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Home My WebLink AboutBUSINESS PLAN,, ~=' C k ~ SHANNON OLIVES FC l ~, _ ~ 7504 DEMING COURT SS v~i.~ _r~~= Ft~E PRE~:ENTION INSPECTION + B E R S F I D P/IRE ABTM T _^ . r ..fir , BAKERSFIELD FIRE DEPT. f,n ~ ~Y J' Prevention Services ,I ~//J~ `~' 900 Truxtun Ave., Ste. 210 ~~~~ Bakersfield, CA 93301 Tel.: (661) 326-3979 ^ Fax: (661)'852-2171 r, DISTRICT BLOCK NO. DATE ,,. ~_. (~ ~ ('! EE FACILITY ADDRESS 1 ~~ ~ / CITY, STATE, ZIP ~~ FACILITY NAME . ~/( ,~ ~~~ ~ ~ ~a.~ v~- MANAGER'S N E _~s FACILITY 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, 21P, BILLING PHONE NO. O OCC L A NO. OF FLOORS HIGH RISE B G AA ~~IS R ATE ^ YES NO I V CORRECT ALL VIOLATIONS vio~~rioN REQUIREMENTS CHECKED BELOW xo. 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 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 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.) 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, o a~"~q+~yl[a mechanical device, or by an approved smoke and heat sensitive device. Self-closing doors shall hav o c m~t~ca le 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 allachment 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 1g r '# CUSTOMER: r ( ~ t j~-~,~ ~ ~ n (~, ~ ~( LEGEND: C.F.C. CALIFORNIA FIRE CODE ( natur (Please Print Name Legibly Title) U.B.C. UNIFORM BUILDING CODE B.M.C. BAKERSFIELD MUNICIPAL CODE iN$PECTOR: ~------~~ AP NO.: N.F.P.A. NATIONAL FIRE PROTECTION (Signature) ASSOCIATION N.E.C. NATIONAL ELECTRIC CODE White -Customer/Original Yellow -Station Copy Pink -Prevention Services FD 2022 (Rev. 09/05) ~--..~ ~„~ Y ~ .. STATE OF CALIFORNIA i FIR~.SAFETY INSPECTION REQUEST srD. eso tREV. lae~) See Instructions on reverse. AGENCY CONTACTS NAME TELEPHONE NUMBER REQUEST DATE PROGRAM COMMUNITY CARE LICENSING 559 243-4023 8-29-06 109 EVALUATOR'S NAME REOUESTINC3 AGENCY FACILITY NUMBER REQUEST CODE PATRICIA POLANCO 153903403 3A RESPONSE REQUIRED coDEs ~ ~ i. ORIGINAL A. FIRE CLEARANCE LICENSING TATE DEPT. OF SOCIAL SERVICES 2. RENEWAL B. LIFE SAFETY AGENCY NAIIAEAND COMMUNITY CARE LICENSING s. cAPACITYCHANGE ADDRESS 770 E. SHAW, SUITE 3OO 4. OWNERSHIP CHANGE FRESNO, CA 9371 O 5. ADDRESS CHANGE 6. NAME CHANGE 7. OTHER AMBULATORY NONAMBULATORY BEDRIDDEN TOTAL CAPACITY CAPACITY PaEVlous CAPAGTY CAPACITY PaEVlous cAPAarr CAPACITY PaEVlous cAPACRY 14 a - - - - 14 ' FACILTY NAME OLIVER, SHANNON FCC 5TAEET ADDRESS (Adwl LoeaNon) 7504 DEMING CT. NUMBER OF BUILDINGS 1 CRY BAKERSFIELD RESTRAINT ~BAKERSFlELD FIRE DEPT ~ coDEs FlRE AUTHORrfY NAIIEAND ADDRESS . g00 TRUXTON AVE. #210 ggKERSFIELD, CA 93301 L_ ~ ECIEARANCEGRANTED ~ ~ z. FlRE CLEARANCEOENIED A, ppTg, 8. CONSTRUCTION C. FlRE ALARM MdSPECTOR'S NAAAE p P t.~f ~~~ ~~-'2-^---_._ TELEPHONE NUMBER ~ ~~~ ~. ' ~ ~~~'S CFlRS NUMBEA ~.~~~L.~ p~UPANCY (;fig ~- D. SPRINIa.ER$ E. HOUSEKEEPiN(i F. SPECIALHATARD NISPECTION DATE INSPECTORS RE " yp~d a P ..__.. G. oTHER oENUL OR LIST sPEdAL DInoNS ucense cATtu~lr FAMILY CHILD CARE