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Home My WebLink AboutBUSINESS PLAN ~. • : - ~ ~~'' FIRE PREVENTION INSPECTION B E R S F I D P/RE D AR1M T .: ~~ BAKERSFIELD FIRE DEPT. ~~ V Prevention Services 900 Truxtun Ave., Ste. 210 Bakersfield, CA 93301 Tel.: (661) 326-3979 ^ Fax: (661) 8 -2171 r. DISTRICT - ~ BLOCK NO. - DATE /// t' ii I ~~ .~.• ~ EE ` ~! =~.~ .-=- i i ~ CI ` _~ l FACILITY ADDRESS p/ r •'` I r ~ r CITY, STATE, ZIP ...-, _ '^~- FACILITY NAME ~~ ~~ i r % + f - i ~e • ~ MANAGER'S NAME ~ - - FACILITY PHONE NO. I ~t ~ ~ i~` I BUSINESS OWNER'S NAME AND ADDRESS ~ _ ~-' CITY, STATE, ZIP OWNER'S PHONE NO. BILL TO: (IF DIFFERENT FROM ABOVE) NAME, ADDRESS CITY, STATE, ZIP, BILLING PHONE NO. TY.I~ ( OCC" LOAD NO. F FLOORS ~ IS,BLDG HI ~ RISER DATE ' ~ ~ YES i ~ CORRECT ALL VIOLATIONS VIOLATION REQUIREMENTS / ~ - I j CHECKED BELOW r+o. r 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 i 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.) 7 Provide and maintain I~+/~ign(s) with letters 5 or more inches in height over each required exit (door/window) to SIGNS fire escape. (U.F.C.) / U g Provide and maintain appropriate numbers n asting background and visible from the street to indicate the correct address of the building. (B. M.C.) (U.F 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/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 esca-peslstair 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-tC.) 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 t. - 1 # - n - ~~ ~ ~ ~ ~ ~ • .a,.. ~ ,E^; J ,F-. ,; f .~-I' A f; ~- ` % ~ ' 1~ ~f ` ~ . ~ ~ . ~ ,{ s" 1 ~1 % f: ~, ~ff f e t,~. `-' 9 . ~ ~ . ~ µ ' ~' •jL'~-'' ~' f f t%iy /( j " ~ \`~ 1. ~1~ "~ ~ ~ f ~ ~ ~ ~ > ' , ~ -. _ d` t .- fl " ~,, - - - ~ _ ., - - 'r ~ • (~ ~ ~' j:.• CUSTOMER' LEGEND: C F C CALIFORNIA FIR _ (Signature) •~ (Please` Pnlit Name Legibly, Title) . . . . E CODE U.B.C. UNIFORM BUILDING CODE ~ t~~-'~"1~.;~, ( ~~-~ p ~ r'_;J~~~ ` " `' B.M.C. BAKERSFIELD MUNICIPAL CODE `a? ~ti S'- `-: ± ;A_..-r' AP NO.: ( -- INSPECTOR: . ~ ; ~ --N.F.P.A. NATIONAL FIRE PROTECTION ($IgllatUre) ASSOCIATION N.E.C. NATIONAL ELECTRIC CODE Ker-razo White -Customer/Original Yellow -Station Copy Pink -Prevention Services FD 2022 (ReV, 09/05) ,~ ~~ _ - ' .~. ~' ~ ~ ~ F--~~E ~'~REV`ENTION INSPECTION a EF/RE i L D ~erM r BAKERSFIELD FIRE DEPT. ~ r O Prevention Services ~ ~/' ~ y l 900 Truxtun Ave.;. Ste. 210 ~j ~/ Bakersfield, CA 93301 TTT ~#~r- Tel.: (661) 326-3979' ~^ Fax: ( 1) 852 2171 - ' 11 DISTRICT BLOCK N0. DATE // _ ,..~ EE f ~ > ' FACILITY ADDRESS r- ~ f /~ ~ CITY, STATE, ZIP ''~ FACILITY NAME - / ~ ~ ~--~ ~` ~ MANAGER'S NAME ~ FACILITY PHONE NO. ~~ ~ ' ` ' " ~•~~~,{ 27'. ,~.#. J? / {/~7t.!'1~, t~ A,~'L~ ~ti~r ~ ~ , ( ~ ~1J1.'d: ~.~ ~'?-~ -- ~ `>` . -~ r6°-r i ': -f>h -+.t BUSINESS OWNER'S NAME AND ADDRESS ~ _ CITY, STATE, ZIP OWNER'S PHONE NO. BILL TO: (IF DIFFERENT FROM ABOVE) NAME, ADDRESS CITY, STATE, ZIP, BILLING PHONE NO. OCCTYPE '~ ~_~ OCC LOAD ~ NO. OF FLOORS ~ HIGH RISE B fDG P tRISER~D-ATE ~ r '~ ~ ~ ~ -1 OYES C°7 NO l .,p > t CORRECT ALL VIOLATIONS vio~nrioe REQUIREMENTS ~ r CHECKED BELOW so. 1 Remove and safely dispose of all hazardous refuse and dry vegetation on the above premises (U.F.C.) COMBUSTIBLE WASTE I DRY, VEGETATION I 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 I 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) _____ __ portable fire extinguisher to bel immediatelyraccessible for use in (area) _____________________________ (U.F.C.) rg ~ Re-charge all fire extinguishers. Fire extinguishers shall be serviced at least once each year, and/or after each use, k by a person having a valid license or certificate. (U.F.C.) 7 Provide and maintain "EXIT" sign(sJ'with letters 5 or more inches in height over each required exit (door/window) to SIGNS fire escape. (U.F.C.j . 6 Provide and maintain appropriate numbers on a contrasting backgroun ~ isible from the street to indicate the . correct address of the building. (B~M.C.) (U.F.C.) _ g i Repair all (cracks/holes/openings) in plaster in (location) ____________________ ~ ___________. Plastering 1 FIREDOORSI I I shall return the surface to its original fire resistive condition. (U.B.C.) ~ F RE SEPARATIONS i i 10 i Remove/repair (item 8 location) _____________________________________________ ____ _ Self-closing i doors shall be designed to close by gravity, or by the action of a mechanical device, or by an a ~ed smoke and heat sensitive device. Self-closing doors shall have no attachments capable of preventing the operation of the ': I closing device. (U.F.C.) ' EXITS ! 11 Remove all obstruction from hallways. Maintain all means of egress free of any storage. (U.F.C.) I 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 i 13 ~ Remove all storage andlor 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 ermanent a roved wirin Install additional a roved electrical outlets P PP 9~ PP 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 ~ Violations of Section 7802 U.F.C. or 8.49.040 of the Bakersfield Munici al Code B.M.C. re ardin fireworks. OTHER 1g ,4 ~ ~ ~ (i f/; / -~(j vu / j J w ~t /} CUSTOMER: i ~ :.`,! 1 ~ ~ _ `-..~ _ 1 tt~' - LEGEND: ' C.F C. CALIFORNIA FIRE CODE - ~`~ (Signature) '~ (Please Print Name Legibly, Title`),;, _ U.B.C. UNIFORM BUILDING CODE ~^ z^t rr . l f ~ = ~f" ~ r y B.M.C. BAKERSFIELD MUNICIPAL CODE ~ INSPECTOR: I ;~.'.i .~ iz._.... AP NO.: ~" i~ ~-l,~+ N.F.P.A. NATIONAL FIRE PROTECTION _ ! `~ (Signature)" ASSOCIATION N.E.C. NATIONAL ELECTRIC CODE r KE3F-7320 - White -Customer/Original ~ Yellow -Station Copy Pink -Prevention Services . - _ ~ FD 2.022-(Rev. 09/05) STAT. ; ~ C . IFORNIA FIR;.,: ~S~FETY INSPECTION REQUEST sr.,. eso (REV. ~o->u) See Insfruct/ons on reverse. AGENCY CONTACTS NAME TELEPHONE NUMBER REQUEST DATE PROGRAM COMMUNITY CARE LICENSING 559 243-4023 09/21/06 109 E`IALUATOR'S NAME REQUESTING AGENCY FACILITY NUMBER REQUEST CODE PATRICIA POLANCO- 0399/ma 153903294 3A RESPONSE REQUIRED coDEs ucENSING STATE DEPT OF SOCIAL SERVICES ~ 1. ORIGINAL A. FIRE CLEARANCE . AGENCY 2. RENEWAL B. LIFE SAFETY NAME AND COMMUNITY CARE LICENSING 3. CAPACITY CHANGE ADDRESS 770 E. SHAW AVENUE, SUITE 3O0 4. OWNERSHIP CHANGE FRESNO, CA 93710-7785 5. ADDRESS CHANGE 6. NAME CHANGE 7. OTHER AMBULATORY NONAMBULATORY BEDRIDDEN TOTAL CAPACITY CAPACITY PREVIOUS CAPACITY CgppCITY PREVICUS CAPACITY CAPACITY PREVIOUS CAPACITY 14 14 ~^`''"~ i1''^^~ LICENSE CATEGORY CARRILLO, LORI & BARRIENTE, YVONNE FCC STREET ADDRESS (Actual Location) NUMBER OF BUILDINGS 605 PLOVER CT one crTY RESTRaNT BAKERSFIELD, CA 93309 none FACILITY CONTACT PERSON'S NAME HOURS CARRILLO, LORI 661 833-2867 DAYS sPEaAL coNlxnoNs "PLEASE CHECK ALL ROOM INCLUDING THE GARAGE" ..~ ',~.~:~ ~ ,... TO 8faks~OMP~~T'EU-BY IN3PECTIIiG,AU`q'~~~'..,,~~!._ FlRE gAKERSFIELD FIR PREVENTION AUTHORITY NAMEAND g00 TRUXTON SUITE #210 ADDRESS gAKERSFIELD, CA 93301 MISPECTOR'S NAME (Typed arPriltad) TELEPHONE NUMBER ~- ~ J r ~c mxcVlVnJ,1 ry IUHC 1 ~/ ~~-a -~ E7(PWN DENIAL OR ST SPECIAL CON 4710 S CFlRS NUMBER/`~ OCCUUPANCY CLASS ~l 1. P~ CLEARANCE /DENIAL CODE ~~~ I ~ CODES 1. FIfiE CLEARANCE GRANTED 2. FlRE CLEARANCE DENIED A. IXITS 8. CONSTRUCTION C. FIRE ALARM D. SPRINKLERS E. HOUSEKEEPING F. SPECIAL HAZARD G. OTHER *-***_*_* HP MFP Digital Sending: Delivery Confirmation ****** .- - ~ . The following job has been successfully delivered to the specified recipient(s) and/or intermediate server. ---------------- Original message header ------------------ From: BFD HazMat 900 Truxtun - 10.1.17.55 Date: Tuesday, November 21, 2006 1:54:43 PM Subject: --------------------- Recipient List ---------------------- 15592438070 [successful transmission]