HomeMy WebLinkAboutBUSINESS PLANII
~~ ~~ ~ -
JOEZER YOUTH HOMES
j
- - - - - - it 10906 SWEET RIVER DRNE
- - - - - -
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~'"''/ _ BAKERSFIELD FIRE DEPT. ,
"' ~ E PRE~~ENTION INSPECTION >3 ~FiRE' D Prevention Services ", ~, ? <~
900 Truxtun Ave., Ste. 210 ~~~' •~
~, AiRfM T Bakersfield, CA 93301 ~~ " I
Tel.: (661) 326-3979 ^ Fax: (66 852-2171 .4„~
DISTRICT BLOCK NO. DATE EE ~ 0
FACILITY ADDRESS J~ ~ /
(J (~ CITY, STATE, ZIP t Q, ? a
/
J
d
FACILITY NAME NAGER' NAM N
FAC~ITY P
HO
NE
BUSINESS OWNER'S NAME AND AD ESS ~ CITY, STATE, ZI OWNER'S PHONE NO.
BILL TO: (IF DIFFERENT FROM ABOVE) NAME, ADDRESS CITY, STATE, ZIP, BILLING PHONE NO.
C PE OC L NO. OF FLOORS HIGH RISE BLDG IS TE
^ YES NO
CORRECT ALL VIOLATIONS VIOLATION REQUIREMENTS
CHECKED BELOW No.
B
A
TE /DRY 1 Remove and safely dispose of all hazardous refuse and dry vegetation on the above premises (U.F.C.) I j
COM
USTIBLE W
S
io s
g
VEGETAT
N 2.. it
Provide non-combustible containers with tight fitting lids for the storage of combustible waste and rubbish pendin
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.)
q 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 backgrou n viAipJ~ from the street to indicate the
correct address of the building. (B. M.C.) (U.F.C.) ~~(J
g Repair all (crackslholes/openings) in plaster in (location) ___________ _~ __ Plastering
_
-----------------
~•FIREDOORS/
FIRE SEPARATI
NS shall return the surface to its original fire resistive condition. (U.B.C.)
O
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 deatin 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.
~f
OTHER 18 1l 1
~~ y
CUSTOMER: a~~ I dlS~7'iJr
G' 1~1J/~15~- i ~F~GEND:
.
_
$i~natui~ (Please Print Na~ Legibl ,Title) C.F.C. CALIFORNIA FIRE CODE
U.B.C. UNIFORM BUILDING CODE
~ B.M.C. BAKERSFIELD MUNICIPAL CODE
INSPECTOR: ~Q._...~--~---- AP NO.:
- N.F.P.A. NATIONAL FIRE PROTECTION
r (Signature) ASSOCIATION
N.E.C. NATIONAL ELECTRIC CODE
f
1 White -Customer/Original Yellow -Station Copy Pink -Prevention Services FD 2022 (Rev. 09/05)
~.
a ~ ~ ~~
- ~~SS}ATEOFCALIFORNIA
~~IRE SAFETY INSPECTION REQUEST
S'i t~. 850 (REV. 10-94)
~~~.. .
See instructions on reverse.
AGENCY CONTACT'S NAME TELEPHONE NUMBER - REOUESTDATE PROGRAM -
LATCC
_.__. -...-_ _ __ ..-_ . .. . ~ 323 981-3324 10/1.9/06
........ _.) _- _.._. ... _ 1___._.._. -... Group Home
_.
___..
EVALUATOR'SNAME REQUESTINGAGENCYFACIUTYNUMBER I REOUESTCODE
Elnora Smith 157806026 1 A
CODES
-I 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 Children~S RESldel7tlal PrOgran7 4. OWNERSHIP CHANGE
1000 Corporate Center Dr
Suite 200A
. 5. ADDRESS CHANGE
Montery Park
CA 91754
,
l 6. NAME CHANGE
7. OTHER
AMBULATORY NONAMBULATORY BEDRIDDEN TOTAL CAPACITY
CAPACITY PREVIOUS CAPACITY CAPACITY PREVIOUS CAPACITY CAPACITY PREVIOUS CAPACITY
_I_~. _.. __.._. __._.... _ ___.._.. _ __ ....._.__ _.
_ .1..... _ . _. __
- 1 -- ---..._- _.. _._.._-_ _..-..
FACILITY NAME LtCENSECATEGORY
JOEZER YOUTH HOMES GH-730
STREET ADDRESS (Actual Location) NUMBER OF BUILDINGS
10906 Sweet River Drive I
CITY RESTRAINT
Bakersfield, CA 93311
FACILITY CONTACT PERSON'S NAME HOURS
Christy AUney (661) 664-3657 24/7
SPECIAL CONDITIONS
TO BE COMPLETED BY INSPECTING .AUTHORITY
CLEARANCE IALCODE
CODES
FIRE Bakersfield City Fire Department 1. F RE CLEARANCE GRANTED
AUTHORITY prevention Services
NAME AND 900 Truxtun Avenue Suite 210 2. FIRE CLEARANCE DENIED
ADDRESS Bakersfield, CA 90031 A. EXITS
I 8. CONSTRUCTION
C. FIRE ALARM
NAME
DATE INSPECTOR'S
- D. SPRINKLERS
TELEPHONENUMBER CFIRS NUMBER OCCUPANCYCLASS
~ E. HOUSEKEEPING
~~~~~ ~~~~~ ~~~1./ --- - F. SPECIAL HAZARD
rint )~/~=- G. OTHER
°_NIALORLISTSPECIALCO DITIOISS~ ~ '---~ ----- ~---_____
,,A ~ C'
~~"" ~ i
~ ~
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****** 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 - 10.1.32.55
Date: Tuesday, March 20, 2007 1:59:32 PM
Subject:
--------------------- Recipient List ----------------------
13239813309 [successful transmission]
}
r _ 4
STATE OF CALIFORNIA - HFJLLTH AND HUMAN SERVICES AGtrvCY
CALIFORNV+ DF3ARTMENT OF SOCIAL SERVICES
COMMUNRY CARE LICENSfNG
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The yard sketch should show all buildings in the yard including the home {with no detail), garage and storage building.
Include walks, driveways, play area, 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 belo~w\ ,,
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- STATE OF CA4IFORP9A -HEALTH AND HUMAN SERVICES AGENCY CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE ucENSUx;
,~
~ElCtt_(T1(SKETCt'I (door Place)
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 Planj. Show room sizes (e.g. 8.5 x
12}. Keep dose to scale. Use the space below. See bads for yard sketch.
~~~~~
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-°' LIC 998 (3l9B)
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'~ srn~ of cAUFOeran • wEA~ni nrro tN1MA-i sERwCES A[iENCY
3.
CAUFOI~IW DEPARRetENT OF SOCL4L SERVICES4
CCd~1AUNf1'YCARE UCEt~IN6
The yard sketch should show all buildings in the yard including the home (with no detail), garage and storage building,
tnctude walks, driveways, play area, 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.
tern ~~:G- ~ . ~ aooRFSa• .. n _ _
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