INSPECTIONS
PREPARED 1/14/10, 13:58:51 INSPECTION TICKET PAGE 60
Harnett•County INSPECTOR: IVR DATE 1/15/10
ADDRESS . : 2301 RAY RD SUBDIV:
CONTRACTOR : PHONE
OWNER STAFFORD LAND COMPANY INC PHONE
PARCEL 01-0504- - -0177- - -
APPL NUMBER: 10-50023602 CP MISCELLANEOUS INSPECTION APPLICATION
DIRECTIONS : T/S: 01/14/2010 09:51 AM JBROCK
210 TOWARD SPRING LAKE TURN RIGHT ON
RAY RD GO APPROX 5 MILES TO DAY ON LEFT
STRUCTURE: 000 000 DAY CARE OWNER CHANGE
PROPOSED USE . . . . . . . : OWNER CHANGE
PERMIT: CPDC 00 CP DAY CARE INSPECTION
REQUESTED INSP DESCRIPTION
TYP/SQ COMPLETED RESULT RESULTS/COMMENTS
D830 01 1/15/10 TI C*DAY CARE INSPECTION VRU 001871003
- - COMMENTS AND NOTES -
. 1. .
DCD 0306 Identification k /
Rev. 09/08 County , r -r-l
Date of Inspection I s < ? t
BUILDING INSPECTORS INSPECTION FORM FOR CHANGE OF OWNERSHIP/CONTINUED USE
NAMEOFOPERATION 021CLIln 11! { 4. ~j [Ile
ADDRESS -2361 ►'a TELEPHONE: lQ10) W//4-Uir+',//
CITY 1 'r: •-:t. ~ r. l STATE N. G ZIP
BUILDING INSPECTOR'S CERTIFICATE
I. For Change of Ownership and continued use, the areas in the building that are designated as the licensed space are required
by the licensing agency to meet the 2006 NC Rehabilitation Code. Does the building listed above, to the extent observable,
meet the 2006 NC Rehabilitation Code? Yes V No-
2 a For an question answered "No" but meeting prior code, list item number and attach roof of rior code certification.
Item Number Description Prior Code Certification
Yes No
b. For any question answered "No" that DOES NOT meet applicable prior code, list item number, explain the violation and
whether e uivalent protection for the safer of the children is provided:
Item Number Description Equivalent Protection
Yes No
3 Are any of the above items of a life safety concern? YesNo
If yes, please list question numbers
4. In your opinion based on the items listed above where prior code certification is not available, do you recommend that
Division of Child Development allow time for correction of these items? Yes_No
If yes, how long (30-60-90 days) and for which items?
5. Number of rooms approved for occupancy by children?
(Attach sketch of building with rooms identified)
6. Specify any local zoning restriction:
Signature of Inspector I /Date
Jurisdiction + _r. /Phone:
Note By signing above I acknowledge thm I hrive seen and agree with all required prior code certification documentation.
The Inspectors Certificate and Building Inspection Form is required to be completed in its entirety before the Division of Child
Development can consider the document complete. All questions must be answered; any NO answers must have a written
explanation.
This form was developed through the cooperation of the Division of Child Development and the Engineering Division of the Department of
Insurance. Please note that the inspection forms do not cover all areas of the Code, but are intended to he used as a guide for the local inspector.
If additional Code items which are not addressed on these forms are found to be in violation of the Code, please document them on the back of this
form.
Prepare in quadruplicate: Original and copy to DCD, 1 copy kept by inspector, I copy kept by operator.
Identification #
County r'i, f"7
Date of Inspection
CHILD CARE BUILDING INSPECTION FORM
SECTION A: The following general questions should be answered for BOTH Educational and Institutional type occupancies.
LIGHT & VENTILATION
1. Is the total area of all windows in the child care room equal to or greater
than 8% of the floor area or is artificial light provided? Yes No
2.a Does the room have natural ventilation from a;minimum amount of operable window
or door area to the outside that would allow a clear opening that is
equal to or greater than 4 % or more of the floor area?
(If NO, go to question 2b). Yes No V'
b Is space mechanically ventilated as required by North Carolina Mechanical Code?
r
(N/A if an existing building) N/A Yes V No
FIRE
3.a What type of fire alarm system is being used?
b. Does it meet the applicable code? Yes_ No
EXITS
4. Are there at least 2 exits (doors, stairs, smoke proof towers, ramps, or
horizontal exits) remote from each other on each floor or fire section
of the building? Yes No
5. Is the exit capacity adequate? Yes No
6. Are all means of egress adequately illuminated at all times that the building
is occupied? Yes~f No
7. Are the means of egress identified by readily visible exit signs when the exit
or way to reach it is not immediately obvious to the occupants? Yes . , No
8. Is emergency power provided for centers with more than 300 occupants
or for centers providing night care as required by the Building Code? N/A-4 Yes_ No
CORRIDORS AND ACCESS TO EXITS
9. Are all means of egress unobstructed without passing through a closet,
storage area, kitchen, restroom, or other hazardous space? Yes ✓ No
lo. Are all exit corridors a minimum I-hour fire resistance? N/A_ YesV No
(If yes, go to Question 12) (NA applies only if there are no corridors)
it. If corridors are not 1 hour fire rated, do all child care rooms, spaces, and areas
have a direct level of discharge exit to the outside? Yes No
12. a. Do all corridors, ramps, and passageways have a minimum 6 feet
clear width in all areas serving as means of egress for capacity of 100 or more?
(N/A if capacity is less than 100) N/A % Yes_ No-
b. Are all corridors, ramps, and passageways not less than 44" clear width in all
areas serving as means of egress for capacity of less than 100?
(NIA if capacity is more than 100) N/A Yes_ No
13. Are all dead-end corridors no more than 20 feet in length? N/A Yes_ No_
(N/A applies only if no dead-end occurs)
Page 2 of 5
14 Do all doors have a minimum clear opening width of 32" (min. door width of 36")
in the following locations:
a. between occupied rooms and required exits? Yes No
b. exit doors leading to the exterior? Yes No_
15. Are all doors in the line of exit travel a swinging door (side hinged)? Yes -V No_
16. Do doors to rooms that accommodate more than 50 people swing in the !
direction of travel ? N/A J Yes_ No_
(NIA applies if room accommodates less than 50 people)
17.a Do all required egress and exit doors have single motion, self-unlocking type
handle, lever, push pad, or panic hardware? i Yes No
b. If room accomdates 100 or more people, do all required egress and exit doors
have push pads or panic hardware? N/A . ` Yes _ No
STAIRS (NOTE: If no stairs, interior or exterior, check N/A _ and go to Question 22. If applicable, all questions must be
answered)
18.a Are all stairs serving 50 or more occupants at least 44 inches in width? N/A V Yes_ No
b Are all stairs serving less than 50 occupants, at least 36" in width? N/A Yes_ No
19. Are all stairs with four or more steps provided with proper handrails
and guardrails? Yes No
20. Are all interior stairs enclosed with 1-hour rated walls and 1-hour
rated "B" labeled doors that are at least 36" wide? Yes No
21. Are the stair enclosure doors self-closing? Yes No
WALLS AND CEILINGS
22. a. Are all wall and ceiling coverings throughout building non-combustible?
(Use of untreated combustible fiber boards, wood, and other combustible
fiber boards, wood and other combustible finishes is prohibited). Yes t! No
b. Do interior wall and ceiling finish materials meet the flame spread ratings
as required by the Minimum Interior Finish Classification of the applicable code? YesNo
23. Do ceilings in habitable rooms have a minimum of 7'-6" clear height? Yes / No
HEATING SYSTEMS/MECHANICAL
24. Is the building free of unvented fuel burning or portable electric space heaters? Yes % No
25. Have air conditioning, ventilation, heating, cooking, and other service
equipment been inspected and approved by the appropriate inspectors? YesNo
Date Inspected t <<
26. a. Is combustion and ventilation air for boiler or heater rooms taken directly
from and discharged to the outside of the building? N/A V' Yes_ No
(N/A if electric heat is installed)
b. If inside air is used for fuel-burning appliance does it meet the requirements of
Chapter 7 of the North Carolina Mechanical Code. N/A Yes_ No_
(N/A if inside air is not used)
PLUMBING
27. Does the number of waterclosets and lavatories comply with the Plumbing
Code as determined by the appropriate inspector? N/A_ Yeses, / No
(1 watercloset per 15 children, 1 lavatory per 25 children)
Maximum M of persons allowed by plumbing facilities?
Date Inspected
Page 3 of 5
ELECTRICAL
28. Do the visible and accessible portions of the electrical system comply with applicable
sections of the Electrical Code as determined by the appropriate inspector? Yes V' No_
Date Inspected
MIXED AND MULTI-USE OCCUPANCIES
29. Are all child care areas separated from adjacent occupancies in accordance with
the requirement of mixed occupancies and the Occupancy Separation
Requirements of the applicable code? (N/A if no mixed occupancies) N/A_ Yes f No
30. Do all multi-use areas comply with the most restrictive applicable sections of the
State Building Code for each intended use? N/A_ Yes No
(N/A if no multi-use areas) (
(Multi-use is defined as an area which will be used for different functions
at different times and not concurrent. Example: child care to fellowship hall.)
ACCESSIBILITY CODES
31. Does this building comply with applicable State Building Codes for access
by persons with disabilities? Yes .r No
SECTION B: The following questions should be answered only for educational occupancy in addition to the questions answered in
Section A above.
32. Does the building comply with the Allowable Heights and Building Areas Table
for Educational Ocepancy? (If NO, go to Section Q. Yes No
33, a. Are all rooms, approved for use by children below grade 2, on the
level of exit discharge? (If NO go to Section C) Yes No
b. Are rooms used by children in grades 2 and higher no more than one story above the
level of exit discharge? Yes v` No
34. a. Do rooms used by children who are less than 2 '/z years have a direct exit to the outside?
(N/A applies only if center does not serve children under 2 'h yrs) N/A Yes No
b. Do rooms used by childen under 2 lh years qualify as alcoves to adjacent spaces with
direct exit to the outside? Yes_ No_
c. If the square footage of the child care area is > 20,000 square feet, do all rooms
for all children have direct exits? (N/A if sq. footage is < 20,000) N/A _ Yes No _
(If NO to bath a and b or c, go to Section C)
35. Are all rooms approved for use by children provided with an operable
window which complies with Special Exit Requirements for Educational Occupancy? +t / Yes_ No
(N/A if direct exit to outside)
36. Is the most remote point in every room occupied by children, including
dining room, not more than IMO feet from the nearest exterior exit ?
(non-sprinklered building) Yes ;J No_
37. Are smoke detectors provided in the corridors in accordance with 1
Automatic Fire Detection and NFPA72 for child care use? Yes J No_
SECTION C: The following questions should be answered only for institutional occupancy in addition to the questions answered in
Section A above. -
38. Does the building comply with the Allowable Heights and Building Areas Table
for Institutional Occupancy? Yes_ No
Page 4 of 5
SECTION C cont.:
39. Are smoke detectors provided in the corridors in accordance with Automatic
Fire Detection and NFPA727 ' Yes -vof-, No -
' 40. Does the'building provide protection from hazardous areas as requited by
Special Institutional Occupancies, Group I Unrestrained Occupancies, Protection
from Hazardous Areas? - Yes_ No_
r
41. Does the building have an approved automatic sprinkler system in accordance with Special rr..._
Institutional Occupancies Group I Unrestrained Occupancies? Yes_ No
41 Is the most remote point in every room occupied by children, including the dining room,
not more than 200 feet from the nearest exterior exit? Yes_ No
For change of ownership/continued use inspections, questions answered "No" or "N/A" are allowable if the building met applicable
code at the original time of licensure.
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rPage 5 of 5 _
d ,
PREPARED 1119110, 14:01:29 INSPECTION TICKET PAGE 55
Harnett County INSPECTOR: IVR DATE 1/20/10
ADDRESS . : 2301 RAY RD SUBDIV:
CONTRACTOR : PHONE
OWNER STAFFORD LAND COMPANY INC PHONE
PARCEL 01-0504- - - 0177-
- -
APPL NUMBER: 10-50023602 CP MISCELLANEOUS INSPECTION APPLICATION
DIRECTIONS : T/S: 01/14/2010 09:51 AM JBROCK
210 TOWARD SPRING LAKE TURN RIGHT ON
RAY RD GO APPROX 5 MILES TO DAY ON LEFT
STRUCTURE: 000 000 DAY CARS OWNER CHANGE
PROPOSED USE . . . . . . . : OWNER CHANGE
PERMIT: CPDC 00 CP DAY CARS INSPECTION
REQUESTED INSP DESCRIPTION
TYP/SQ COMPLETED RESULT RESULTS/COMMENTS
D830 01 1/15/10 JH C*DAY CARE INSPECTION VRU 001871003
1/15/10 AP
D830 02 1/20/10 TI_ C*DAY CARE INSPECTION TIME: 17:00 VRU 001873223
T/S: 01/19/2010 01:58 PM JBROCK
COMMENTS AND NOTES