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HomeMy WebLinkAboutBUSINESS PLANOAKWOOD RESIDENTIAL CARE FAC 2505 OAKWOOD DRIVE SPECTION RECORD . . ~ ~ -~ ..... .... ...... r.,. -. n. ....... .. -, ... L Bakersfield Fire Dept. 1715 Chester Ave. Bakersfie d,CA 33 1 DATE: FACILITY®®A-~ADDRESS: ZcI~P: FEE: (/' FACILITY NAME: -i"Gl.~',LX A It-.e MANAGER NAME: d-I I _ ~ea" BUSINESS OWNER NAME, ADDRESS, ZIP CODE ~ FACILITY PHONE ~ -°~~ BILL TO: (IF DIFFERENT FROM ABOVE}-NAME, ADDRESS, ZIP CODE, PHONE No. f'i ~ I ~~ OCC TYPE `~_ OCC LOAD ~ No. OF FLOORS I HI RISE BLDG. YES O NO Off{ RISER DATE VIOLATION NOTICE CORRECTION: 1. a i n r n 2. !! ~ ~ r ~'" Y ~ ~~ DATEbFREINSPECTION 3. 4. 5. 6. 7. 8. 9. 10. 1,. ENT'D F E B 13 2006 12. 13. 14. 15. NOTES n ,~ f'~tl I1 ~\ CUSTOMER: ~/V~ ~.d" 1/1 r~ ~~ ~ Q v ` v INSPECTOR: r ,.0 Z lff~./l v~----.- AP No. ~ `~ ~ FIRE PREVENTION SERVICES (661) 326-3979 ~ WHITE ORIGINAL-OWNER YELLOW-INSPECTOR'S COPY PINK-FILE FD1952 ~~~ t '4_~f , STAT! ., ~ CALIFORNIA =~: FIR~~' SAFETY INSPECTION REQUEST sTD. aw (REV. iae~J See /nstructlons on reverse. AGENCY CONTACTS NAME TELEPHONE NUMBER REQUEST DATE PROGRAM COMMUNITY CARE LICENSING 559 243-8080 1/27/06 109 EVALUATOR'S NAME REQUESTING AGENCY FACILITY NUMBER REQUEST CODE SHELLY KINKEAD 157203327 1A RESPONSE REQUIRED cones ~ ~ 1. ORIGINAL A. FIRE CLEARANCE LICENSING STATE DEPT. OF SOCIAL SERVICES 2. RENEWAL B. LIFE SAFETY AGENCY NAME AND COMMUNITY CARE LICENSING 3. CAPACITY CHANGE ADDRESS 770 E. SHAW, SUITE 33O 4. OWNERSHIPCHANGE FRESNO, CA 93710-778 5. ADDRESS CHANGE 6. NAME CHANGE 7. OTHER AMBULATORY NONAMBULATORY BEDRIDDEN TOTAL CAPACITY CAPAGTY PREVKUS CAPACITY CAPACITY PREVIOUS CAPACITY CAPACITY PREVIOUS CAPACITY 0 0 6 0 0 0 6 FAGLRY NAME Ui:ENSE GAiEIiORY OAKWOOD RESIDENTIAL CARE FACILITY ELDERLY STREET ADDRESS (AcYUaf Location) NUMBF.Fi OF BUILDINGS 2505 OAKWOOD DRIVE 1 CITY RESTRAINT BAKERSFIELD, CA 93304 NONE FACILITY CONTACT PERSON'S NAME HOURS CHERYL NUTT (661) 213-3917 24 HOURS sPECaLCONanoNs FlRE gAKERSFIELD FIRE DEPARTMENT AUTHORITY NAMIEAND g00 TRUXTON AVE. #210 ADDRESS gAKERSFIELD, CA 93301 L_ 44 J IPISPECTOR'& }}NA~~1E (Typal or Prtk~d~ MtSPECTION DATE ~ INSPECT }~; TELEPHONE NUMBER CFlRS NUMBER OCCUPANCY CLASS •-- ~ a Vw.coa CODE8 t t. ,FlRE CLEARANCE GRANTED 2. FIRE CLEARANCE DENIED A. EXITS B. CONSTRUCTION C. FIRE ALARM E. HOUSEKEEPING F. SPECIAL HAZARD G. OTHER E%PtAIN oENtAL OR LIST sPEGAL eONaTt