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Home My WebLink AboutBUSINESS PLANS ~''~/ f' ~. FIDE PREVENTION INSPECTION - a EF/IPE ` ° ARTM T BAKERSFIELD FIRE DEPT. Prevention Services / ~? 900 Truxtun Ave., Ste. 210 Bakersfield, CA 93301 Tel.: (661) 326-3979 ^ Fax: (66 52-2 7 ~~ DISTRICT BLOCK NO. DATE ,m. "')~ r- p ~ EE FACILITY ADDRESS ~ ' CITY, STATE, ZIP q FACILITY NAME * MANAGER'S NAM ' F I I PHONE NO. BUSINESS OWNER'S NAME AND ADDRESS CITY, STATE, ZIP OWNER'S PHONE NO. BILL TO: (IF DIFFERENT FROM ABOVE) NAME, ADDRESS CITY, STATE, ZIP, BILLING PHONE NO. ECLYPE °d) "~ OCC LOAD NO. OF FLOORS HIGH RISE BLDG ^ YES ^ NO RISER DATE CORRECT ALL VIOLATIONS VIOLATION CHECKED BELOW No. REQUIREMENTS COMBUSTIBLE WASTE /DRY 1 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.) 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.) FIRE DOORS/ 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: ~~ U_ (SI n ture) (Please Print Name Legibly, Title) INSPECTOR: !4P NO.: (Signature) LEGEND: C.F.C. CALIFORNIA 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 - CustomerlOriginal Yellow -Station Gopy Pink -Prevention Services FD 2022 (Rev. 09!05) i .~ .l'Fy,QF'CFI.I F~RNIA FIR>=+ SAFETY INSPECTION REQUEST See instructions on reverse. ~iD.850(REV.50-94) AGENCY CONTACT'S NAME TELEPHONE NUMBER REOUESTDATE i PROGRAM LATCC 323 981- 3329 04/07/06 Group Home EVALUATOR'S NAME REQUESTING AGENCY FACILITY NUMBER REQUEST CODE CJ Quitoriano 157806008 ~ lA _.. _... CODES __ 1. ORIGINAL A. FIRE CLEARANCE LICENSING ~ 2. RENEWAL B. LIFE SAFETY AGENCY Department of Social Services NAME AND LOS Angeles and TCl-COdstal CDUnt1e$ 3. CAPACITY CHANGE ADDRESS Chlldren'S ReSldenttal Program 4. OWNERSHIP CHANGE 1000 Cor orate Center Dr Suite 200A p . 5. ADDRESS CHANGE Montery Park, CA 91754 1 - ^-I 6. NAME CHANGE 7. OTHER AMBULATORY NONAMBULATORY BEDRIDDEN TOTAL CAPACITY CAPACITY 'i PREVIOUS CAPACITY CAPACITY PREVIOUS CAPACITY CAPACITY PREVIOUS CAPACITY I 4 4 FACILITY NAME LICENSE CATEGORY Sails V GH-730 STREE7ADDRESS (ACtuallocation) NUMBER OF BUILDINGS 12803 Marradi Ave., 1 CITY RESTRAINT Bakersfield, CA 93312 - - -- - - ---- --- --- - - - FACILITY CONTACT PERSON S NAME _ Ihab Shahawi GC (~ ~ ~~ ~-- j`~ - --- - - - - - - - _.._ " T---- -- HOURS 24/7 SPECIAL CONDITIONS TO BE. COMPLETED BY INSPECTING AUTHORITY ~.. NIALCODE CODES FIRE Bakersfield City Fire Department - --------_ . IRE CLEARANCE GRANTED AUTHORITY prevention Services NAME AND 900 Truxtun Ave., SUlte 210 2. FIRE CLEARANCE DENIED ADDRESS Bakersfield, CA 93301 A. ExITs B. CONSTRUCTION C. FIRE ALARM -- ---- INSPECTOR'SNAME(TypedarPrinted) ------____.___....---_-_-._ ~'. TELEPHONE NUMBER CFIRSNUMBER OCCUPANCY CLASS D. SPRINKLERS £i~ ~~v f ~~~"~ I 1+~~ ~'~;,~(;i ~JS:iJ' f ~l..i(- j ~ ~ E. F. HvUSEiiEEPING SPECIAL IiAZARD INSP CTIONDATE ~~ INSPECTOR'SSI ATU EjT p E ~ orPrinted)/ Y / ~~y r f G. OTHER EXPLAIN DENIAL OR LIST SPECIAL CONDI NS ~: ~~R~ ~ '~ i ~ r' FROh1 :GUILLERMD QUINTERO FAX N0. :6618580652 - Feb. 13 2006 05:39PM P1 _ r su'fE OF rAUpOtpfa -~µ~H AHV rg1MAN geavz;ES AGENCY CA.IN:ORlUA aF SOgAI SEAVIGES COF~MnifiY C/~ LICEldSwG FACILITY SKETCH (Flt~r Pian) _ _ _ Applicants are required to provide a sket~ of the Hoof plan of the home or facility artd outside yard. The floor sketch must iebbl rooms such as the kitchen, bath, Irving room, etc_ Grote the names of the rooms that will be used b3' slatr/res9dentslcliertts~cniidren. Moor and window exits from the rooms must be shown in case of an emergency (see Emergency Disaster Plan). Show loom s'ass~(e.g. 8.5 x 12~fCee~lOSe to Scale: Use the sp2ce below See back fo. r yard sketch. _... -- FAGLtrY NAME: ~ ~~ SAfLS V _ . __ .._... ._.__. _ _ 12803 Marradi Ave. Bakersfield, Ca. 93312._ . - ~ a ~d,~~ ~ (, ~~'x.t~ ~ rooh• -#~.- tarx i~t.~ &dr~- .#~3 7~~~xi 3` .$tclnerati.~5 ln~X 1 D ~ 8a~ ~ ~ 7t X'7 ~~ . ~h #~- 5'x io' ~'~ ~ l~l' X l 3 ` ICi <o'X~x' ~:~,. . . r, 7 FROM :GUILLERMO QlJINTERO FRX IVO. :6618580652 Feb. 13 2006 05:40PM P2 _ . DEa~a-~wT oc scan,, st-(1viCEs ~~tFO`~" ~„pnaamrca+tt~ ::TNE p ~/y,IFO~My~-11EnLYM NJD I ppµN ^.Et~`f ~`~'~~ - FACILII'Y S14ETCH Yard) - - __ - ; _ _ -- _ _-_-_ ._ ..~ .- ._ ~ ~ ~ _--_: -.=..-~_ l"he yard • sketch should show all buildings in the yard inducting the home twith na detalf), garage and storage building. Include walks, driveways. PtaY area, fences. gates, Show 8ny potential hazardous area such as pools, 9a~9e storage. animal pens, etc. Show the overall yard size. Try to keep the sizes dose to scale. Use the space f~taw- - - •-_ ~ • `""`"'~""~ ~ f 428{)3 Martadl Ave- Bakersfield, Ca. 93312 .•_. •.. _. _ SAILS V- -- -- - .__ ._. .. ... __ ... _. -..._... - - -- -• - •- - `~ .,;, r `~ r