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6209 NOTTINGHAM LANE
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IRE PREVENTION INSPECTION
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DISTRICT
FACILITY ADDRESS
FACILITY NAME
BUSINESS OWNER'S NAME AND ADDRESS
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BAKERSFIELD FIRE DEPT.; J >)J
Prevention Services ' ql\,.,
900 Truxtun Ave., Ste. 210 ~A tt\ 9 0
Bakersfield, CA 93301 ' Y 1>
Tel.: (661) 326-3979 0 Fax: (6 1) 85 , 71
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CITY, STATE, ZIP,
BILLING PHONE NO.
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BILL TO: (IF DIFfERENT fROM ABOVE) NAME. ADDRESS
NO. Of F.LOORS
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CORRECT ALL VIOLATIONS VIOLATION
CHECKED BELOW NO,
COMBUSTIBLE WASTE / DRY
VEGETATION
COMBUSTIBLE STORAGE
EXTINGUISHERS
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SIGNS
FIRE DOORS I
fiRE SEPARATIONS
11
EXITS
12
STORAGE 13
14
ELECTRICAL APPLIANCES
15
OUTDOOR BURNING 16
fiREWORKS 17
OTHER 18
CUSTOMER:
INSPECTOR:
KBF-7320
DYES
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 filling 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)
Provide and install (amount) _____ approved (type & size) __________________ portable fire extinguisher to be
immediately accessible for use in (area) _____________________________ (U.F,C,)
Re-charge all fire extinguishers, Fire extinguishers sh tMrv~. ""Ieas~n~~ year, and/or after each use,
by a person having a valid license or certificate. (U,F, , U \,.Iv I
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.)
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,)
5
6
7
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 cle,arly 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. Ins.lall 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.)
II! /! LEGEND:
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~ B;t.C.
AP NO.: .-..;;.-_N.F.P.A.
N.E.C.
CALIFORNIA FIRE CODE
UNIFORM BUILDING CODE
BAKERSFIELD MUNICIPAL CODE
NATIONAL FIRE PROTECTION
ASSOCIATION
NATIONAL ELECTRIC CODE
White - Customer/Original
Yellow - Station Copy
Pink - Prevention Services
FD 2022 (Rev. 09/05)
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STATE OF CAlIFORNIA
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fiRE SAFETY INSPECTION REQUEST
sm. 850 (REV. 1()'lM)
See Instructions on reverse.
AGENCY CONTACT'S NAME TELEPHONE NUMBER I REQUEST DATE PROGRAM
COMMUNITY CARE LICENSING (559 ) 243-8080 9/19/07 109
EVALUATOR'S NAME REQUESTING AGENCY FACILITY NUMBER REQUEST CODE
MELANIE LINARES 157204036 1A
RESPONSE REQUIRED CODES .
rsTATE DEPT. OF SOCIAL SERVICES I 1. ORIGINAL A. FIRE CLEARANCE
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 ~ 6. NAME CHANGE
7. OTHER
AMBULATORY NONAMBULA TORY BEDRIDDEN TOTAL CAPACITY
CN'ACIlY PREVIOUS CAPACllY CAPACITY PREVIOUS CAPACIlY CAPACITY PREVIOUS CAPAC11Y
0 0 4 0 0 0 4
FACIUTY NAME UCENSE CATEGORY
SOUTHWEST HELPING HANDS ADUL T RESIDENTIAL
S1llEET ADDRESS (Actual Location) NUMBER OF BUILDINGS
6209 NOTTINGHAM LANE 1
CfTY RES'ffiAlNT
BAKERSFIELD, CA 93309 NONE.
FAClUTY CONTACT PERSON'S NAME HOURS
DINAFAY CRANDELL (661) 396-0465 OR (661) 873-0757 24 HOURS
SPECIAL CONDmONS
FIRE
AUTHORITY
NAIIE AND
ADDRESS
fBAKERSFIELD FIRE DEPARTMENT I
ATTN: ESTER DURAN
1600 TRUXTUN AVENUE, SUITE 401
BAKERSFIELD, CA 93301
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A. EXITS
B. CONSTRUCTION
C. FIRE ALARM
TELEPHONE NUMBER
CARS NUMBER
OCCUPANCY a.ASS
D. GmINI<I..ERS
G2-
E. HOUSEKEEPING
F. SPEC1ALHAZARD
G. OTHER