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" B B R S F I L D
FIRE PREVENTION INSPECTION F,RE
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EAKERSFIELD FIRE DEPT. ~~ '
Prevention Services
900 Truxtun Ave., Ste. 210 ~i
Bakersfield, CA 93301
Tel.: (661) 326-3979 ^ Fax: (661) 8 -2171
DISTRICT BLOCK NO. DATE l ~ ~ ~ EE C~'/ (~
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FACILITY ADDRESS ~ ~ ~ ~/'~~ w CITY, STATE, ZIP ~ ~ ~~ ~-
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FACILITY NAME t ~ 1 MANAGER'S NAME ~
f FACILITY PHONE NO.
BUSINESS OWNER'S NAME AND ADDRESS~ ~ ~ .. CITY, STATE, ZIP NER'S P ON
BILL TO: (IF DIFFERENT FROM ABOVE) NAME, ADDRESS CITY, STATE, ZIP, - LIN P ONE NO.
OCC TY. E OCC LOAD
1"}' NO. OF FLOORS
' HIGH RISE BLDG
b~ RISE/R DATE
~~
.. ^ YES
NO f
CORRECT ALL VIOLA IT ONS VIOLATION j,
~ REQUIREMENTS
CHECKED BELOW xo.
~ 1 I Remove and safely dispose of all hazardous refuse and dry vegetation on the above premises (U.F.C.)
COMBUSTIBLE WASTE I 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.)
I 4 Relocate fire extinguisher(s) so that they will be in a conspicuous location, hanging on brackets with the top to the
i extinguisher not more than 5 feet abo 0o N
EXTINGUISHERS 5 Provide and install (amount) _____ ap rove -(tj~p~°~&' iz-) __________________ 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, andlor 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 i
SIGNS fire escape. (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/ I shall return the surface to its original fire resistive condition. (U.B.C.)
FIRE SEPARATIONS i ~ _
10 I 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
I heat sensitive device. Self-closing. doors shall have no attachments capable of preventing the operation of the
closing device. (U. F. C.)
11
E
S Remove all obstruction from hallways. Maintain all means of egress free of any storage. (U.F.C.)
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12
I Provide a contrasting colored and permanently installed electric light over or near required exit (location)
I
. to clearly indicate it as an exit. (U.F.C.) i
' 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.)
j 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.)
oUTDOORBURNING 16 Violation of Section 1102 dealin with recreational fires or o en burnin U.F.C.
FIREWORKS 17 rdin fireworks.
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Violations of Section 7802 U.F.C. or 8.49.040 of the Bakersfield Munici al Code B.M.C. re
~ OTHER 18 ~ /'
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CUSTOMER: '~
!1 LEGEND:
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v (Slg `attire) (Please Print Name Legibly, Title)
~ C.F.C. CALIFORNIA FIRE CODE. t
U.B.C. UNIFORM BUILDING CODE
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P~ B.M.C. BAKERSFIELD MUNICIPAL CODE
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INSPECTOR: `~ N.F.P.A. NATIONAL FIRE PROTECTION-
~ (SlgnatUfe) ~ ASSOCIATION-
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N.E.C. NATIONAL ELECTRIC COD
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KBF-7320
White -Customer/Original Yellow -Station Copy Pink -Prevention Services FD 2022 (Rev. 09/05)
~N~PECTIONS x
:~::,
FIRE CLEARANCE ~..
BAKERSFIELD FIRE DEPT. '
Prevention Services
1600 Truxtun Ave., Suite 401
Bakersfield, CA 93301
Tel.: (661) 326-3979
Fax: (661) 852-2171
Page 1 of 1.
I. FIRE AUTHORITY NAME .~'
Fire Authority Name: Phone No.
Bakersfield Fire Dept. -Prevention Services (661j 326-3979
Address: City State Zip
1600 Truxtun Avenue, Suite 401 Bakersfield CA 93301
The site below was inspected this date for compliance with local requirements, and is hereby granted a
fire clearance to operate an outpatient alcohol and/or other drug treatment program at:
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FD 2038 (Rev. 09/05)
"Fire Department's number assigned by California Fire Incident Reporting System (CFIRS)
~ JUN 04 2007 10 16 FR CCL-FRESNO CHILDCARE 5594455450 TO 916618522171 P.01i03
California Department o£ Social Services
Com.rx~txnity Care Licensing branch .
F~S?~TC7 RIaGZON.f1L C.HIIfD CARE, OF~FICF
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770 E. Shaw Ave., SLlite 300
Fresno, CA 93710-7785
(559) 243-4588
Fax (559) 2~3-$070
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FACSIMII.~ TRANSMITTAL SFTEET
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PHONE NU ER: SL•NDER'S REFER_°NCE NUMBER:
liT.: YOUR REFERF.NCc Ni1M3E.P.:
^ ~:kGcN'1' ~FqR REVIEW ^ PLEASE Cpb4?v[iNT ^ PLEASE REPLY ^ PLEASE ]iLCYCLL
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JUN 04 2007 10 17 FR CCL-FRESNO CHILDCARE 5594455450 TO 916618522171 P.03/03
~NSPEGTI~,N REC4Rp 8akexsfield Fare Dept.
' 1715 Chester Ave.
Bakersfield, CA 9331
DA ~ ~~ ~ FACILITY AJ]pRESS: _ ZIP: FEE:
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FACILTfY NAME:
MANAGER NAME: ___ FACtLJTY PHONE --S
BUSINESS QWNER NAME, ADpRESS, ZJP CODE 4~ -~
8H1 TQ; (IF J)IFFEREN7 FROM Ai~OVE}--NAME, ADDRESS, ZIP CODE, PHONE= No.
OCC TYPE QCC LOAD No. OF FLOORS H! RISE BLDG. RISER DAT]:
VIOLATION NOTICE CORRECTION:
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NOTES
CUST'OMI?R:
JNSPECTOR:
YES O NO O
DATE OF REJNSPECTION
~ FIRE PREVENTION SERVICES
AP No. -_ I (661) 326-3979
i
8R YELLOW-INSPECTOR'S COPY PINK•FIIE
FD~952
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