HomeMy WebLinkAboutBUSINESS PLAN
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~~Jff~IRE PREVENTION INSPECTION
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DISTRICT
FACILITY ADDRESS
FACILITY NAME
BUSINESS OWNER'S NAME AND ADDRESS
BILL TO:
Oc~
CORRECT ALL VIOLATIONS
CHECKED BELOW
COMBUSTIBLE WASTE / DRY
VEGETATION
COMBUSTIBLE STORAGE
EXTINGUISHERS
SIGNS
FIRE DOORS /
FIRE SEPARATIONS
11
EXITS
12
STORAGE 13
14
ELECTRICAL APPLIANCES
15
OUTDOOR BURNING 16
FIREWORKS 17
OTHER 18
BAKERSFIELD FIRE DEPT.
Prevention Services q'i1J.O
900 Truxtun Ave., Ste. 210 D'J 1
Bakersfield, CA 93301
Tel.: (661) 326-3979 0 5i:J-i-Il!:n'dded
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MANAGER'S NAME
CITY, STATE, ZIP
~3>
CITY, STATE, ZIP,
NO, OF FLOORS
I
HIGH RISE BLDG
o YES NO
VIOLATION
NO,
REQUIREMENTS
Remove and safely dispose of all hazardous refuse and dry vegetation on the above premises (U,F ,C_)
2
Provide non-combustible containers with tight fitting lids for the storage of combustible waste and rubbish pending its
safe disposal. (U,F,C,)
Relocate combustible storage to provide at least 3 feet clearance around motor fuse box/fire door (N,E,C,) (U,F,C_)
3
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)
5
Provide and install (amount) _____ approved (type & size) __________________ portable fire extinguisher to be
immediately accessible for use in (area) _____________________________ (U,F,C,)
6
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,)
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_)
7
8 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,)
Repair all (cracks/holes/openings) in plaster in (location) ______________________________________' Plastering
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,)
9
Remove all obstruction from hallways, Maintain all means of egress free of any storage, (U,F,C,)
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,)
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,)
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,)
Remove multiple attachment cords from specific electrical convenience outlet (one plug per outlet) (N,E,C,) (U,F,C,)
CUSTOMER:
INSPECTOR:
KBF-7320
LEGEND:
C.F.C.
U.B.C.
B.M.C.
N.F.P.A.
CALIFORNIA FIRE CODE
UNIFORM BUILDING CODE
BAKERSFIELD MUNICIPAL CODE
NATIONAL FIRE PROTECTION
ASSOCIATION
NATIONAL ELECTRIC CODE
ease Print Name Legibly, Title)
AP NO.: p;;;.....,
.......
N.E.C.
White - Customer/Original
Yellow - Station Copy
Pink - Prevention Services
FD 2022 (Rev, 09/05)
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}j;;~~~ INSPEcnON REQUEST
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See InstructIons on reverse.
AGENCY CONTACTS NAME TElEPHONE NUMBER I REQUEST DATE PROGRAM
COMMUNITY CARE LICENSING (559 ) 243-8080 5/4/06 109
EVAWATOR'S NAME REQUESTING AGENCY FACILllY NUMBER REQUEST CODE
LORI BECK 157203405 4A
RESPONSE REQUIRED CODES
fSTATE DEPT. OF SOCIAL SERVICES I 1. ORIGINAL A. FI~ECLEARANCE
UCENSING 2. RENEWAl B. UFE SAFETY
AGENCY COMMUNITY CARE LICENSING
NAME AND 3. CAPACITY CHANGE
ADDRESS 770 E. SHAW, SUITE 330 4. OWNERSHIP CHANGE
FRESNO, CA 93710-778 5. ADDRESS CHANGE
L .J 6. NAME CHANGE
-. -.- - 7. OTHER
---
AMBULATORY NONAMBULATORY BEDRIDDEN TOTAL CAPACITY
CN'M:;fTY PREVIOUS CN'ACITY CAPACITY PREVIOUS CN'ACllY CAPACITY PREVIOUS CAPACITY
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0 0 3 3 0 0 3
FAClUrY NAME UCENSE CATEGORY
SAILS II ADUL T RESIDENTIAL
STREET ADORESS (kIuaJ location) NUMBER OF BUILDINGS
8000 MOSS CROSSING AVENUE 1
CITY RESTRAINT
BAKERSFIELD, CA 93313 NONE
FAClUrY CONTACT PERSON'S NAME HOURS
BERTHA MARQUEZ (661) 665-1953 24 HOURS
SPECIAL CONDITIONS
ARE
AUTHORITY
,NAIIEAND
ADDRESS
I"
BAKERSFIELD CITY FIRE DEPT.
900 TRUXTUN #210
BAKERSFIELD, CA 93301
L
I
lNSPECTOR'8 MANE (T'yped Of ~
TElEPHONE NUMBER
CRRS NUMBER
OCCUPANCY aASS
A. EXITS
B. CONSTRUCTION,
C. FIRE ALARM
D. SPRINKLERS
E. HOUSEKEEPING
F. SPECIAL HAZARD
G. OTHER
.J