HomeMy WebLinkAboutBUSINESS PLANNEW BLESSING YOUTH HOME
6301 gp,RLESS STREET
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V~,NTLON INSPECTION B Ep,RE' D
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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. DATE _ L' EE /,~ ~
FACILITY ADDRESS Q CITY, STATE, 21P
FACILITY NAME c..yA „ - _ , MANAG E FACILITY PHONE NO
BUSINESS OWNER'S NAME AND ADDRESS CITY, TATE, ZIP OW ER'S PHONE NO.
BILL TO: (IF DIFFERENT FROM ABOVE) NAME, ADDRESS CITY, STATE, ZIP, BILLING PHONE NO.
E OCC L D NO. OF FLO RS HIGH RISE BLD RI E TE
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CORRECT ALL VIOLATIONS VIOLATION 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 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 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.)
~ 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.)
8 Provide and maintain appropria tiers on a contrasting background and visible from the street to indicate the
correct address of the building. .) .)
g Repair all (cracks/holes/openings) in plaster in (I a ' n) ________________________________. Plastering
FIRE DOORS/
FIRE SEPARATIONS shall return the surface to its original fire resistive condition. .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.)
,
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 ~
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CUSTOMER: `~-~C/' -
n LEGEND:
~ C.F.C. CALIFORNIA FIRE CODE
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(Please Pflnt Name Legibly Title) U.B.C. UNIFORM BUILDING CODE j
~ B.M.C. BAKERSFIELD MUNICIPAL CODE
INSPECTOR: ~ /`~
AP NO.: ~. N.F.P.A. NATIONAL FIRE PROTECTION
` Signatu e) ASSOCIATION
N.E.C. NATIONAL ELECTRIC CODE
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White -Customer/Original Yellow -Station Copy Pink -Prevention Services FD 2022 (ReV. 09/05)
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STATEOFCAUFO~'
FIRE SAFETY INSPECTION REQUEST
See instructions on reverse.
3TD.850(REV.10-94)
AGENCY CONTACT'S NAME TELEPHONE NUMBER i REQUEST DATE PROGRAM
LATCC ~ 323 981-3329 ~ ] 0/ 16/2006 Group I-lomc
EVALUATOR'S NAME REQUESTING AGENCY FACILITY NUMBER I REQUEST CUDE
CJ Quitoriano 157806023 ~ I A
CODES
---~ 1. ORIGINAL A. FIRE CLEARANCE
LICENSING 2. RENEWAL B. LIFE SAFETY
AGENCY Department oPSocial Services
NAME AND L.os Angeles and Tri-Coastal Counties 3. CAPACITY CHANGE
ADDRESS Children's Residential Program 4. OWNERSHIP CHANGE
100() COCpOrate Center Dr. Suite 200A
Montery Park, CA 91754 5. ADDRESS CHANGE
6. NAME CHANGE
7. OTHER
AMBULATORY NONAMBULATORY BEDRIDDEN TOTAL CAPACITY
CAPACITY PREVIOUS CAPACITY CAPACITY PREVIOUS CAPACITY CAPACITY ~ PREVIOUS CAPACITY
6 6
FACILITY NAME LICENSECATEGORY
New Blessing Youth Home GH-730
STREET ADDRESS (ACh~al Location) NUM BER OF BUILDI NGS
6301 I-Iarless St. t
CITY ~ RESTRAINT
Bakersfield, CA 93307
FACILITYCONTACT PERSON'S NAME HOURS
Katherine Jones (66l) 827-0518 24/7
SPECIAL CONDITIONS
_ TO BE COMPLETED BY INSPECTING AUTHORITY ~ cL+ NI c~oD
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FIRE Bakersfield City Fire Department
AUTHORITY Prevention Services
NAME AND q00 '1•ruxtun Ave., Suite 210
ADDRESS Bakersfield, CA 93301
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INSPECTOR'S NAME(Tygedor Printed) TELEPHONE NUMBER CFIRS NUMBER
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INSPECTION DATE INSPECTOR'S SIG ATU T ed or Printed) _ t
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EXPLAINDENIALORLISTSPECIALCONDITI S ''~-~''
1. FIE CLEARANCE GRANTED
FIRE CLEARANCE DENIED
A. EXITS
B. CONSTRUCTION
C. FIRE ALARM
__..._..._._.__.__.__......_..__ D. SPRINKLERS
OCCUPANCY CLASS
E. HOUSEKEEPING
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~ F. SPECIAL HAZARD
y G. OTHER