HomeMy WebLinkAboutBUSINESS PLAN'~`,~ _ ~ ~ BAKERSFIELD FIRE DEPT. ~
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`< <~ a e e s F l D Prevention Services ~ ;'~ ~
FItRE PREVENTION INSPECTION FARE 90o Truxtun Ave., ste. 210 ~~
Bakersfield, CA 93301
Tel.: (661) 326-3979 ^ Fax: (661) 852-2171
DISTRICT BLOCK NO. DATE „- ~ ` EE ~ ~ `
FACILITY ADDRESS ~ ~ ~g ~`~~
U CITY, STATE, ZlP
FACILITY NAME
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~ , ,~/ ~ AGERiS NAME ~ FACILITY PHONE NO.
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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.
EC P OCC AD NO.OF FLOORS NIGH RISE BLDG RI E ATE
^ YES NO
CORRECT ALL VIOLATIONS VIOLATION REQUIREMENTS
CHECKED BELOW No.
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.)
q Relocate fire extinguisher(s) so that they will be in a conspicuous loc i Jrwanging on brackets with the top to the
extinguisher not more than 5 feet above the floor. (N.F P N 1 p
EXTINGUISHERS 5 Provide and install (amount) _____ approvet~ e s }•__________________ 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.)
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/
FIRE SEPARATIONS 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 Remoye 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 1g
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CUSTOMER: t/J~~~ C,p/ LEGEND:
C.F.C. CALIFORNIA FIRE CODE
S nature) (Please Print Name Legib ,Title) U.B.C. UNIFORM BUILDING CODE
INSPECTOR: ~ AP NO.: ~ B.M.C. BAKERSFIELD MUNICIPAL CODE
N.F.P.A. NATIONAL FIRE PROTECTION
(Signature) ASSOCIATION
N.E.C. NATIONAL ELECTRIC CODE
KBF-7320
White -Customer/Original Yellow -Station Copy Pink -Prevention Services FD 2022 (Rev. 09/05)
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:;, FR01'I FAX N0. :66167@@7B5 Aug. 23 2@@6 02:22PM P1
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STATE OF WlialWU • MEALTN AhQ NUNAN BEAYICEB ACIENGY CE~ARTI~Kr ~ 8OCY14 SERVICES
FfRE PRE-INSPECTION/CONSULTATION REG~UEST
NdTE: Complete and submit this foiyrt and payment of file. to the Firs Autiwrlty i~sp+ortsi6le ii~r
inspecting your faciifty. iD0 NOT send to Community Carr Licensing.
~• I hereby request the Fire Authority having jurisdiction to survey my property for compliance wig ttae fire and Ilfe eatery
provisions required for licensing as a:
j~ Ca»tnwnHy [dare Facility (tteaith 8~ Safety Cede 3ec~on 1502)
I~ i~esidentiai Care Faaiity far Elderty (Flealth ~ Safety Code Section 1588.2)
^ Child care Facility (Ftealth 8e Safely Code Section is96.7$0) ~~
with a capacity of:
~I 25 or less clients ($50.00 tee)
^ 26 or more dients ($100.OD fee)
Number of Nan-ambulanary N/A
F~ ~ ~J`GOtCS Youth 1=aality
enaa6ss 406 Leeta 5t
cmr Bakersfield
rnwwEaRx~-rrACr Bal'bara Scott
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Request/Fee Received
Fee To Accounting
Inspection Date
850 Received
Cleared
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ar 93307
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'-7ALIF~ORNIA
`~ SAFETY INSPECTION REQUEST
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STD: 850 (f~V. I a-sad
See instructions on reverse.
AGENCY CONTACT'S NAME TELEPHONENUMBER REQUEST DATE PROGRAM
LATCC 323 981- 3324 07/28/06 Group Home
EVALUATOR'S NAME REQUESTINGAGENCYFACILITYNUMBER REQUESTCODE
Esequiel Rodriguez 157806014 lA
CODES
- ---- 1. ORIGINAL A. FIRE CLEARANCE
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LICENSING
2. RENEWAL B. LIFE SAFETY
AGENCY Department of Social Services
NAME AND Los Angeles and Tri-Coastal Counties 3. CAPACITY CHANGE
ADDRESS Ch1ldTeri~S ReSlderitlal PrOgTam 4. OWNERSHIP CHANGE
1000 Corporate Center Dr. Suite 200A e. ADDRESS CHANGE
Montery Park, CA 91754
I_
6. NAME CHANGE
7. OTHER
AMBULATORY NONAMBULATORY BEDRIDDEN TOTAL CAPACITY
CAPACITY PREVIOUS CAPACITY CAPACITY PREVIOUS CAPACITY CAPACITY ~ PREVIOUS CAPACITY
0006 0006
FACILITY NAME LICENSE CATEGORY
Scotts Youth Facility GH-730
STREETADDRESS(ActualLocation) ~ NUMBER OF BUILDINGS
408 Leeta Street ~ 1
CITY RESTRAINT
Bakersfield, CA 93307
FACILITY CONTACT PERSON'S NAME HOURS
Cora Reed
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- 24/7
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SPECIALCONDITIONS --- -'- --..~.-'-'------'---'~-- -~~
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TO BE COMPLETED BY`INSPECTING AUTHORITY
-- -
- -_--
CLEAR DENIALCODE
CODES
FIRE Bakersfield City Fire Department IRE CLEARANCE GRANTED
AUTHORITY prevention Services
NAME AND 900 Truxtun Ave., SUlte 21O 2. FIRE CLEARANCE DENIED
ADDRESS Bakersfield, CA 93301 A. ExITs
~ B. CONSTRUCTION
~ C. FIRE ALARM
INSPECTOR'S NA4AE(T ed or Printed) TELEPHONE NUMBER Y CFIRS NUMBER OCCUPANCY CLASS D. SPRINKLERS
_ E. HOUSEKEEPING
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~~(~~~J F. SPECIAL HAZARD
IN//S;P;ECTION DypA`T~~Epp I INSPECTOR'S T dorPrinted)l G. OTHER