The URL can be used to link to this page

Home My WebLink AboutBUSINESS PLANI I' ~ ~~ - - -- ~' ANN MARIE'S QUALITY RES CARE #2~ __ ~~ 2300 GAMBEL OAK WAY ~ ., - G ~~.; .~ ~~ FIRE F~REVENTION INSPECTION +N e~ J ., ~ .. • BAKERSFIELD FIRE DEPT. ~~ >I B R S F I L D Prevention Services P/RE 900 Truxtun Ave., Ste. 210 ~/ ARTM T Bakersfield, CA 93301 ' Tel.: (661) 326-3 9 U Fax: (661) 852-2171 DISTRICT BLOCK NO. DATE ~ ~~ ~ ]1 ,.~ f~ /„„ `J ( ~.1 EE (, ~ ~U `.'~ FACILITY ADDRESS al_ r"~ b~ ~ + l o4 CITY, STATE, ZIP 1 FACILITY NAME MANAGER'S NAME. FACILI Y PHONE NO.~. ~ 1.~.."' BUSINESS OWNER'S NAME AND ADDRESS CITY, STATE, ZIP OWNER'S H NE NO. BILL TO: (IF DIFFERENT FROM ABOVE) NAME, ADDRESS CITY, STATE, ZIP, BILLING PHONE NO. OCC TYPE ~ OCC OAD ~ NO. OF FLOORS HIGH RISE BLDG ~ RIS R~pATE ~ ^ YES ~ NO '4 CORRECT ALL VIOLATIONS VIOIRTION t ~ REQUIREMENTS CHECKED BELOW No. Y 1 Remove and safely dispose of all hazardous refuse and dry vegetation on the above premises (U.F.C.) COMBUSTIBLE WASTE /DR 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.) q 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 8 size) __________________ portable fire extinguisher to be immediately accessible for use in (area) _____________________________ (U.F.C.) 6 Re-charge all fire extinguishers. Fire extinguishers shall be serviced at least on a 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 eac q i ~ It 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 in ~ie correct address of the building. (B. M.C.) (U.F.C.) y Repair all (crackslholes/openings) in plaster in (location) ______________________________________. Plastering FIREDOORSI shall return the surface to its original fire resistive condition. (U.B.C.) FIRE SEPARATIONS 10 Removelrepair (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 1$ Remove all storage andlor 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.) oUTDOORBURNING 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 18 ~ `.._ ~ ~ CUSTOMER: ~ fit LEGEND: . (SignatuPe.) v (Ple se Print Name Legibly, Title) C.F.C. CALIFORNIA FIRECODE U B C UNIFORM BUILDING CODE . . . B.M.C. BAKERSFIELD MUNICIPAL CODE ~~aa INSPECTOR: AP NO.: N.F.P.A. NATIONAL FIRE PROTECTION _ (Sign tUf@) ASSOCIATION N.E.C. NATIONAL ELECTRIC CODE White -Customer/Original Yellow -Station Copy Pink -Prevention Services FD 2022 (Rev. 09/05) STATF, OF CAY1 i;~C tNiA ~~ FIRE SAFETY INSPECTION REQUEST sro. aso (REV. ~o-ea) See lnstructlons on reverse. f ACiENCV CONTACTS NAME TELEPHONE NUMBER REQUEST DATE PROGRAM COMMUNITY CARE LICENSING 559 243-8080 9/28/06 109 EVALUATOR'S NAME REQUESTING AGENCY FACILITY NUMBER REQUEST CODE FEI YUAN 157203452 1A RESPONSE REQUIRED cones LICENSING ~ STATE DEPT. OF SOCIAL SERVICES ~ AGENCY NAME AND COMMUNITY CARE LICENSING 1. ORIGINAL A. FIRE CLEARANCE 2. RENEWAL B.UFESAFETY s. cAPACITVCHANGE ADDRESS 770 E. SHAW, SUITE 33O 4. OWNERSHIPCHANGE FRESNO, CA 93710-778 s. aDDRESSCHANGE 6. NAME CHANGE 7. OTHER AMBULATORY NONAMBULATORY BEDRIDDEN TOTAL CAPACITY CAPACITY PREVOUS CAPACITY CAPACITY PREVIOUS CAPACITY CAPACITY PREVIOUS CAPACITY 0 0 6 0 0 0 6 ---- sPEaALCONOmoNs ~ , FlRE KERN CO ~ I E DEPARTMENT ', AUTHORITY ~ NAME AND 5642 VIC~~TOR STREET ~ ADDRESS gAKER~SF I~ELD, CA 93308 MiSPECTOR'S NAME (Typed or Prhtad) TELEPHONE NUMBER ~-- ~ / /1 FACILITY NAME LICENSE CATEGORY ANN MARIE'S QUALITY RESIDENTIAL CARE #2 ELDERLY RESIDENTIAL STREET ADDRESS (Actual Location) NUMBER OF BUILDINGS 2300 GAMBEL OAK WAY - 1 crTY RESTRaNT BAKERSFIELD, CA 93311 NONE FACILITY CONTACT PERSON'S NAME HOURS ANN MARIE DITONA (661) 664-9091 24 HOURS ~ : {~ t '-~ i$ 3 sir iNSPecttrrc~ -uT~-o °~ ~ `~ . ~ ~. ~ E w CLEARANCE IAL COOE CODE8 i. F E CLEARANCE GRANTED 2. FlRE CLEARANCE DENIED A. ExITS B. CONSTRUCTION C. FIRE ALARM EF u CFlRS NUMBER OCCUPANCY CLASS i D. ~llNni.i E. HOUSEKEEPING ~ , i-- S ~ SPECIAL HAZARD I F. G. OTHER U°U~o I ~ oENUU. oR UST SPECIAL . ~ ,, *:***** HP MFP Digital Sending: Delivery Confirmation ****** The following job has been successfully delivered to the specified recipient(s) and/or intermediate server. ---------------- Original message header ------------------ From: BFD HazMat 900 Truxtun - 10.1.17.55 Date: Tuesday, October 10, 2006 3:19:22 PM ° Subject: --------------------- Recipient List ---------------------- 3974389 [successful transmission] ~, *;***** HP MFP Digital Sending: Delivery Confirmation ****** The following job has been successfully delivered to the specified recipient(s) and/or intermediate server. ---------------- Original message header ------------------ From: BFD HazMat 900 Truxtun - 10.1.17.55 Date: Tuesday, October 10, 2006 3:22:03 PM Subject: --------------------- Recipient List ---------------------- 15592438070 [successful transmission] ~` ~ . *>***** HP MFP Digital Sending: Delivery Confirmation ****** The following job has been successfully delivered to the specified recipient(s) and/or intermediate server. ---------------- Original message header ------------------ From: BFD HazMat 900 Truxtun - 10.1.17.55 Date: Tuesday, October 10, 2006 3:25:05 PM Subject: --------------------- Recipient List ---------------------- 15592438088 [successful transmission]