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HomeMy WebLinkAboutBUSINESS PLAN ii VALLEY ACHIEVEMENT CTR 7300 MING AVENUE "~ D ~ .+ 5 , I ~~,~,,,.,_;, ~~ SIRE PREVENTION INSPECTION ' e ~F~RE t .r~ ~Rrr r 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 ~- „- /~ ( J EE ~ ,~,/~- FACILITY ADDRESS ~ ~ ~ O ~../~-~ CITY, STATE, ZIP ~~~ 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 / ~ ^ YES ENO 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, E 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. OTHER 1g 1 ~ 1' 1 J ~ f_ ~ • ~~ ./ ~ / ~ • ~ ,~ ~'j'J CUSTOMER: EGEND: , , ~Sl natUre) (Please Print Name Le~ibl itle) C.F.C. CALIFORNIA FIRE CODE g y~ U.B.C. UNIFORM BUILDING CODE ~ 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) ~. . r ~ S';ATE ~ CALIFORNIA '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 ':. `~ ~ "~~. .u ~ € i ` 8.~ CflL1PLETED BY IN3PECT1N6 AUTHQ+ CLEARAN- C~FN44.CODE --~ (/ CODE8 FlRE AUTHORITY Bakersfield Fire Department ~~FIRECLEARANCEGRANTED FuiA.Ei.~.D ADDRESS 5f42 Victory Street gBkerSfie{d,Ca 93308 2. FlRE CLEARANCE DENIED II L. s. coNSTRUCTION C. FIREAlJ1RM NdSPECTOR'S NAME (TjpO a PrMt~ ~ ~ _. .. .' ' ~, ~.. 3 _ t L>>' i (: ~~ rC'`-. TEL.EPHONE NUMBER ~~ ~~ ~)-7~~(:.,...,_,~ ~c} : ~ ~ (^~ ~ CFlRS NUMBEA .~ 1 ( -~ l QCCUp~y ~g D. SPRlNIa.ERS PING F. SPECIAL HAZARD ~11TE,~ ((//``~~ ~~} .., y` 'j4r'~_' `` IrtSPECTORS $I~N~7LBfs W p~+ud1 11 ' yc:_ // `` , ~ / ~ ,~ ±%!`~ ~' l- ~~.. 1.... :~ `f ~'~-;.~ f mot: C.~,...`~^~..~ G. OTHER EXPWN DENIAL OR UST SPECUIL ~~ BAKERSFIELD FIRE DEPT. ~dl l Prevention Services l~ , 1 FIRE PREVENTION INSPECTION ' e EFiRE I o 900 Truxtun Ave., ste. Zlo J ' ARTM T ~~ Bakersfield, CA 93301 ._ Tel.: (661) 326-3979 ^ Fax: (661) 852 71 ~, 0i i DISTRICT BLOCK NO. DATE ~ ~ -° ~r ... ~'~"~ EE ~ArI t~~ / ~ ~,,, 1 ~ d .~ > / FACILITY ADDRESS ~ r't ~ ~A~ ~ C! ..Ir ` ~ /~ ~L '~{ ~ i CITY, STATE, ZIP Q ~ ji I ~,y ~ ' / ~ ,p/t ~^ y~~ FACILITY NAME ` ^ 1 t ~~ ~(~~J (~ MANAGER'S NAME 1 FACILITY PHONE NO. 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 '~' ~ OCC LOAD 1 NO. OF FLOORS HIGH RISE BLDG h~ RISER DATE ~ -' '~-~ ~ f" .. ~ ~ ~_ ~ ^ YES ^~NO j ..~ _ .. ~ y 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. /~ .1 l d ~ OTHER 18 rt ! V Y e ~y jj~~ ~ l ~ ~'~ ,.C- I ' ~~n ~~ '~ ~ ')' 6 ~i / ~~~ r ~ i art ~~ J~ S J ~.h-i~ ~-~ •' .~~~.~.~./ ,_ ~ r", iV.' /~ 6~ / ` CUSTOMER: ~~:14,'J/ ~' ~d ~ ~.~ ~ eft/N/? ~ t'~ t~ f ``t"~b= h f/t-~~ f Jfri H~14J f"a' o 1~~~~' LEGEND: ., , , . _ ~ " r (Sigriature`) i ~~• - (Please Print Name Legibly, Title) ~" I``I - ~f t' r' ~ C.F.C. CALIFORNIA FIRE CODE U.B.C. UNIFORM BUILDING CODE B M BAKERSFIELD MUNICIPAL CODE C // ,, d t ~ ~ ~' ~ ~¢ . . . ! y - INSPECTOR: ,/ ,U AP NO.: :., r N.F.P.A. NATIONAL FIRE PROTECTION - ~ (SlgnatUf2) ASSOCIATION N.E.C. NATIONAL ELECTRIC CODE white - CustomerfOriginal Yellow -Station Copy Pink -Prevention Services - FD 2022 (Rev. 09/05)