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,\ 1 ~ :,..:.. , i BAKERSFIELD FIRE DEPT Prevention Services FIRE PREVENTION INSPECTION ` B EF~RE t D 900 Truxtun Ave., ste. 210 /„~ ~~ - ARiM T Bakersfield, CA 93301 (// . ~ Tel.: (661) 326-3979 ^ Fax: (661) 852-2171 DISTRICT BLOCK NO. DATE _.~'~} _ O ~ .e._ EE FACILITY ADDRESS I AO r (p V Vl CITY, STATE, 21P FACILITY NAME ~ ~ M GER'S NAME FACILITY PHONE N ... BUSINESS OWNER'S NAME AND ADDRESS CITY, STATE, zIP OWNER'S PHONE NO. BILL TO: (IF DIFFERENT FROM ABOVE) NAME, ADDRESS CITY, STATE, 21 P, BILLING PHONE NO. OCC TYPE OCC LOAD NO. OF FLOORS HIGH RISE BLDG RISER DATE ^ YES ^ NO CORRECT ALL VIOLATIONS wo~~rioM REQUIREMENTS CHECKED BELOW xo. 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.) 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 & size.) `~~y11~ _~-~' portable fire extinguisher to be immediately accessible for use in (area) ___~IP~J_(_~Y_1_1____ (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 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/re air item & location _ _ _ _ ___ _ Self-closin P (~ )------- - --- ----- ---- ------- ---------- 9 doors shall be designed to close by grav ~jq on of a mechanical device, or by an approved smoke and ~ heat sensitive device. Self-closing doors shall a //1188 ta~hpf~e 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 18 ~ ~~ P ~~~~ e ©n 1.l ~ ~~~ ~-; ~ . ~; ~'~ ~- ~ ~ t nr~.~_ ;~ _ , ~- ~~ ~~ n n_r ~ ,~ ' C ( uzr ,- ~ t s ~g ~ _ ( CUSTOMER: f /' LEGEND: C.F.C. CALIFORNIA FIRE CODE (Signature) (Please Print Nam 'egibly, Title) U.B.C. UNIFORM BUILDING CODE y\ . INSPECTOR: :.~L~;F~J~~(v~----- AP NO.: ~~Z_ B.M.C. BAKERSFIELD MUNICIPAL CODE 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) STATE OF i~F~NIA FIRSAFETY INSPECTION REQUEST s% eao (REV. Io-w) See lnstructlons on reverse. ACiENCV CONTACTS NAME COMMUNITY CARE LICENSING TEU:PHONE NUMBER 559 243 8067 REQUEST DATE PROGRAM - 03/10/06 109 EVAUJATORS NAME REQUESTING AGENCY FACILITY NUMBER REQUEST CODE Cynthia Brannon #322icj 1538081.94 3A RESPONSE REQUIRED coDEs LJCENSING ~TATE DEPT. OF SOCIAL SERVICES ~ 1. ORIGINAL A. RRECLEARANCE AGENCY 2. RENEWAL B. LIFE SAFETY NAME AND COMMUNITY CARE LICENSING ADDRESS 770 E. SHAW AVENUE SUITE 3OO 3. CAPACITY CHANGE , 4. OWNERSHIP CHANGE FRESNO CA 93710-778 , 5. ADDRESS CHANGE L ~ 6. NAME CHANGE - 7. OTHER AMBULATORY NONAMBULATORY BEDRIDDEN TOTAL CAPACITY CAPACTIY PREVIOUS CAPAGTY CAPACITY PREVIOUS CAPAGTY CAPACITY PREVIOUS CAPAGTY 42 - --- ---- - -- ---- - ~-- 42 - • ----..._~"` LICENSE CATEGORY An el Win s A Hi her Learnin Preschool pS STREET ADDRESS (Adwl t.pplpr,) NUMBER OF BUIU7INGS 600 Planz Road 1 Cmr RESTRAINT Bakersfield, CA 93304 NONE FACILITY CONTACT PERSONS NAME HOURS Shauntel Lindse 661 835-6996 DAYS sPEaAL coNDITIQNs ~~~ coDE CODES AUTHRORRY Bakersfield Fire Department ~• `RECLEARAHCEGRANTED NAME AND 1715 C h e s to r Ave n u e 2• FIRE CLEARAWCE DENIED ADDRESS gakersfield,CA 93301 ~ ~'~ B. CONSTRt1CTION C. FIRE ALARM BR'S NAME (Tjpd aP~tM~ TELEPFgNE NUMBER CRRS NUMBER O~~pµDY ~g D. SPRINIQERS E. F10USEXEEPINO f l"~ C % ~~~ // //J l(~~J ~ ~ ~~ " ? ~ ~ ~-_- G.~ .~ F. SPECIAL HAZARD MlSPECiION DATE INSPECTORS 61GNATyJf~E (Tj~e a Piirl~ ~~~ ~ G. OTHER - ~ EI~IAW DENUIL OR UST SPECUL CONDI -