HomeMy WebLinkAboutBUSINESS PLANU
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EAKERSFIELD FIRE DEPT. t °~• Kws *%~
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J,<_r ~ ~ .Prevention Services.
. FIRE PRE'V>~NTIO"N INSPECTION B EF~RE I L D 900 Truxtun Ave:, Ste. 210 !y,~ ~~
-- Bakersfield, CA 93301 o '
- ~ Tel.: j661) 326-3979 ^ Fax: (661 , 52-2171
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DISTRICT BLOCK NO. DATE EE w"' -~~~~
FACILITY ADDRESS ''•~ '_~~~ I(~ ~+ p' CITY; STATE, 21P t e ~ "'~
FACILITY NAME .-r ` t ' MANAGER'S NAME ~ ~ ' FACILITY PHONE NO.
BUSINESS OWNER'S NAME AND ADDRESS CITY, STATE, ZIP OWNER'S PHONE NO:
BILL 70: (IF DIFFERENT FROM ABOVE) NAME, ADDRESS CITY, STATE, ZIP, BILLING PHONE NO. .
OCG TYPE
'° OCC LOAD NO. OF FLOORS HIGH RISE BLDG rRISER.``U~yAyTE
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^ YES . _® NO /
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CORRECT ALL VIOLATIONS VIOLATION ~ k REQUIREMENTS ' ~ "~
CHECKED BELOW No.;"'
T 1 Remove and safely dispose of all hazardous refuse and dry vegetation on the above premises (U.F.C.)
COMBUSTIBLE WAS
E /DRY ~ -
VEGETATION 2 Provide no,n-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"• g Provide and install (amount) __ __ approved (type & size) _________________~? portable f'ireeztinguishei=~fo 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. C.)
7 v reach required exit (door/window) to.
Provide and maintain "EXIT" sign(s) with letters r ini l>~ig
SIGNS ~
fire escape. (U. F.C.) ~V/ vv
8 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 (crackslholes/openings) in plaster in (location) _______________________._. _____________. Plastering
~FIREDOORS/
FIRE SEPARATIONS shall return the surface to its original fire resistive condition. (U.B.C.) ~ ~ -
10 ,
,.,
Remove/repair (item & location) ____________________________________._____________________'."„Self-closing
' doors shall be designed to close by gravity, or by the actiori of a mechanical device, or by an~appToved 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.)
14 Extension cords shall not be used in Lieu of permanent approved wiring.. Install addlti'onal approved electrical outlets
ELECTRICAL APPLIANCES whefe needed. (N.EtC.) (U:F.C.)
15 Remove multiple attachment cords from 'specific electrical convenience outlet (one plug per outl,ef) (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 Bakersfield Munici al Code B.M.C. re ardiri .fireworks.
OTHER 18
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CUSTOMER: '~''
,.-- '-~, • LEGEND:'. ,
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`r ~(tSignature)~ (Please Print Name Legibly„ Tltle)
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?INSPECTOR: ~1 }1 !a~ r ~ .A+=R .i~
AP NOr. ~ ~~~1~ C.F.C. CALIFORNIA,FIRECODE
U.B.C.• ` UNIFORM BUILDING CODE
B.M.C. BAKERSFIELf) MUNICIPAL CODE
N.F.P.A.• NATIONAL FIRE PROTECTION
_
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* ASSOCIATION.' `.
NATIONAL ELECTRIC CODE
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,. +i~~ ~ White -Customer/Original Yellow Station Copy Pink -Prevention Services FD 2022 (Rev. 09/05)
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STATE OF CALIFORNIA ~ ~ ~ ~ y~` ~ ~ P« ~^"` •~~
FIRE SAFETY INSPECTION REQUEST
srD. eso (REV. to-s+) See InstrUCtlonS On reverse.
AGENCY CONTACTS NAME TELEPHONE NUMBER REQUEST DATE PROGRAM
COMMUNITY CARE LICENSING 559 243-4584 5-14-07 109
EVALUATOR'S NAME REQUESTING AGENCY FACILITY NUMBER REQUEST CODE
MIKE BUSSEY 0354 153804268 3A
RESPONSE REQUIRED cones
~ 1. ORIGINAL A. FIRE CLEARANCE
LICENSING STATE DEPT. OF SOCIAL SERVICES 2. RENEWAL B. LIFE SAFETY
AGENCY
NAME AND COMMUNITY CARE LICENSING 3. CAPACITYCHANGE
ADDRESS 770 E. SHAW, SUITE 3OO 4. OWNERSHIP CHANGE
FRESNO, CA 93710 5. ADDRESS CHANGE
6. NAME CHANGE
7. OTHER
AMBULATORY NONAMBULATORY BEDRIDDEN TOTAL CAPACITY
CAPACITY PREVIOUS CAPACITY CAPACITY PREVIOUS CAPACITY CAPACITY PREVIOUS CAPACITY
14 8 - - - - 14
FACILITY NAME LICENSE CATEGORY
JIMENEZ, MARGARITA FCC FAMILY CHILD CARE
STREET ADDRESS (AcYUa/ Locafbn) NUMBER OF BUILDINGS
2005 AUBERRY AVE. 1
cmr RESTRaNT
BAKERSFIELD 93304 NO
FACILITY CONTACT PERSON'S NAME HDQRS
MARGARITA JIMENEZ 661 397-4972 DAYTIME
SPECIAL CONDRIONS
PLEASE CHECK ALL ROOMS INCLUDING THE GARAGE
~ ~ ~ °•,.~,~ B~'GOM L ~ O BY INSPEC,T[FI<G ALIT ;PHORt`fY r'• ; t ..
rBAKERSFIELD FIRE PREY. SERVICES
FlRE 1600 TRUXTON AVE. #401
AUTHORITY
NAAREAND BAKERSFIELD, CA 93301
ADDRESS
INSPECTOR'S NAME (fypad a P TELEPHONE NUMBER CARS NUMBER OCCUPANCY CLAS6
INSPECTION DATE INSPECT~~$,5
EXPWN q]JiAL OR LIST SPECIAL CONgTK
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_ CODES
FIRE CLEARANCE GRANTED
2: FIRE CLEARANCE DENIED
A. EXITS
8. CONSTRUCTION
C. FIRE ALARM
D. SPRINKLERS
E. HOUSEKEEPING
F. SPECIAL HAZARD
G. OTHER