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BUSINESS PLAN
r ~ _ ~° AUNT CORA'S HOME 3716 HARRIS ROAD - i ~~~ FIRE PREVENTION INSPECTION ' `' a EF/RE t D Derr r ,,, DISTRICT BLOCK NO. DATE 1 ,_ r ' EE ~---"' t FACILITY ADDRESS ~ i` ~ I ( _ CITY, STATE, ZIP Cf, "~ ~ ~ !~ FACILITY NAME / t C MANAGER'S NAME FACILITY PHONE NO. ~. BUSINESS~OWNER' N ME AND ADDRESS~_. ~ c!?~-. CITY, STATE, ZIP ~ ; ~~ ~ 1 ~ OWNER'S P ONE` O. ' ~~ ` BILL TO: (IF DIFFERENT FROM ABOVE) NAME DR S ~~~~ CITY, STATE, ZIP, "-'~ BILLING PHONE NO. OCC TYPE OCC LOAD NO. OF FLOORS HIGH RISE BLDG , 7 ~ ~ER DATE ~~ NO ^ YES CORRECT ALL VIOLATIONS VIOLRTION REQUIREMENTS v CHECKED BELOW Ho. 1 Remove and safely dispose of all hazardous refuse and dry vegetation on the above premises (U.F.C.) COMBUSTIBLE WASTE /DRY 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 locatior, 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) __________________ p©~p~fir~ ~tirl~o~r to be L immediately accessible for use in (area) __________________________ C C 1 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/ ARATI NS shall return the surface to its original fire resistive condition. (U.B.C.) FIRE SEP O 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.) Exlrs 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.) 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 Bak rsfield Munici al Code B.M.C. re ardin fireworks. OTHER 1g ~ \ ~ ~.. 1 t `` r CUSTOMER: ~ (~ t~! \ Y~ 1 ~ 6-~.(~" tr~ -J~i~ )~~/~1'{'~ ~~ LEGEND: . `. ~,. ~- ~(.Signa~ re) (Please Print Name Legibly, Title) C.F.C. CALIFORNIA FIRE CODE U.B.C. UNIFORM BUILDING CODE `'a I ~ ~ B.M.C. BAKERSFIELD MUNICIPAL CODE INSPECTOR: AP NO.: , ~ N.F.P.A. NATIONAL FIRE PROTECTION ~ (ignature) ~ ~C......i ASSOCIATION N.E.C. NATIONAL ELECTRIC CODE BAKERSFIELD FIRE DEPT. {~~ Prevention Services ~~ 900 Truxtun Ave., Ste. 210 ~/~ Bakersfield, CA 93301 '~ Tel.: (661) 326-3979 ^ Fax: (661)_8 2-2171 ~; ~v~.., , v~ ec.~ ~~.~ White -Customer/Original Yellow -Station Copy Pink -Prevention Services FD 2022 (Rev. 09/05)