HomeMy WebLinkAboutBUSINESS PLAN. , .. .. - "
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~~~ .. ~ ~. BAKERSFIELD FIRE DEPT.
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~= » e e s P r o Prevention Services , ~~~~,U
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FIRE PREVENTION INSPECTION FIRE 900 Truxtun Ave., Ste. 210 gj;~' -
ARTM T Bakersfield, CA 93301
y Tel.: (661) 326-3979 ~ Fax: (661 52-2171.
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DISTRICT BLOCK NO. DATE EE ~
FACILITY ADDRESS CITY, STATE, ZIP
FACILITY NAME ~}
C/
~ AGER'S NA E F CILITY PHONE NO.
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ANO ADDRESS
BUSINESS OWNER'S NAME CITY, S ATE, ZIP NER'S HONE O.
BILL TO: (IF DIFFERENT FROM ABOVE) NAME, ADDRESS CITY, STATE, ZIP, BILLING PHONE NO.
O ~ TYPE OCC,). D NO. OFF OORS HIGH RISE B G ) RIS t) TE
^ YES NO /~~-/y
CORRECT ALL VIOLATIONS VIOLATION
CHECKED BELOW No. 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 boxlfire 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 81 size) __________________ portable fire extinguisher to be
immediately accessible for use in (area) ___ (U.F.C.)
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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.)
SIGNS 7 Provide and maintain "EXIT" sign(s) with letters 5 or mlErs~~ght1o r quired 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/
FIRE SEPARATIONS g Repair all (cracks/holes/openings) in plaster in (location) ______________________________________. Plastering
shall return the surface to its original fire resistive condition. (U.B.C.)
10 Remove/repair (item & location) _ ____. Self-closing
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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 ~ 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.)
ELECTRICAL APPLIANCES 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.)
oUTDOORBURNING 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 8 kersfield Munici I Code B.M.C. re ardin fireworks.
OTHER 1g
CUSTOMER:
(~igPlature) (Please Print Name Legibly Title)
INSPECTOR: t I AP NO.:
(Signature) LEGEND:
C.F.C. CALIFORNIA FIRE CODE
U.B.C. UNIFORM BUILDING CODE
B.M.C. BAKERSFIELD MUNICIPAL CODE
~-N:F.P_.A. NATIONAL FIRE PROTECTION
ASSOCIATION
N.E.C. NATIONAL ELECTRIC CODE
White - Customer/Original Yellow -Station Copy Pink -Prevention Services ` FD 2022 (ReV. 09/05)
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'~'s~~aElo cAUT~NU
~' FIR~~ETY INSPECTION REQUEST
sro. Aso t~lEV. ,ae.> ~ Li' ? -~~;' }. , Instructions on reverse. '
AGENCY CONTACTS NAME TELEPHONE NUMBER REQUEST DATE PROGRAM
COMMUNITY CARE LICENSING 559 243-8080 5/23/06 109
EVALUATOR'S NAME REQUESTING AGENCY FACIL'fTY NUMBER REQUEST CODE
LORI BECK 157203407 4A
RESPONSE REQUIRED coDEs
~
~ T. ORIGINAL A. flRECLEARANCE
LICENSING
TATE DEPT. OF SOCIAL SERVICES 2. RENEWAL B. LIFE SAFETY
AGENCY
NAME AND COMMUNITY CARE LICENSING 3. CAPACITY CHANGE
ADDRESS 770 E. SHAW, SUITE 330 a. owNERSHIPCHANGE
FRESNO, CA 93710-778 s. ADDRESS CHANGE
6. NAME CHANGE
7. OTHER
AMBULATORY NONAMBULATORY BEDRIDDEN TOTAL CAPACITY
cAPAaTY PREVpUS CAPAf~TY cAPaaTV PREVIOUS cArACin caPACITY rAEVaus cAPACm
0 0 3 3 0 0 3
FACILITY NAME ur~nse cAl tcic7Rr
SAILS APPLETREE ADULT RESIDENTIAL
STREET ADDRESS (Actual LocaHonJ NUMBER OF BUILaNGS
5609 APPLETREE LANE 1
CITY RESTRNNT
BAKERSFIELD, CA 93309 NONE
FACILTY CONTACT PERSONS NAME HOURS
ALEJANDRO ARCILA (661) 833-8532 _ __ _ 24 HOURS _ _ _
srECU~ coNDmoNs
r-=
FlRE BAKERSFIELD FIRE DEPT.
AurHORmr PREVENTION SERVICES
NAME AND 900 TRUXTUN AVENUE, STE 210
ADDRESS BAKERSFIELD, CA 93301
NrSPECTOR'S NAME lrlwd a
M15PECTION DATE INSPE
_ ~
oEPNAI OR UST SPECIAL
TELEPHONE NUMBER
( ) ~~ "~~
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CFlRS NUMBER OCCUPANCY CLASS
I CODES
IRE CLEARANCE GRANTED
2. FlRE CLEARANCE DENIED
A. EXITS
B. CONSTRUCTION
C. flRE ALARM
D. SPRINIaERS
E. HOUSEKEEPING
F. SPECIAL HAZARD
G. OTHER