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HomeMy WebLinkAboutBUSINESS PLANi ~ _ -CAMBRIDGE HILLS ASST. LVG. 2603 MT. VERNON AVENUE __ _ _ - .~ ~_ ._. -. , t .~ ~ l h y ,1 ~ J FIRE. PREVENTION INSPECTION BAKERSFIELD FIRE DEPT. +tl , ~ ~ - ~ B E R S F I D Prevention .,Services ~ I P11RIE 900 Truxtun Ave., Ste. 210 ~~ AR>/M T Bakersfield, CA 93301 Tel.: (661) 326-3979 ^ Fax: (661) 8 -2171 ~v DISTRICT BLOCK NO. ~ ~ DATE ~ , E / ,,,... ~ ~ (? ~ D r1 / d FACILITY ADDRESS V A cITY, STATE, ZIP ~ , ~ ~ ~ ~ Od ~ ~ v~ I ~ I N vN , ~ `C 1 ~ j FACILITY NAME M ~` ~, N G .~ FACILITY PHONE NO. MANAGER'S NAMi ~ N .-( ~ BUSINESS OWNER'S NAME AND ADDRESS ~" _ CITY, STATE, ZIP NAN ~ Qrl~ R'S P}}~O N 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 vw~enoe REQUIREMENTS CHECKED BELOW No. 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.) 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 & 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 lust 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.) I g Provide and maintain appropriate numbers on a contrasting background an i I th~j~el7o 2 j~lfj¢jcate the correct address of the building. (B. M.C.) (U.F.C.) [ vUbb g Repair all (cracks/holes/openings) in plaster in (location) _____________________________________ Plastering FIRE DOORS./-.' 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.) ..P 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 18 1 ~~ ~ rl ^ O U ~' /` 4 !~ M ~ g'7 e- M lit dom. ti~~ a~~ 14.,_ bw:1 ~ n ~f~ oc~K ~,. S wc,. 1 os ) orq ®,,y:-~ `., its ~ e r. hQ~~ 6~ ~~s i O g ~ o .n o •• O a o k. T4.,,. per/ O c ~ < <, /'~ ... S I B' ^ 2^7 v ,n 1 2e'INS ao-r,oti - ~/~~ ra CUSTOMER: -9 ~{ LEGEND: , C.F.C. CALIFORNIA FIRE CODE (Signature) (Please Print Name Legibly, Title) U.B.C. UNIFORM BUILDING CODE INSPECTOR: ~, E~~/A/, AP NO.:'~' EJ B.M.C. BAKERSFIELD MUNICIPAL CODE N.F.P.A. NATIONAL FIRE PROTECTION (Signature) ASSOCIATION N.E.C. NATIONAL ELECTRIC CODE White -Customer/Original Yellow -Station Copy Pink -Prevention Services FD 2022 (Rev. 09/05) -S S r Mem® From: n~ C ~ ~~ ~v ~ ~ ~; f ~'`''~ ~ ~, Cam' ~/~~~j~~ f~~ :i (~, ~~~ 3 ~~- ~~`~'` ' ~'a:~Q ~ ~ 31 Q ~ 3 7t~9 I a,, -- f-'- 3 ~~- y 6 3~ ~"~ 12----- i t i:.a~r-V.-..FF'lrss`w.a.~.-..~~+'L..c _c V y -.~~J'.-:-vi'-~-'w°"~~ w:.I•r... .. -. ,. ~ - ~ -~ . _ .. .. ,~-~...`rh.Y+Z.._ _ '.9 ~ 1 CORREC~"ION NOTICE ~}z BAKERSFIELD FIRE DEPARTMENT Location ~l~03 ®t1 ?' ~/~'.~.a Name 19 ~1~~ ~ ~° ~s~~~ sr~~P / :~~ _ You are hereby required to make the following corrections at the above location: Cor. No. ~ ~; ~ ~ ~ L~ ~ ~ -~~,~• ~ ~ ~~ t~ ~P [ • ~p ~ /f ~oyt G.O(/~~..~~i~d l~ ~ ~ 7~ '. ,i ~1+~t ~ ~ U _~ fI ~ /~~'~'~ S7 ~ _ .~ ~.f® S~ ii ~ wit/ Q. l~R~ ~~( Completion Date for Corrections Date ~ ~ `©,~' FD 1950 Inspector 326-3951 -~j n ~~~ ' ,'`.1+~ ~C ~~ R~RECT~®N NOTICE -. - BAKERSFIELD FIRE DEPARTMENT ~~~~~~ Location ~~~ ~ T L/~,~~~ ~~'~ ~~~ Name ~~~f~ ,~',~s~/f ~,~~~ ~ ~ ~~'~-~ ~~, You are hereby required to make the following corrections at the above location: Cor. No. -~ u.- /~i4il ~~-~ r ~; 1 ~ ~~ ~T~~~ ~~ ~c~~/L s~ ~, v~ ~" ~~fl / -~~~~ ~. ~,~.~~ ~~'~ Cam- s~ ~~1 ~,~ ~ OIO ~~~ s ~~ 6~ C'U ~7gC Gam/ ~ ~A.~~ ,~ Completion Date for Corrections /~ ;~' Date ~~3~~ ~dlr~~iy [.sf~,e~,~ inspector Fo ~~ 326-3951 ::~~ :~:, `,. :~. `- C ~- ~~~~ RECTION NOTICE~~:~:~~~' ' BAKERBFIELD FIRE DEPARTMENT ,,~;o,~, ~r Location ~~~.~ ( ~~r~~~.. ~iuc. ~,~ ~r ,. ~. Name a.~f `, ~ ~. P ~-,1, s r. You are hereby required to make the following corrections at the above location: ~,. Cor. No. - d\ /~ l .^ Gd " ~c- ~.Ca yy ~1 e.CY'6~, Cfl~ ~Sd\.~~ Off} e/ ~3j ~.~, ~ ~ ~a S ~.. ~~.~ b ~ ~ . 1-~G 1 ~ . ~.~; ~.~~ -fit ~ .~ ~~~i a~ s ~~ ~~~ s ~.~ Completion Date for Corrections Date ~ ~ ~ ~ ~ ~~ ~~ ~'-~.,- e Inspector Fo ~~ 326-3951 03/10/206 11:41 STATE Of C1ILIFORNIA FIRE SAFETY INSP11:C1'10N REQUEST sm eeo ra~v. roan ~ See lnsfrucU~ns an rlever~le. PAGE 02!02 lfiddCYOpheT'A~.TSnrwE _ COMMUNITY CARE LICENSING TFiERFiONE.~41u®Ea 559 243-8081 AEQUR6ro~YE 03!10!06 PR04pAM 909 ?YALWTOR'B NAB Ia~snN4 At'tEniCv FACIA NuMO1:R n~AuES'T CooE #229 GAYLE REMINE # 157201520 __ 1A °0D~ RESPONSE REQUIRED ~ E 1. ORIQINAI 11. FIRECL,EARANCE ' ucEN;t~Ha STATE DEPT OF SOCIAL SERVICES 2. RENEWAL e. u~s~FE rv r~~~NO o Community Care Licensing Branch 3• cn~"cIT'rc""N°E ApoaESS 770 E. Shew Avenue, Suite•33Q *~ owNSRSroPCHAN°~ Fresno, CA 93710 s Ao°RESSCw-NC3E I ~ L^ B. NAME CHIINCaE .. 7. O~IFiR AMBUTATC3H'Y iVONJ4MB ULJITONY BE°FIIDD~hE TOTAL CAPAGTY CAPApTY PReYOU6 CAPACITY cawACITY FAEYIOUS cwAa~Y CAI+At'XIY PNEVIOItB C!IP~4p1Y -0- -0- -52- -0- - - 52 CA RIDGE HILLS #1 74D RCFE BiRGrf ADO~E6N (AeMrl teeatlarJ NIAABER of aw.o~u48 2fi03 MT. VERNON AVENUE 1 cmr iF A~i tr ec~nnnnln~IC~RernQ ~ 24 H(JURS ePelx+>tco~InmaNs TELEPHONE: 66'i-879-8133 ~AKERSFIELQ FIRE DEPARTMENT ~ ~ 1715 CHESTER AVE. #300 ~D BAKERSFIELD, CA. 93306 ApQRESe NU1~ER `~- 1559243808$ COLD FRE5N0 OFFICE • ~ ~ss~ a ~3- ~so~s~ ~~FIRE p.L=J1RAAICE tiRAtVTED 2. FIRE CLEMANCE oeNl~n ti stns a. oaNST+~oN C. FIRE ALARM a• ~'RaVIa.ERB Oqx E. F10U8FJ(EEPING ~(~ F. sFl~tuHAZARD o. oT~I =x 03/10'12006 11:41 15592438088 COLD FRESNO OFFICE PAGE 01f02 C~ILIFORNIr1 J~EP:IRT'MENT ()F SOCIA>'.. SERVICES COMMUNITY CARE; LICENSING CEN'z'1t~lL CrILIFpRNIrI CHILDREN'S RESII7EN'~['I~lL FRESNO LOCt~t UNIT I'~A:~ NLnnzr•.R: // v ~rcYl'.~L NU. qF PAGFS TNta.uurnla t:cwlsFt: ~-~~~-•~s~-a.7 _ ~ P11 C)N I! NI.I hiR F?R: 51iN LS li1'•<'3 PWONIi NU?~ii3r+R: ~55~ 243-$08(} ............. lui: S1?N17i?R•5 r>~YNUna}3~1L•: {359) 243-088 Q ~ IRGIiN'I' ^ FC)It RI+.~'I1;VV ^ P1.]iA5[i t;C)h1~ir;N'[' ©PL1:AtiPC Rli]>LY ~ PLrA51; RP(;YCI,F, 7~s 77U E, 5F[AtiJV >lVl?. SUfTE 33n P11QNF3: (55 J) 4~9-SG91 I'At: (55!1) d45=5b?7 FACSIMILE TRANSMI'I'TA,i SHEET ., l~e.~l 'Y 70:8522171. P.2 MAR-3'=2006! O5:27A FROM: Feb-1T-D8 0&:48am FroA~HOSPICE f818-882-7283 T-050 P.002J002 F-649 st+Qe~cduFdeM~ltenu+~iao~awrr.mwcr r+ss~»aacep rawxu~arvs~+u LOGIAL FIRE INSPECTlt1N AUTHO~RI'lr'Y INPQRMATlQN ~+~ ~ ~ ~ REQUIRED 8Y THE DERARTMEI~IT C!F ~ ---- SOCIAL SERVICES. COIUI~UNRY G~-R>E; LICENSING ~~u ~•~ ©IVISIaN ~"~~.~'.33.~~ ~~ ._, _ r rte. .---. As part of the appiica#i4n process, the licensing agency is responsible far obtaining a fire fe IrlspectiOn firm tt~ ioc~l fire inspection authority having jurisdiction in the area whel'+e your Pat~tity is Jotted. To help us expedite this process. vwe are requiring that you identity the local flns inspection authority that i$ respansii~le to insper,~ dour facylity and is~e a fine clearance. _,~ ~-~- uc eae~ a~ ' ~65Z ~ ~ ~45~ i --~-r---~----- --- Pt.EASE F~i~7tlf7N THIS FaF2M VV/77,i YOttR C~MP[.LT1rD AFPt.IGAT101V r.~~^'?~fj:`^:v"°~X"~_;J;.raiw",,:~fn,l'7~- ~ ....: ~g~.~e tae:" _.. -._ -~_:~-„o-nm v-.-y,. ~-`'+~.~.: was'-;.: "- ~~ s~ .a:~^ - ~ f~~~.,- ..-"t-.~.: "'.;' /~r~r~ BAKERSFIELD FIRE DEPT. I ~ I ~~ e t: R s F , L D Prevention. Services. '. - ' . "4 FI~R`E PREVEN~IO:N INSPECTION FARE - 9oo_Truxtun Ave., Ste 210 _ _ _ ARTM T _Bakersfield, CA 93301 ~~ ~ ' ° -` ~` _~ r Tel.: (661) 326-3979" ^ Fax. (661) 8 2-2171 . ._ ., I DISTRICT ^ BLOCK NO. DATE ~-~` v ! • ` ;'~~ { EE . '~ FACILITY ADDRESS f P" >^~ "~ i?'~r;''~~ jJ / ~ { ~ / ~ ~ ~ ~ CITY, STATE, ZIP Y s , ' ~~t~C (;~t .f ~" ~.rJt -,.n ! .. .A t f~''°~ lr;. ~~~t~# >~:e I'( r w ... _ FACILITY NAME ~ ~y f f_ f j ~ `"'`t ~~ ~ r i MANAGER'S~NAME ~ ~ `~' "~ ' ' FACILITY PHONE NO. ~ ~ ' l ~~' ' ~ ~ ( f ~ t ,ref C ~ 1r : f 1 C r ,1..4 ~~f ! J / 7 S i BUSINESS OWNER'S NAME AND ADDRESS ~ , ~ .- .1 CITY, STATE; ZIP ~ OWNER'S PHONE iNO. r BILL TO: (IF DIFFERENT FROM ABOVE) NAME, ADDRESS CITY, STATE, 21 P, BILLING PHONE NO.. . OCC TYPE OC NO. OF FLOORS ~ HIGH RISE BLDG ~ RISER DATE r ~~~ ' ' ~ , n,. NO ^ YES ~ "~ T CORRECT ALL VIOLATIONS VIOLATION ~ ~ REQUIREMENTS CHECKED BELOW No. COMBUSTIBLE WASTEIDRY 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 boxlfire 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, andlor 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 t shall return the surface to its original fire resistive condition. (U.B.C.) ~/ 10 Remove/repair (item 8 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) i _________ to clearly indicate it as an exit. (U.F.C.) , STORAGE 1g Remove all storage andlor other obstructions from fire escape landings and stairways stair shafts. (Fire escapes/stair shafts are to be maintained free from obstructioris.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~yC.) U .F:C.) ~ OUTDOORBURNING 16 t , ~ .Violation of Section 1102 dealin with recreational fires or o en burnin U.F.C. 1 ~ ~ ~ `7~` FIREWORKS 17 Viol a tions of Section 7802 U.F.C. or 8.49.040 of the Bakersfield Munici al Code B.. M.C. re ardin fireworks. OTHER 18 ~, l / ,/ ,,, r 1 !I ' ~ % ' /) n p / / ti ~ r,~ ~- . L~. _ /`..rJ~ f' .~'~. ( t a1,/ ._f~ l . ~ - I ~~`t ~ / l 11 f r~ 1 ~ y ,. ~ ~ ~ ~ ~.~-- ``~^ ^ ~ ~ C"~ , f f y -..~ar'!h ..Hf ~_r ~~ f ._CJ .si l~ t f'.-•: !"t lT? . ~ "r~ it _ 1 6~ ~ ~ ~ I l I ~` jl „ l 1 . ! s ~ (' ~!~'1 l~yf l ~ .•~ ~ ~' ~ ~ _.r .. ..+"~ A ft'? x t~.~., ` !`~ lady ' f/ 1....~'~ J ~~ N v / ~/ 1 _ ~ rf ~ y ~ ~ i -.. ~ ,,lt =~tf:. {......_ _ {Jl~; r°.t s.4'( !"~ P/ ~~ /`~~ sf t~9 , 1~ / ~ ~ t ~ / ~j~• / / 3 (~ }~ ( vl;; i~~; ,~ /~,11, .~~`(~"1 / J~'~ i ~'1f ~~ {~- ( , / 1 d!(`. 1114/ p) ~// J~ ~/ Jh' ~ A /~5 ~ / ' ~ ~ f 11 { I } l , Ni A t ~ . C i ~ C-9 ~ vv ~ .l ~, e f ~f/ ~ Ay, j }+ // ( f a~: {J [~; j }~ j ~~ \ y `''~~ , / - CUSTOMER: -'.~ ~ ~~~ l ~{ tlrl~ ~1 ~r._ d ,..~ ~~. ' LEGEND: ~ {~~ F C 'CALIFORNIA C I DE „ ,, . _ (S+gnature) t y ~, (Please, Print Name Legibly;'Title:)~ ,/` , ~- ~ ~~--~ '~..- '' ~ r•~ ~'+ ~ ~ . . . F RE..CO ~44 U.B.C:~ UNIFORM BUILDING CODE f B':M.C. ? ," "BAKERSFIELD MUNICIPAL CODE INSPECTOR: ~ ' i: '.~1~°,~~ AP NO.: ~ ~~ ~ ~N.F.P.A. NATIONAL FIRE PROTECTION `'~~~-` ~ j '(Slgnature)~" ~ Y: ~ ASSOCIATION E C N NATIONAL ELECTRIC CODE .. J _ . . ~ . White -Customer/Original Yellow Station Copy ~ Pink -Prevention 9 rnces (9 t' FD 2022 (Rev. 09/05) .. _. ~ .. ~ - .. .,-,. ,...., _.. _.. __ _ 4 -_ ~~ 4 10/04/2006 14:58 15592438088. CCLD FRESNO OFFICE CALIFORNIA DEPARTMIAENT OF SOCIAL SERVICES CENTRAL CALIFORN-A SEN-OR CARE LICENSING', OFFICE FR~SND LOCAL UNlT OFFICE (559) 243-808p FAX (559) 243-8088 Facsim-le Tr'ensmittai Sheet PAGE 01103 To: ~~IQi~'- From: A-~')L~, ~ ~ ~~! ~`Q~ Company: hate: Fax Number: ~~ ~ ~,~ ~~ ~ ~ ~ ~ 7 t~ Total # of Pages whit Cover: Phone Number: ~ ~ fJ ~~ -~~ '~~g ~ .~ ~ Sender's Phone #: ~ - 8 ~~ n _ .~--~ .. _.. RE: ~.~ gd~~ Sender's Fax Number: ^^rwrrrr^^^aa^^~rrrrr^^^^^^^~wrrrr^rrr^^^^^^ww~w~rrrrrrr^^^^^^^^^^r^^w^r~ URGENT FbR REVIEW PLEASE COMINENT PLEASE REPLY PLEASE RECYCLE ^^r^rrrrrr^^^^^^rrwrrrrr^^^^^^^rrrrwrr^^rrrr^^^^^^=^^rrrrrrrrrrrrrr^^^^^~ NOTE5/COMMENTS: 77'0 Fast Shaw Avenue, Suite 330 Fresno, CA 83710 Phone: (559} 243-8080 ,~ ****** 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 -Dates Wednesday, .October 11, 2006 9:00:05 AM Subject: ----------=---------- Recipient List ---------------------- 15592438088 [successful transmission] 10/04!2006 14:58 15592438088 6TATEOF C/WRJRI~IA FIRE SAFETY INSpECT10N REQUEST sm. eeo (~v, ~aa~ CCLD FRESNO OFFICE PAGE 02/03 See /nstn-ctions ~ revsfs~ ~VIEHCY CONTACTS PIlM~ TUNE HuM9Eq IIEQUk$T RATE agQppAM COMMUNITY CARE LICENSING 559 243-8080 10!04!06 109 EVMIlIRORB NAFE ~ AEQUEB'IINO lb6NCY FACILRY NIRABE}1 HEQIlE9T CODE #200 DIANA CHAPMAN #157203335 ~ 1A RESPQNSE REQUIRED C°~ r t, OP1131NAL A. FlRE(,L,F.J~p{A-R;E LICEN81Na STATE DEPT pF SOCIAL SERVICES ~oeHCy 8. RENEWAL a, uFESI-FEnr Ii~1ilEAMD Community GBre Licensing Branch S- c>`PA(~~YCMANQE a~ESS 770 E. Shaw Avenue, Suite 330 4. QWP1~RbtIIPC;FwNpE Fresno, CA 93710 s, nco~sst:~wt~e 8. NAAAE CH+4NCiE 7. 07FIER AhIBULJITORY NOFlAMBULATOt~Y BPDRILIQEN TbTAL CI~PACRY CMAdTY PpEVIpJB CJIrMTIY CAPACRY ~EVI01J6 G~PACITY CAPACITY PFiEYlOUB CAPACrtY -0- -0- -52- -4- 52 FIKrV I T ~V1MIt LIG61VtlF_ GlTR3[aFi7 GREEN CASTLE ASSfSTED LIVING 740 RCFE 6I1~T ADRF~90 !~ toarrralJ Iyw,rpEFi of eux~rae 2603 MT VERNQN AVENUE 1 ~- nearaAUar BAKERSFIELD CA. 93306 NONE FAtall'iY oDMfJYCT PEABONB HIVE MD~g CYNTHIA AMOR ADMINISTRATOR 2~4 HOURS coNDmowe TELEPHONE:: 661-871-5133 ~BAKERSFIELD FIRE DEPARTMENT ~ ~~~,~ 1715 CHESTER AVE. #300 ~~E1i1D BAKERSFIELD, CA. 93306 ADDRE98 L ~.I ,. F cL~aaw~ntEn . z. FlaEEOEN~ ~.. E7Q'TS ~. ~~ c. FIRE wuw~ D. SPfiRil7.ET~IB E HQtASEKEEPiN3 F. SPECUILMATJWD d C+71~R /I 10/04/2006 14:58 15592438088 CCLD FRESNO OFFICE PAGE 03103 BTATEGFC/WFQPINA FlAE SAFETY INSPECTION RECIUEST sm. eeoaREV. io-on Ses fneirr~ctlarro ~ti rav~rae. ABBiCYCONTACTBNAfE TEt~NONENUI+~Eq R2OU£JlTGATP PROf~FtAM COMMUNITY CARE LICENSING 659 243-8oao 10/04106 1as EYALUATCR'9 DIMIIE REOUEBTINO A6r:71Cr FACIIJiY NUM98R REQUEST QQDE #200 DIANA CHAPMAN #157203336 1A RESPONSE REC~UIRED GOp~ i. ORIGINAL A_ F7R>;GIEARANICE ~~~ STATE DEPT` OF SOCIAL SERVICES a ~IEN~w~L e. u~sA~nr wwiu o Community Care licensing Branch a. cAPACrrvctunc~ AooAEes 770 E. Shaw Avenue, Suite 330 .. awF>~rraE Fresno, CA 93710 s. a3DOrRESSCHANOe 6. MAME ChulNCiE ~. QTidF~i AMBYLATORY NONAlI1B~1LAT0i'~1' RI:DiiIOnEN TOTAL CAPACITY CAPAp7Y R'Iti'VgUB Ceruarr CAPwGm rr~vaus cArtasr cAPArnv PREinoU6 CAPAg1T -o- ~0- -52- -o- - - 52 •••••••• • •••••~ GOLDEN CASTLE ASSISTED LIVING IJCr=NBE CA7EC~aRY 740 RCFE BTRE'~7 AOORE~¢ lArtrrr ~eailafcnl NUdSHi OP 9UILOINtiB 2607 MT. VERNON AVENUE 1 Cf1Y BAKERSFIELD CA. 93306 ~ RE$TgNNT NONE ~Y OONTA1rF ~~~ ~~ HOURS Y THIA AMOR ADMINISTRAT r ooNOr-ir~Ne 24 HOURS TELEPHONE:: 661-871-8133 ~~ ( ~BAKERSFIEI_D FIRE DEPARTMENT ~ ~~-___ AuT~s~o mr 1715 CHESTER AVE. #300 ,~y~c«u~ANC~oaANt~ NAYEAND ggKERSFIELD, CA. 933136 ~- FIAECt~ARAHCeoeNIED AGOAEB$ A. oa'r>s L ~ a CONBTRU~G'f10N C. FlRE+~Lttif#A N~ITSINIIE(1)p~arPlllMtg 767.EPNO~GNWMB6R ORASNUM!!FR QOp,~ ~~ 0. SPAMIO.ER8 ~ ~~ ~ ~ ~ ~ ~ ~T! ~ ~ D-3-d ~ ,~+ ~ ' 1~.~ ,~ Q