HomeMy WebLinkAboutBUSINESS PLANCRYSTAL CARE HOMES
5417 PACER VALLEY COURT
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BAKERSFIELD FIRE DEPT. ` ~ ~~ ~
a e R s P t D Prevention Services ~..~~~~~`
ARTM T 900 Truxtun Ave., Ste. 210 ~ f.~- ~ ~
Bakersfield, CA 93301 ~ ~ i~"~
Tel.: (661) 326-3979 ^ Fax: (661) 852-2171
DISTRICT
.. `BLOCK NO. : DATE '~' '~ E ~ CJC:"~'
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FACILITY ADDRESS , CITY, STATE, ZIP ~ ~ ~ ~"~
FACILITY NAME ~~- MA AGER'S NAME w FACILI HONE NO.
BUSINESS OWNER'S NAME AND ADDRESS - "'' ~ ~ ITY, STATE, ZIP OWNER'S PHONE NO.
BILL TO: (IF DIFFERENT FROM ABOVE) NAME, ADDRESS CITY, STATE, ZIP, BILLING PHONE NO.
OCC TYPE
I( a,~ ~iY !,! `? ! OCC LOAD
~G _ NO. OF FLOORS
l HIGH RISE BLDG
^ YES C3"Fo` RISER DATE
CORRECT ALL VIOLATIONS vio~~rioN
CHECKED BELOW No. ~ REQUIREMENTS
COMBUSTIBLE WASTE /DRY 1 Remove and safely dispose of all hazardous refuse and dry vegetation on the above premises (U.F.C.)
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.)
q 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,
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 (doorlwindow) .to
fire escape. (U.F.C.) '
g Provide and maintain appropriate numbers on a contrasting backgroun an le~ijr tlflQ'~et to indicate the
correct address of the building. (B. M.C.) (U.F.C.) (~~ Ll1uu
FIRE DOORS/
FIRE SEPARATIONS g 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 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.)
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.)
oUTDOORBURNING 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 18
CUSTOMER: f~`'" ':1 ~; G l ' vc j! ~,._. tr.'~t"~ ~ l'j r~'yc-y~. .~'. /-}-yA ~~
,..~ (Signature) / (Please Print Name Legibly, Title)
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INSPECTOR: ~` /:F';') 7 l .:~;il • ~_, n AP NO.: ~_.
(Signature)"r ~j~
j 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
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BAKERSFIELD FIRE DEPT. ~~
Prevention Services -
900 Truxtun Ave., Ste. 210 ~J
Bakersfield, CA 93301
Tel.: (661) 326-3979 ^ Fax: (661) 8 -2171
DISTRICT BLOCK NO. DATE ~y r""l !l EE ~ `"_.--"
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BUSINESS OWNER'S NAME AND ADDRESS CITY, STATE, ZIP OWNER'S PHONE NO.
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BILL TO: (IF DIFFERENT FROM ABOVE) NAME, ADDRESS CITY, STATE, ZIP, BILLING PHONE NO.
OCC TYPE~
~~ OCC LOAD
~ NO. OF1FLOORS HIGH RISE~B.LDG RISER~DA~T..E.
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r-~-- i? t NO
^ YES u
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CORRECT ALL VIOLATIONS vio~~rior REQUIREMENTS ~ /
CHECKED BELOW Ko.
COMBUSTIBLE WASTE /DRY 1 Remove and safely dispose of all hazardous refuse and dry vegetation on the above premises (U.F.C.)
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.)
q 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 servic
a~G~ ear, and/or after each use, .
~
by a person having a.v,alid license or certificate. (U.F.C.)
7 Provide and maintain ",EXIT_tsign(s) with letters 8 or more inches in height over each required exit (dooNwindow) to
~~`
SIGNS fire escape. (Us~F~~.'--`)
"
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
FIREDOORSI
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.)
....,~.
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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.)
------------------------------
STORACtE 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.) ~'~"'~m~'-'-'-w ""~" ~~~-,~+r~., ~:ry~ ~f ~/f~~,~r ,. «.7 Ate'
15 f
.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 a
l Code B.M.C. re ardin fireworks.
OTHER 18 ,(
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LIF
IA FIRE CODE
U.B.C. UNIFORM BUILDING CODE
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~ B.M.C. BAKERSFIELD MUNICIPAL CODE
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INSPECTOR: i
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iU^ N.F.P.A. NATIONAL FIRE PROTECTION
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N.E.C. NATIONAL ELECTRIC CODE
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White -Customer/Original Yellow -Station Copy Pink -Prevention Services FD 2022 (ReV. O9/O5}
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Jun 30 07 03:55p
Crystal Care Homes 6616648836
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CRYSTAL CARE HOMES 1
Residential Care Facility For Elderly
License # 172033?4
5417 Pacer Valley Court
Bakersfield, Ca. 93313
Phone # (661) 663.- 74b8
' .Fax .~ .~6b1)..6.64..--..8836
' Email Address: crvstalcare46(a,vahoo.com
Liceusee/Administrator: Florins I. Smith-Turallo
FAX COVER SHEET
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