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Home My WebLink AboutBUSINESS PLAN'` ~ SAILS VII :~ 4013 BEDFORD COURT ._3 ~~~ _~, ;, ~~ BAKERSFIELD FIRE DEPT. A ~ FIRE PREVENTION INSPECTION >I EF RE ` D Prevention Services /~/_q ~~'" ~J ~ Ste. 210 900 Truxtun Ave. ~ - - - - AItTM T , Bakersfield, CA 93301 _ ~ Tel.: (661) 326-3979 ^ Fax: (661) 852-2171 DISTRICT BLOCK NO. DATE EE FACILITY ADDRESS Q ~ CITY, STATE, ZIP Q~3 J f FACILITY NAME \ J'' ~/ M NAGER'S NA PHONE NO. FACILI TY ... BUSINESS OWNER'S NAME AND ADDRESS ~ CITY, STATE, ZI OWNE 'S PHONE NO. BILL TO: (IF DIFFERENT FROM ABOYE) NAME, ADDRESS CITY, STATE, ZIP, BILLING PHONE NO. O PE T-Y OCC LOAD NO. OF FLOORS HIGH RISE BLDG RISER DATE .* ~ ^ YES ^ NO CORRECT ALL VIOLATIONS VIOLATION 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.) 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 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.) 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 B.M.C. re ardin fireworks. OTHER 16 /} ~ l l~J CUSTOMER: LEGEND: C.F.C. CALIFORNIA FIRE CODE (Sign tU ) (Please Print Name Legibly, Title) U.B.C. UNIFORM BUILDING CODE ~ > B.M.C. BAKERSFIELD MUNICIPAL CODE INSPECTOR: AP NO:; J ~ 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) ,ruFORNIA >r•FRE:~StAFETY {NSPECT{ON REQUEST STD.850(REV. 70-94) See instructions on reverse. 4GENCY CONTACT'S NAME i TELEPHONE NUMBER REOUESTDATE PROGRAM LATCC 323 981- 3329 04/07!06 Group Home EVALUATOR'S NAME REOUESTINGAGENCYFACILITYNUMBER REQUESTCODE CJ Quitoriano ~ 157806010 CODES ~--- 1. ORIGINAL A. FIRE CLEARANCE LICENSING ~ I 2. RENEWAL B. LIFE SAFETY AGENCY Department of Social Services NAME AND Los Angeles and Tri-Coastal Counties 3. CAPACITY CHANGE ADDRESS Children's Residential Program 4. OWNERSHIP CHANGE 1000 Corporate Center Dr. Suite 200A 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 4 FACILITY NAME LICENSE CATEGORY Sails VII GH-730 STREETADDRESS (ActuatLocatlon) . NUMBER OF BUILDINGS 4013 Redford Ct. 1 CITY RESTRAINT Bakersfield, CA 93313 , J FACILITY CONTACT PERSON'S NAME i HOURS Luis Raya (661)397-8131 24/7 SPECIALCONDITIONS TO<BE COMPLETED BY INSPECTING AUTHORITY ------- ~CLEARANC ENIALCODE ` , ~ CODES _ _ ___ FIRE Bakersfield City Fire Department 1. IRE CLEARANCE GRANTED AUTHORITY prevention Services NAME AND 2. FIRE CLEARANCE DENIED 900 Truxtun Ave., Suite 210 ADDRESS Bakersfield, CA 93301 A. ExITs B. CONSTRUCTION C. FIRE ALARM -- ----....--------------...._._.._...-------- ------------~ INSPECTOR'SNAME(TypedorPrinted) i TELEPHONE NUMBER ._~_ _. _ _ ---r---._...---~-'- CFIRSNUMBER OCCUPANCY CLASS I D. SPRINKLERS ~--- I. ~~ ~ ~~ E. HOUSEKEEPING ./~ ~ , ~ ~ / c .~~ ' /-.7 .)~~ F. SPECIAL HAZARD INSPECTION DA INSPECTO SIGNA (Typed orPrin E OTHER G - _ L ,~ . LAIN DENIALOR LIST SP ECIAL NDITIONS ,,.~, n STATE 6F CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY FACILITY SKETCH (Floor Plan) CALIFORNW 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 label rooms such as the kitchen, bath, living room, etc. Circle the names of the rooms that will be used by staff/residents/clients/children. Door and window exits from the rooms must be shown in case of an emergency (see Emergency Disaster Rlan). Show ra~om sizes (e.g. 8.5 x 12) Keep close to scale Use the space below See back for yard sketch. FACILITY NAME: ADDRESS: ~a~1~, X11 ~~t?~ ~ . ''ham , C~ ~ ~'~~ ~~ U i /~ 5 `-=i- 5x I_.. ~ _t _ ~ r I I r ~ I ( ~ I ~ _ i 3 I I i _ I I _ I ~ ~ I I f 1 I - - ' _ -- ~ ~ q I I -- I - _ ; -- 1 - , ` r,~ ~1 -- '. ' I - -E ~ . t ~ ~ ~ I _ ~ . ~ - - I ~ _ -T -1 t - ~ I _ - -~ ; - - - - i - I 1 ~ I _ .~ ~_ - ! ~ I - - - - - - - I - 1 -- - ~ I - I - - _ - - - - - _ I i ~ i ~ r- ~ I - I - - - - -- - I :l I -- ~ ~ -I , - ~ ~ ' - I I I I i , I ~ ~ ~ _ i I _ ~ ~ ~ I ` ~ i I ~ i ~ i - -- ~, - ~ -- - T ~ ~ I I j I I I -- - '- L I- I I I ~ I 4 I ~ I I I - -- - - ~. }- I ---1 - 1 I I - - i- I ~ J I I ~ _ I ~ ~ _~ _ ~ i ~ . i - ~ - ~ - i ~ 11 ~ 1- ~ ~ I I Y _ ~ ~ ~ ~ I_ - i ~ _ 1 I 1 i i _ i ~ ( ~ - j I ~ f I _ ~ ~ .~ ~ _ I 1 1 I~ I - -- - I r - - - - -- -- I - - , - - I I , ~ u --- LIC 999 (3/99) -~ - ~:~ _ ~r,,, _ '" ~~`, ~~ .-,. t. r J STATE OF CALIFORNIA -HEALTH AND HUMAN SERVICES AGENCY CALIFORNIA DEPARTMBJi OF SOCIAL SERVICES COMMUNrtY CARE LICENSING "~- .''~~ . C~ . ~ ~-- -l -~ ~ - ~ - ~ ~ --r --- I ~ - ~ ~ ~ - ~ ~ - -I ~ I - - ~- I i~ -i I i I I 1 ~ I i . I - ` ~ I - tT I I ~ i I ~ I I I I r- ~ -- r--1 -_, -; ---~ _ _ 1 -- - ~ _ - -- - - I 'r ~ -- ~ _ --~ - I I I i E f ~ '- - _ -- - ~ ~ _ ~ ~ - ~' - ~_ l_ _ - _ L l ~ ~ I _ T I I I - -• -~ I ~ ' - , _ ~ ~ - ~I j - , ~ ~ , - I ~ ~-T " ~ - ~ ' _ _ I ~ . . __ ~ ~ ~~ -, rt T I ~ ~.. I _ . ~ ~ _ _ ~ _ - - i - ~ - - - - I - - -- - - _ ' I _ I ~, ~ I -I -} ~- - ---( _ - ~ ~ ~ T I ~ ~ I _-- ~~ I - I -- --f i , ~ -° ~ f ~ ~ - - -- ~ I-- - - - ' J _ ~ ~ S I I _ - I - I- - - I f I { ~ ~ - - -- _~ - _ - I i L. -. __ _ - L_ _ - _ _I ' ~ I '~T ~` _ ! i I .- ~ i ~ ~-- I t r 1 _ r i i t I I I LI . ~ ~ - l_ f ~ ' - ~ -- I I _ i ~-- - ! ~ i i - _ I ~ - _ ~~ {-; ~ _. ~ _ 1 _ i 1 ~ 1 1 ~ - I ~- I i - - I - - i T I i _ I _ ! j_ I _ --~ - ' - , ' - - ~' '~ i Y I ~ ~ ~ . ~ ~ ~ i I I ~ 1 I i _ r ~ I ~ ~ ~ ~ ~ I I 7 i I - ~ . I i - _ - I '-- it(~_-y{ ~ i i ''~-~~ I ~ ~ - I I ' i I _ I l l ~ ~ I ~ . f I ) ~l _ 1 _ I - i _ _ i _I-.._ ~' -- .~1 -t ~- I ~ - ~ _ ~ _ _~ _ _ -. I _ - - i " -f _ --I -- - - - t- - ffi ! ' 1 ~ ~ __ I 1 ~ ~ • l I ~ ~ - ~ ~ I 1 ~ - t ~ i E i I ! ~ I ~ ~~ i ~ _ I ~ I I - _~ - I ~ 1 ~ _ _ _ 1 I L '~ ~ T ~ I I I l i J ~ I ~ ! _ ' ~ _ ~ _ I __~ __ ~_ I-- }-- I -- -- i _ T I ~ I 1 _ _ (-. ~ ~ _. _ 1__, I I ~ I fi ~ C ~ - ~ L C i 1 I _ 1 ~ FACiLlTY SKETCH (Yard) The yard sketch should show all buildings to the yard including the home (with no detail), garage and storage building. Include walks, driveways, play an~a, 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 :dose to scale. Use the space below.