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Home My WebLink AboutINSPECTION 850s~. ... t.,....,, i. =-. JI -.. r=,-4 .. ~ ...r . _. ~~ ~-.. ~~- - ~ ~ .. -- _ _ - ..-.'r{ _. v. -v. rte. ~ . ~ ~ -~ ... ..,.__ ... .- .- ' .~ FIRE PREVENTION INSPECTION a eF/li<E t D ARTM T BAKERSFIELD FIRE DEPT. (~ Prevention Services ~'~ 900 Truxtun Ave., Ste. 210 Bakersfield, CA 93301 Tel.: (661) 326-3979 ^ Fax: (661) 8 -2171 DISTRICT BLOCK NO. DATE ~ ~ U EE U~ FACILITY ADDRESS ~c I ~ ~ I '^, - CITY, STATE, ZIP t /^ (' ~ (6 [~V ~q I S „` S ~y -l I FACILITY NAME \~ \+ \\ LITY PHONE NO~ ! Cy PACI MANAGER'S NAME ~ \ C ~ t\ 'S , ' ~` ,t 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 TYPE OCC LOAD NO. OF FLOORS HIGH RISE BLDG RISER DATE ^ YES ^ NO CORRECT ALL VIOLATIONS VIOLATION REQUIREMENTS CHECKED BELOW No. 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 & 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.) 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 ___. Plastering Repair all (cracks/holes/openings) in plaster in (location) __________________ ~^1LL'__ FIREDOORSI 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 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.) 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 recreational fires or o en burnin U.F.C. FIREWORKS 17 Violations of Section 7802 U. F.C. or 8.49.040 of the Bak ersfield Munici al Code B.M.C. re ardin fireworks. OTHER 18 (~ y ~ ° ¢ ~ c ~`~ ~ ~ ' a -- ~ G 4 v \ C. ~ ` l G ^"~C,G® ~ ~ . c. Cc ti cJ. T~•'-. 1 ~~ u ~ ~ ~ ~~ ra r ~, LM-O ^~~ ~-~- `~ ~: , ~P G ~~ - CUSTOMER: /-ak,~,-t--•~--~~- .~--' ~ ~,_ LEGEND: (Signature;) (Please Print Name Legibly, Title) C.F.C. • CALIFORNIA FIRE CODE U.B.C. UNIFORM BUILDING CODE '"'-l ~°/ INSPECTOR: ~''.f`t' ~^~L ~---- AP NO.:~ ~ ~ d ~-ry B.M.C. BAKERSFIELD MUNICIPAL CODE N.F.P.A. NATIONAL FIRE PROTECTION (Signature) 1 ASSOCIATION N.E.C. NATIONAL ELECTRIC CODE White -Customer/Original Yellow -Station Copy Pink -Prevention Services FD 2022 (Rev. 09/05) 1, '-.Fl.•~....v~'~'. ~' y.:.Z+y. jA rn;s+,fn. s ~piiif'i*1"` .' ..~ .-+ FIRE PREVENTION INSPECTION B i3 R S F 1 D i/RE ARfM T BAKERSFIELD FIRE DEPT. Prevention Services (~~'~ 900 Truxtun Ave., Ste. 210 Z Bakersfield, CA 93301 Tel.: (661) 326-3979 ^ Fax: (661) 52-2171 DISTRICT BLOCK NO. DATE EE ~ -"~ - FACILITY ADDRESS f~ ~~ ` ~ ~r CITY, STATE, IP t~7. < ~ ~ F~ .S /9~ 1. FACILITY NAME ` MANAGER'S NAME ~ FACILITY PHON~N~O. w~ 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 TYPE OCC LOAD NO. OF FLOORS HIGH RISE BLDG RISER DATE ^ YES ^ NO CORRECT ALL VIOLATIONS VIOLATION REQUIREMENTS CHECKED BELOW No. 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 ~ ~ Provide and install (amount) _' _ approved (type size) _____ _~_+._________ portable fire extinguisher to be ~ immediately accessible for us n (area) (U.F.C.) ~ ~.. _ ?j~ g __ _ __7_ ~-__________ 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/holes/openings) in plaster in (location) ______________________________________. Plastering FIRE DOORS/ 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 action of a mechani e, or by an approved smoke and heat sensitive device. Self-closing doors shall have no attachments capable f re~ t'ng the operation of the closing device. (U.F.C.) ExlTS 11 Remove all obstruction from hallways. Maintain all means of egress free of any storage. .F,7C. 12 Provide a contrasting colored and permanently installed electric light over or near required exit (loc n) ______________________________ 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 r 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.) ouTDOORBURNING 16 Vi lion 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 18 6 c ~ . - c~r~ to f a U t ~. ,..._.__ Q ~ ~ c : ~, N.~ d Tn ., L .° f S 21 6 l/ ~~` . \e /~ CUSTOMER: LEGEND: , ~ /'" (Signature) (Please Print Name Legibly, Title) C.F.C. CALIFORNIA FIRE CODE U.B.C. UNIFORM BUILDING CODE ~,/ '"'~~ INSPECTOR: _<-~ ~--~"`„~.!~_..~_ ~..~._ AP NO:' .2~ L B.M.C. BAKERSRELD MUNICIPAL CODE N.F.P.A. NATIONAL FIRE PROTECTION '~ :"(Signature) ASSOCIATION N.E.C. NATIONAL ELECTRIC CODE White -Customer/Original Yellow -Station Copy Pink -Prevention Services FD 2022 (Rev. 09/05) UCTION RECORD ~~~ y ~• .E ~~ .o akersfield Fire Dept. 1715 Chester Ave. 0' Bakersf field; t A 93301 ~~ ~ - ~ ~~~ DATE: ~~° ~~ FACILITY ADDRESS: o'~.O 1 S ZIP: °I 3 ~ ° FEE:r ~~ FACILITY NAME: _T~i.~ .~ MANAGER NAME: ~~~_~~~,~~.~ .1{~~'~ BUSINESS OWNER NAME, ADDRESS, ZIP CODE g ~ FACILITY PHONE ~"°. ~7 T0~(IF D~NT FROM A~N~M~, ADDRESS, ZI CODE, PHONE No. OTC TYPE ~ 1/ 6 n~ OCC LOAD C ~ ~_ ~ ~" .:T ,. No. OF FLOORS U rE}~ ~-t/..9A f ,~~ ~~t HI RISE BLDG. YES O NO O „ . I RISER DATE ~ ~I ~ ~ I -~ .~ ,P o ~ _ V CATION NICE CORRECT,l4N: ~ ~ _ _ ^DATEbF Fib INSPECTION ~ ~ ~ f ~ + ~~ ~c ~ ~ Q ~ ~, ~ ~ 6. ~.Q...(9~ .JL.i? ~ A 1~ t ~U ~..A ~ ~~ L t c _ ~ ~ ~.~.c~ s. ~ ~ ~ 5 '~ C7~ U 11. t~--, 4? Q ~~ ,C~~JY~.A ~.Q C~ ~ ~ N~S29 ~ ~ t 1 O ~t (I A t~-'( D 12. ~ tD-~ L~~.~~ Q 1L Q !~ " . ~- .~ _ , \ _ . 14. ~ ~,D C 17 C~..r~Q V ~,~ -( NOTES ~"' x V PR 2 ~ ?~"6 x~ CUSTOMER: ~° ---^~ ' ~ j ~ ~ IN~EC~OR:~ ~ AP No. ~ FIRE PREVENTION SERVICES (661) 326-3979 WHITE ORIGINAL-OWNER YELLOW-INSPECTOR'S COPY PINK-FILE 3,~-~ °G( ~c FD1952 ?~ `S a ATE Ci>•~ALIFORNIA FIRE SAFETY INSPECTION REQUEST See lnstructlons on reverse. s% eso REV. to->u~ AGENCY CONTACTS NAME TELEPHONE NUMBER REQUEST DATE PROGRAM COMMUNITY CARE LICENSING 559 243-8080 12/20/05 109 EVALUATORS NAME REQUESTING AGENCY FACILITY NUMBER REQUEST LADE #134 DIXIE WRIGHT # 157203339 1A RESPONSE REQUIRED cones S 1. ORIGINAL A. FIRE CLEARANCE LICENSING STATE DEPT OF SOCIAL SERVICE 2. RENEWAL B. UFESAFETY AGENCY NA6AEAND Community Care Licensing Branch 3. CAPACITY CHANGE ADDRESS 770 E. Shaw Avenue, Suite 330 4. OWNERSHIPCHANGE Fresno, CA 93710 5. ADDRESS CHANGE 6. NAME CHANGE 7. OTHER AMBULATORY NONAMBULATORY BEDRIDDEN TOTAL CAPACITY CAPAC!T! PREVIOUS CAPACITY CAPAGTY PR'ti'IOUS CAPACITY CAPACITY PREVIDi!S CAr'A~e'TY -30-- -0- -0- -0- -0- -0- 30 FACILITY NAME UGENSE CATECipRY ALTAVILLE ADULT RESIDENTIAL FACILITY 735-ARF STREET ADDRESS (Adwl Location) NUMBER OF BUILDINGS 2015 BRUNDAGE LANE 1 CITY RESTRAINT BAKERSFIELD CA. 93304 NONE FACILITY COPffACT PERSON'S NAME HOURS DEMOSTHENES/LUZ JANATAS ADM 24 HOURS sPEaAL conomaNs TELEPHONE: 661-322-5567 ~`. -~~. ' s~ ` ~~, yN _ B COIitP~ETED~IY ~ISPi~'f(. ..a':~UTHO~' ~ .,s.~.~~ `.~ ~ ~ _ . FIRE DEPARTMENT STATION FlRE 2101 H STREET AUTHORITY NA~IEAND gAKERSFIELD, CA. 93301 A'J.^AEES M{SPECTOR'S NAME (Tjyrd or Prtkrd) .~ .' (.'~ WSPEt;T10N DATE INSPECTOR'S 7 _ ~ ~ E%PLAIN DENIAL OR UST SPECIAL S TELEPHONE NUMBER CFlRS NUMBER OCCUPANCY CU1S6 `-) a Pmts st`....FIRE CLEARANCE GRANTED 2. FIRE CLEARANCE DENIED A. EXI a B. CONSTRUCTION C. FIRE ALARM D. SPRINKLERS E. HWSEKEEPING F. SPECIAL HAZARD G. oTHER