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Home My WebLink AboutBUSINESS PLANn - .:c' - .,,Y- . ~, ~YV'}. S_ "1`~-". - .h' w- ~ ~ ~'.~ ~ •~,.,~.%~ ~ yc-vy, ..~~- wti ~-~- ...a- r- . , .. '4, '~~ Y ~ ~.'/I}~',1~ ~'~x fr t ~q ~ a"~,rf "jr af~ ,~ "~ t . ~ ~~ .d~~; "+3~ ` ,:~ ` BAKERSFIELD FIRE DEPT. Prevention Services ,IRE PREVENTION INSPECTION a EFi1RiE ` D - ste. 2io ' ARTM T 900 Truxtun Ave., Bakersfield, CA 93301 / Tel.: (661) 326-3979 ^ Fax: (661 2-21 1 DISTRICT BLOCK NO. DATE ~~, ~,,, EE ~ . ~--~ FACILITY ADDRESS / _ I1,Q ~r (,~ V („) CITY, STATE, ZIP FACILITY NAME MANAGER'S NAME Q. FACILI NE NO. O BUSINESS OWNER'S NAME AND ADDRESS ` CITY, STATE, Z OWNER'S PHONE NO. r BILL TO: (IF DIFFERENT FROM ABOVE) NAME, ADDRESS CITY, STATE, ZIP, BILLING PHONE NO. CC E OC LOAD NO. OF FLO RS HIGH RISE B DG -° ; ~ ak RISER DA ^ YES NO CORRECT ALL VIOLATIONS vio~~rioN 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.) - -------------------------- 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~~n~~s ig t over each required exit (door/window) to V 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 -------------------------GYU. FIRE DOORS / FIRE SEPARATIONS shall return the surface to Its original fire resistive condition. (U.B.C.) " 10 Remove/repair (item 8 location) __________________________________.oP! = __________________. 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.) 14 Extension cords shall not be used in lieu oT 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 1g l II CUSTOMER: ~~-+'yl'"~,~ LEGEND: C.F.C. CALIFORNIA FIRE CODE (SI 11 ' ure) (Please Print Name Legibly, Itlu) U.B.C. UNIFORM BUILDING CODE B.M.C. BAKERSFIELD MUNICIPAL CODE INSPECTOR: ,~ AP NO.: N.F.P.A. NATIONAL FIRE PROTECTION ~ (Signature) ASSOCIATION N.E.C. NATIONAL ELECTRIC CODE KBF-7320 y White -Customer/Original Yellow -Station Copy Pink -Prevention Services FD 2022 (Rev. 09/05) f -~ E i F',~TE OF.F. ELIFORNIA~. 'I FIRE ~~ETY INSPECTION REQUEST s1<~. Bso (REV. Tasu> See lnstructlons on reverse. AGENCY CONTACT'S NAME TELEPHONE NUMBER REQUEST DATE PRODRAM COMMUNITY CARE LICENSING 559 243-8080 07/22/06 109 EYALUATOR'3 NAME REQUESTING AGENCY FACILITY NUMBER REQUEST CODE #0222 ANDY XIONG # 157203382 1A RESPONSE REQUIRED coDEs 1. ORIGINAL A. FIRE CLEARANCE ucENSiNG ~ TATS DEPT OF SOCIAL SERVICES 2. RENEWAL B. LIFE SAFETY AGENCY NAMEAND Community Care Licensing Branch 3. CAPACITY CHANGE ADDRESS 770 E. Shaw Avenue, Suite 330 4. OWNERSHIP CHANGE Fresno, CA 93710 5. ADDRESSCHANGE 6. NAME CHANGE Y. OTHER AMBULATORY NONAMBULATORY BEDRIDDEN TOTAL CAPACITY CAPAgTY PREVIOUS CAPACITY CAPAGTY PREVIOUS CAPACITY CAPACITY PREVIOUS CAPACITY -0- -0- -6- -0- -0- -0- ~ 6 FAGUTY NAME uctrvst c:w~ ttivHr DIVINE MERCY GUEST HOME I 740 RCFE STREET ADDRESS (Actwl LoeaNonJ NUMBER OF BUILDINGS 6108 COCHRAN 1 CITY RESTRAINT BAKERSFIELD CA. 93309 NONE FAgLITY CONTACT PERSON'S NAME HOURS SUSAN H. BAAL MGR/ADM. 24 HOURS SPEgAL CONDITIONS _ TELEPHONE : 661-852-0464 CLEARANCE I~NIAL CODE BAKERSFIELD FIRE DEPARTMENT FlRE g00 TRUXTON AVE #210 AUTHORITY . NAIAEAND BAKERSFIELD, CA. 93301 ADDRESS L NJSPECTOR'S NAME (Tjpad or Pdnt~ TELEPHONE NUMBER nw~t ins~croF I ATU ~pwa :.I~NAL oR usT sPEaAL c DITIaNs /_ 1. FIRE CLEARANCE GRANTED 2. FIRE CLEARANCE DENIED A. EXITS B. CONSTRUCTION C. FIRE ALARM CFlRS NUMBER OCCUPMICY CIJ188 D. SPRINKLERS ~, ~ ~ E. HOU8EKEEPING ~ F. SPECIALHAZARO G. OTHER FIRE PREVENTION INSPECTION BAKERSFIELD FIRE DEPT. Prevention Services 900 Truxtun Ave., Ste. 210 ~~ O1 ~~ Bakersfield, CA 933 Tel.: (661) 326-3979 ^ Fax: (661 2-2171 i r. i DISTRICT BLOCK NO. DATE ~_ ~2 _ /1~ J `,J EE 1~ 1\ FACILITY ADDRESS / ~ ry!~ ~ .~, - ty~ I~j ~~...JJ ~ \ 1 _ CITY, STATE, ZIP FACILITY'NAME }~ t MANAGER'S NAME FACILITY PHONE NA.' 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. OF FLOORS HIGH RISE BL G n RISER DATE ^ YES NO /~~\Jj CORRECT ALL VIOLATIONS vio~~TioN CHECKED BELOW No. ' 1 REQUIREMENTS IBLE WASTE I DRY 1 Remove and safely dispose of all hazardous refuse and dry vegetation on the above premises (U.F.C.) COMBUST 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.) q 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.) 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 bac r n Isible from the street to indicate the correct address of the building. (B. M.C.) (U. ~, FIRE DOORS/ FIRE SEPARATIONS g Repair all (cracks/holes/openings) in plaster ca ion) ______________________________________. 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 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 / tl '~ `1 t~ ~ ~ . t~`1 CUSTOMER: `" ;'r ~~i.'~~^-~C,~~'>:` F% ~~'~~~,~1~r'. ~~~ /lr~~ (,Signatu e) (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 B E R S F I D P/RE D AIP1M T rtor-razu White -Customer/Original Yellow -Station Copy Pink -Prevention Services FD 2022 (Rev. 09/05)