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INSPECTION RECORD _ ~, . , ,.. ., .. ..-,r K _ ~, ,... ~ .. w ~. ~. ~ r-.. ~~ 7(~ ~'S~S~ ~~ ~~~~ Bakersfield Fire Dept. ,1715 Chester Ave. Bakersfield, CA 93301 .. ~?~ ~~ DATE: .. ~ FACILITY ADDRESS: ~~~~ f I ~ _Z~: ~ FE ~ ~O~ ~ ~ ~~ FACILITY NAME: p' a _ MANAGER NAME: ~ ~ BUSINESS OWNER NAME, ADDRESS, ZIP CODE l n ~~ _ t /'FACT IT\~Y PHONE ~ _ ~~ I `~ ~ ` ~ \ U UY1 BILL TO: (IF DIFFERENT FROM ABOVE}---NAME, ADDRESS, ZIP CODE, PHONE No. OCC TYPE OCC LOAD G~ No. OF FLOORS ~ HI RISE BLDG,. ,~ YES O NO O RISER ~~ TE VIOLATION NOTICE CORRECTION: 1. 1 a ~ f, DATEbFREINSPECTION 2. ~ ' c~ ..~.- r \/ ~ 3. ~/ ~^ 4. 5. 6. 7. 8. 9. 10. 11. ENT'D , ,~~ 12. 13. 14. 15. NOTES ~1 \ ~ ~~ ~ \ ~ \ -..___ CUSTOMERr~ ~ INSPECTOR: AP No. FIRE PREVENTION SERVICES (661) 326-3979 WHITE ORIGINAL-OWNER YELLOW-INSPECTOR'S COPY PINK-FILE FD1952 ~e-~~ ~..~i.,t s'-- --.-•~=5-.~..r -• ~~~.,,.. ,..,~ ...,.-ss_,; :._~,-,-,rte „. ,._ .- -.5,~ _~,. -.,.i-v-~. .:ate.-,n ~~==~C~~ORRECTI®N t~IOTl BAKERSFIELD FIRE DEPARTMENT ~,~ Location ~' (~ ~'- ~-~~ ~ j = Name ~~--~ ~ ~-1~~~/ ©~1~ ~~~e~-, _ You are hereby required to make the following ~` ': corrections at the above location: - t Cor. No. 1 1 ~ ~..e ~- ~ ~i ~ 1 c~ ~' ~ ~ ~~,. t ~~ ~ ~ ~ 4 ~ ~~~ 1 ~ ~ ~e ~~~ t ~ ~V~~ . _ 1 .rd~~ ' ~ Completion Date for Crrorrections Date ~ ~~' ~40 ~--.._ FD 1950 inspector 326-3951 STA?E OF CALIFORNUI FIFE SAFETY INSPECTION REQUEST See lnstructlons on reverse. sTD. uao (REV. ~ae~) AGENCY CONTACTS NAME TELEPHONE NUMBER REQUEST DATE PROGRAM COMMUNITY CARE LICENSING 559 243-8080 10/20/06 109 EVALUATOR'S NAME REQUESTING AGENCY FACILITY NUMBER REQUEST CODE LORI BECK 157203467 1 A RESPONSE REQUIRED cones LICENSING ~TATE DEPT. OF SOCIAL SERVICES ~ 1. ORIGINAL A. FIRECLEARANCE 2. RENEWAL B. LIFE SAFETY AGENCY NAME AND COMMUNITY CARE LICENSING s. cAPACITYCHANGE ADDRESS 770 E. SHAW, SUITE 33O 4. OWNERSHIP CHANGE FRESNO, CA 93710-778 5. ADDRESS CHANGE 6. NAME CHANGE 7. OTHER AMBULATORY NONAMBULATORY BEDRIDDEN TOTAL CAPACITY CAPAGT! PREVIOUS CAPAGTY CAPACITY PREVIOUS CAPACITY CAPACITY PREVIOUS CAPACITY 0 0 5 0 0 0 5 EARLENE COURT STREET ADDRESS (Aclwl LocafbnJ 2200 EARLENE COURT crrY BAKERSFIELD. CA 93304 FAGUTY CONTACT PERSONS NAME J. KIMANTHI SMITH (888) 214-8957 sPEGAL coNDmoNs I FIRE BAKERSFIELD FIRE DEPARTMENT AUTHORITY NA~IEAND g00 TRUXTUN AVENUE, SUITE 210 ADDRESS II BAKERSFIELD, CA 93301 l.~ NISPECTOR'S NAME (TypU 0~~ ~~____.._r.. ~ TELEPHONE NUMBER ~- 9iSPECTION DATE INSPECTOR'S NATO a P a- ~-O 7 ~ ~ n ____ LICENSE GA7 EGUFI7 ADULT RESIDENTIAL NUMBER OF BUILDINGS ` 1 RESTRaNr NONE HWRS 24 HOURS CFlRS NUMBER I OCCUPANCY CLASS ~RE CLEARANCE GRANTED 2. FIRE CLEARANCE DENIED A. EXITS B. CONSTRUCTION C. FIRE ALARM D. SPRINKLERS E. HOUSEKEEPING F. SPECIAL HAZARD G. OTHER E%PWN DENIAL OR uST sPECIAL CDNanoNs .~ FIRE PREVENTION INSPECTION ~ Z- 1 BAKERSFIELD FIRE DEPT. -' B e R S F I D Prevention Services ~- ... iF~RE 900 Truxtun Ave., Ste. 210 - ARTM T Bakersfield, CA 93301 Tel.: (661) 326-3979 ^ Fax: (661) 852-2171 ~- 2~7 -~ DISTRICT BLOCK NO. DATE EE FACILITY ADDRESS O C TY,4 ATE, ZIP G33o // FACILITY NAME ~ MAN G R'S NAME FAC LITY P ON / BUSINESS OWNER'S NAME AND ADDRE ITY, S ATE, 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 CHECKED BELOW No. REQUIREMENTS COM STIB RY E W / 1 Remove and safely dispose of all hazardous refuse and dry vegetation on the above premises (U.F.C.) BU L ASTE D 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. (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 visible from the street to indicate the 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 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.) 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 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.) 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 CUSTOMER: (Signature) (Please Print Name Legibly, 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 S, FD 2022 (Rev. 09/05)