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VALLEY ACHIEVEMENT CTR
7300 MING AVENUE
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~~ SIRE PREVENTION INSPECTION ' e ~F~RE t
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BAKERSFIELD FIRE DEPT.
Prevention Services ~ ~?/1
900 Truxtun Ave., Ste. 210
Bakersfield, CA 93301 '
Tel.: (661) 326-3979 ^ Fax: (661) 852-2171
DISTRICT BLOCK NO. DATE ~- „- /~
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FACILITY ADDRESS ~ ~ ~ O ~../~-~ CITY, STATE, ZIP
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FACILITY~NAME N ER'S NA FACT PHONE NO
BUSINESS OWNER'S NAME AND ADDRES
r C ,STATE, ZIP OWNER'S PHO ENO.
BILL TO: (IF DIFFERENT FROM ABOVE) NAME, ADDRESS CITY, STATE, ZIP, BILLING PHONE NO.
LO
OC NO. OF FL
ORS HIGH RISE LD~ RISER DA' E
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CORRECT ALL VIOLATIONS vio~~riox REQUIREMENTS
CHECKED BELOW - xo.
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 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,
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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 es`c~ape. (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 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.
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~ B.M.C. BAKERSFIELD MUNICIPAL CODE
INSPECTOR: G-~----_._._. AP NO.: N.F.P.A. NATIONAL FIRE PROTECTION
~ (Signature) ASSOCIATION
N.E.C. NATIONAL ELECTRIC CODE
White -Customer/Original Yellow -Station Copy Pink -Prevention Services FD 2022 (Rev. 09/05)
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'SIRE SAFETY INSPECT{ON REQUEST
~~TO. eso IREV. ~o•eq
See Instructions on reverse.
AGENCY CONTACTS NAME TELEPHONE NUMBER REQUEST DATE PROGRAM
COMMUNITY CARE LICENSING 559 243-4580 04/17/06 109
EVALUATOR'S NAME REQUESTING AGENCY FACILITY NUMBER REQUEST CODE
Cynthia Brannon #322/cj 153801643 3A
RESPONSE REQUIRED coDEs
LICENSING rSTATE DEPT. OF SOCIAL SERVICES ~ 1. ORIGINAL A. FIRE CLEARANCE
2. RENEWAL B. LIFE SAFETY
AGENCY
NAME AND COMMUNITY CARE LICENSING
3. CAPACITY CHANGE
ADDRESS 770 E. SHAW AVENUE, SUITE 300 a, owNERSHI?CHANGE
FRESNO
CA 93710-778 5. ADDRESS CHANGE
, 6. NAME CHANGE
7. OTHER
AMBULATORY NONAMBULATORY BEDRIDDEN TOTAL CAPACITY
CAPACITY PREVOUS CAPACITY CAPACITY PREVIOUS CAPACITY CAPACITY PREVIOUS CAPACITY
9 6 15
FAGLITY NAME LICENSE CATEGORY
Valle Achievement Center PS
STREET ADDRESS (Adwl LouNon) _ NUMBER OF BUILDINGS
7300 Min Avenue 1
CITY RESTRAINT
Bakersfield, CA 93309 NONE
FACILITY CONTACT PERSON'S NAME HOURS
Jolene BiAinger (661) 834-8670 DAYS
sPECIAL CQNOmoNs
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CLEARAN- C~FN44.CODE
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AUTHORITY Bakersfield Fire Department ~~FIRECLEARANCEGRANTED
FuiA.Ei.~.D
ADDRESS 5f42 Victory Street
gBkerSfie{d,Ca 93308 2. FlRE CLEARANCE DENIED
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~~ BAKERSFIELD FIRE DEPT. ~dl l
Prevention Services l~ , 1
FIRE PREVENTION INSPECTION ' e EFiRE I o 900 Truxtun Ave., ste. Zlo J
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Bakersfield, CA 93301
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Tel.: (661) 326-3979 ^ Fax: (661) 852 71 ~,
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BUSINESS OWNER'S NAME AND ADDRESS CITY, §TA7E, 21P ~ OWNER'S PHONE NO.
BILL TO: (IF DIFFERENT FROM ABOVE) NAME, ADDRESS CITY, STATE, ZIP, BILLING PHONE NO.
OCC TYPE
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1 NO. OF FLOORS HIGH RISE BLDG h~ RISER DATE
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CORRECT ALL VIOLATIONS VIOLATION REQUIREMENTS
CHECKED BELOW No.
IBLE WASTE /DRY
OMB 1 Remove and safely dispose of all hazardous refuse and dry vegetation on the above premises (U.F.C.)
C
UST
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.)
•~ ,q Relocate fire extinguisher(s) so that they will be in a conspicuous location, hanging on brackets with the top to the
s '. 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.)
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 o trees 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.),r - - 'j
STORAGE 13 Remove all storage and/or other obstructions from fire escape Landings and stairways stair shafts. (Fire
escapeslstair 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.
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U.B.C. UNIFORM BUILDING CODE
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BAKERSFIELD MUNICIPAL CODE
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INSPECTOR: ,/ ,U
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N.E.C. NATIONAL ELECTRIC CODE
white - CustomerfOriginal Yellow -Station Copy Pink -Prevention Services - FD 2022 (Rev. 09/05)