HomeMy WebLinkAboutBUSINESS PLAN"~ GI.ENWOOD GARDENS ~
350 GALLOWAY DRIVE
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FJRE PREVENTION INSPECTION
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BAKERSFIELD FIRE DEPT.
B E R S F I D Prevention Services
F/li<E 900 Truxtun Ave., Ste. 210
ABTM T Bakersfield, CA 93301
Tel.: (661) 326-3979 ^ Fax: (661) 852-2171
DISTRICT BLOCK NO. DATE _ / ,/~
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FACILITY ADDRESS '~/,"~O ~ ~'
CITY, STATE, ZIP
FACILITY NAME N GER'S N E F~LITY PHONE NO.
BUSINESS OWNER'S NAME AND ADDRESS CITY, STATE, ZIP NER' PHONE NOS
BILL TO: (IF DIFFERENT FROM ABOVE) NAME, ADDRESS CITY, STATE, ZIP, ILLING HONE NO.
OZ T1GR OCC LOAD NO. OF FLOORS HIGH RISE BLDG RISER DATE
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CORRECT ALL VIOLATIONS wo~~r~oN REQUIREMENTS
CHECKED BELOW xo.
COMBUS
STE /DRY
I 1 Remove and safely dispose of all hazardous refuse and dry vegetation on the above premises (U.F.C.)
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BLE WA
VEGETATION 2 Provide non-combustible containers with tight fitting lids for the storage of combustible waste and rubbis e i
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
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extinguisher not more than 5 feet above the floor. (N.F.P.A. No. 10) ~ /" ;' %",/
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EXTINGUISHERS
5 Provide and install amount a roved t _____ ____d ~ ~ ~~
( ) _____ pp (ype 8 size)/` t __1''___ portable fire extinguisher to be
immediately accessible for use in (area) ______~r~_ l / J *-~~ (U.F.C.)
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g and/or after each use
Re-charge all fire extinguishers
fFiretextingui hers shall b'~P
serviced at least once each year
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by a person having a valid license o~.certificate. ~(UrF.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 8 location) _____________________________W__ ___ ___~____. Self-closing
doors shall be designed to close by gravity, or by the action of a mechani I e or by an approved smoke and
heat sensitive device. Self-closing doors shall have no attachments capable of rq~~i/ly t e 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. 6
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 Bakersfield Munici al Code B.M.C. re ardin fireworks.
OTHER 1 t3
CUSTOMER: \ LEGEND:
C.F.C. CALIFORNIA FIRE CODE
(Signatur) (Please Print Name Legibly,.Jitie) U.B.C. UNIFORM BUILDING CODE
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INSPECTOR: ~ ~~~'~ f~ 1f ~(1 r,----~----~-~ AP NO.: (~--' '"`~, B.M.C. BAKERSFIELD MUNICIPAL CODE
N.F.P.A. NATIONAL FIRE PROTECTION
" `' (Signafur°e)' ASSOCIATION
N.E.C. NATIONAL ELECTRIC CODE
7
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White - Customerl0riginal Yellow -Station Copy Pink -Prevention Services FD 2022 (Rev. 09/05)
_°`ATEO~F`CAL'IFURNIA
FIRE SAFETY INSPECTION REQUEST •
STD. 85G rREV. 1 c~.a,;, See instructions on reverse.
AGENCYCONTaCT'SNAP~"E TELEPHONENUP:IBER REGUESTDATE PROGRAt`A
DEPARTMEN'I~ OF SOCIAL SL.RVICES ( C1R ) 59C-4,34 3-22-2006 RCFE
EVALUATOR'SNAPAE ^' ! ~ REGUESTINGAGENCYFACILITYNUP.46ER REi,UESTCODE
LAWRENCE HAWKINS 157203395 lA
CODES
1. ORIGINAL A. FIRE CLEAnAtJCE
LICENSING
2. RENEWAL B. LIFE SAFETY
AGENCY DEPARTMENT OF SOCIAL SL-RVICES
NAME AND COMMUNITY CARE LICENSING s. CAPACITY CHANGE
ADDRESS 2173 } V ENTURA BJ VD., SUI rE 25~} 4. OWNERSHIP CHANGE
UU()()i~LAND I-IIT_LS, (~A ~)}3(4 5. ADDRESS CHANGE
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t_ ~ B. NAME CHANGE ~
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7. OTHER
AMBULATORY NONAMBULATORY BEDRIDDEN TOTAL CAPACITY
CAPACITY I PREVIOUS CAPACITY
i CAPACITI' PREVIOUS CAPACITY
~ CAPAGTI' PREVIUUSCAPACITY
0 ~ 138 ~ 134
FACILITY NAME - LICENSE CATEGORY
GLENWOOD GARDENS
STREETADDRESS (Acfuo;t :c~6on) NUMBER OF BUILDINGS
350 GALLOWAY DRIVE
CITY RESTRAINT
BAKERSFIELD, CA 93312
FACILITYCGNTACTPERSON'SNAPAE HOURS
RHONDA DOLCATER (C,(1) 587-0221 OR (312) 977-3701 24
SPECIAICONCITiONS
TO BE COMPLETED BY INSPECTING AUTHORITY ~
CLEARANCE'S NIALCGDE
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FIRE I'~`'Y FIRE DEPT.
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AUTHORITY ci~~~-*~•~*-~-~t~ ~~•}ZFT'T
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NAME AND ~
ADDRESS BAKERSFIELD, CA 933Uc •7=3~ ~ 2. FIRE CLEARANCE DENIED
A. EXITS
B. CONSTRUCTION
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C. FIRE ALARM
INSPECTOR'SNAMElTy},edo~Prinredi -~-:-
sELEPHGNENUMnEP, CFIRSNUMBER (>CCUPANCYCLASS D. SPRINKLERS
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F. SPECIAL riALARD
INSPECTIC)NDA~ INSPECTOR' A"IJ 'C-(T}
~ Puedn~Pri~r:. ] ~ G, OTHER
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