HomeMy WebLinkAboutBUSINESS PLAN
-SAILS I
7305 RUSTON LANE
`' FIRE PREVENTI• N 'INSPECTION
B' 8 R S F t D
P/RE
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BAKERSFIELD FIRE DEPT. ~~~
Prevention Services
900 Truxtun Ave., Ste. 210 ,
Bakersfield, CA 93301
Tel.: (661) 326-3979 ^ Fax: (6 152- 1
DISTRICT .:, BLOCK NO. DATE ,/,_,_,~ ~~ .. j'~ j`
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FACILITY NAME
.l..K...^J ~ ~ MANAGER'S NAME ~gj FACI~TY PHONE NO.
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BUSINESS OWNER'S NAME AND ADDRESS ..- _
CITY, STATE, ZIP R ~ OWNER'S PHONE NO.
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 wo~~riow REQUIREMENTS
CHECKED BELOW ao.
1 Remove and safely dispose of all hazardous refuse and dry vegetation on the above premises (U. F.C.)
COMBUSTIBLE WASTE I DRY
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 mot box/fire door (N.E.C.) (U.F.C.)
" 4 Relocate fire extinguisher(s) so that they will be in a conspicuous location, ha I ts. it th _ the
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extinguisher not more than 5 feet above the floor. (N.F.P.A. No. 10)"
EXTINGUISHERS 5 ~' Provide and install (amount) ____ approved (type 8 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/hol,es/openings) in plaster in (location) ______________________________________. Plastering
FIREDOORSI
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.)
EXIT8 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 1g
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. CUSTOMER: ~ ~ .~,1 0~¢~""`~ LEGEND:
t ~ ignature) (Please Print Name Legibly, Title)
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~ C.F.C. CALIFORNIA FIRE CODE
U.B.C. UNIFORM BUILDING CODE
B.M.C. BAKERSFIELD MUNICIPAL CODE
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INSPECTOR:
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G N.F.P.A. NATIONAL FIRE PROTECTION
?~ t `~ (SlgnatUr@) ASSOCIATION
N.E.C. NATIONAL ELECTRIC CODE
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Wh(te -Customer/Original ,,Yellow -Station Copy Pink -Prevention Services F~ 21122 (Rev. X9/05)
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_ _. „nLIFORNIA
FIRE SAFETY INSPECTION REQUEST
See instructions on reverse.
STD.850(REV.10-94)
AGENCY CONTACT'S NAME TELEPHONE NUMBER REQUEST DATE PROGRAM
LATCC 323 981- 3329 04/05/06 Group Home
EVALUATOR'S NAME REQUESTING AGENCY FACILITY NUMBER REQUEST CODE
CJ' Quitoriano 157806006
- 1 A
------- --.- -- - -- CODES
~- -~ 1. ORIGINAL A. FIRE CLEARANCE
LICENSING 2. RENEWAL B. LIFE SAFETY
AGENCY Department of Social Services
NAME AND Los Angeles and Tri-Coastal Counties 3. CAPACITY CHANGE
ADDRESS C1111dren~S Resideritlal PTOgram 4. OWNERSHIP CHANGE
1000 COrpOrate Center Di. Slllte 2OOA 5. ADDRESS CHANGE
Montery Park, CA 91754
1- _I
6. NAME CHANGE
7. OTHER
AMBULATORY NONAMBULATORY BEDRIDDEN TOTAL CAPACITY
CAPACITY PREVIOUS CAPACITY CAPACITY PREVIOUS CAPACITY CAPACITY PREVIOUS CAPACITY
4 4
FACILITY NAME
Sails I
LICENSE CATEGORY
GH-730
STREET ADDRESS (AcfualLocatian)
7305 Ruston Ln.
CITY
Bakersfield, CA 93309
NUMBER OF BUILDINGS
1
RESTRAINT
FACILITY CONTACT PERSON'S NAME HOURS
Jesus Ojeda 661-398-6025 24/7
_~
SPECIAL CONDITIONS -~_ --- _-- ~~-- --^~ ---- - ~-
T.O BE COMPLETED BY INSPECTING AUTHORITY
~- ~`
----_--~---~`~
_ -- -----' ---`~-^- CLEARANC NIALCODE
CODES _
_ _
_____
FIRE $akersfield Clty Fire Department 1'. RE CLEARANCE GRANTED
AUTHORITY prevention Services
NAME AND 900 Truxtun Ave., Suite 21O 2. FIRE CLEARANCE DENIED
ADDRESS Bakersfield, CA 93301 A. EXITS
- ~ B. CONSTRUCTION
C. FIRE ALARM
_--------------------.._-~__._._._._-.----._...._._.___--------------------
INSPECTOR'S NAME(TypedorPrinted I TELEPHONE NUMBER --___.._._...._-._._..~--------
J CFIRS NUMBER ~ ---------_-------
OCCUPANCY CLASS D. SPRINKLERS
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~~ E. HOUSEKEEPING
F. SPECIAL HAZARD
INSPECTION DATE INSPECTOR'SSI ATUR edorPri t dJ G. OTHER
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EXPLAIN DENIAL OR LISTSPECIALCO ITIONS
STATE OFCALIFORNIA - HE/1U'tl AND HUMAN SERVICES AGENCY
CALIFORNIA DEPARTA~ENT OF SOCIAL SERVICES
CC/MMUNITY CARE LICENSING
FACILITY SKETCH (Floor Planj
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/reside-rts/clients/children. Door and
window exits ftom the rooms must be shown in case of an emergency (see Emergency Disaster Planj. Show room sizes (e.g. 8.5 x
121. Keea close to scale. Use the saace below. See back for yard sketch. `
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UC 999 (3/99)