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Home My WebLink AboutBUSINESS PLAN.. -.~ n .p ~~. ~'~F~I~E PREVENTION INSPECTION a eFiRe I D ' Y.,r ARTM T I A BAKERSFIELD FIRE DEPT. Prevention Services ~~ 900 Truxtun Ave., Ste. 210 ~~ Bakersfield, CA 93301 Tel.: (661) 326-3979 ^ Fax: (661) 852-21 DISTRICT BLOCK NO. DATE ~~/ ~D/,,~ V 1~-'' EE QV FACILITY ADDRESS / ~ V ` A lJ t CITY, STATE, ZIP 9'~~r t `~ FACILITY NAME GER'S NAM FACT TY PHONE NO s BUSINESS OWNER'S NAME AND ADDRESS CITY, ST E, ZIP OWNER'S PHONE NO. BILL TO: (IF DIFFERENT FROM ABOVE) NAME, ADDRESS CITY, STATE, ZIP, BILLING PHONE NO. OCC TYPE OCC LOAD NO. OF FLOORS HIGH RISE BLDG RISER DATE ^ YES ^ NO CORRECT ALL VIOLATIONS vio~~rioH REQUIREMENTS CHECKED BELOW No. 1 Remove and safely dispose of all hazardous refuse and dry vegetation on the above premises (U.F.C.) COMBUSTIBLE WASTE /DRY 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.) F C ) ) (U E C Relocate combustible stora e to provide at least 3 feet clearance around motor fuse box/fire door (N COMBUSTIBLE STORAGE 3 . . . . . . g 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 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.) 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 or near required exif (location) ______________________________ to clearly indicate it as an exit. (U.F:G.) 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 a.p,proved 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 ,, ~ ` U 1 CUSTOMER: (s ~ ~ LEGEND: ISfg tflfe) (Please Print Name Legibl ,Title) C.F.C. CALIFORNIA FIRE CODE U.B.C. UNIFORM BUILDING CODE B.M.C. BAKERSFIELD MUNICIPAL CODE INSPECTOR: AP NO.: ~ N.F.P.A. NATIONAL FIRE PROTECTION (Slgn e) ASSOCIATION N.E.C. NATIONAL ELECTRIC CODE White -Customer/Original Yellow -Station Copy Pink -Prevention Services FD 2022 (Rev. 09/05) STATEi~ CALIFORNIA FIRE SAFETY INSPECTION REQUEST - See instructions on reverse. STD.850(REV.10-94) AGENCY CONTACT'S NAME TELEPHONE NUMBER j REOUESTDATE PROGRAM LATCC (323 ) 981- 3329 ; 03/30/06 Group Home EVALUATOR'S NAME REQUESTING AGENCY FACILITY NUMBER ER Q ESTU CODE CJ Quitoriano 157806012 lA CODES 1. ORIGINAL A. FIRE CLEARANCE LICENSING 2. RENEWAL B. LIFE SAFETY AGENCY Department of Social Services NAME AND LOS Angeles and Trl-Coastal COllntleS 3. CAPACITY CHANGE ADDRESS Children's Residential Program 4. OWNERSHIP CHANGE 1000 Cor orate Center Dr Suite 200A p . 5. ADDRESS CHANGE Montery Park, CA 91754 I_ _~ 6. NAME CHANGE 7. OTHER AMBULATORY NONAMBULATORY BEDRIDDEN TOTAL CAPACITY CAPACITY ~ PREVIOUS CAPACITY CAPACITY PREVIOUS CAPACITY CAPACITY PREVIOUS CAPACITY 4 I 4 FACILITY NAME LICE NSE CATEGORY Sails IX GH-730 STREETADDRESS (Actual Location) N UMBER OF BUILDING S 9801 Cheyenne Dr., 1 CITY RESTRAINT Bakersfield, CA 93312 FACILITY CONTACT PERSON'S NAME HOURS Alejandro Arcila (66l )833-8532 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 INSPECTOR'S NAME(Typed arPrinted) i TELEPHONE NUMBER _ / INSPECTION DATE `: INSPECTOR'S S ATURB(T ped or Printed J -~ - 7~ n --(ms`s / _ ~ ~"n ~~'~ l.s ,, - CLEARANCE/DENIAL CODE _CODES _______ ~ FIRE CLEARANCE GRANTED 2~ FIRE CLEARANCE DENIED A. EXITS B. CONSTRUCTION C. FIRE ALARM ----- I ---------- -- CFIRS NUMBER - -- - OCCUPANCY CLASS D. SPRINKLERS E. HOUSEKEEPING tf` ,^ ~` /~ '/ SPECIAL HAZARD F . G. OTHER ~, r STATE OF CALIFORNIA - N[Y+LTH AND HUMAN SERVICES AGENCY FACILITY SKETCH (Floor Ptan} CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING Applicants are required to provide a sketch of the floor plan of the home or facility and outside yard. The floor sketch must.labe rooms such as the kitchen, bath, living room, etc. Circle the nae~nes of the rooms that will be used by stafflresidents/clients/children.. Door and window exits from the rooms must be shown in case oS 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 foryard sketch. _.____--__ FACILITY NAME: i ADDRESS: Sails IX ~ 9801 Cheyenne Drive, Bakersfield, Ca. 93312 . d: Y f. STATE OF CALIFORNIA -HEALTH AND HUMAN SERVICES AGENCY ~ CALIFORNIA DEPAR7MEN70F 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- fnclude 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: Sails IX ; 980'1 Cheyenne Drive, Bakersfield, Ca. 93312 • :~~ r- f~i .. ~.r„ a ~..... .. .. ._ ... ~. _...- _._ . _ ......:r ... W 1 ....... .. Ie # .._..-,e j ~y` j f f , 7 f ~ I t E ' ._.. - ~~ } , _ .. t.. i ~ I ~. ., .. ... _ .. , }! ... . . _ i f ~ ~_ I ? , ~! ~P C _:___ i _Y - _. .... .. ,,, ~ ;, t ~ 5 r - ~ i. Yl ~. a ~' ~.., .1 i i r r. ~~ _ - x.. - i ~-. ~ ` _ .. _- ` _.. ..... ~~ s! i ' ~ , i .' , , ~. _- ~ j% - i `" , ~~ ~.., - ~ ~ ~ ,,F` ~