HomeMy WebLinkAboutBUSINESS PLAN,~ f ~~ . _r~ ~ BAKERSFIELD FIRE DEPT.
~~n Prevention Services
~~ ~' • FIRE PREVENTION INSPECTION ' a EFiRE I D 90o Truxtun Ave., ste. 210 ~~
:,-,~~ ~ R rrr r ~~
Bakersfield, CA 93301
Tel.: (661) 326-3979 ^ Fax: ( 852-2171
DISTRICT BLOCK NO. DATE ~ s ~) ~ ~.
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FACILITY ADDRESS ^,Q
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FACILITY NAME
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NAG 'S AME . ~ P
BUSINESS OWNER'S NAME AND ADDRESS , STATE, Z O NER'S PHONE NO.
BILL TO: (IF DIFFERENT FROM ABOVE) NAME, ADDRESS CITY, STATE, ZIP, B LING PHONE NO.
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OC ~1FP OCC LOAD NO. OFF OORS HIGH RIS BL G R SE ~ TE
^ YES NO
CORRECS ALL VIOLATIONS VIOLATION
CHECKED BELOW No. ~.....~ REQUIREMENTS
COMBUSTIB
STE /DRY
E W ~ Remove and safely dispose of all hazardous refuse and dry vegetation on the above premises (U.F.C.)
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A
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 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 background and visible from the street to indicate the
correct address of the building. (B.M.C.) (U.F.C.)
FIRE DOORS/
FIRE SEPARATIONS g Repair all (cracks/holes/openings) in plaster in (location) _________
shall return the surface to its original fire resistive condition. (U.B. _______________________. Plastering
Remove/re air item & location _ __ Self-closin
doors shall be designed to close by gravity, ortby the action of a mechanical devic o~by~n pproved smoke and
heat sensitive device. Self-closing doors shall have no attachments capable of preventirr~(eyytl~/rJp~ration of the
closing device. t(U.F.C.) ttt///(Jp
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 bf Section 1102 dealin with recreational fires or o en burnin U.F.C.
~,:
FIREWORKS
17
Violations of Section 7802 U.F. or 8.49.040 of the Bakersfield Munici al ode B.M.C. re ardin fireworks.
OTHER 16
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CUSTOMER:
~ ture) ease Print Name Legibly It~e)
INSPECTOR: ~ AP NO.:
Slgnatur ~ 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
~~
White - CustomerlOriginal Yellow -Station Copy Pink -Prevention Services FD 2022 (Rev. 09/05)
> " 6TATF OF~t4lFORNIA
FI'D`E-T-~~r`ECTION REQUEST
..sro. eso (REV. To-w>
See lnstruetJons on. reverse.
AGENCY CONTACTS NAME TELEPHONE NUMBER REQUEST DATE PROGRAM
COMMUNITY CARE LICENSING 559 243-8080 7/11/06 109
EVALUATOR'8 NAME REQUESTING ApENCV FACILITY NUMBER REQUEST CODE
MELAINE LINARES ~ 157203424 1A
RESPONSE RE
UIRED cones
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~
~ 1. ORIGINAL A. FIRE CLEARANCE
LICENSING
TATE DEPT. OF SOCIAL SERVICES 2. RENEWAL B.UFESAFETY
AGENCY
NAYEAND COMMUNITY CARE LICENSING s. CAPACITY CHANGE
ADDRESS 770 E. SHAW, SUITE 33O 4. OWNERSHIP CHANGE
FRESNO, CA 93710-778 5. ADDRESS CHANGE
6. NAME CHANGE
7. OTHER
AMBULATORY NONAMBULATORY BEDRIDDEN TOTAL CAPACITY
CAPACITY PREYpU6 CAPACITY CAPACITY PREVIOUS CAPACITY CAPACITY PREVIOUS CAPACITY
2 0 1 0 0 0 3
FACILITY NAME ucENSe CATTepOFir
MARIE'S FACtL1TY ADULT RESIDENTIAL
STTaEET ADDRESS (Aotwl Location) NUMBER OF BUILDING6
3508 MADRID AVENUE ~ 1
.......... .
CTTY. ,_„..._,.•.._.._...__._,_ .....W„•,.,..~~ RESTRAINT
BAKERSFIELD, CA 93'309 .:---~~'""~w~ •~~•~ ~ '-'~'°~-. NONE
FACILITY CONTACT PER60N'6 NAME HOURS
JUNE MARIE ELBAD/AWY (661) 834-0651 ~~ •- l l ~ 3 ~~-~-C..IC~ 24 HOURS -
sPECUL coNDrnaNs
CLEMMICE N U1L CODE
CODES
FlRE KERN CO FIRE DEPARTMENT ~• Fl ECLEARANCEGRANTED
AUTHORITY FlRE CLEARANCE DENIED
NAYEAND 5642 V_LC-T~° ~T~~~~, ~~~~~~~ J,,~l~
ADDRESS BAKERSFIELD, CA 93308 ~ °`~
B. CONSTRUCTION
C. FlRE ALARM
MSPECTOR'S NAME (i)pW or TELEPHONE NUMBER CRRS NUMBER OCCUPANCY paSg D. SPRINKLERS
~r~ / j ~ 1 r E. HOUSEKEEPING
~' ' ' ~LG'r ,- i 1~+'7---- l f%Ci / ~~ ! ` . ~+~ ~~~ 4 ~,'~ F. SPECIAL HAZARD
l1SPECiTON Dl~ / INSPECTOR'S SK3 ~ or G. OTHER
.,c~~'V ~0 ~..
E>~IAIN OENUIL OR LIST SPECIAL CON