELLOW—Field
STATE FIRE MARSHAL
IRE SAFETY CORRECTION NO'l E
STATAL
*IREMAR
ME FILE NUMBER
we►a 5 r�i�.J
RESS ,3J V1 0 0
13 - 9 S C I -Al
_ 2
7��a4nr "tj0,41, C44
N
A
In accordance with the minimum standards of Title 19, California Administrative Code, the
following corrections are required:
MOTS tij 714E .Z s �, cVv.) v„c 714,f
1",4f 05 at ud 6 L W- oaJ 70 CLv x E iia c� .
-r C. S XC 3,0
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�9� J
go 1,J l �C C
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,a L uIZ
CAC c i
&C -�
-14.4(L'
PQ57-1&,,(,
Na
C.44 5,rc
The above deficiencies are to be corrected within =` days. Upon completion, please sign and
return the certification on the opposite side of this form. If you have any questions, contact the State
Fire Marshal's Office at( g:
ISSUED
BY (DEPUTY STATE FIRE MARSHAL)
RECEIVED BY
DATE
EN -1
f
EV. 7 81) YELLOW: REGION WHITE: FACILITY GREEN: FIELD 88701-3533-8412MTRIP OSP
STATE FIRE MARSHALiRE SAFETY CORRECTION NO I �x;E
*1REAL
E FILE NUMBER
Q ® 0
�)Qsllul d,
0 c7 RE0 EEEl U1 FYI 0 E
In accordance with the minimum standards of Title 19, California Administrative Code, the
following corrections are required:
N
ADDRESS
o-- co rL7 3 _)TLof,,) mor,
V t L i `2[.4 C i r C 07A,,,.lt
l kJ Ttx 6C4 l
01 J
do
Q
-r-jq c, c. JxC o
i
return
Fire
The above deficiencies are to be corrected within days. Upon completion, please sign and
the certification on the opposite side of this form. If you have any questions, contact the State
Marshal's Office at
ISSLE
BY (DEPUTY STATE FIRE MARSHAL)
RECEIVED BY
DATE
EN-11
YELLOW: REGION WHITE: FACILITY GREEN: FIELD 88701-3553-8412M TRIP OSP
OwCf of
I
STATE IRE MAR AL
STATE FIRE MARSHAL
iRE SAFETY CORRECTION NOT Y.;E
NAMI
P s
L
FILE NUMBER
0 0 El F-7 I 0
AD
RIESS-
Lt'
02 .s — aA xxpq. 64 9S N 2
In accordance with the minimum standards of Title 19, California Administrative Code, the
following corrections are required:
'-AC ALA S,- A AAQ LLXI<-f 1r*t001 Tt4r QTJc17- &,jZJ eic
t (A '
i3 � c 10X
Skt -tom Jog _kz -S Urt
I
/
I
Exii- G6r, Y0,LQyi6ycjolC icK o-1
a £
O(� �� •a w LZ4 — s rJQ LIL
(mg) J1uc?2as Ul«0 / Co S
:The above deficiencies are to be corrected within 60 dans. Upon completion, please sign and
return the certification on the opposite side of this form. If you have any questions, contact the State
Fire Marshal's Office at (�i�)
IS
UED BY (DEPUTY STATE FIRE MARSHAL)
RECEIVED BY
DATE
EN -i7
(REV. 781) - YELLOW: REGION WHITE: FACILITY GREEN: FIELD 88701-3553-8412M TRIP OSP
OFFICE OF THE STATE FIRE MARSHAL
INSPECTION LOG
� �0Title11D.
i le9 [1 U D D 9 El 9
19
Address-, - - - Date n� 1�*
Owner
Al t j - i
i
J.
f. C
1.
GO -6 (Rev. 5/81)
OFFICE OF THE STATE FIRE MARSHAL
INSPECTION Logy
Title G4 Q
.
File E20
13002 DOD 01:11�1 g
' E Do
Address t i,tT tr - s
Owner, O s C Vt.s S �.
C'C • V k..t ,t t FV0 d V 0(;)Aj S c o j t' G �-� _ ' r
1 �'
Y �
tLA:--
•
ff s.
:tJ
-G 0 m6 ..,..t.Re .v .....5./ 8. )
difla BUILDING SURVEY REPORT
Date:
STATE AL File No: 171 - 0400
Narm.% of Facility: 6A 61A S '
'� �- � � ��,� �Jf .t� �t.•� � Cir �' �"
Addre s:
L � _" i-
r�
Telephone No. ( )
Narm of Building:
DESCRIPTION
Comm.
OccupancV
Construction
Area (S . Ft.) -
Stories
a Exterior Wall
Construction
Opening
Protection-
13
Interior Wall
Construction
Floor
Construction
Roof
Construction
9 Attic
Draft StOPs
0 , occ. Sep. Wall
Construction
be Opening
Protection
1 Area Sep. Wall
Construction
Opening.
Protection
2a. Smoke Barrier
Wall Construction
b, Opening
Protection
a. Corridor Wall
Construction
b. Opening
Protection
14a,. Corridor Cei ling
Construction
b* Opening
_ .. Protect ion
15a. Shafts
Number/TyEe
b. Opening
r Protection
4 (Rev.5/84)
Class 9--i
Use ; T�.� � �" Capacity '7
TF, _ . Year Built 1 yO
Floor
t 2- Basement'
Total /t>t Z- Largest F 1
No.
High
Rise Yes No X
•4
�-'�.` c�r��4/642 0� �nit,.>L t,►�}�'
No. [�J
No.
No.
i [A i -
_1 IA
Comm.
DESCRIPTION
RoamCorridor tea Exit Encl .,
.L.�
No. Total Width (0 �F'�'"
Type Fuel ,- Vent ff,
.0r i.V,No. Attachments.
Inspected By:
Date:
Reviewed By: _.._
Updated: _
z PTION
. DESCRIPTION
..
Catxn-
6a. Stair
Enclosure��'
r
b, Opening
Protection
17. Stairs No.
�18*R s No.
19 . Interior
Finish Class
; •-= �.- Exit Encl. .��.•
IRoomCorridor
10* Exits
No. �L Total Width 6v
_ -
1
1 Exit Hardware
_ _
00-
:22a. Exit Signs/
i llumi nation
be Enner gency
Li titin
3. Auto Sprink.
Covera
24 . Standpipes
Class ovation
- -
-25.Fire Alarm
Type/Covera a
'
Fuel .��. vent
Type
Heating26.9
27* Electrical
Installation
_ _
,� � ti .
:amu .R�- - ► c -
28. Stage/
Platform
+ c' _ - • - _
• -29* Hazardous
Areas
30. Other
��t�7�r
Lr j S 1 i• `� l C
low
rl� 1l � ..
.Inspected BY: + !
t 't �, No. Attachmnts: N
~ . J -t o. w%. i1 4 ►4 i t. L _�K, jr�� l :� i r L.
.
• j
Date:
Reviewed By:
Updated •
to
me of Camp tA sser
[31 Q , LII Q
F 1 LE N0.
CAMP INSPECTION REPORT
OFFICE OF
STATE FIRE MARSHAL
Deputy 3n t -ice coos t
dress Qi3,5,, cuu boa, ci, rvis-lu-i 9r 94r2
B si ness/Headquarters Address Pox ?q-7 64,E C �-en
D rector's Name j tm ri-f 00t ?6 Interviewed Do ai s c o i "
tes of Operation Sumner: From
ON, Aj � �G To /I U 6 ? 111,oW
Wi nter: From To
IECK LIST �• �• �1 ce
= Not Applicable
= I n Compliance • �� . 1`� • °� �1 . °� , �� F1 F1 1°
other side °• �'`J�e'�See Remarks (use ) C.a .� �,
4. BUILDINGS OVER 800 SQ. FT* In accordance with
Name/Use. -Survey Report dated:
-�
-?6
(d)
(e)
5. Portable Fire Extinguishers Date Serviced J (.(L T lctY6 6• Camp Alarm
7.
1. Tents Under 80 sq. ft. No. 94i
C 1<
G
04
C
PA
PA
Letter (use other side)j—j Issued in
,A.
baa
uA
5R
2. Tents/Tent Structures No. A e,,VF
(max. 800 sq.ft. 1 story 12 cap)
3. Special Buildings No.6
(max. 800 sq.ft. 1 story 12 cap)
�K
SR
as
�
C+�
5�
CK
AA
CV.
SR
4. BUILDINGS OVER 800 SQ. FT* In accordance with
Name/Use. -Survey Report dated:
-�
-?6
(d)
(e)
5. Portable Fire Extinguishers Date Serviced J (.(L T lctY6 6• Camp Alarm
7.
Fire
Drills L:qt--'
8. General Order -Housekeeping Lr 9.
Flammable Liquids Ll-
0.-
Fire
Safety
Letter (use other side)j—j Issued in
field (copy attached) U0000,0
Corrections:
1. FIRE CLEARANCE: Recommended Issued in Field rl Hold "T" Date f- X608'
Eta -6
INSTRUCTIONS
This form is intended to relay the information shown between clerical, field
and supervisory personnel.
1. RQUTE TO: The originator of the form shall check, 1n the appropriate
square, the individuals who are to receive the form. Upon receipt of the
form, the recipient is to initial it in the space provided adjacent to the
checked box.
2. DATE: Enter the date when the form is originated.
3. NAME CORRECTION/CHANGE: Check this box only when there is a correction or
change in the name of the facility.
4. ADDRESS CORRECTION/CHANGE: Check this box only when there is a correction
or change in the address of the facility.
5. OCCUPANCY CORRECTION/CHANGE: Check this box only when there is a correc-
tion or change in the occupancy classification of the facility.
6. INSPECTION AUTHORITY CORRECTION/CHANGE: Check this box only when there is
a correction or change in the inspection authority for the facility.
7. FACILITY DISCONTINUED: Check this box only when the facility has been dis-
continued.
8. ISSUE OR CHANGE IN FILE NUMBER: Check this box "whenever boxes 5 or 6 are
checked.
9. OTHER: Check this box and write in purpose if not covered by. boxes 1 thru
8.
10. NAME AND ADDRESS: Print name, address and county where facility is
located. (No. ) shall be the county number assigned by the Regional
File Procedures.
11. FILE IDENTIFICATION NO.: Insert all of known file identification numbers
in accordance with Regional File Procedures.
12. OCCUPANCY CLASS: Insert occupancy classification as determined by T-19 in
section marked "Code" and occupancy number as determined by Regional File
Procedures in .section marked "Proc.".
13. LOC. FACILITY - LOC. INSPECTIONS: Check this box only if the facility is
within the jurisdiction of and inspected by the Local Enforcing Agency.
14. LOC. FACILITY - SFM INSPECTION: Check this box only if the local enforcing
agency is the legal authority and the SFM conducts the inspections.
15. SFM FACILITY: • Check this box only if the SFM is the legal authority and is
conducting required inspections.
0
16. COMMENTS: This space is to be used only to relate special circumstances
relating to the facility file not covered by items 3 thru 9.
17. ORIGINATOR: Insert the name of the originator of the form.
NOTE: 1. This form is NOT to be used in Lieu of a required inspection form.
2. This form is to be filed in a separate fiZe by month, county, and
facility name (alphabetically) and retained for one year.
ROUTE TO: (1)
SUPERVISOR
RECORDS CONTROL
CLERICAL
DEPUTY
initials
STATE FIRE MARSHAL
REGIONAL
FACILITY CHANGE NOTICE
(2) DATE:
(3) NAME,�COORRECT /CHANGE
(4) ADDRESS CORRECT /CHANGE
(5) OCCUPANCY CORRECTION/CHANGE
(6) INSPECTION AUTHORITY CORRECTION/CHANGE
(7) FACILITY DISCONTINUED
(8) ISSUE OR CHANGE IN FILE NUMBER
(9) 0 OTHER
(10)
O L D N E W
NAME.("14plAv°. �S J"� �r� >� s�a��H NAME•C�Iti���
ADDRESS tact iii wt ,F ar�acvs Ccq �2 l ADDRESS:'
COUNTY: C" (No. ) COUNTY:. (No. )
(11)
FILE IDENTIFICATION NO. FILE IDENTIFICATION NO.
�q��
i 0`00 000 El 110 0 0000 000 000 0
(12)
OCCUPANCY CLASS:._ OCCUPANCY CLASS:
code proc. code proc.
INSPECTION AUTHORITY
INSPECTION AUTHORITY
(13) LOC. FACILITY -LOC. INSPECTION (0) 0 LOC. FACILITY -LOC. INSPECTION (0)
(14) 0 LOC. FACILITY-SFM INSPECTION (1) LOC. FACILITY-SFM INSPECTION (1)
(15) SFM FACILITY (0) SFM FACILITY (0)
(16) COMMENTS:194
(17) ORIGINATOR
EN -13(T) (1-2/80)
BUILDING SUS REPORT
Date: 7 .2 1 4'6
TATE. FIRM MA AL
File No: I , a�O 000 J
N of 'Facility: &t.4P &wV-"cry,�
i :� � � �- v � ' �� � �=� �t �" �; ; . �2A �� � qs' qV2-
Add r ss :
Telephone No.
Name of Building: t4, F,.4 1,-t t4 - 1,00 CtF
DESCRIPTION
Can.
Occupancy_
class — 4-1 Use I F R o -'t A P"_/
Capacity
Construction
Year Built )q 4jo
:0 Area (Sq. Ft,)
Total Fry Largest Floor Basarent X '�
Stories
No. High Rise*
Yes No
52.0 Exterior Wall
Construction
U_eG;
.Opening
Protection
I Oar, y
6140 Interior Wall
Construction
Floor
Construction
816 ..Roof
Constructionf
r pp, -j
C' $F 1 C1
90 _Attic....
Draft Stops
. _ ..��..- _ ..__..---- .... �_ . _
u I
No. �./r��.h� i, t111,,�C 1 S Svc.^ _
_ .. _.._ ___.... _.. -
�
G%tl �r 2 .� txx�so) tF
0a, Occ,, Sep* Wall
........
Construction
a OQu v
bo. Opening
Protection
No, av-1
11 a, Area Sep. Wall
Construction
b..opening
Protection
No.
L.a Smoke .Barrier
Wall Construction
3
jklo r
bw Opening
Protection
AAA
-.
l3a, -.Corridor- Wall ... _...
- •- - ..___ - ---w - --�- - _ , _ ..: _...
_.._ _.. _...._.._.._ . _ .:
A Construction
. . . . .
. .
b,.Opening
Protection
14a, Corridor Ceiling
Construction
Opening
Protection
15a. Shafts
Number/Type
b. opening
WA
-Protection
4 (Rev. 5/84)
�.... .�.-'bu'�.-:C..Sf3�7�'wi ... .. �,. YLt•S�^1•.'16�+�•/.�-�..�..srSa�..sLr .C�f�s, •. .... _ _ z�w-•7. r
_tib_ •,��_� _ � _ � � y �-t��••V.f �^- ��.+.�;.i • �` .. - - . _ t• _ _ _ _ . _ . _ •
• _� _ ._ -�_. r -ter y .. y.'. `� + - _• _ ^ , ; ^'� •� . _ • . - _
�:�.-� �.:::�.� ��.� �z���.���.:_-...:..: •- _ .. _. � DESCRIPTION-
- Corrin.
16a. -Stair---------_
Enclosure'�u,�
b.
opening.--
-
Protection4
17o
Stairs - No.
-x
�f 6 ,,Z1 lax
19,v.
Interior.-
nterior.._Finish
FinishClass
Room
No.
Corridor
Total Width
��- - Exi t Encl. a-44
b ocr
20o Exi is '
21. Exit Hardware
; v�
1)Crc �-
u
cT
t GGS
22a.
Exit -Signs/
_
Illumination�-
b.
Emergency
Li htin.
23.
Auto Sprink.
Coverage.__
24o
Standpipes
__. _.. ._
-
. • - _ .. _ . _.. _.�...._... _ . __ . _ _..... -
Class/Location
25.
Fire Alarm
IyRe/Coverage
26. Heating
Type'
Fuel
vent &oUA*
27.. Electrical
Installation
04 P„A<-r c
> t4-'ri^
28-v_
Stage/
Platform
290...
Hazardous
Areas
-
30 .
Other
CO iNTS : a-)) I 10 -�A t4 -11 V 0Lr— (,A_1 t v-! u_,'t i t g-) f2 ykn rkr e, -i
Inspected By: �C � � 0 PfA T -f s ",,:F v'isof No. Attachments:
^-Zviewed By: Date:
Updated:
I , *, - -
A~ -A
. _ _ �:.� .
DES(.1RU PTz oN _---..� _ _ �_.._.. _. _
Cora.
lEa.l-.
Stair -,-
Enclosure
-
b I
Opening
Protection
stairs No.
No."'r(.
Rc- sY-
;:: i� t 1- i
lc�
.0 0
Interior
Finish Class
Room
Corridor
Exi t Encl,.
2
Exits*
No., zle),
Total width
6
21s,
Exit Hardware
Type
29'0 1. a,.
Exit - Signs/
Illumination
bL.
Bmrgency
Lighting
23,w
Auto Sprink.
Coverage
24.
Standpipes
Class/Location
25,w
Fire Alarin
Coverage
LA.
Heating"
Type
..__. ...._ _ ........_. _. w__...
Fuel Vent
_...._ _—•.. ___ _ -- - -- — .. . �_. _. � - -- � . -.. • - .. _ _ __ �-:...- _ ..._ _.. w___�.......__ _ . _
a. c.
#�, FJ
27Electrical
_ . � _ .
Installation
F--2,3
Stage/ ._._
_...
_. __�_ _ _..._.
__._—._..._ ... _ _._....
Y .... _. _. _ .. _
Platform
23-14-f-
._
_ __.. _. _ ._ .. ._. _.
- __. _-- -
..... .. ._ . .. . _ _ .. ._ _ .... .
_Hazardous
Areas
304
Other
COMENTS:
imspected By: i 14 q L
%_viewed By:
!fated:
0
No., Attachments:
Date:
N
N
G
C'OC'CC
og
BUILDING SURVEY' REPORT
Date
STATE FIRE: P�4A AL
File No.
4;tv
:)f Facility:
ss*
Ij
Telephone No.(
1 —4
of, Building:
}-4 (Rev.5/84)
DESCRIPTION
Ca it
Capac tyl (� 9f
occupancy--
Class . Useolol#�Z 14-AtL
Construction
Year Built!` 37
Type
T -Y Ojf
Total/01 611 Largest Floor
Paserrent'tc
Area (Sq.
_Ft,)
X,
No
Stories
No High Rise Yes
Exterior Wall
Construction
0. Opening
t L
Protection
interior Wall ..
-"g o-'O'A &-ift. 14 --JC. &Also � ,�:� : �/ �, -`�s � , a � E
Construction
Floor .
WOO 0
Constructio n
7.
-v� nct
Ro of
Construction
I.w4%"e
Attic
Draft StOPS
No.
ia. Occ. Sep* Wall
Construction
b.. Opening
Protection
No.
-
-a. Area Sep. Wall
;4'. -IQ
1
Construction
b. Opening
-IUA .. __ .
Protection
No.
u -r 4 M -I
Za. Smoke Barrier
Wall Construct 14 on
b. Opening
Protection
3a..Corridor Wall..
Construction
,...b,..opening
Protection
4a,. Corridor Ceiling
Construction
AAA
b. Opening
Protection
.5a. Shafts
Number/Ty2��
b. .. Opening _ '- �::-- r..r._ . ---.,:.:
: �:�w:.--�_----;._---_�.._...-...._M,�_ -._. _- -�. �—.---...... _ _r...... _- - .: :�� . - : _
� ....._: - .� _. � : _ - . - .. - - - . . _ , .. .
Protection
}-4 (Rev.5/84)
^.... `_..LS" "•_t"_o.�_. ��•'�•: ..�•:._+, �C7r.•. is • ---�^•_�i••�yY.J._-•.-.�...,..w.__.r- — - -_.__+_-,��.�...s...a....'�'!��.+�ar�ir= . ' �a+•.r �_ �_^`�, _ _ .- -. .. - - 5.�.
,::;..a;a....y... ;:,..�..�i�♦f�w..+•.i�7�►..i,;; .,;: •.._ �: ...... .:. :.� :^ : __:. _ :._-....�_.__ DESCRIPTION
Comm. ---
16a. --Stair.--.-.-
tair , .-Enclosure
Enclosure'
b. Opening
- Protects on
17, Stairs No.
18.... Ranps No.
rxt'rdz.ta. - _ -
19.Interior
_ . . - -
Finish Class
--- - - - - .: - --.� Exit Encl . ..-
Room Corridor
No,, Total Width
20, Exits
21. Exit Hardware
Type
_
I y i'a� It KJ /�ii-S Y` -� (.��-i K�_ %� j l ioetNis, 5
22a. Exit - Signs/
c
illumination
b . Emergency
L i htin
23. Auto Sprink.,
Coverage_
24. Standpipes
Class/Location
25. Fire Alarm
/Coverage
..
26. Heating -
Type Fuel vent
�'���._,_,r•.... •.- „ __..__.._........__� . .. .
� ..--�.._�t.�':t::�c_f.�__....: ��.�`�.�_��'+�" _��:att�C ._ A-,Lrri'"_.?. _ �`. _�"���:`...�-_V_
27. __..Electrical . ...
---•a
Installation
23.... -.Stage/ _._........ _
__ ..
_ :..? �-. _...±
Platform
290... Hazardous
_ _�.-.' .. .. _ _ _ __. - __ _ .._ _ _ _. _ .•
Areas
L30o Other
r A
VVNMNTS f
.. . _ _. . �' � ivy `�'� �,� ;,7 � Lc?--...... � .. _' �. � �" � uc. - !. � :. .... � . • • ... • / `� _ � _... .. .. . _ ... ..
Inspected By: No. Attachments:
�vi ewed By: Date:
Updated:
I �,ected By: No. Attachimnts :
^� iewed By: -- Date: ... .
I •
U --
sited:
M
..• V arm.
16a
'-Stair.-..
«.._ ..
.v ..... .. � _....-. � _.. .._ ., r ...r.. _ ��►.-i.-r�v..r.r ..- ...r ..•r««.• -..,,.._+_..•-r•..• • �..�....... -•. _• ...r .• ter__ - - .«. .- _. -... « .. .. _ - _
'
•-
Enclosure*
Opening - •- ---
_:. l .: - - .. _ . . - - _ .._ . .. -.--- - - . .._
-
T Protection
1
Stairs No.
- s ori
180;
R s No:
. 'r
Interior .. _ �.....
Finish Class
._--' _
-- --- --..-.----.....�_.....�......_.. ._ . _. - . ____. _... ._ _.__-_:. _ ..._ - ..__•_ ----.. _ _._. ___....._.�._._..� _ ...-
Room Corridor Exit Encl.
2
.'T
Exits
No,, Total Width .
210
Exit Hardware
-
Type
i�f
22a
Exit -Signs/
Illumination �
r
�'- �� i, �f�� � w -•c. r•.-�- .
bp
Emrgency-
Li titin
2
Auto Sprink.
Coverage
2
Standpipes ._
,�• ..... . __ ... .. ... .. ......... _.. _......._.___..._.... _ _ . _..... _ _ .. -
Class/Location
21 .
Fire Alarm
: -.. - . . -- - - • - ---' --.. .... ... .. _.. _ _. _.. .
/Coverage
r.._ . 4T _r_ ......_.. .
41 A
2 Ge
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^� iewed By: -- Date: ... .
I •
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sited:
ew �1-
CAMP INSPECTION REPORT
File (f
Date -` l 7,bl
•
Name
of C amp . ;
Ad
ress
j U r =A 00 "
or Headquarters Address,- / I q- xo i 0 o�� C ti- c 4)
Business
Di
e
t f IJ � �
for s Name Interviewed`
Dates
of Operation - Summer From ` - To V Z
From To
From To
Winter: From To 0
q5. �G
CO
-10�
E'TRUC
Pk CHECK LISW -
0 0 0
-� .�'� -� �� Y,-� ej � ,
4) A) Lzw) 1r,,�- ,.
-- --- - -- - - - ,y'v x 0G 4 OG .�0 -J� G�(-V
1. SP
CIAL BLDGS0.6 No.
@1
M
X.800 sq, ft . -1 story -12 cap.
.2. TENT/TENT
STRUCTURES......No.
30 TE
TS UNDER 80._ SQ.FT.....No. - m�A/
.l�. B
)GS, OVER 800 SQ. FT .
Name Use Area Const. Hei ht
(1�
---
(2)
. PORTABLE
FIRE EXTINGUISHERS Date last s-ery i c ed
r7r7lve--
. F
~ DRILLS 8. FLAMMABLE -LIQUIDS.,,0
E ALARM 7 . FIRE � `,_
I)ISP SITION : FIRE CLEARANCE RECOMM�]DID REC � S ISSUED--ISI-FIELD -ST -
OF REC S Z7 (see r rse side for recommendations)
LETTER
TRIAL FORM - C-1
e
3
Vol
� S £
�.
yn
i/
4
i F
Ylot
d � �
I
r
AUC A
�,r• t e e 'I ; !�1t �
C N ,l•;. , .)SC IV
N
CAMP QUESTI ONNA_I RE
--- BOY sC:;J C�;�ElfCA
2;�'� 14,20 AVE.
jVj -'0. CALIF. 95926
1G?NName and Address:
CAM' LASSEN - Butte Meadows Star Route,
OamRS' ' P
Forest Ranch, Ca. 95942
2. Camp Telephone Number: -none-
(Area Code) (Number)
Name of Person in Charge of Camp:_
WAKEFIELD
3. a g P-
4.
Dates of
Operation - Summer: From July 20
To Aug. 16, 1975
From
To
From
To
Dates of
Operation - Winter From
To
5.
Business
or Headquarters Address:- 1420 Mangrove Avenue,
Chico, California 95926
6.
'
Business
Headquarters arters Tele hone : 916
or q P
342-7460
(Area Code)
(Number)
7.
Name of
Director of Camping Operations: REN
WAKEFIELD
8. PleaseP rovide a map indicating how to reach camp (if not
previously submitted) . Show any landmark, building, etc.
that will be helpful:
Return questionnaire to:
STATE FIRE MARSHAL
NORTHERN REGION
7300 Lincolnshire Drive, Suite 170
Sacramento, CA 95823
lx s/is/7s
T t l
Address
0 vr� I
WN,...
- n
OFFICE OF THE STATE FIRE MARSHAL
INSPECTION LOG
Briffbow Hood %Y sit camp File BU 21 C
Butte Meadows Date 7'17'74
er Rion Wakefield ow Camp Director
I
In darn of the ago reveals gMaJAM Ath mde randmaits.
Fire clearance pbe ti
Contacted Gregory Yates South Q=dmgj0Mr
2F.W.XVAshers ServiNd.y► Zt2=24
AU Islegiln in €3 :.8 in indmisbal tmtsa
GO
2-b
CAMP QUESTIONNAIRE
�p N�,ine d Address: S_ � o cLT'
143 ! i K �'ea rt ku o Al t'�4 �ticU
,,.�,y ��`Y,�sly, �Wa.
t� 8ul�f� �r1 PQC Ctt?`" C'I�L1 �. Fc` ees /�HtiY't•1 C%`I.
2.e Number: e.
Area Code Number
3. -Name of Person . in Charge o f Camp: Re n a k" ,e ; C5.1 c�
g p
4.' Dates of OP eration: . From 74 To /.z 717
From To 7 7
5
Business or Headquarters Address: �� o v
CC7
6. Business or Tele Headquarters hone Noe:
q P
Area Code Number
7. Name of Director of Cam it Operations: �� ��
p g p
8. Please providea map indicating how to reach camp. Show any landmark,
building, - etc.. that will be helpful:
BRISTOW HOOD SCOUT RESERVATION
Boy SCOUTS OF AMERICA
1420 MAKROVE AVE.
CH I C01 CALIF. 95926
Return questionnaire to:
STATE FIRE MARSHAL
SACRAMENTO DISTRICT OFFICE
7300 Lincolnshire Drive, Suite 170
Sacramento, CA 95823
ka
0
FOOD SERVICES
Food is served in a central dining hall cafeteria style except for three
meals a week that each patrol cooks for themselves at their outpost camp or in
their campsite if they choose to do so* Otherwise, they will eat in the
dining hall. For these three meals, each atrol needs to rovide their own
cookina utensi I ls,.2otsL__and*eatjaS utensils.
RELIGIOUS SERVICES
Boys and leaders should plan to attend -their own church services in town
before starting for camp. There will be part-time chaplain services during
most of the summer. There is a non -denominational chapel in camp and it is
available to groups or to individuals for thought and meditations There wi.11
be a scheduled vesper Service during the week to which all campers are
invited.
TRAVEL ROUTE TO CAMP
The Reservation is Located approximately 32 miles northeast of Chico on
Highway 32. At Loma, turn right onto Humbodlt Road and travel about 6 miles
to Butte Meadows. Turn left onto Scout Road at-Bambi Inn. Travel 1.7 miles
down into a small valley on the dirt road.
HirJY 3 6 S pis anvi 11 e
Red 13 luf f
. i
Butte Meadows
Scout Rd. = Bambi Inn
r
CAMP
5--6 mi e
ma
Stirling City
HWY 32
R
Forest . Ranch
Chico
4L_4
.11010 IL
7 54
,10 7 S. B roadway . Rm. 9035
'Los Apgoles 90012
OFFICE OF STATE FIItE t+9AItS
1
Return Report To
714 P Street, 1W. 1540 515 Van Ness Ave. , Rms 211
Sacrownto 95814 San Francisco 94102
Bj LUEST FOR F IRE CLEARANCE
5 EJECT : IMISITOW HOOD DDY CAPACITY:_
SCOUT CAMP Date: MR 13a.1973
Butte Heft&ms a CA 95921 FILE -NO: 13U 21 C
o � o
� o
TO : OVI�
o
Fold Here
The annual survey is due on the above facility for fire and life safety. we
would appreciate receiving your report at your earliest convenience so we may
advise the licensing -agency if fire clearance may be granted.
''�T IF �" e uestedb : senior Deputy Phone:
Annual reinspection of the above facility indicates (check one).
i RENfEWAL7DENIAL WITgi�iELD pending, as follows
Previous restrictions still apply:- YES NO
PAC TX TYPE OF CARE SPEC IAL AREAS FOR OCCUPANCY
Adults (Amb.)
Adults. (Non -Amb.)
Children (Amb.)
Children (Non -Amb..)
FIRE DEPARTMENT REPORT
mments and/ or. Restr-fictions Date Approval by Fire Authority
rem* of IaA
t
OFFICE OF STATE FIRE MARS�...&+
Return Report To
107 S. B roadway , Rm. 9035 714 F S t r t Rmo 1540 515 Van Mass Ave • , Rm 0 211
Los Angelos 90012 Sacramnto 95814 Z.7S&n Francisco 94102
&EOUEST FOR FIRE CLEARANCE
JECT : IBRI STO . KWD 130Y SCOUT CAPACITY:
CMP Date:- 3,, j
Butte Meadows-, CA
FILE NO: U21'C
s
•
• OROVILLE
•
Fold ---Here
e annual survey is due on the above facility for fire and life safety, We
uld appreciate receiving your report at your earliest convenience so we may
vise the licensing agency if fire clearance may be granted,
uested by HOR RT .Ry -MASON Senior Deputy Phone:
nua 1 reinspection of the above facility indicates (check one) :
RENEWAL L� DENIAL WITHHELD pending, a s follows.
evious restrictions still apply: L= YES NO
PACITY TYPE OF CARE SPECIAL AREAS FOR OCCUPANCY
Adults (Amb.)
Adults (Non -Ambo)
Children (Amb.)
Children (Non -Amb,)
FIRE DEPARTMENT
ents and/or Restrictions I Date,�►,�.,
R1.
ftro fir0
ORT
Approval by Fire Authority
I
I S i nature . Z &' 4 4 e1Z
UDt37 Rev. 7/71)
DATE
OFFICE,� THE STATE FIRE MARSHAL
L REgUES_
June 6, 1971
FILE
BU 21 C
FACILITY BRI STOW UNHOOD BOY SCOUT CAMP OCCOANCY C
ADDRESS Butte Meadows,, CA
CAPACITY Camp
wwwwwwo- -mm-- 0110-
OROVILLE
TO -: .
Was
...
Adores .
City„,„
Zip
August G, 1970
Fire Clearance on the above facility was granted—
Date) .
C1eerance subject to restrictions, )YES } NO
Annual renewal is due on or before
August 6v 1971 Please inspect .ar+.d
.....&-
00110 0
report in the blanks provided; e,
-y
K
Senior Deputy
REPORT
DAA' E •
Annual rei.nspection of the above facility dndicates (check *one..):
(=) Renewal ( ) Denial ( ) Withheld pending, as follows:
Previous restrictions still apply: YES NO
f
Recommendations: (ii any)
Cly
( ) Remarks 4004010, S®® rav®rsa
Fire Deparen t
, 9 ,e��, " E;
r
,'tee
I _ Colby Peak
Diamond Trail \ l Trail `
N
� � 1
BRISTOW HOOD SCOUT
RESERVATION
Hwy. 32 -
7 miles
Butte Meadows
3 miles
j� ROBERTS
Chico
/ Creek
I
M
t
I
j1TIYdTUN
Campfire
Commissioner t
Area
LMID�
1 Haudi4raft
.rki g i
,ot
` F -I Trading Post
i
Eternal Fire
Dining Hall -
Office
.'y / u 0 Staf
1
I �\
S e+
i
(ISHI
Health [�_ _ _ I \
i Lodge I
Camperaf t
Mo-Skest
j�Iwy 32 - , 1
5 mi 1,,,q Commissioner
,-----�__� ,A'' -Area
TT r CLA N I 1 Lake ti \ Lassen
Nature I +
Rif le
Range-----��
1 �
06
OFFICE OF THE STANCE FIRE MARSHAL
"NUAL RE_ VEST
DATE July S, 1970 FILE EH 21 C
F'ACILIT'Y' ARTA= i IROY SCOU1 CAMR CCCIPPANCY C �
ADDRESS
CAPACITY
TO:Qnw� 0RI]ViLLL
Address
City
Zip
._.F i re C 1 ea r. ance on the above f ac i 1 i t.y was granted Se to c -r 8, 1969
(Date)
Clearance subject to restrictions: ( )YES (xx NO
Annual renewal is due on or before September, 8, 1970 Please inspect and
report in the blanks provided:
ELDON H. LANDBACK
Senior Deputy
' REPORT
DATE: 40
Annual reinspection of the above facility indicates (check one):
� ) Renewal ) Denial ) WithheldP ending, as follows:
Previous restrictions still apply: ) YES ) NO
Recommendations: (if any)
Remarks See reverse
Fire Department
OFFICE. OF THE STATE F IRE MARSHAL
RE QUE ST
TO OROViLLE
SUBJECT: BRI STOW HOOD BOY SCOUT CAMP
CAPACITY:
F 1 LE : DATE: z-:j,.,qw,..,_..
AD D RE S S: Bul to Heildow , C �._.
OCCUPANCY* , CM2 --
.Fire Clearance on the above facility was granted September 168
Date
-)
Clearance subject to restrictions: ( )YES (X) NO
Annual renewal is due on or before September 19. 1969 Please inspect and
report in the blanks provided:
ELDON H. LANDBACK
Senior Deputy
REPORT Sooll
wo69
DATE :
Annual reinspection of the above facility indicates (check one):
Renewal ( ) Denial ( ) Withheld pending, as follows:
Previous restrictions still apply: ( ) YES ( ) NO
Recommendations (if any):
Clear
{ ) Remarks -- See reverse
•
of TSiBp. lob dated 8�►31•*69)
(deputy)
Rev 11 /66
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41
1�
OFFICE OF STATE FIRE MARSHAL.
INSPECTION LOG
TIT F I BY°istrL1W Hood Ba Scout BU 21 CFILE
ADDR SS atte MeadowsDATE
OWNER
jrjqpe6+ojcm of the omp reveals substantial cmP1 .ce with code
reqtirements.
r
th G. Skexaick
�►t7
Cly
G0 -6A
9-1.6 18325-355 2-68 4900 OSP
...
OFFICE OF THE STATE FIRE MARSHAL
REQUEST
TO: Oroville FILE BU 21 C DATE 6/29/68
SUBJECT: BRISTOW HOOD BOY SCOUT CAMP ADDRESS Butte Meadows, Calif.
CAPACITY:
OCCUPANCY: Camp
Fire Clearance on the above facility was granted August 29, 1967
Date
Clearance subject to restrictions: ( ) YES ( x ) NO
Annual renewal is due on or before August 29, 1968 Please
inspect and report in the blanks provided below:
ELDON H. LANDBACK
Senior Deputy
REPORT
DATE: 9-9-68
Annual reinspection of the above facility indicates (check one):
() Renewal ( ) Denial ( ) Withheld pending, as
follows:
Previous restrictions still apply: ( ) YES ( ) NO
Recommendations (if any):
Fire clearance my he rpnew d
rutte County For"try
( ) Remarks - See reverse
ramp closed after driving over a terrifically
lusty road. There is no new construction and
in inspection of the grounds and from iihat I
:ould observe from the outside reveals no
;hanges from last year. Clear
Rev 11/66
67-7
F
Deputy
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August 29, 1967
Mr. Robert Kelly, Scout Executive
Bristow Hood Boy Scout Camp
1420 Mangrove Avenue
Chico, California
File: BU 21 C
BRISTOW HDOD BSA CAMP
Butte Meadows* Calif.
Dear Mr. Kellys
A recent inspection of the above summer camp by a
representative of this department indicates that a
reasonable degree of fire and life safety exists at
this time.
This letter is not intended to cover the structural
stability of any building nor does it preclude the
issuance of additional recommendations when alter-
ations, new construction or other conditions occur
which present a greater than normal fire hazard to
life or property.
Sincerely,
ALBERT E. HOLE
State Fire Marshal
ELDON H. IANDBACK
Senior Deputy
EM:ad
ccs Ranger Campbell
Field
'"`EIleTSPECTION REPORI"— File___RU_2_ ,_S.______________-
OFFICE OF Date Reinspected
STATE FIRE MARSHAL
Name of Facility ------- Bristow_ d BS Coup __---------------------------- -------------------------------------------------------
Address------------------------ 4'ett_----------------------------------------- ----------- ----- ------- ------ -----------------
Conditions Discussed With---------4rate_Datg--- ----- ----------- --------------------------
AccompaniedBy ----- --------"�U ------------------------------ Title ----------------------------------------------
Inspection This Date Discloses That Recommendations Number ------- — ------ _-------------
Dated -----------
____________
of Recommendations
Dated_______--_1118-Fid —_— --------- _--------- _------ Have Been Complied With.
Recommendations Numbers
--------------------------------- ----------------------- --comzi2Qted---------------- ------ Were Discussed
LVIV
As Follows:
Disposition Will Be
--------------Haadiaapped WAldren did not att.g$_mr� tubi �+esry�---------------------
------------------------t`'ls�►oe_wtr-3w].d flra_aeare_for:_s_Y�'a---------------------------------------------------
-------- _ _A calla lie—ins_ pelt ion-wlU_beL:----------- –---- -__
Reinspection Indicates That______ -"__________-__New Recommendations Should Be Issued.
See Reverse Side for Comments and New Recommendations.
81886-C 2.68 10M ® SPO Deputy
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OFFICE OF STATE FIRE MARSHAL.
INSPECTiON LOG
Ttii G Brietwi Hood BOv Scout Camp FILE BU 21 0
RESS Butte Meadows Mail Address 1 3UO " Ave•
DATE
�ty
eo
Inspection of the above cam Ath Ren 'IcefieldD Omp Direct
reveals eubiatlal empliance with code requirements.
Fire oleamnoe may be gmnto
Note s The main lodge 12ding is gsennfi3y .uadergo a swai
"&.I -
Survey requiredvt�tto �determine 9i�a3.
227 81886-E 2-63 tOM SPO
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OFFICE OF STATE FIRE MARSHAL.
INSPECTION LOG
Hood Boy Scout Camp ( Formerly Lassen B,S 9A) FILE
ESS Butte PJTaadows(Butte County) ) DATE 1.0'"' 2 a*6 5 .
ER Robert Ke l ly : Scout Executive
Called at the above facility with Bob Kelly, Scout Executive;
Fitzzimrnons , Dep't . of Public Health* Deputy Madigan.
Inspection was made to determine what would be needed to
accommodate 30 handicapped children for a week's camp in June,
1966. Some of these children will be wheel -chair confined
It was ::determined that a ramp from the noxath--west end of the
dining roam would be required and also ramps from the small. s
open type buildings used as sleeping quarters.for those children
using wheel ewchairs
The Department of Public Health had no re comnendat ions.
Vr. . Yeily requests a letter asking for the ramps.
qutgggA the following recommendations:
1. A tamp not less than 36 inches in width and with a slope
not to exceed one foot (11) in eight feet (89) shall be
provided at the exit door in the north west comer of the
dining room. Children confined to wheel mochairs shall be
located in this area and adequate adult supervision shall
be provided to remove the children in the event of an
emergency
Handrails shall be provided for the ramp.
2. A ramp as indicated above shall be provided from each
building used as sleeping quarters for children confined
to wheel -chairs.
7tnneth G. S ersick
��gge st letter t y
Robert Kelly, Scout Exe curt ive
I420 Mangrove Avenue
Chico
FOR Z27 81886-E 2-63 10M SPO
'.EINSPECTION REP0R70'*,,,--
File-
OFFICE
OF
Date Reinspected
STATE FIRE MARSHAL . 2 8" . , 64
Name of Facility----------- �-��� to, �f ��� _��3 - - � �-�-- ��'----------------��-------------------------_---------�-----
Address–_ _ '}}�(/_�_
w r (d M" - 04 Ver. 0 Y ✓- #-
Conditions Discussed With____"
Accompanied By-- Title---
Inspection
itle_ _verbal
Inspection This bate Discloses That Recommendations Number_-__ --.1. – -----
-
---------------------------------------------- ----- -------
log
__ of Recommendations
Dated_________ ___' -Y,. _________.�_..—____Have Been Complied With.
Recommendations Numbers_____ 2
Were Discussed
With------- ------ ------------------and Disposition Will Be
AsFollows: --------------------------------------------------��
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------------------------------- — --- - --------- -----------------------------------------
----------------------------------------------------------------------- — _....��
------------------------------------
Reinspection Indicates That , 0 ---New Recommendations Should Be Issued.
See Reverse Side for Comments and New Recommendat*pns.
81886—C 2-6a 10M ® SPO Deputy
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INSPECTION LOG
Lassen BoBoA9 Cam
ILE
AD?TE- ESS
Butte Meadows 0 Cc UAI 7- 29-64
DRPDATE b
OVJNLR . Mt. Lassen Area Council, CI .co B.obert Kelly,, _Scout Executive --
An
An inspection of the above camp was made thds date accompanied
.fob Kelly, Scout Executive* ,
The camp consists of a main building Type V. 'Quilt some 34- years
ago. This building houses the main dining room, office, kitch-enP scout
executive apartment and storage areas. Also included are a Liospital
building, several maintenance buildings and four groups of seven 20t x
201 structures used for sleeping quarters*
The buildings used for sleeping are in general spaced 151 apart
but there are a couple that are only 10 . Each group has - 8 filled water
buckets as recommended by forestry. The buildings are open on four sides
and present no problem.
Tl -,,.e dining room 2 has adequate exits (4) that comply, the kitchen
Ls equipped with a Co extinguisher and the building is protected with
L-1/211 standpipe and hose*
Evacuation plans 1,zve been worked out with the forestry peopleo
The camp is well maintained and managed.
The following verbal recommendati...ons were given to Mro Xelly vvho
a
tated that they would be done*
The dining roorn exit doors shall be peovided vidth 'IS'XIT11 Signs.
2. The COor-W extinguisher in the kitchen and other extinguisho-rs
shall be properly serviced and tagged.
Reinspect 60 days
Ke ieth. S ersick
eputy
FORM 217 81886-E 2-63 10M SPO