INSPECTIONS PREPARED 9/17/10, 14:53:46 INSPECTION TICKET PAGE 39
Harnett County , INSPECTOR: IVR DATE 9/20/10
ADDRESS . : 111 E PARK ST SUBDIV: NORTH VIEW
CONTRACTOR : PHONE :
OWNER . . : POPE BILLY G & PEGGY PHONE : (910) 897 -8460
PARCEL . . : 07- 0690 -16 -03 -0008- - -
APPL NUMBER: 10- 50025219 CP MISCELLANEOUS INSPECTION APPLICATION
DIRECTIONS : T /S: 09/16/2010 02:06 PM JBROCK - - --
DAY CARE CENTER ON PARK ST
STRUCTURE: 000 000 EXT DAY - CARE OWNER CHANGE
PROPOSED USE • DAYCARE FORM
PERMIT: CPDC 00 CP DAY CARE INSPECTION
REQUESTED INSP DESCRIPTION
TYP /SQ COMPLETED RESULT RESULTS/COMMENTS
D830 01 9/20/10 I AP C *DAY CARE INSPECTION VRU #: 001983691
f" COMMENTS AND NOTES
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108 E Front St, Lillington, NC 27546 to 111 E Park St, Coats, NC 27521 - Google Maps Page 1 of 1
Directions to 111 E Park St, Coats, NC 27521
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,, *, 108 E Front St, Lillington, NC 27546
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c 111 E Park St, Coats, NC 27521
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These directions are for planning purposes only. You may find that construction projects, traffic, weather, or other events may cause
conditions to differ from the map results, and you should plan your route accordingly. You must obey all signs or notices regarding your
route.
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http: / /maps.google.com /maps ?t =d &source= s_d &saddr =108 +e +front +street +li llington, +nc... 9/17/2010
DCD - 0306 Identification t Y 0° d4 q.4I " y
Rev. 09 /08 County f f Ir. i. rv`t T - `
Date of Inspection ` f - Z. 0 • 1 U
BUILDING INSPECTORS INSPECTION FORM FOR CHANGE OF OWNERSHIP /CONTINUED USE- E
NAME OF OPERATION K; hs (f v t u P !-
ADDRESS I H E I G f ✓- CI. TELEPHONE:
CITY ( (1 /; 15 STATE /C C ZIP s Z 1
BUILDING INSPECTOR'S CERTIFICATE
1. 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 ✓ No_
2 a For any question answered "No" but meeting prior code, list item number and attach proof of prior code certification.
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Item Number Description Prior Code Certification
Yes No
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b. For any question answered "No" that DOES NOT meet applicable prior code, list item number, explain the violation and
whether equivalent protection for the safety of the children is provided:
""--- Item Number Description Equivalent Protection
Yes', No
3 Are any of the above items of a life safety concern? i Yes No
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? z
(Attach sketch of building with rooms identified)
6. Specify any local zoning restriction: ,*Je
Signature of Inspector r c l � � 1 /Date �-� - 2.0 - ,1
Jurisdiction 1 ' ( f1,Z PP +t ( -0 iJ t - -+ /Phone: C(10 - (Li 7 C C
Note: By signing above 1 acknowledge that 1 have seeh,wid 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 be 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, 1 copy kept by operator.
Identification # 00 (-i 1 L
County f. y9 P. /0 err
Date of Inspection 9 Z. 0 - /0
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CHILD CARE BUILDING INSPECTION FORM
SECTION A: The following general questions should be answered for BOTH Educational and Institutional type occupancies.
LIGHT & VENTILATION
t. 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
b Is space mechanically ventilated as required by North Carolina Mechanical Code?
(N /A if an existing building) N/A Yes y/ No
FIRE
3.a • What type of fire alarm system is being used?
YP Y S r' , :a
b. Does it meet the applicable code? i 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? i 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 ve 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 be 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 f No
10. Are all exit corridors a minimum 1 -hour fire resistance? - N/A v ie Yes No
(If yes, go to Question 12) (NA applies only if there are no corridors)
11. 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 t/ 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 y' 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?
(N /A if capacity is more than 100) N/A Yes t/ No
13. Are all dead -end corridors no more than 20 feet in length? N/A i / 1 Yes No
(N /A applies only if no dead -end occurs)
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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 ✓ No
16. Do doors to rooms that accommodate more than 50 people swing in the /I
direction of travel ? • N /A_ ✓' Yes No .
(N /A applies if room accommodates less than 50 people) 1
. I7.a Do all required egress and exit doors have single motion, self - unlocking type I f
handle, lever, push pad, or panic hardware? Yes V No
b. If room accomdates 100 or more people, do all required egress and exit doors i
have push pads or panic hardware? N/A ‘."1 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! Yes t/ No
b Are all stairs serving less than 50 occupants, at least 36" in width? N /A_, Yes No
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19. Are all stairs with four or more steps provided with proper handrails 1
and guardrails? Yes te" 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? Iii A Yes No
21. Are the stair enclosure doors self - closing? IV /r Yes No
WALLS AND CEILINGS 1
22. a. Are all wall and ceiling coverings throughout building non - combustible? i
(Use of untreated combustible fiber boards, wood, and other combustible 1
fiber boards, wood and other combustible finishes is prohibited). Yes f 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? Yes I/ No _
23. Do ceilings in habitable rooms have a minimum of 7' -6" clear height? 1 Yes_ No _
HEATING SYSTEMS /MECHANICAL /
24. Is the building free of unvented fuel burning or portable electric space heaters? I Yes V No
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25. Have air conditioning, ventilation, heating, cooking, and other service
equipment been inspected and approved by the appropriate inspectors? Yes \6 No
Date Inspected C•• 1 - ( \3
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) j
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 t,! 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 I Yes V No
(1 watercloset per 15 children, 1 lavatory per 25 children)
Maximum H of persons allowed by plumbing facilities? / 11)
. Date Inspected q .7 {) . In
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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 ✓ No
Date Inspected 9 - 2. 0 - t7
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 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 ve 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 Occpancy? (If NO, go to Section C). Yes te 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
h. Are rooms used by children in grades 2 and higher no more than one story above the
level of exit discharge? Yes ,, /" No
34. a. Do rooms used by children who are less than 2 1/2 years have a direct exit to the outside?
(N /A applies only if center does not serve children under 2 /z yrs) N/A i Yes t./ No
b. Do rooms used by childen under 2 ' years qualify as alcoves to adjacent spaces with
direct exit to the outside? Yes No t-
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 ,f Yes No
(If NO to both 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? Yes ye 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 200 feet from the nearest exterior exit ? /
(non - sprinklered building) Yes t / No
37. Are smoke detectors provided in the corridors in accordance with /
Automatic Fire Detection and NFPA72 for child care use? Yes v / 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
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SECTION C cont.:
39. Are smoke detectors provided in the corridors in accordance with Automatic
Fire Detection and NFPA72? Yes No
40. Does the building provide protection from hazardous areas as required by
Special Institutional Occupancies, Group I Unrestrained Occupancies, Protection
from Hazardous Areas? Yes No
41. Does the building have an approved automatic sprinkler system in accordance with Special
Institutional Occupancies Group 1 Unrestrained Occupancies? Yes No
42. 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
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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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