The URL can be used to link to this page

Home My WebLink AboutBUSINESS PLANr U KIM LAWRENCE FCC ~~ ~~ 25 LOMA LINDA DRIVE TA`~ 1r 51 ~ y.r-°`„ FIRE PREVENTION -INSPECTION B EF/RE' L D ARTM T ~J'1o~ 9' a a ~- BAKERSFIELD FIRE DEPT. Prevention Services 900 Truxtun Ave., Ste. 210 ~ Bakersfield, CA 93301 Tel.: (661) 326-3979 ^ Fax: (661) 852-2171 DISTRICT BLOCK NO. DATE I ~ ~„~ ~ A EE ~ ~ FACILITY ADDRESS °~ ~ Gj~ J CITY, ST TE, ZIP (~ ~ ~ a / FACILITY NAME MANAGER'S NAME FACILITY PHONE NO. v ~-/ 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 T PE ~~ OCC LO D ~ NO. OF FLOORS HIGH RISE BLDG ~ ISER DATE ` NO OYES ~ CORRECT ALL VIOLATIONS VIOLATION 1 REQUIREMENTS CHECKED BELOW "' no. OMBUSTIBLE WASTE I DRY 1 Remove and safely dispose of all hazardous refuse and dry vegetation on the above premises (U.F.C.) 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 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. ~ 7 Provide and maintain "EXIT" sign(s) with letters 5 or more inches in heig t ove ~e required exit (doorlwindow) 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 (crackslholes/openings) in plaster in (location) ______________________________________. Plastering FIRE DOORSI FIRE SEPARATIONS shall return the surface to its original fire resistive condition. (U.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 Bakersfi Id Munici al Code B.M.C. re ardin fireworks. OTHER 18 t O ~ Gl ~ ' ~~'~/' V J. l .r CUSTOMER: ~~~'-'~~-~+~~ ~ 't`\~~ ~-~~~ LEGEND: (Signature) (Please Print Name Legibly, Title) C.F.C. CALIFORNIA FIRE CODE U.B.C. UNIFORM BUILDING CODE ! B.M.C. BAKERSFIELD MUNICIPAL CODE INSPECTOR: ~ Ul AP NO.: N.F.P.A. NATIONAL FIRE PROTECTION t ($IgnatUre) ~ ASSOCIATION N.E.C. NATIONAL ELECTRIC CODE White -customer/Original - ~ ~~ Yellow -Station Copy Pink -Prevention Services FD 2022 (Rev. 09/05) :~.._ STATE Alli ORNIA FI~SE SA~1~'IaGy~NSPECTION REQUEST sro. rtso (REV. ~o•~~ See Instruct/ons on reverse. AGENCY CONTACTS NAME TELEPHONE NUMBER REQUEST DATE PROGRAM COMMUNITY CARE LICENSING 559 248-2885 - 1-16-07 109 EVALUATOR'S NAME REQUESTING AGENCY FACILITY NUMBER REQUEST CODE PATRICIA MENDOZA 0378 153904321 5A RESPONSE REQUIRED cooEs LICENSING ~TATE DEPT. OF SOCIAL SERVICES ~ 1. ORIGINAL A. FIRE CLEARANCE 2. RENEWAL B. LIFE SAFETY AGENCY NAI~AEAND COMMUNITY CARE LICENSING a. cAPACITVCHANGE ADDRESS 770 E. SHAW, SUITE 3OO 4. OWNERSHIP CHANGE FRESNO, CA 9371 O 5. ADDRESS CHANGE 6. NAME CHANGE ' 7. OTHER AMBULATORY NONAMBULATORY BEDRIDDEN TOTAL CAPACITY CAPACITY PREVOUS CAPACITY CAPACITY PREVIOUS CAPACITY CAPACITY PREVIOUS CAPACITY 1+ - - - - - 14 FACILffY NAME LAWRENCE, KIM FCC STREET ADDRESS (Acfwl Location) 25 LOMA LINDA DR. cmr BAKERSFIELD 93305 FApL1TY CONTACT PERSON'S NAME KIM LAWRENCE (6611 323-5758 I sPEaa coNOmoNs PLEASE CHECK ALL ROOMS INCLUDING THE GARAGE LJGENSE GATEGVRY FAMILY CHILD CARE NUMBER OF BUILDINGS 1 RESTRAINT NO HOURS DAYTIME BAKERSFIELD FIRE DEPT. FlRE g00 TRUXTON AVE #210 AUTHORITY . NA111EAND gAKERSFIELD, CA 93301 ADDRESS MtSPECTOR'S NAIL (Typd aP ELEPHONE NUMBER T / ECTKIN DATE INSPE ~, .. AIN DENIAL OR IJST SPECIAL CODES 1. IRE CLEARANCE GRANTED 2. FIRE CLEARANCE DENIED A. EXITS B. CONSTRUCTION C. FlRE ALARM CflRS NUMBER OCCUPANCY CLASS D. SPRfrIKLERS E. HOUSEKEEPING ~~ ~ J F. SPECIAL HAZARD G. OTHER