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Home My WebLink AboutBUSINESS PLANNO FOLDER FOR THIS FILE I ~t ,~ ~"}`$ BAKERSFIELD FIRE DEPT. :., : ~.. Prevention Services ~ , I `'I F1RE~PREVENTION INSPECTION B EFiRE ` r D 900 Truxtun Ave., ste. 210 ~" AItTIM Bakersfield, CA 93301 Tel.: (661) 326-3979 ^ Fax: (661) 852-2171 DISTRICT BLOCK NO. DATE _ "') _ EE FACILITY ADDRESS ~ ~ ~ CITY, ST TE, ZIP 41r~~~ FACILITY NAME ~ ~ ~ `~ t AGER'S ME F CILITY PHONE NO. BUSINESS OWNER'S NAME AND ADDRESS CI STA E, ZIP OWNER'S PHONE NO. BILL TO: (IF DIFFERENT FROM ABOVE) NAME, ADDRESS CITY, STATE, ZIP, BILLING PHONE NO. TYPE OCC LOAD NO. OF FLOORS HIGH RISE BLDG RISER DATE ^ YES ^ NO CORRECT ALL VIOLATIONS VIOLATION CHECKED BELOW No. REQUIREMENTS TE I DRY COM TIBLE WA 1 Remove and safely dispose of all hazardous refuse and dry vegetation on the above premises (U.F.C.) BUS S 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.) SIGNS 7 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.) 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.) FIREDOORSI FIRE SEPARATIONS g Repair all (cracks/holes/openings) in plaster in (location) ______________________________________. Plastering shall return the surface to its original fire resistive condition. (U.B.C.) 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.) 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.) ELECTRICAL APPLIANCES 14 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.) 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 1g - / CUSTOMER: ~ B? - (SI Ufe) lease Pri Name Legibly, Title) INSPECTOR: ~..-- AP NO.: ~'~ (SlgflatUre) ~CEF. N LIFORNIA FIRE CODE U.B.C. UNIFORM BUILDING CODE B.M.C. BAKERSFIELD MUNICIPAL CODE N.F.P.A. NATIONAL FIRE PROTECTION ASSOCIATION N.E.C. NATIONAL ELECTRIC CODE White -Customer/Original Yellow -Station Copy Pink -Prevention Services FD 2022 (Rev. 09/05) -~° STATE OF CALF°ORNIA FIRE SAFETY INSPECTION REQUEST See insfructions on reverse. STD. 850 (REV. 10-94) AGENCY CONTACT'S NAME TELEPHONE NUMBER REQUEST DATE ' PROGRAM LATCC 323 981- 3329 04/07/06 Group Home EVALUATOR'S NAME REQUESTING AGENCY FACILITY NUMBER REQUEST CODE CJ Quitoriano 157806011 IA CODES _. - - - ~ 1. ORIGINAL A. FIRE CLEARANCE LICENSING I I 2. RENEWAL B. LIFE SAFETY AGENCY Department of Social Services NAME AND Los Angeles and Tri-Coastal Counties 3. CAPACITY CHANGE ADDRESS Children's Residential Program 4. OWNERSHIP CHANGE 1000 Corporate Center Dr. Suite 200A 5. ADDRESS CHANGE Montery Park, CA 9 ] 754 J 6. NAME CHANGE 7. OTHER AMBULATORY NONAMBULATORY BEDRIDDEN TOTAL CAPACITY CAPACITY I PREVIOUS CAPACITY CAPACITY PREVIOUS CAPACITY CAPACITY PREVIOUS CAPACITY ---------~----- ------ 4 - --- I----- - -I --------~ 4 ---------------- ----- FACILITY NAME L~GtNSt l:A 1 tGUKY Sails VIII GH-730 STREETADDRESS (ActualLocation) NUMBER OF BUILDINGS 4505 Chaney Ln. 1 CITY RESTRAINT Bakersfield, CA 93313 FACILITY CONTACT PERSON'S NAME HOURS Psyche Madden (661)663-7911 24/7 SPECIAL CONDITIONS TO BE COMPLETED BY INSPECTING AUTHORITY ~~:~ FIRE Bakersfield City Fire Department AUTHORITY prevention Services NAME AND 900 Truxtun Ave., Suite 210 ADDRESS Bakersfield, CA 93301 ~_ _J INSPECTOR'S NAME(Typed or Printed) '. TELEPHONE NUMBER ~_ ~ ~ i INSPECTION DATE / INSPECTOR'SSI JVfURE y dorPrinte 1 CFIRS NUMBER I OCCUPANCYCLASS LEARANCE! NIALCODE \, CODES IRE CLEARANCE GRANTED 2. FIRE CLEARANCE DENIED A. EXITS B. CONSTRUCTION C. FIRE ALARM D. SPRINKLERS E. HOUSEKEEPING F. SPECIAL HAZARD G. OTHER x ~'~ ,. STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNRY CARE ucENS1NG FACILITY SKETCH (Floor Plan) Applicants are required to provide a sketch of the floor plan of the home or faality and outside yard. The floor sketch must label rooms such as the kitchen, bath, living room, etc. Circle the names of the rooms that will be used by staff/residents/clients/children. Door and window exits from the roams must be shown in case of an emergency (see Emergency Disaster Plan). Show room sizes (e.g. 8.5 x 12}. Keep c{ose to scale. Use the space below. See back for and sketch. ' FACILPTY NAME: ~ ADDRESS: I- i I r I - I ~ _ _ -; _. _1 ~ -I - _ -' ' -I - ' - _ I~ - I I - - - j-- - I ~ ~ -- - ~ I . ~ I _ ~ 1 , I ; { ,, ~ I ~ _ = ~ - - - -- i - - _ -- - i - I - - .~ ~. ~ ' - ~ - - I- - I T -~ - I { -- - - --- _~ _ - - - I --~ - II 1 , ~~ I ~ I I ~I , ~ I{ - I - ~ ' - - ' - I ~ , ~ - -- I - I -- - - -- -- -- F - - - - - - - -- - -- - - - -, ~ - 11-I -- = ~, ~ -~ -- - - - , , - -- - _ _ ~. i r { _ ~l - ~ ~_~ I ~ __ _. ~ i ~ I L { I _ r , 1 1 I i - - -~ 1 - I - i 1 , - ~ I - _ I ~ I - - ~ { ~ ~ ~ ~ I , i _- I - ~ I i ~ ~ ~ I _ I ~ - I -- ~ ; i I i - ~ I I I ~ ~ I I -- I - ~ - ~ - ~ - ~ - - - g i I ~ ' ~ - - - - - I - - ~ _ ~ - -- $ ; ~I I- I I ~ ~ I ~ I I i I a I ~ I I ~- f ]-- I ~ - _ ( ' i I I ~ ~ ~ I ~ ~ I _ I i i i I I , ~ _ ~ _., _. ~ I ' ! _ ~ T1 I ( - ~ i ~ ~ ~I - r- I I I t I I ~ I _ J ~ uc ess fares) v ~~r,1 v r;D ~~~ -~.J H ~+ ni'~ ,fir C R i?:~~~ h ~ ,. STATE OF CALffORNtA-HEALTH AND HUMAN SERVICES AGENCY CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LSCENSINO FACiLiTY SKETCH (Yard) The yard sketch should show all buildings,in the yard including the home (with no detail), garage and storage building, Include walks, driveways, play area, fences, gates. Show any potential hazardous area such as pools, garbage storage, , animal pens,. etc. Show the overall yard size. Try to keep the sizes Dose to scale. Use the space below. ~~ - t -- ~~~~: ~` - -- ~ ~ - - _. _ ~E,CLI~\ /~, /' ~~AR ~d~ a1 L C~ . DG~~ ti~ ~rsiD~~