HomeMy WebLinkAboutBUSINESS PLAN
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BAKERSFIELD FIRE
Preven tion Services
900 Truxtun Ave., Ste. 210
Bakersfield, CA 93301 .
Tel.: (661) 326-3979 0 Fax: (66
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PREVENTION INSPECTION
DEPT. D'~"
f~ 1t/ "~
t
DISTRICT
FACILITY ADDRESS
FACILITY NAME
""'j
,j
BLOCK NO.
-o~
DATE
CITY, STATE, ZIP
MANAGER'S N E
CITY, STATE, ZIP
BILL TO: (IF DIFFERENT FROM ABOVE) NAME, ADDRESS
CORRECT ALL VIOLATIONS VIOLATION
CHECKED BELOW NO,
COMBUSTIBLE WASTE / DRY
VEGETATION
COMBUSTIBLE STORAGE
CITY, STATE, ZIP,
NO. OF FLOORS
DYES
REQUIREMENTS
2
Remove and"safely dispose of all hazardous refuse and dry vegetation on the above premises (U,F,C,)
Provide no~:combustible containers with tight fitting lids for the storage of combustible waste and rubbish pending its
safe disposal. (U,F.C.)
Relocate combustible storage to provide at least 3 feet clearance around motor fuse box/fire door (N.E.C.) (U.F.C.)
3
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) .
_ 5 ~rovid? and insta,lI~--.amount) , _ ap~r~~;~ & siz-;>:-;;L~T__-, __"=_ -portabl~ fire extinguisher to be
~ -Imn:ul~ately accesslbIU()J..usEHil"farear::.=1f'"~ ...'" -';'77 I ,tJ~
6 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.)
EXTINGUISHERS
SIGNS
\,
FIRE DOORS /
FIRE SEPARATIONS
11
EXITS
12
STORAGE 13
14
ELECTRICAL APPLIANCES
15
OUTDOOR BURNING 16
FIREWORKS 17
OTHER 18
CUSTOMER:
INSPECTOR:
KBF, 7320
Provide and maintain .EXIT" sign(s) with letters 5 or more inches in height over each required exit (door/window) to
fire escape. (U,F.C.)
8 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,)
7
9
Repair all (cracks/holes/openings) in plaster in (location) ___________________________________' Plastering
shall return the surface to its original fire resistive condition, (U.B.C.)
Remove/repair (item & location) ------------------------- '''-ft-----------------' Self-closing
doors shall be designed to close by gravity, or by the action of a mec aUc Ie, r by an approved smoke and
heat sensitive device, Self-closing doors shall have no attachments capable 'l::dnJil1g e operation of the
closing device, (U,F.C,) 'It
10
Remove all obstruction from hallways. Maintain all means of egress free of any storage. (U,F,C.)
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,)
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.)
Extension cords shall not be used in lieu of permanent approved wiring. Install additional approved electrical, outlets
where needed, (N,E.C.) (U,F,C.) .
Remove multiple attachment cords from specific electrical convenience outlet (one plug per outlet) (N.E.C,) (U,F.C.)
.---:2
7~
(Please Print Name Legi~~e)
APNO.: ~
CALIFORNIA FIRE CODE
UNIFORM BUILDING CODE
BAKERSFIELD MUNICIPAL CODE
NATIONAL FIRE PROTECTION
ASSOCIATION
NATIONAL ELECTRIC CODE
N.E.C.
White - Customer/Original
Yellow. Station Copy
Pink - Prevention Services
FD 2022 (Rev, 09/05)
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: 'srA1EClFCALIRlANIA
FIRE SAFETY INSPECTION REQUEST
'\.1'10. -(REV. 104N)
II1IEtIIf:t CClN1'ACI'S HAlE
COMMUNITY CARE LICENSING
See 'uftucflon. on 18\WN.
1B.EPHONE N\MIER
59 243-4023
AEOUEST DAlE
8-30-06
PROGRAM
09
f.YMIMlQR'S NMIE AECIUES11NG N31SHCV FAClUTY ~
PATRICIA POLANCO 0399 153903965
RESPONSE REQUIRED
~ATE DEPT. OF SOCIAL SERVICES I
COMMUNITY CARE LICENSING
770 E. SHAW AVENUE. SUITE 300
FRESNO. CA 93710-7785
L
REQUEST CODE
A
CODES
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1. ORIGINAL A. FlRECLEARANCE
2. RENEWAL B. LIFE SAFETY
t eAPACtiYC'ttANGE.
4. OWNERSHIPCHANGE
S. ADDAESSCHANGE
I. NAMECHANGE
7. ontER
l.ICEIBtlO
AGENCY
MAIlE AND
ADDRE88
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AllBULATORY NONAMBULATORY BEDRIDDEN TOTAL CAPACI1Y
CMW:I1Y I'lIelIlQ tll'1afY CAPItarY PAEVIDUS CAPIafY CN'NnY. PREVlliU8 CIAarY
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FAClUfY HAlE , UCENIIIi CATEGClRY
ANIELLE LEYVA FCC J=CC
SIREEI' ADIIIESS (/lllMlloaIliIn) ...... OF IIl.IlDIIIG8
213 WHITLEY CT. t
ClITY AESTAMI1'
BAKERSFIELD.CAm93309m.. NONE
RlaUIY CClN1'ACTPER8ClN'8 lIME HOURS
ANIELLELEYVA661.d33&-8893. ". DAYS
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BAKERSFIELD FIRE DEPT.
900 TRUXTUN AVE., STE. 210
BAKERSFIELD, CA 93301
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A. EXITS
B. 00N811Um0N
c. FlEAUAM
TB.EPHCINE NUI&R
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OCCtI"ANCY ctA88
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D. 8PfUI1fLEAS
E. ItOU8BI:...J .G
F. ~HAiARD
G.onER