HomeMy WebLinkAbout26840 OCCUPANCY ACTIVITY REPORT
GLENDALE FIRE DEPARTMENT
6835 NORTH 57th DRIVE
GLENDALE, AZ 85301 r
NTH DAY YEAR PAGE
�RIZOM�'
1 OF
ADDRESS N0, DIR. STREET NAME TYPE SUITE OR UNIT N ZIP,CODE
OCCUPANCY NAME # PHONE BUSINESS OWNER'S NAME LAST FIRST MI HOME PHONE
BUILD/PROPERTY OWNER'S NAME HOME PHONE UBC CLASS CON ST.TYPE GRID TYPE OF ACTION
1 E INSP❑ CONST ET'CMPT❑ OTHER❑
S0.FT.OF OCC.INSP. STORIES STANDPIPE SYSTEM HOUSE LINES FIRE PUMPS HOOD SYS LOCK BOX FIRE LANES
f . `''- WET❑ DRY❑ NONE❑' YES❑ NO❑ YES❑ NO Q YES❑ NO❑ YES❑ NO❑ YES❑ NOO
AUTO SPKLR SUPERVISED FIRE ALARM SUPERVISED
FULL❑ PART❑ NONE❑ YES ❑ NO ❑ YES ❑ NO ❑ YES ❑ NO'
HAZARDOUS MATERIALS BUILD PLACARDED COMPLETION DATE
YES El No ElYES ❑ NO ❑ H:._ F: R: S:
ITEM CODE REMARKS RECHECK CORRECTED
N0. SECTION DATE DATE
4
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The items noted above are in violation of the Glendale Fire Code. This is an official notice of violation and order to comply REQUIRING
IMMEDIATE CORRECTION. A follow-up inspection will be conducted on by 4:00 to insure compliance. Failure to
comply with this NOTICE AND ORDER will result in a CIVIL or CRIMINAL Complaint. For information regarding this inspection please
contact the inspector at
COPY RECEIVED (NAME) INSPECTOR
BY
DATE / < p t
N3310-027A(5-02) ORIGINAL: FIRE PREVENTION YELLOW: OCCUPANT PINK: OCCUPANT