The URL can be used to link to this page

Home My WebLink AboutBUSINESS PLAN... __ 'r~' ~ ~ ~ BAKERSFIELD FIRE DEPT. - .~ ~ 3~ Prevention Services ~ ~~ ~~ )IRE PREVENTION INSPECTION B EFiRE t D 90o Truxtun Ave., Ste. 210 Alft 1M T Bakersfield, CA 93301 '~ tih ~'' ~ Tel.: (661) 326-3979 ^ Fax: (661) 852-2171 t', DISTRICT BLOCK NO. DATE J~ , ! EE "„ _. FACILITY ADDRESS L",(~,/TQ r `J =J `/ , CITY, STATE, ZIP ~ FACILITY NAME MA AGER'S NAME /1 _ A F IL TY~O~E NO. (~(~+ BUSINESS OWNER'S NAME AND ADDRESS OWNER'S PHONE NO. CITY, S E, ZIP BILL TO: (IF DIFFERENT FROM ABOVE) NAME, ADDRESS CITY, STATE, ZIP, BILLING PHONE NO. OCC TY~ OCC LO NO. OF FLOORS HIGH RISE BLDd RI ER DA ^ YES ~ NO CORRECT ALL VIOLATIONS vio~~rioN REQUIREMENTS I CHECKED BELOW eo. COMBUSTIBLE WASTE /DRY 1 w ~,~~. 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) ________________________________ _~~O~astering FIREWOORS/ FIRE SEPARATIONS 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.) 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.) 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 1'~'~ ~ CUSTOMER: ~ ' I ~` t ''' ~ ~ '~ 'r -~-~~ 1 ~ / LEGEND: C.F.C. CALIFORNIA FIRE CODE ignatu e) (Please Print Name Legi ly, Title) U.B.C. UNIFORM BUILDING CODE B.M.C. BAKERSFIELD MUNICIPAL CODE INSPECTOR: ~ AP NO.: N.F.P.A. NATIONAL FIRE PROTECTION (Signa re) ASSOCIATION N.E.C. NATIONAL ELECTRIC CODE J White -Customer/Original Yellow -Station Copy Pink -Prevention Services FD 2022 (Rev. 09/05) STAT`~ F CALIFORNIA ' FIRE SAFETY INSPECTION REQUEST See instructions on reverse. STD. 850 (REV. 10-94) AGENCYCONTACT'SNAME TELEPHONE NUMBER REQUEST DATE PROGRAM LATCC 323 981- 3303 05/31/06 Group Home EVALUATOR'S NAME REQUESTING AGENCY FACILITY NUMBER REQUEST CODE Chunte Melvin 157804645 l A CODES ----- 1. ORIGINAL A. FIRE CLEARANCE LICENSING 2. RENEWAL B. LIFE SAFETY AGENCY Department Of SOClaI SerVICeS NAME AND Los Angeles and Tri-Coastal Counties 3. CAPACITY CHANGE ADDRESS Chlldreri~S ReSldentlal Program 4. OWNERSHIP CHANGE 1000 Corporate Center Dr. Suite 200A 5. ADDRESS CHANGE ~Montery Park, CA 91754 - J 6. NAME CHANGE 7. OTHER AMBULATORY NONAMBULATORY BEDRIDDEN TOTAL CAPACITY CAPACITY PREVIOUS CAPACITY I CAPACITY PREVIOUS CAPACITY CAPACITY PREVIOUS CAPACITY 0003 0003 FACILITY NAME LICENSE CATEGORY Kern Trasition Home - Dorset GH-730 STREETADDRESS (ActualLocation) NUMBER OF BUILDINGS 5809 Dorset Drive 1 CITY - RESTRAINT Bakersfield, CA 93306 FACILITY CONTACT PERSON'S NAME HOURS Suzanne Ash -Adminnistrator (661)873-7721 ~ ~ ~ 24/7 SPECIAL CONDITIONS '\ ~ 1 ~L ~~,~ TO BE COMPLETED BY INSPECTING AUTHORITY CLEARANCE/DE IA CODE - ~ _... ODES ---- FIRE Bakersfield City Fire Department 1. FI E CLEARANCE GRANTED AUTHORITY prevention Services NAME AND 900 Truxtun Ave., Suite 210 IRE CLEARANCE DENIED ADDRESS Bakersfield, CA 93301 A. EXITS B. CONSTRUCTION C. FIRE ALARM ------- --------- ----._....__------------------------------------ ---- INSPECTOR'SNAME(TypedorPdnted) ~ TELEPHONE NUMBER CFIRSNUMBER OCCUPANCYCLASS D. SPRINKLERS i ` ~ ~ E. HOUSEKEEPING (, ~~ ~„ ~ ~ F. SPECIAL HAZARD INS ECTIONDATE INSPECTOR'S NA (TypedorPint ) j^~ ~ ~ _Xf ...._._~_ cL- ~ G. OTHER .._. _ ... -._ ___. _ . .------_...------._...---___.._..----.....----_ ____----------._...._._.....------ EXPLAINDENIALORLIS PECIALCON I r l ,-r°4- STATE OF CALIFORNIA -HEALTH AND HUMAN SERVICES AGENCY CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING FACILITY SKETCH (Floor Plan) Applicants are required to provide a sketch of the floor plan of the home or facility 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 rooms must be shown in case of an emergency (see Emergency Disaster Plan). Show room sizes (e.g. 8.5 x 12). Keep close to scale. Use the space below See back for yard sketch FACILITY NAME: ~ - ADDRESS: Kern Transition Home -Dorset 5809 Dorset Dr. Bakersfield CA 93306 -.' ,<r r I,~ .. ~ ~, ' ~ ~. STATE OF CALIFORNIA -HEALTH AND HUMAN SERVICES AGENCY .__ CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING 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 close to scale. Use the space below. .FACILITY NAME: ~ - ~ ADDRESS: Kern Transition Home -Dorset 5809 Dorset Dr. Bakersfield CA 93306 r - - • ~ Is the r~cil.ity in e City ~ ar County. ~ ~~~' ~~~~,~~x -- ~ ~. ~ ~ l ~a ~ _____ . ,~ -~ ~~ ~ ~ ~ •~ j ~..~ ~~ ~ ~~ t ~ ~ ~ -- -- - - - ~ ~,~ GT ._ O _ C ~. ~ Q (b .. - - ,~ ....~ ~.. a. a r.....a ~ 3 ... ! . ~ ~ ~ .$ . ~1- i 0 ~ s ~ ~~ ~ ~~ e ~4 t ~ ~~ ~--- - - - t- .- _ _ .~ . ~' {~ -~ l ~ ~ ~ ~ . -~ ~- -- - o ~: ~ - . _ __ d,. 1 ~ j~ t ~, _ _ - - i °°~ i~ $ ~ ~~ _~ ~ ~~ -~ ~~ ~~ ~ ;... i f 0 . W~tlow ~rnve In ---- ~~ .~ f ' '`~~ . ; ~ ~ ~ _.. k ,' ~ ~ ~~ ' ~ ~ \ _. i i ~ ~~''~