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a c t B E R S F I L D
F~I~RE PREVENTION INSPECTION F,RE
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BAKERSFIELD FIRE D~P~
Prevention Services
900 Truxtun Ave., Ste. 210
Bakersfield, CA 93301
Tel.: (661) 326-3979 ^ Fax: (661) 852-2171
DISTRICT BLOCK NO. DATE ~ ~~ _/~
(,J EE ~
FACILITY ADDRESS •2 ~
';-J CITY, STATE, 21P
FACILITY NAME
C-I~
`~ 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.
O O~ L D NO. OF FLOORS HIGH RISE B G RI E E
^ YES NO
CORRECT ALL VIOLATIONS VIOLATION
CHECKED BELOW xo. 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.)
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.
SIGNS 7 Provide and maintain "EXIT" sign(s) with letters 5 o n e i h h o h 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 ttie
correct address of the building. (B. M.C.) (U.F.C.)
FIREDOORSI
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 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.)
------------------------------
s7oRAGE 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.)
oU7DOORBURNING 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 16
CUSTOMER: (,~ u.~,
ig re) ( lease Print Name Legi Title)
INSPECTOR: 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
,%;. , ( )
. r `'.S~~JAN 23 200? 1022 FR CCL-FRESNO CHILDCARE 5594455450 TO 9166185221?1
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STATE OF CALIFORlNIA
~~ PIRE SAPE'1rY IN$PECTIQN REQUEST
i% sro. eeo IREV. *~> ~~ Sse JnatrrJCtlons on rwe~rs~e.
P.02~02
AQBVQY CpNiACi'B MANE TELFPi10N8 NIJMBEPt REQUEQT DA7re Ri0G1RlIM
COMMUNITY CARE LiOENSING 559 248-2885 1-23-07 109
EYALW7ipIP8 NAME ~ REQUE6T1N0 AOENGY FAG16f7Y NUM9EF1 pL-~IJF$TGODE
PATRICIA MENQOZA 0378 953805101 7A
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RESPONSE REQUIRED
ua~r~snr~c ~ STATE ^EPT. aF SGCIAL SERVICES ~ 1. flRKi1NA1. A. FIRECL8AMLICE
s. ReNEwA~ e. u~s~r
tarp COMMUNITY CARE LICENSING s. cv~~ar+rcw~Na~
A~EE~ 770 E. 5HA111/, SUITE 300 a. o~nnuEas~rwcEU-NaE
FRESNO, CA 93710 a,~ou~~sscwwc~
L ~ 8. NAME CHANGE
7. OTHEA
dYBULAT°RY NbNA1tbULATORY BEIiRIDAEt1 TOTAL CAPACRY
GAPAaTr PIIEYg119 `GPAaIY CAPACITY PpE1nOtIB CAPAC7Y CAPAIJSY p'rEVI0t36 CAPAGfY
14 - - - - 14
FACBJ~Y NANF
ot_oES oAVENE S< ERIC 1=cc ~^~ ~^~'~"`~" ~
FAMILY CHILD CARE
sTrl~r AOOiESB (AOnru coweroN N{JyBEp a= at>wo~Nc-e
9703 BATTERSEA PARK DR. 1
amr paslliA~rT
BAKERSFIELD 93312 NO
FMBil1YCCNfAC1'rr7~ONS NAME Noups
DAVENE OLDES fi61 6$9-0974 DAYTIME
BaEr~~
PLEASE tNSPt=CT THE GARAGE THAT t~iAS BEEN CONVERTED TQ A DAY CARE.
~ BAKERSFIELD FIRE DEFT. ~ °~
~~ 900 TRUXTaN AVE. #210 ~ ~e~wc~aRA~Q
t!uw~~wa BAKER$FIELp, CA 93301 fl`~~D°'"ED
AoaAESS A. oars
L ~ a. cowsTRUCT~oH
C. FlRE ALARM
pmr~tc>RS wurE masers T~rwoNE Nl asps NuNeEa OCCIJPAMCY CaASS a. SPftlN1a.EA8
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I'~8}'EG710~QATE ` '~ masc- a 07F#B~
~c TOTAL PAGE.02 ~
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;~",~ ,y JAN 23 2007 1022 FR CCL-FRESNO CHILDCARE 5594455450 TO 916618522171
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California Department of Social Services
Ct~rnrn~tnity Care X,icensing Branch
Fk~ESN(J REGIONAL CHYl.,17 CARE OFFICL~
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770 E. Shaw Ave., Suite 300
Fresno, CA 93710-7785
{559) 243-4588
Fay {559) 243~8a7o
FACSIMILE TRAN5MITTAL SHHET
P.01~02
T[): NRUM:
BAKSRSFIELD FIRE DEPT. Sandy Borges, Clc~k
cuMrnrnt: DnTa;
t/23/20~7
PAX NUMBER: TOTAI. N4. C1F PACiFti IN(:1.IA)[NG CC)Vlilt
(GG1) $52-2171 2
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VOL[R RP..riiRrNC,L NCIM(iCR:
OLDES, DAVFNE & ~'.RIC
URGENT ^ FUR REVIEW ^ PLEASE COMMENT ^ PLHASIi.ILL"1'LY C] T'1.CA5~ RECYCLE
N CYCC-' C/CGMMENI'S:
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