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~~ ~ ~~' WESTBROOK CHILDREN'S CENTER
~' 6501 SCHIRRA COURT #204
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BAKERSFIELD FIRE DEPT.
Prevention Services ~~
FIRE PREfVE.NTION INSPECTION a eF~RE t D 90o Truxtun Ave., ste. 210 '(
ABTM T Bakersfield, CA 93301 ~/
' ~ Tel.: (661) 326-3979 ^ Fax: (661) 852-2171
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BUSINESS OWNER'S NAME AND ADDRESS N
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OWNER'S PHONE
CITY, STATE, ZIP
BILL TO: (IF DIFFERENT FROM ABOVE) NAME, ADDRESS CITY, STATE, ZIP, BILLING PHONE NO.
~C TXP OC~OAD,~ NO. OF ~LOORS HIGH RISE BLDG A RiIS/ER DATE
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CORRECT ALL VIOLATIONS VIOLATION
REQUIREMENTS
CHECKED BELOV1l'' No.
COMBUSTIBLE WASTE I 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) __________________ 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.)
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
FIREDOORSI
FIRE SEPARATIONS ~~
shall return the surface to its original fire resistive condi ' n.
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.)
ExlTS 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 ornear required exit (location) ., _
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______________________________ to clearly indicate it as an exit. (U.F.C.)
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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.)
oUTDOORBURNtNG 16 Violation of Section 1102 dealin with recreational fires or o en burnin U.F.C.
FIREWORKS
J 17 Violations of Section 7802 U.F.C. or 8.49.040 of the Bakersfield Munici al Code B.M.Ct re ardin fireworks.
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CUSTOMER: r-- ~. ~•~ .. , ~' L'`• i/ ~'° ~~ } ~
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+. C.F.CND• CALIFORNIA FIRE CODE
( ignature,)
(Please Print
Name Legibl ,Title) U.B.C. UNIFORM BUILDING CODE
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~ ~ B.M.C. BAKERSFIELD MUNICIPAL CODE
~'tW~t fl'~--'^.°`.". AP NO.:
INSPECTOR: 1 N.F.P.A. NATIONAL FIRE PROTECTION
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(Signature) ~ ~'"'•.•r'
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~ ASSOCIATION
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NATIONAL ELECTRIC CODE
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White -Customer/Original • Yellow -Station Copy Pink -Prevention Services FD 2022 (ReV. 09/0_5) , ~,
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STATE OF CALIFORNIA
FIRE SAFETY INSPECTION REQUEST
sTD. aso tREV. Tas1~)
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See Instructions on reverse.
Aiii:NCY CCrITACT'$ NAME TELEPHONE NiIMBER RSCU'cST DAT£ PROGRAM
COMMUNITY CARE LICENSING 559 243-8067 4-25-07 109
EVALUATOR'S NAME REQUESTING AGENCY FACILITY NUMBER REOVEST CODE
CYNTHIA BRANNON 0328 153808024 3A
RESPONSE REQUIRED coDEs
~ 1. ORIGINAL A. flRE CLEAAANCE
LICENSING ~TATE DEPT. OF SOCIAL SERVICES 2. RENEWAL B. LIFE SAFETY
AGENCY
NAAIEAND COMMUNITY CARE LICENSING
a, cAPACITYCHANGE
ADDRESS 770 E. SHAW AVENUE, SUITE 300 4. OWNERSHIP CHANGE
FRESNO, CA 93710-7785- s. ADDRESS CHANGE
6. NAME CHANGE ,
7. OTHER
AMBULATORY NONAMBULATORY BEDRIDDEN TOTAL CAPACITY
CAPACITY PREVOUS CAPACITY CAPACITY PREVICUS CAPACITY CAPACITY PREVIOUS CAPACITY "
90 90
FACILITY NAME
WESTBROOK CHILDREN'S CENTER
STREET ADDRESS (Actual Loatbn)
6501 SCHIRRA COURT, SUITE 204
BAKERSFIELD, CA 93313
FACILITY CONTACT PERSON'S NAME
KRISTI MILLER 661-8
sPEaAL coNanoNs
LICENSE CATEGORY
PS
NUMBER OF BUILDINGS
ONE
RESTR/JNT
NONE
HDQRS
DAYS
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Y IN81
~AKERSFIELD CITY F.D. ~ ~ ~ ~ x.007
FlRE 1600 TRUXTUN AVE., STE. 401. ' QUA
AUTHORITY ~N~ D
NAME AND
BAKERSFIELD, CA 93301
ADDRESs
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MISPEC'TOR'S NAME (Tjpgd a PtilMd) TELEPHONE NUMBER CFlRS NUMBER OCCUPANCY CLASS
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PISPECTION DATE INSPECTORS
EXPLAIN DEtiIAL OR 51 SPECIAL 1
a
1. FARE CLEARANCE 4RANTED
2. FlRECLEARANCEDENIED
a ExITs
8, CONSTRUCTION
C, FIRE AU1RM
D. SPRINKLERS
E. HOUSEKEEPING
F, SPECIALMAZARO
G. OTHER