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~- i, r SCHOOL INSPECTION CHECKLIST Bakersfield Fire Dept. Prevention Services 1715 Chester Ave. Bakersfield, CA 93301 Tel: (661)326-3979 SCHOOL NAME INSPECTION DATE ADDRESS /~ 1_ ~ • INSPECTION TIME ~f INSPECTION DATE PHONE NO. - _ C V ncel OPERATION ~ COMMENTS ( ti v=Voa on ~,~ , ®~ ^ EXIT OBSTRUCTIONS ~ ; t_. -- --------- --- - -------------- 0 ^ .rt EXIT STAIRS i r~ { ~ ,, t ` ~ f ~ -- - ^ ILLUMINATE EXIT 8c DIRECTIONS SIGNS ~ xO ^ NON-COMBUSTIBLE WASTE CONTAINERS ` ~ . .~ U ^ ~"IOUSEKEEPING ELECTRICAL ROOM ~ ~" ^ -- ELECTRICAL -USE OF EXTENSION CORDS ~ i .~^ ^ HOUSEKEEPING GENERAL ,r a ~© ^ HOUSEKEEPING BOILER ROOM ~ CLEARANCES i ~~ ;~ ^ CLEARANCE AROUND ELECTRICAL PANEL BOARD ^ - ---- FIRE DRILLSIRECORDS ------------ ----------------- ----------- y ^ ^ FLAME RETARDANT DECORATIVE MATERIAL ~ ~^ ^ ASSEMBLY AREAS --------------------------------------------------- ------------- ~~ ~ ^ FIRE ALARM SYSTEM ~SERVICED~ ~-7 ~ ~! ---------------------------- -------- ------------------ --1-(------- ------ --------------- Yy ~ ^ SPRINKLER SYSTEM ~SERVICED~ ~ j f~ f ~` ^ COMMERCIAL HOOD SYSTEMS 16 t ^ ^ -_ -_---._ FIRE APPARATUS ACCESS ___- --_____-__.__-_.-__--___-______ _..____.__--- _.__.._-__. ,, i iJ I V ~ ~: I~1 ^ STAGE AREA ~ i VIOLATION NOTICE CORRECTION: QUESTIONS REGARDING THIS INSPECTION? PLEASE CALL US AT (661) 326-3979 Inspector Badge No./Station School Site Responsible Party O White -School Copy Yellow -Station Copy Pink -Prevention Services _ SCH®®L INSPECTION CHECK-LIST BakersSeld "Fire Dept. Prevention Services 900 Truxtun Ave., Ste. 210 Bakersfield, CA 93301 Tel: (661)326-3979 SCHOOL NAME /~ a n S~_lioo ( ~ INSPECTI N DATE r ~,$Id~ ADDRESS zL~ vo P/R n g v~O'C- INSPECTION TIME ~i'f /~i.ra ~~S INSPECTION DATE l-Iv'D~c, _ PHONE NO. x°37-~o~3G~ C ~ = omplance OPERATION COMMENTS ^ EXITOBSTRUCTIONS v ~ ,, j ^ IV RU~ EXIT STAIRS ~ 1 ~ ^ ILLUMINATE EXIT ~ DIRECTIONS SIGNS ~, ^ NON-COMBUSTABLE WASTE CONTAINERS ^ HOUSEKEEPING ELECTRICAL ROOM ^ ~-ELECTRICAL -USE OF EXTENSION CORDS 1 ,p .J,/ ~Y~/~-S/u~ ( r~S n~ JG~P liS~ ~ ~uc F~ ^ HOUSKEEPING GENERAL " / C~rsaCi^~'t' GJ r ~^~.~. ~' ^ HOUSKEEPING BOILER ROOM /CLEARANCES ^ CLEARANCE AROUND ELECTRICAL PANEL BOARD ~. ^ FIRE DRILLS/RECORDS ^ FLAME RETARDENT DECORATIVE MATERIAL ,.~ ^ ASSEMBLY AREAS i ' ~ FIRE ALARM SYSTEM (SERVICED) ,~"~ ~~~ ~, G I l a h~ s Q, /! ~ r ~'~ SPRINKLER SYSTEM (SERVICED) ^ COMMERCIAL HOOD SYSTEMS i ~ ^ FIRE APPARATUS ACCESS " ^ STAGE AREA VIOLATION NOTICE CORRECTION: QUESTIONS REGARDING THIS INSPECTION? PLEASE CALL US AT (8 81) 3 2 8.3 9 7 9 - 3i7 G3C~~ - l~ ~~i ~vl~ ~ ~-- Inspector Badge No./Station White -School Copy Yellow -Station Copy /.~• 2 /~ O ~p ~.. ~i.'~._.._.." School Site Responsible Party 9 Pink - Prevehtion Services .,., f~ - Bakersfield Fire Dept. I SCHOOL INSPECTION CHECKLIST prevention services SCHOOL NAME i INSPECTION DATE ADDRESS .INSPECTION TIME INSPECTION DATE PHONE NO. ~- - a~ -o~ g 3-7- b ~ ~o 1715 Chester Ave. Bakersfield, CA 93301 Tel: (661)326-3979 .. C V inncel OPERATION ( ti COMMENTS ~ h o v=Vioa O, ^ EXIT OBSTRUCTIONS ^~ ^ EXIT STAIRS ~~~ ^ 'xf - ILLUMINATE EXIT 8c DIRECTIONS SIGNS ------- - ------ ' I -~------ - -- ~O ^ NON-COMBUSTIBLE WASTE CONTAINERS O ^ HOUSEKEEPING ELECTRICAL ROOM -- `^ ^ ELECTRICAL -USE OF EXTENSION CORDS -r------ ------ O ^ HOUSEKEEPING GENERAL O ^ HOUSEKEEPING BOILER ROOM /CLEARANCES 4 ~,i ' - ~ T ~O ^ CLEARANCE AROUND ELECTRICAL PANEL BOARD ~ O~ ^ FIRE DRILLS/RECORDS ^ FLAME RETARDANT DECORATIVE MATERIAL ~O ^ ASSEMBLY AREAS ~O ^ FIRE ALARM SYSTEM ~SERVICED~ i - - ~© ^ -- - -- -- - --------- - SPRINKLER SYSTEM ~SERVICED~ ~ /~ f ---T -------- ----- -----------..._- - ----- I -- ~ -- ^~ ^ _-- -------------------- - COMMERCIAL HOOD SYSTEMS - ---------- ----------------- - - -- ----- - --- - 0~ ^ FIRE APPARATUS ACCESS I ^`, ^ STAGE AREA N ~A i I VIOLATION NOTICE CORRECTION: QUESTIONS REGARDING THIS INSPECTION? PLEASE CALL US AT (661) 326-3979 ~ ~ ~ / -' - ~ '~ i / ~ '' 1 Inspector L~ Badge'No.IStation $ch ~ e Responsible Party n 0 White -School Copy Yellow -Station Copy Pink -Prevention Services LL ~Xyt"';.,rC.r~' ~,`RC'i.5?'~l"`^s("~'"+~i-~*~'7v'i~b'ay."~.i'y'~iy.;+~^lrfi%lo-i'"R+9~,~~~-°~^rt~g,}~r'„E`_.~i, ~~An$~.v&'4,.-i~-''ifl+r„f~`v,d''~.t•ri.'t'Y'~i: 'r'.~"4~~~-mtt^:%;J~1''~/~'~7 'fir "~i~e,>~tl~~'r'~n~'`v~ylabY -~i INSPECTION :-RECORD Bakersfield Fire-Dept. "" ~ 1715 Chester Ave. TLTTC~ TC~ 1~TO~` A D~~T ~;; •Bakersfield, CA 93301 CUSTOMER I.D.# ENTERED DATE: ~~~_UZ FACILITY ADDRESS: a~D ~ ZIP: ~ FEE' TY O COUNTY n FACILITY NAME: ~iLl ,2~''~(~4_dl /+ t~ MANAGER NAME: BUSINESS OWNER NAME, ADDRESS, ZIP CODE- FACILITY PHONE ~ /_ ~~~ BILL TO: (IF DIFFERENT FROM ABOVE)-NAME, ADDRESS, ZIP CODE, PHONE No. OCC TYPE ~'~ / OCC LOAD No. OF FLOORS HI RISE BLDG. YES O NO O EQ . YES O NO O - RISER DATE VIOLATION NOTICE CORRECTION: i .. ~ ~ :•r ~'.~.t.e.L.. Gi ~sl'~ ~.J DATE OF REINSPECTION .~~r . .. 2. 3. 4. 5: 6. 7. NOTES .,,. I GUSTO INSPECT~_ ~ _ FIRE SAFETY.CONTROL AP No: (805) 326-3951 ~; ~ WHITE OP.IGINAL-OWNER YELLOW-INSPECTOR'S COPY PINK-FILE ` " . FD1952 .. .. _ _ p...,_.. - -- . STATE OF CALIFORNIA - ,~.r: FIRE SAFETY` INSPECTION REQ T `k STD: 850 (REV. 10-94) ~.. ~. _". • a _~ See instructions on reverse: AGENCY CONTACTS NAME ~ - ~ TELEPHONE NUMBER REQUEST DATE - PROGRAM - - 7N TlT ~ TL`T Tr' ~Qiri- ~?_GO). EVALUATOR'S NAME y~ - _ REQUESTING AGENCY FACILITY NUMBER - ~ REQUEST CODE - MARY- ~lE LAr~ -.. 3~ ":. H . _ r ~ ~ ~ - - - . .. ." .; -:. -- :-CODES RES~SE R~7iRED - - _ - U .: _ .. ' V -AFIRE CLEARANCE . ORIGINAL : 1: ~ , - LICENSING _ STATE LeEPAP.TtvlENT OF SOCIF~L SEFC`lll.'~': 2. RENEWAL B. LIFE SAFETY _ AGENCY C~Jh1Ml1NIT'~( CARE LICENSING L'iRANCF~ ~ ` 3. CAPACITY CHANGE NAME AND - - _ ADDRESS ?7a E. SI1aW Avenue, Suite 330" `"~. 4. OWNERSHIP CHANGE ~re4n®, CA 9~7~0 ~ 5. ADDRESS CHANGE - 6. NAME CHANGE 7. OTHER AMBULATORY ~ NONAMBULATORY `~ ' _ 'BEDRI_DDEN"~ - ~ "TOTAL CAPACITY .CAPACITY PREVIOUS CAPACITY CAPACITY PREVIOUS CAPACITY CAPACITY PREVIOUS CAPACITY zz -o- 2 _a_ ?.~ FACILITY NAME A-r ~oti1 ~ ~i~aNZ $ca-~o~l.. ~ `...`.•..` .,,.. ~...,... j j7; e Sch&5ffi~- PS - ~c .A 7 rr r~ _ _ _ _ - STREET ADDRESS (Actual Location) - " L U ~ j~ 1 i Z -NUMBER~OF•Bf~IL•DINGS 1 ~ ~ ~ j L, r _ h- CITY . - RESTRAINT - ; ~ _ F'rF . : _ ~ . _a- none .: - _ _ _ ' FACILITY-CONTACT'PERSON'S NAME . - - - HOURS - ,_ - .c - . - ~ _ - - - - - ___ , - SPECIAL CONDITIONS" ~^ -~,~ (~e ~P~IDc~.VT O~' ~+5 UF~' IC~`., . ~ ~ _ Fia~E i~Fr r ~ ; zoos z4tri sT~~°r sUZ~ lao ~aTT~t ~ (,P:RY zowxx j `1~.~ERSFIELL~ . i?15 CHESTER ST, , #300 -. -- BAKERSF.iEF~E3, . CA ~ 93304 _~_~'' ~xFK~FZFr,T~~. ~A 9~~n~ - - ~~ - TO BE COMPLETED BY INSPECTING AUTHORITY ;" 'r CLEARANCE /DENIAL CODE __ ~ ~ CODES FIRE` - B~AKEfwFIELD FIRE DEPARTN~T " L/FIRE CLEARANCE GRANTED AUTHORITY X715 CH~TER STREET, #300 _. .- .-_ ... _ ._ _ _ . . - " 2 FI E CLEARAN IED .. R _ _ . _ __ . _ _ _ - y~ - :NAME AND _ E,AICERSF'~ELD, CA -' 93301 .__.__ . - J ~ ~~~11 ° ~ ~` S EXITS A . r ADDRE S ATTNo C>~RY I~'RY OC~ :1 ~ '~(1f1(1 > V JJJ . B. :CONSTRUCTION 1 C. FIRE ALARM ' SPRINKLERS `~D INSPECTOR'S NAME (Typed or Printed) TELEPHONE NUM CFI OCCUPANCY CLASS . _ ---- E. HOUSEKEEPING J~ _ `. (.~~~ ! !i^~ ~ ~~/o I 1 3 ;Z~rj' j S~ I 1 I S ~ t,~) E ~ F. SPECIAL HAZARD INSPECTION DA E ' = P ECT~OA' IGNATURE\`(TypedorPrintedJ - hNtS G. OTHER ,, _ EXPLAIN DENIALOR•CIST SPECIAL CONDITIONS V ~~_ i -, -_ :. - ~ ._ . lac?'?[": ~ fi~ ~`r T `T `~ S~ . U rJ ~-~ S S ~~ Nip " , ~ 1~ 5 ~ szb J - A E~ Y~ ~" S `c ~o~~,?-ul ~- X' ~ --.----r ~" .~,"S+J{~;1'L'~is F'~•'~~~+`'~!.~*"~ii'h-''".`0~,~~~~'•~ ~li1b~ _~~ ~ty,~~~a.'~F~~ 'tur .~'~xt4~" tom- ~~' ~,~'~ °-YWt - .~i 'i."n'~. .~1Sits' .~#'1~;°. ,~+'1~~~'!'°'~.~~* G~` ~ ~s :7~'~'h'1 ~~ ~~3'~tt.-4 ~4, ?3ev x, .t v t +r`fu aw,i % .~u~ ~ u~%y~ -~~ ~~'F~"~`Y~+.~3. .`.~'~r~G~y{~.'.~N~i~~g. INSPECTION RECOR~ ~ THIS IS NOT A BILL Bakersfield- Fire Dept. . 1715 Chester Ave. Bakersfie/, ' 93301 /_- ' CUSTOMER LD. # ENTERED ~N DACCTE: J Q O' ~ L1_ +~ FACILI~T/Y ADDR~S:( ~ l C~ r- IG'11 Z. a h~. ZIP: ~~3v y F : ~ CITY O COUNTY FACILITY NAME: ~' G Irl Z ~ i f2/h ~ ~~ DD MANAGER NAME: BUSINESS OWNER t ~ ~D/1 „s NAME, ADDRESS, ZIP CODE G ~ ~ee~n~te~d ~. FACILITY- PHONE 7' b~ O /G z y ~~/'///~,,,/ BILL TO: (IF DIFFERENT FROM ABOVE)-NAME, ADDRESS; ZIP CODE, PHONE No.Q 7 ~~0 ~ ; OCC TYPE ~-• OCC LOAD No. OF FLOORS HI RISE BLDG. YES O NO EO YES O NO O RISER DAT "''ri~j~- -~ VIOLATION .NOTICE CORRECTION: ~ ~ DATE OF REINSPECTION :. 2. ~ na yror~~ a~,S 3. , 4. 5. 6. 7. - NOTES CUSTOMER: ~'~e~- ~/,. INSPECTOR: ~ `~-~T`- ~ C ~~i AP No. ~~` FIRE-SAFETY CONTROL (805) 326-3951 WHITE ORIGINAL-OWNER. , YELLOW-INSPECTOR'S COPY :. PINK-FILE. Rq`` ~ .-i..3.: ~tt+v`a'~ Y.~+.:T~C::YY~-~S1f19 ~'nY`i':T~~r.~1.1?S''LLY`t?^44Jt.~t~?i'~'i F~~.~+_::~"-~1.mb ~.'i~tt.~"' cf~ryff'V".'M~.~.%i-''Yt.'iaM1 liiirY.;hi,Gr...O(-i~l. 'e~aAS.y':~ '}.t:4{~`~.`NRZ y~d.'.erf~`.r ~x.~.ln-:=`~'kr4:n}f:-rT'u ~'li,F. ri'9 r _ INSPECTION REC ` ~ ' ~' B k sfi l W ~ " _ a er e d Fire ept ~~ .~ ~pw~. ;:, -~ - -1715 h - °- C ester Ave. ~ `~ THIS. IS N BILL Bakersfield, CA 93301 CUSTOMER LD. # ENTERED '. . DATE: FACILITY ADDRESS:. ZIP: - FEE: fl`CITY ,' ~'r.,av-e7 2/60O ~I~NZ. ~ d ~~sR. O COUNTY. FACILITY NAME: ~/qN ~ ~Lt',rl MANAGER NAME: FACILITY PHONE 83 ? ~ ~~ -~~ BUSINESS OWNER NAME, ADDRESS, ZIR CODE -BILL TO: {IF' DIFFERENT FROM ABOVE)-NAME, ADDRESS, ZIP CODE, PHONE No. ' CTrtL.E F _ OCC TYPE OCC. LOAD No.. OF FLOORS - - HI RISE BLDG. EQ RISER DATE . YES. O NO .O YES O NO O i VIOLATION NOTICE CORRECTION: DATE OF REINSPECTION 1. - 2. 3. ~ `~;:. 4. _ 5. 6. 7. _ NOTES .. . ~~ - r ~ . CUSTOME j : ~ -FIRE SAFETY CONTROL ~-~.. ~.0~`~+2~ Ca AP No. /© (805) 326-395.1,_ I I INSPECTOR: ` WHITE ORIGINAL-OWNER- YELLOW-INSPECTOR'S COPY PINK-FILE .. FD19 2 .: ~: .- ,: : ,,.