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HomeMy WebLinkAboutFIRE INSP REQUEST 11/2/2006® REDWOOD VILLAGE 5400 STINE ROAD a~ ~ 5 ~ 5 J.~ i~ !1 $~ATE OF Q/LLS~dY~M FlRE SAFETY INSPECTIfl~-1 REDDEST sm.eeowEV•,D~ ~~~~ See lnat-~aifons on mwrae. AG971.YCOHMG7'B N71~! ~ TH~FIONE NtEABER R6GYHBT DATE PROORMI COMMUNITY CARE LIGENSII~IG 559 243-8080 11/02106 109 QWILW100.q NW~i REQ11fi8TIW0 AESNQY F/10~4.RYNUN®Ep R®CY6YT CCiDi KEVIN TOM 157203459 1A E RED CODS RESPONSE R QCJI o ~ = S C ~ ~. oru~uuL n. a~c~uncE u TATE f]EPT. 0[ IAL SERVICES O ~. RerEww~ sures~~rv Nu ~ COMMUNITY CARE LICENSfNG i ~~"~TM~"N0E 770 E. SHAW, SUITE 330 ;• PC FRESNO, CA 93710-778 s "~~~'"~ B. r1AMECMIANQE 7. 07NER ANSULA7'piiY NONA~IB ULATORY BEDiiIDDEN TOTAL CAPACITY cwMCrtr vAeviata Gw~ctn aw~crrr R1EYflU9 CA-eCt1v oaa~tr R~ENOUB a~vu~atr 0 0 99 0 ~ 0 0 99. F~rrN~ ~~~ G,~. REDWOOD VILLAGE INN ELDERLY RESIDENTIAL sR~r ~cow~s ~wr waw~V wu~ of Buu~rma 5400 STINE ROAD 1 ' crtr REem~wr BAKERSFIELD. CA 93313 NONE SA DRA JAC's K ON 661) 39$-8832 t ~ 26~3~'Fg~~~ ~ 24 HQURS ~DNOrraNa ~ n ,~ ~.,~,~ K~ 2s ; ~Jd ~ !rte ~Pd2~ ~~~ AurNOwTY T L, - -- - - - - ~',QIL~s~`~1cL C.s~ ~v ~aL f~lpdorA~~ TEVF-NOw NI~R q/r16lIUM~1 OOGE"ANCY dJ1B8 ~-~ ~ c•~ 3 -3~ Z I sC>o r EISidlquRe AlO~+Q~rM~MrQ ~ 1o~u~, .o~ ' ~.. ~ocsAR~wcec~R,~Nn - ~- ?. FiIEpFAf1ANf'Etl~ A. E]Oi$ ^. coNern,cl,oH G !qR! ALAf~twl D. t~RINI4FJ~B E H01J8BiR~PMID F. BP6CML NAL1A0 N. 0731Eii C'j t 7 V p ~ y ~. ~ A~ b'd Oi+68LEBT99 a~etjin pvvmpaa Wd~bO~S 9002 LT AvN t . !°ir v f ,' ;CALIFORNIA ,.~"~ .E SAFETY INSPECTION REQUEST ~~ `~,,ro. Bso IREV. ~ae4> See /nstructlons on reverse. AGENCY CONTACTS NAME TELEPHONE NUMBER REQUEST DATE PROGRAM COMMUNITY CARE LICENSING 559 243-8080 11/02/06 109 EVALUATORS NAME REQUESTING AGENCY FACILITY NUMBER REQUEST CODE KEVIN TOM 157203459 1A RESPONSE REQUIRED CODES ~ ~ 1. ORIGINAL A. FIRE CLEARANCE LICENSING STATE DEPT. OF SOCIAL SERVICES 2. RENEWAL B. UFESAFETY AGENCY NAWIEAND COMMUNITY CARE LICENSING s. cAPACITYCHANGE ADDRESS 770 E. SHAW, SUITE 33O 4. OWNERSHIPCHANGE FRESNO, CA 93710-778 s. ADDRESS CHANGE 6. NAME CHANGE 7. OTHER AMBULATORY NONAMBULATORY BEDRIDDEN TOTAL CAPACITY CAPAGTY PREVIOUS CAPACITY CAPACITY PREVIOUS CAPACITY CAPACITY PREVIOUS CAPACITY 0 0 99 0 0 0 99 FAGLfTY NAME REDWOOD VILLAGE INN STREET ADDRESS (Actual Location) 5400 STINE ROAD LICENSE CATEGORY ELDERLY RESIDENTIAL NUMBER OF BUILDINGS 1 CITY RESTRaNr BAKERSFIELD, CA 93313 NONE FACILITY COMPACT PERSON'S NAME HOURS SANDRA JACKSON 661 398-8832 24 HOURS sPEGa. coNanoNs _.._. p;AtJT1 Ramon Garza ~ ~ ~` Fire 13•evention ~cer• B 33 E R S F I E` L D P/RE rREVENTION SERVICES FlRE ~ ~ 14 R rM 1 900 Truxtun Ave., Suite 210 AUTHORITY Bakersfield, California 93301 VOICE..... (6G1) 32G-3682 ` NAPE AND PAx ,,....... (G61) 852-2171 ADDRESS EMAIL: rgarzaCabakersfieldfire.us "~e2zaprc~ Sze ~nmmcvnifaf cPO2 .J~~vre J~2pA2 ~ ~Piatu2r~ ~~ - MlSPECI'OR'S NAME.. .~ _ _. ' . _ . {1'ypOdOZPilnbd) .. - -TELEPHONE NUMHtr+ ~nrlS NUMBER i IDENIAL cooE CODE8 1. FIRE CLEAAANCE GAANTED 2. FIRE CLEARANCE DENIED A. EXITS & CONSTRUCTION C. FIRE ALARM OCCUPANCY CLASS D. Ed'R:NYLEP.3 E. HOUSEKEEPING F. SPECIAL HAZARD WSPEC'T10N DATE INSPECT TORE (Typed or PrHMed) G. OTHER 2 ~ ~' -~ ~a ExPwNO DENIAL OR UsT sPEC1AL CONaTwNs -- Il.~/~ (~,Li9~~'7j'~+:z.J ~C>u~-rr~~ /t "7 %Gri~~ ^1;,y7S ~+~ r; _ ****** 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, December 19, 2006 2:28:00 PM Subject: --------------------- Recipient List ---------------------- 15592438070 [success,ful transmission] ;.. ,. , ****** HP MFP Digital Sending: Delivery Confirmation ****** i- 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: Wednesday, December 20, 2006 3:51:34 PM Subject: --------------------- Recipient List ---------------------- 8378940 [successful transmission] ,.., - , ~, Page 1 of 1 Dolores Burns -Phone Message From: Karen Powers To: .Burns, Dolores Date: 12/20/2006 2:05 PM Subject: Phone Message CC: Loven, Jeanni Could one of you, please call this lady. I took this message while your office was closed today. Call Sandy Jackson at 398-8802 from Redwood Village, 5400 Stine Rd. Looking for a copy of the inspection from their Fire System. Inspector came out earlier this week. He was taking Esther Duran's place. I think she said it was a recheck. Karen Powers Bakersfield Fire Dept. 2101 H St. Bakersl=leld, CA 93301 661-326-3657 Fax 661-852-2170 file://C:\Documents and Settings\dburns\Local Settings\Temp\GW}000O1.HTM 12/20/2006 11~S~ECTION RECORD Bakersfield Fire Dept. 1715 Chester Ave. ENT'D J aN 112006 ' Bakers~f field, CA 93301 ~~ DATE: -!b-OS FACILITY ADDRESS: ZIP: ~`tD~ ~l~e ~ ~.~~t~ FEE: ~ ~3 FACILITY NAME: tip--~1~0(~!~ V ~I ~ \ Cial '~ a ~~ n MANAGER NAME: ~/~-n~~J ~~ 1Y' ~.n n ~~,nn~t~ FACILITY PHONE ~-~~~ ~ - - BUSINESS OWNER NAME; ADDRESS, ZIP CODE BILL TO: (IF DIFFERENT FROM ABOVE)=NAME, ADDRESS, ZIP CODE, PHONE No. QQ F/ C~hf~ fi ~ ±~~ J '~"~ OCC YYPE OCC LOAD No. OF FLOORS I HI RISE BLDG!` YES O NOlO \\ RISER DATE ` 71 O vv REINSPE CTI N VIOLATION NOTICE CORRECTION: DATEbF 1. _ r ~. 3. 4. _ ~. ~AC '~ c~ ~ ~ l ~~ (.-. / ( \ r G ~Q c C 9. 10. 11. 12. 13. 14. 15. NOTES CUSTOMER: _ INSPECTOR: ~.~ - ~ ~ ~~/1'~.~.- AP No. ~ g~E pREVENTION SERVICES (661) 326-3979 WHITE ORIGINAL-OWNER YELLOW-INSPECTOR'S COPY PINK-FILE FD7952 f~'j.,,~°:n.=.$~,.~..,_,-...--a'\..1,-.a-,i1.:,? ~.~Y~'%a;».=*ti...~. <~ ~ ;gr~......a-rw. y.~ .~. .. ,,,..-.. _ ~.... .r-.Y-..ti~r~-,s.q_.^~r-..y n,.'~s -r'SLp'a -~~RRECTION NOTICE BAKERSFIELD IRE' DEPARTMENT Location ~. r :; . Name - - '.~...-.-~'`~~~ ~ ~~ ~C_~Sd n - ~ ~ r r is ~_ '~~` Youa~are hereby required°~to make the following corrections at the~above location: ~w , w - :~ Cor. No: ~. ~- Qc~~-~`'i~E c~ `t~ ~a~~ . c~~ ~cc ,,~.-~- Sacc~~a r ?- ~ .*.'' .~ ty~. . ~U~~f " l ~ .1/a~7~a /r~/t (~ t.GII S~,l ~ o~v 7 c c~ 5 -" ~~ n ` Y ~ ©iv s,t /aut O wT /~i~t-t ,~ s S~ - ; ~ ~> -;: =43~' 1.. .~ Ewa. ~-.,- .~~ :£ y _, a-, _- T~' _~, _,~ Completion=Date for Corrections Date ~O~"~~ b"(~~~ ~---- ~~- ~, :;: ~ Inspector 4 FD 1950 326-jt~ . ;