HomeMy WebLinkAboutBUSINESS PLAN~~ WOOLF SOUTHWEST DEI'~TAL
500 OLD RIVEk RD #~75
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BAKERSFIELD FIRE DEPT. O~
Prevention Services ~~
FIRE PREVENTION INSPECTION >, EFNtE t D 900 Truxtun Ave., ste. 210 ~/~~ v
Alt 1M T Bakersfield, CA 93301 `
Tel.: (661) 326-3979 ^ Fax: (661) 8 " -2171
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FACILITY NAME / , ,~q~
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J~ (~ ~ ~ ~ a7„ MANAGER'S NAME FACILITY PHONE NO.
BUSINESS OWNER'S NAME AAND ADDRESS CITY, STATE, ZIP OWNER'S PHONE NO.
BILL TO: (IF DIFFERENT FROM ABOVE) NAME, ADDRESS CITY, STATE, ZIP, BILLING PHONE NO.
OCC TYPE OCC LOAD NO. OF FLOORS HIGH RISE BLDG RISER DATE
^ YES ^ NO I`
CORRECT ALL VIOLATIONS wourioN
CHECKED BELOW ~o. REQUIREMENTS
COMBUSTIBLE WASTE /DRY 1 Remove and safely dispose of all hazardous refuse and dry vegetation on the above premises (U.F.C.)
VEGETATION 2 Provide non-combustible containers with tight fitting lids for the storage of combustible waste and rubbish pending its
safe disposal. (U.F.C.)
COMBUSTIBLE STORAGE 3 Relocate combustible storage to provide at least 3 feet clearance around motor fuse box/fire door (N.E.C.) (U.F.C.)
4 Relocate fire extinguisher(s) so that they will be in a conspicuous location, hanging on brackets with the top to the
extinguisher not more than 5 feet above the floor. (N.F.P.A. No. 10)
ExTINGUISHERS 5 Provide and install (amount) _____ approved (type 8 size) __________________ portable fire extinguisher to be
immediately accessible for use in (area) ____________________________ (U.F.C.)
6 Re-charge all fire extinguishers. Fire extinguishers shall be serviced at least once each year, and/or after each use,
by a person having a valid license or certificate. (U.F.C.)
SIGNS 7 Provide and maintain "EXIT" sign(s) with letters 5 or more inches in height over each required exit (door/window) to
fire escape. (U.F.C.)
g Provide and maintain appropriate numbers on a contrasting background and visible from the street to indicate the
correct address of the building. (B. M.C.) (U.F.C.)
FIRE DOORS/
EPARATIONS
FIRE g Repair all (cracks/holes/openings) in plaster in (location) _ _ _____________________. Plastering
shall return the surface to its original fire resistive conditio ~~I~
S 10 .,., Remove/repair (item 8 location) _________________________________________________________. Self-closing
doors shall be designed to close by gravity, or by the action of a mechanical device, or by an approved smoke and
'heat sensitive device. Self-closing doors shall have no attachments capable of preventing the operation of the
closing device. (U.F.C.)
EXITS 11 Remove all obstruction from hallways. Maintain all means of egress free of any storage. (U.F.C.)
12 Provide a contrasting colored and permanently installed electric light over or near required exit (location)
______________________________ to clearly indicate it as an exit. (U.F.C.)
STORAGE 1g Remove all storage and/or other obstructions from fire escape landings and stairways stair shafts. (Fire
escapes/stair shafts are to be maintained free from obstructions at all times.) (U.F.C.)
ELECTRICALAPPLUINCES 14 Extension cords shall not be used in lieu of permanent approved wiring. Install additional approved electrical outlets
where needed. (N.E.C.) (U.F.C.)
15 Remove multiple attachment cords from specific electrical convenience outlet (one plug per outlet) (N.E.C.) (U.F.C.)
OUTDOOR BURNING 16 Violation of Section 1102 dealin with recreational fires or o en burnin U.F.C.
FIREWORKS 17 Violations of Section 7802 U.F.C. or 8.49.040 of the Bakersfield Munici al Code B.M.C. re ardin fireworks.
OTHER 1g
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CUSTOMER: i../`~ .(.~ A ~~.(/G'L.f
" `"'(l(Signature) ` (Please Print Name Legibly, Title)
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INSPECTOR: ~1~~.I3~ AP NO.: ~
.fSignature) LEGEND:
C.F.C. CALIFORNIA FIRE CODE
U.B.C. UNIFORM BUILDING CODE
B.M.C. BAKERSFIELD MUNICIPAL CODE
N.F.P.A. ASSOCIATIONE PROTECTION
N.E.C. NATIONAL ELECTRIC CODE
White -Customer/Original Yellow -Station Copy Pink -Prevention Services FD 2022 (Rev. 09/05)
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+ WOOLF SOUTHWEST DENTAL ______________________________ SiteID: 015-021-002130 +
Manager
Location: 500 OLD RIVER RD 275
City BAKERSFIELD
CommCode: BFD STA 11
EPA Numb:
BusPhone: (661) 665-0500
Map 123 CommHaz Minimal
Grid: 06B FacUnits: 1 AOV:
SIC Code:
DunnBrad:
t______________________________________________________________________________+
Emergency Contact / Title Emergency Contact / Title
JERRY J WOOLF DDS / JIM WARREN /
Business Phone: (661) 665-0500x Business Phone: ( ) - x
24-Hour Phone ( ) - x 24-Hour Phone (661) 664-7760x
Pager Phone (661) 321-7093x Pager Phone ( ) - x
Hazmat Hazards: React
Contact Phone: (661) 665-0500x
MailAddr: 500 OLD RIVER RD 275 State: CA
City BAKERSFIELD Zip 93311
Owner JERRY J WOOLF DDS Phone: (661) 665-0500x
Address 500 OLD RIVER RD 275 State: CA
City BAKERSFIELD Zip 93311
Period to TotalASTs: = Gal
Preparers TotalUSTs: = Gal
Certif'd: RSs: No
ParcelNo:
Emergency Directives: ~
PROG H - HAZ WASTE GEN
~Sasad on my inquiry of those individuals
responsible for obtaining the information, I certify
under penalty of law that I have personally
examined and am familiar with the information
submitt®d an a ve the information is true,
an comp) te.
~~-~ •~~
ature Date
We now have digital x-rays. We no logger
carry or do mercut;y alloy fillings in
the office. Thank You
ENT ,1 U N 2 7 2006
-1- 05j23j2006