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Home My WebLink AboutBUSINESS PLAN SIERRA SPRINGS RESID. CARE 10116 ST. ALBANS AVENUE_ ~`~ - • a"-~ r. ~,- fem.,. ~+rr+.a~ r,.. , C.+ r4. ~. ~, - ~~ FIRE PRE~E-NTION INSPECTION B EF/RE I D AR1M T BAKERSFIELD FIRE DEPT. y ~, r Prevention Services ~~'` ~p 900 Truxtun Ave., Ste. 210 "j '~/~ Bakersfield, CA 93301 Tel.: (661) 326-3979 ^ Fax: (661) -2171 r. DISTRICT BLOCK NO. DATE ~ ! ~ ~ /1 ~ (` EE ~ r~ / ~-~ /~ FACILITY ADDRESS cr-' CITY, STATE, ZIP FACILITY NAME / MANAGER'S NAME , FACILITY PHONE NO. BUSINESS OWNER'S NAME AND ADDRESS ~. ~ CITY, ST•14TE, ZIP OWNER'S PHONE NO. BILL TO: (IF DIFFERENT FROM ABOVE) NAME, ADDRESS I i CITY, STATE, ZIP,------ BILLING PHONE NO. OCC TYPE ~ OCC LOAD ~ O. OF FLOORS ~ HIGH RISE B G ~ RISER DATE {~ ~ .,, ^ YES NO CORRECT ALL VIOLATIONS VIOlAT10N 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.) -------------------- 6 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.) SIGNS 7 Provide and maintain "EXIT" sign(s) with letterer orAihd~s i~ F~ig~„p~g~ each required exit (door/window) to JJ L// ~~ ~ ,, fire escape. (U.F.C.) 1 } LU I 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 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 Code B.M.C. re ardin fireworks. OTHER 1g I / ~ ~ /. '~ ~~` 1, a - !1 CUSTOMER: ^-~--- ~~ ~~~ ~~ ~ ~ ~~.7 ~~~~L LEGEND: (Signature) (Please Print Name Legibly, Title) C.F.C. CALIFORNIA FIRE CODE U.B.C. UNIFORM BUILDING CODE /~~ ~ ~ B.M.C. BAKERSFIELD MUNICIPAL CODE INSPECTOR: J .(L ~ ~ . _ "' ~ t'. f l/1---_. AP NO.: ~ N.F.P.A. NATIONAL FIRE PROTECTION _ (Si nature) ASSOCIATION g N.E.C. NATIONAL ELECTRIC CODE White -Customer/Original Yellow -Station Copy Pink -Prevention Services FD 2022 (R6v. 09/05) -~; STATE OF CALIFORNIA D=IRE SAFETY INSPECTION REQUEST STD. aso (REV. ~ae4) ~-:. ,~1 ~~ ..~ ~~ •h ~~ ~ ~•~~~~~ r,-~ ' See lnstructlons on reverse. AGENCY CONTACTS NAME TELEPHONE NUMBER REQUEST DATE PROGRAM COMMUNITY CARE LICENSING 559 243-8080 7/12/07 109 EVALUATORS NAME REQUESTING AGENCY FACILITY NUMBER REQUEST CODE MELAINE LINARES 157204005 1A RESPONSE REQUIRED cones LICENSING ~TATE DEPT. OF SOCIAL SERVICES ~ 1. ORIGINAL A. FlRECLEARANCE 2. RENEWAL B. LIFE SAFETY AGENCY NAME AND COMMUNITY CARE LICENSING 3. CAPACITY CHANGE ADDRESS 770 E. SHAW, SUITE 33O 4. OWNERSHIP CHANGE FRESNO, CA 93710-778 5. IIDDRESSCHANGE 6. NAME CHANGE 7. OTHER AMBULATORY NONAMBULATORY BEDRIDDEN TOTAL CAPACITY CAPAGTY PREVIOUS CAPAgTY CAPACITY PREVIOUS CAPACITY CAPACITY PREVIOUS CAPAgTY FAGLITY NAMt NANKIL ENTERPRISES INC. DBA SI RA SPRINGS RESIDENTIAL ~t" , k:`' ADULT RESIDENTIAL STREET ADDRESS (Atlas! Loestbn) 10116 ST. ALBANS AVENUE NUMBER OF BUILDINGS ~ I 1 Cm RESTAaNT BAKERSFIELD, CA 93311 NONE FAGUTY CONTACT PERSONS NAME HOURS PATRICK NANKIL 661 323-0768 sPEGA1 coNOmoNS ,~ .1A t V L~'"' ~ 7 I_.. j~.. ~~C_~L l _ }(~' ~ J ~' '~ 1..~ 4 '~ ci ~, n t s . '~ ~- ' 1 ~ ~~ i.~i~., t~ "~._ i ~,_,J ii e INS ~ , Is IDENIAI. CODE CODES FlRE KERN COUNTY FIRE DEPARTMENT AUTHORRY IRE CLEARANCEGRANTfiD NAMEAND g00 TRUXTUN AVENUE #210 2. FlRE CLEARANCE DENIED ADDRESS gAKERSFIELD, CA 93301 s. coNSTRUCTwN C. FlRE ALARM - MSPECTOR'S NAME (Tjysd aPrlrasd) -~"" TELEPHONE NUMBER --, CFlRS NUMBER - OCCUPANCY CLASS ' 4. SPRINKLERS E. HOUSEKEEPING ~ ,/ (J f ~..,,~~~ UI v 1 (.~J`.r-,--'" / / Fj f~ j ~,5('j~S~ /lC_ ~ 5 (~U 7 ~~ I ~ ~t-/ ~ F. SPECIAL HAZARD DAT`El ". l INSPECTOR'S, ~ E (fjysd a adI G. OTHER EXPWN DENIAL OR uST SPECIAL aTtONs