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Home My WebLink AboutBUSINESS PLAN i j ~ ~'' COMIVI ACTION PARTNERSHII' OF KERN l 141011TH STREET ~~ j ~' FIRE PREVENTION INSPECTION ` a EF/RE I D O ARTM T ~ ~~/ ~/ BAKERSFIELD FIRE DEPT. ~~ Prevention Services ~~ 900 Truxtun Ave., Ste. 210 l Bakersfield, CA 93301 Tel.: (661) 326-3979 ^ Fax: (661) 8 2-2171 DISTRICT ~"' ~ ~ BLOCK NO. DATE FEE / -~`" ~j FACILITY ADDRESS j -_.. CITY, STATE, ZIP ~ ~ / f FACILITY NAME ~ ,..,try / ~ ,y ~_ //~ `~l(°T I / l ~ # .~ MANAGER'S NAME FACILITY PHONE NO. BUSINESS OWNER'S NAME AND ADDRESS CITY, STATE, ZIP OWNER'S PHONE NO. BILL TO: (IF DIFFERENT FROM ABOVE) NAME, ADDRESS CITY, STATE, ZIP, BILLING PHONE NO. OCC TY.P_6 OCC LOAD ~ ~ NO. OF FLOORS ~ HIGH RISE,BI.DG RISER DATE ~~ ^ YES C*~ NO CORRECT ALL VIOLATIONS vio~nr~oN ` - ~ REQUIREMENTS CHECKED BELOW eo. COMBUSTIBLE WASTE 1 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 boxlfire door (N.E.C.) (U.F.C.) q 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 & size) __________________ portable fire extinguisher to be immediately accessible for use in (area) _____________________________ (U.F.C.) g 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.) 7 Provide and maintain "EXIT" sign(s) with letters 5 or more inches in height over each required exit (door/window) to SIGNS 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.) g Repair all (cracks/holeslopenings) in plaster in (location) ______________________________________. Plastering FIRE DOORS/ FIRE SEPARATIONS shall return the surface to its original fire resistive condition. C.) 10 Remove/repair (item & location) ______________________________ ~ _ _______ Self-closing ~ ~ doors shall be designed to close by gravity, or by the action of a mechanics devlc approved smoke and o 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 13 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.) . 14 Extension cords shall not be used in lieu of permanent approved wiring. Install additional approved electrical outlets ELECTRICAL APPLIANCES 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 recreations{ 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 18 / ~ e ~ ,2.a .o '? ~ ~ " ~c r ~ ~ fir~~ ! / r ~ ,~,... ~ l A / J f .I t/mot Jf Y ,~' j f i t _ ~ / ~ ~ ~.Q _ _ ra .'Ji /~~' ~ ~ f~F~.-~,l ~l~ x ~i, /A 11 f't(l ~ >*) , _ n ~.. _ n . 1 °~- rte` .Q..`f ~ a, CUSTOMER: ~ '~ -+7 ~S ~ ~ ~ ~ 1 LEGEND: ~ _ " (Signature) (Pease Print Name Legibl ,, Title) / C.F.C. CALIFORNIA FIRE CODE U.B.C. UNIFORM BUILDING CODE ~ .~,~ p ~~b~~ Fj Jr l~j J ~ -- ~ ' B.M.C. BAKERSFIELD MUNICIPAL CODE ~ J ` INSPECTOR: -• J~P NQ,; lr .__-- ~ ~ G' " N.F.P.A. NATIONAL FIRE PROTECTION ~ (Signature) ~ ASSOCIATION •" N.E.C. NATIONAL ELECTRIC CODE .,: ~:. . c; .r White -Customer/Original Yellow -Station Copy Pink -Prevention Services FD 2022 (Rev. 09/05) ~~ STATE OF cAUroRNu FIRE SAFETY INSPECTION REQUEST $,o, ~~~„ ipy,,? Sea lnstructlans an reverse. AQENCY COMTACTTi NM1E TELEPHONE NU1~R RHQUHBT SATE PROGRAM COMMUNITY CARE LICENSING 559 243-6067 7-25-07 109 EYALUATDA'8 NAME REOUE8T1N13 Afi!ENCV FAOILfTt NUMBER REgVEBT CODE CYNTHIA BRANNON 0328 153808403 1A RESPONSE REQUIRED woes LICENSING STATE DEPT_ OF SOCIAL SERVICES ~ AG!?NCY NAM>EANa COMMUNITY CARE LICENSING ~. ~iN31NAL ~ FtRECLEARANCB s. REHEwAL e. uResAFErr ~. cAwPACarrcwwaE AaoRESS 770 E. SHAW AVENUE, SUITE 300 +. OWNERSHIPCHANtiE FktSNU, Cft 93T1U-7785 ~ r~vrraCsscrwtro~ B. NAME CHANQE 7. QTHER AAASULATORY NONAIMBULATORY BEDRIDDEN TOTAL CAPACRY CAPACITY PREVIOUS CAPACITY CAPACITY PAEYf0U8 CAPACITY CAPACITY PTafVlpll& CAPACITY 18 2 20 FACYLRY MAARE LlceNS~ GgEGORY CLEO F4RAN CHILD DEVELOPMENT CENTER PS BTAEkT ACOITESB (AelWt LeWlgn) NUMBER OF BUILdNGS 141011TH STREET ONE crrY REeTRAIt~R BAKERSFIELD, CA 93304 NONE FApLITY CCNfNC'f PERBON'6 NAME NWRB CINDY ZAMBRANO 661-336-5272 DAYS sPECaA1 Conwrrlans ~AKERSFIELD F.D. FlRE PREVENTION SVCS. AUTHQRfTY '''A"EAND 160Q TRUXTUN AVE. ADDRESS BAKERSFIELD, CA 93301 1, wsP~cTOt'rs ruuPE rT~o a F,rurap Tc.LEPHawE rvuAeazR -( ~ ~~ Jt~L 2 s ~~ ~ aeR ~ ~ FlgE CLEARANCE GRANTED qRE CLEARANCE DENIED ~ Ex~ B~ COF18TRiJCT10N C. FlRE ALARM a. sPRnrlaERs E. FIOtlBEKEEPINt~ F. BFECIALNAiARD G. OTHE~i EIO'1M10ENIN. OR