HomeMy WebLinkAboutBUSINESS PLAN''~ ENCORE GARDENS °
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FIRE PREVENTION INSPECTION
B E R S F I L D
F/RE
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BAKERSFIELD FIRE DEPT.
Prevention Services ~-~
900 Truxtun Ave., Ste. 210 ~~~~
Bakersfield, CA 93301
Tel.: (661) 326-3979 ^ Fax: (661) 52-2171
DISTRICT
BLOCK NO.
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FACILITY ADDRESS ~ ~ ~ ^ ~Q
/ CITY, STATE, ZIP
FACILITY NAME ~ /^'
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n 7 ~I ~ 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 iTl`PE OCC O D NO. OF FLOORS HIGH RISE BLDG ISER DAfE
.~" ^ YES ~ NO
CORRECT ALL VIOLATIONS VIOLATION r
f 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, 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 o more inches in height over each required exit (doorlwindow) to
SIGNS fire escape. (U.F.C.) ~
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Provide and maintain appropriate numbers on a contrasting bac g u d ~~I from fh'e street to indicate the
correct address of the building. (B. M.C.) (U.F.C.) ~~
g Repair all (crackslholeslopenings) in plaster in (location) _ ________________. Plastering
---------------------
FIREDOORSI
FIRE SEPARATIONS shall return the surface to its original fire resistive condition. (U.B.C.) ~ ~,.%'
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-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 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 1 I
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CUSTOMER: ;~iy1JA-~/S.(/q~' '~ ~
'~ "~ ~~~'L^Y~~ LEGEND:
Signature ~ (PI~'ase Print Name Legibly itle) C.F.C. CALIFORNIA FIRE CODE
U
B
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UNIFORM BUILDING CODE
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~ B.M.C. BAKERSFIELD MUNICIPAL CODE
INSPECTOR: :vt
-~-- 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)
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STATE OFCAUFORNIA `A 4 ~. `^e~ .~ ~~~~ ~r r.}~ ~ SE1"~ k' a4:~d s,u ~.~G ~ ~ ~&.. ~ ~ #.' ~~
FIRE SAFETY INSPECTION REQUEST ' ~ ~.v~
See InstructIons on reverse.
sTn. eso IREV. ~o-ea>
AGENCY CONTACTS NAME TELEPHONE NUMBER REQUEST DATE PROGRAM
COMMUNITY CARE LICENSING 559 243-8080 04/02/07 109
EVALUATOR'S NAME REQUESTING AGENCY FACILITY NUMBER REQUEST CODE
#0200 Diana Chapman #157203946 1A
RESPONSE REQUIRED cones
1. ORIGINAL A. FIRE CLEARANCE
LICENSING STATE DEPT OF SOCIAL SERVICES 2. RENEWAL B. LIFE SAFETY
AGENCY
NAME AND COmmUnlty Care LICenSing Branch 3. CAPACITYCHANGE
ADDRESS 770 E. Shaw Avenue, Suite 330 4. OWNERSHIP CHANGE
Fresno, CA 93710 5. ADDRESS CHANGE
6. NAME CHANGE
7. OTHER
AMBULATORY NONAMBULATORY BEDRIDDEN TOTAL CAPACITY
CAPACITY PREVOUS CAPACITY CAPACITY PREVIOUS CAPACITY CAPACITY PREVIOUS CAPACITY
--0- -0- -6- -0- - - 6
FAGUTY NAME UGENSE GAT tti{JFiT
ENCORE GARDENS 740 RCFE
STREET ADDRESS (Actual Location) NUMBER OF BUILDINGS
4816 ENCORE COURT 1
clTV RESTRaNr
BAKERSFIELD CA. 93313 NONE
FACILITY CONTACT PERSON'S NAME HOURS
BERNARDITA IMMING ADM. 24 HOURS
sPEaa coNDmoNs
TELEPHONE: 661-835-7160
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ITY OF BAKERSFIELD ~ CODES
FlRE 1600 TRUXTON AYE
STE 401 F ECLEARANCEGRANTED
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AUTHORITY
NAME AND BAKERSFIELD, CA. 93301 i. FlR CLEARANCE DENIED
ADDRESS A, DOTS
8. CONSTRUCTION
C. FlRE ALARM
MlSPECTOR'S NAME (ryyad a P ) TELEPHONE NUMBER CflRS NUMBER O~pANCV CLASg D. SPRINKLERS
~ E. HOUSEKEEPING
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WSPECTION DATE INSPECT ypad a P ' ad)
EXPLAIN DENIAL aR UST sPECIAL~a'ta