HomeMy WebLinkAboutBUSINESS PLAN,.~r6 ` ;, ,.~ BAKERSFIELD FIRE DEPT. I _~
Prevention Services n ~l(J
FIRE PREVENTION INSPECTION » EF~RE ` D 900 Truxtun Ave., ste. 210 .(~ , l
- ARTM T Bakersfield, CA 93301 'T
Tel.: (661) 326-3979 ^ Fax: (661) 852-2171
DISTRICT BLOCK NO. DATE .... O!
1~j EE
FACILITY ADDRESS CITY, STATE, ZIP
FACILITY NAME --~y) „ _ _ ~ ~ ~~ ~ M AGER'S N ME FACIL31T~Y PHON 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.
OC w af,P,E
~~ OCC LO b NO. OFF OORS HIGH RISE BL G RISER D TE
^ YES NO
CORRECT ALL VIOLATIONS VIOLATION
CHECKED BELOW No. ~ REQUIREMENTS
1 Remove and safely dispose of all hazardous refuse and dry vegetation on the above premises (U.F.C.)
COMBUSTIBLE WASTE /DRY
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)
ExTINGUISHERB 5 Provide and install (amount) _____ approved (type & 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. (U.F.C.)
SIGNS 7 Provide and maintain "EXIT" sign(s) with letters 5 or more inches in height over each required exit (door/window) to
fire escape. (U.F.C.)
g Provide and maintain appropriate numbers on a contrasting background and visi o t t di
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
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 Extl#nsion cords shall not be used in lieu of permanent approved wiring. Install additional approved electrical outlets
where needed. (N.E.C.) (U.F.C.) I
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 Bakersfield Munici al Code B.M.C. re ardin fireworks.
OTHER 18
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CUSTOMER: ~ _ /lair ~ ~~(=;.r-r/~t f ~i
r ($I n ure) (Please Print Name Legibly, Title)
INSPECTOR: ,/'_.~.~--.-..- AP NO.: -~ .
(Signatu e) CEF.CND~ 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)
• BAKERSFIELD FIRE DEPT. ~O
Prevention Services
FIRE PREVENTION -fNSPECTiON B EFiRE ` L o 900 Truxtun Ave., Ste. 210 '~ ~'~
ARTM T
Bakersfield, CA 93301
Tel.: (661) 326-3979 ^ Fax: (661) 85 -2171
n E .~t i
DISTRICT BLOCK NO. DATE ~. ,.~\ EE (~~ ~"L
FACILITY ADDRESS ~ ~ C
7 r CITY, STATE, ZIP ~ ~
FACILITY NAME r 1 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.
OCC TYPE OCC LOAD
~" NO. OFF OORS
~ HIGH RISE BLDG
r~ RfSER~D,tATE~..~
~
'
^ YES
NO ~/
~
CORRECT ALL VIOLATIONS VIOLATION / t 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 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, andlor 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 inc ~>~igl{t~~ c re exit (door/window) to
J
SIGNS fire escape. (U.F.C.) ~v
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
-------------------------------
FIREDOORS/
FIRE SEPARATIONS 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 rriechanical device, or by an approved smoke and
heat sensitive device. Self-closing doors shall have no attachments capable of preventing the operation of the
!f t 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 1g 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
18 ~ n
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CUSTOMER: ~{~ ~, Q„ ,~ LEGEND:
Signature) ~ (Please Print Name Legibly
Title) C.F.C. CALIFORNIA FIRE CODE
U
B
C
UNIFORM BUILDING CODE
,
~
" .
.
.
B.M.C. BAKERSFIELD MUNICIPAL CODE
INSPECTOR: ~
AP NO.: N.F.P.A. NATIONAL FIRE PROTECTION
~ SlgnatUre) ~~~ ASSOCIATION
N.E.C. NATIONAL ELECTRIC CODE
KdF-7320
White -Customer/Original ,.~ ~ ~ Yellow -Station Copy Pink -Prevention Services ~ FD 2022 (Rev. 09/05)
'fRfEOF ~ Fill
FIRE! AFETY INSPECTION REQUEST
~. ~o ~,. ,o-~l See /nstructlons on reverse.
AGENCY CONTACT'S NAME TELEPHONE NUMBER REQUEST DATE PROGRAM
COMMUNITY CARE LICENSING 559 243-8080 6/6/06 109
EVALUATOR'S NAME REQUESTING AGENCY FACILITY NUMBER RE4UEST CODE
LORI BECK 157203391 1 A
RESPONSE REQUIRED cones
LICENSING r STATE DEPT. OF SOCIAL SERVICES ~
AGENCY
NAME AND COMMUNITY CARE LICENSING 1. ORIGINAL A. FtRECLEARANCE
2. RENEWAL B. UFESAFETY
3. CAPACITY CHANGE
ADDRESS 770 E. SHAW, SUITE 33O 4. OWNERSHIPCHANGE
FRESNO, CA 93710-778 5. ADDRESS CHANGE
6. NAME CHANGE
7. OTHER
AMBULATORY NONAMBULATORY BEDRIDDEN TOTAL CAPACITY
CAPACITY PREVIOUS CAPACITY CAPACITY PREVIOUS CAPACITY CAPACITY PREVIOUS CAPACITY
4 0 0 0 0 0 4
FACILITY NAME uGENSE CiAI t(fUiY
NEW JOURNEY'S PHASE 2 ADULT RESIDENTIAL
STREET ADDRESS (Aclw! LoaNon) NUMBER OF BUILDINGS
2113 GLISTER AVENUE 1
CITY RESTRNNT
BAKERSFIELD, CA 93304 NONE
FACILITY CONTACT PERSON'S NAME HOURS
BRENDA WELLS (6611 330-7852 24 HOURS
sPEL~AI coNOma+s
,,. ODES .
FlRE BAKERSFIELD CITY FIRE DEPARTMENT t. FI ECLEARANCEGRANTED
AUTHORITY
NAME AND g00 TRUXTUN SUITE 210 i. FiRECLEARANCEDENIED
ADDRESS l BAKERSFIELD, CA 93301 ~ B coNSTTiucTloN
C. FIRE ALARM
MlSPECTDR'S MIME (1)pMaPriMrd) TELEPHONE NUMBER CRRS NUMBER OCCUPANCY CLASS D. ~~"~~
~' ~ ~ E. HouSEKEEPiNG
~~ ~~ t^~~ ~~ ~~~~ •.~... ~ ~- '~ F. SPECIAL HAZARD
DATE INSPECT 7U yp~d G. OTHER
is
E7~WN DENIAL oR LIST SPECIAL '