The URL can be used to link to this page

Home My WebLink AboutBUSINESS PLAN_ _ ~'' ~ LILLIES OF THE VALLEY 4309 THATCH AVENUE -v4_ `~" ~ ~ „ti' ~ ~~,. -,. ~ ~;.~-. _. .. -., :*-:~ ~t,r .- ~~~ ft-<.s~-~t,W,. .,ten ..,.A- ..-^.~..~•.:.'Yc-...~E.-u.•.y~....~.- ... -. .~. ._.. .~ .,. r.+c: - .._,. ' .:.y:'" ,~ ~~ ~~~~ ~ ,~_ _ + ~ ~~ BAKERSFIELD FIRE DEPT. ~~ ~~` B E R s F t D Prevention Services FIRE PREVENTION INSPECTION FARE 90o Tnzxtun Ave., ste. 210 '~j1j~ AIrTM T Bakersfield, CA 93301 Tel.: (661) 326-3979 ^ Fax: (661) 8 2-2171 J i, DISTRICT BLOCK NO. DATE ~ EE ~ FACILITY ADDRESS ~f OCA / CITY, STA E, ZIP FACILITY NAME ~ MAN ER'S NAM FACILITY PHONE NO. BUSINESS OWNER'S NAME AND ADDRESS CITY, STATE, ZIP OWNER'S PHONE NO. BILL TO: (IF DIFFERENT FROM ABOVE) NAME, ADDRESS CITY, STATE, 21P, BILLING PHONE NO. OCC'~ OCC,LOAD f NO. OF FLOORS HIGH RISE LDG RISER,D/A/T/ ~ ~ ~ ('/' ^ YES NO ~ ~ / 7~ CORRECT ALL VIOLATIONS VIOLATION REQUIREMENTS CHECKED BELOW No. S E /D 1 Remove and safely dispose of all hazardous refuse and dry vegetation on the above premises (U.F.C.) COMBUSTIBLE WA T RY 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.) q `Relocate fire extinguisher(s) so that they will be in a conspicuous location, hanging on brackets with the top to the ("K•- 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 SEPARA IONS shall return the surface to its original fire resistive condition. (U.B.C.) T 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.) ExlTS 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 1g 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 1 g ~ ~ f j f r ~ ~, /~ " ~ ~ ~ 1 C !l~%1 r ~ t'7 .----~ ---~"` CUSTOMER• ~ ~ LEGEND: Signa ur) (Please Print Name Legib y, Title) ~ ~~ ~ C.F.C. CALIFORNIA FIRE CODE U.B.C. UNIFORM BUILDING CODE B.M.C. BAKERSFIELD MUNICIPAL CODE ,~. INSPECTOR: ,r G~~7' I,( ~ AP NO.: f~ 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) s -, ~, ;~;° - STATE OF CALIFORNIA FIRE SAFETY INSPECTION REQUEST See instructions on reverse. STD.85UIREV.10-94) AGENCY CONTACT'S NAME DEPARTMENT OF SOCIAL SERVICES EVALUATOR'S NAME Chunte Melvin (80021 TELEPHONENUMBER 'i REQUEST DATE I PROGRAM I ( 3~3 ~ 981-3300 6129106 ~ Gtoup Home I REQUESTING AGENCY FACILITY NUMBER ~ REQUEST CODE ~. 157806018 lA CODES ~ 1. ORIGINAL A. FIRE CLEARANCE LICENSING DEPARMENT OF SOCIAL 2. RENEWAL B. LIFE SAFETY AGENCY COMMUNITY CARE LICENSING NAME AND LOS ANGELES TRI COASTAL COUNTIES 3. CAPACITY CHANGE ADDRESS. RESIDENTIAL PROGRAM OFFICE 4. OWNERSHIP CHANGE 1000 CORPORATE CENTER DRIVE 5. ADDRESS CHANGE SUITE 200-A MONTEREY PARK, CA 91754 HANGE 6 NAME . C 7. OTHER AMBULATORY NONAMBULATORY BEDRIDDEN ~ TOTAL CAPACITY CAPACITY PREVIOUS CAPACITY CAPACITY PREVIOUS CAPACITY CAPACITY PREVIOUS CAPACITY 6 i 6 FACILITY NAME i LICENSE CATEGOf2Y Lillies of the Valley ~ GH-730 STREETADDRESS (ActualLccatinn) NUMBER OF BUILDINGS 4309 Thatch Ave. ~ 1 CITY _ , RESTRAMT Bakersfield, CA 93313 None FACILITY CONTACT PERSON'S NAME HOURS Robert Carter (661) 213-4129 24 SPECIAL CONDITIONS TO BE COMPLETED BY'INSPECTING.AUTHORITY --- ~ - __ CLEARANCE! NIALCODE l -,.-'~: CODES Bakersfie d City Fire Department ' FIRE PreVentlOn S8rV1C8S t. FI ~ CLEARANCE GRANTED AUTHORITY NAME AND 900 Truxtun Ave., Suite 210 2. IRE CLEARANCE DENIED Bakersfield, CA 93301 ADDRESS I A. EXITS B. CONSTRUCTION I_- ___. , .- ~ ~ ,,. i ~~ C. FIRE ALARM --- - ~- ~ ~ INSPECT(3fF'S NAM / ~ yped i '~ ~ ~~ Prmtedl TELEPHONE NUMBER FIRS NUMBER ~ OCCUPANCY CLASS D SPRINKLERS ],~ t ., f ' ~ ~ , ' ~ ~~M rt ~ E. HOUSEKEEPING i 1 :i'Fi G. L ~• _. -- -' - -- ~ _ - / f ~{ ~' { ~ `~~" ~ i .~~tilF - -'--- _ -- 1 ' ' .EL_~'!'/` ~~~-l~~l. ~----~_~~ ~ __ F. SPECiAi. HAZARD I SPECTION DATE ff ww ; INSPECTOR'S SI~ TUREfTy,~ed orPnnledl ~ G. OTHER .. .._ _~- PLAIND NIA~ORLISTSPECIALCOND ONS TATE OF ~ALIFORN"~,- HEALTH AND HUMAN SERVICES AGENCY CALtFORNtA DEPARTMENT OF SOCIAL SERVICES ,( ,~ y„ ~A CCMAMUNITY CARE LICENSING ~ FACILITY SKETCH (Floor Plan) - ' ~ y. ~ ' Applicants are required io_provide a sketch of the floor plarnof the'home or facility and outside yard. The fioor.sketch. must label rooms (ch as the kitchen, bath, living room,, etc. ,Crcie;the,names otahe`rooms that will be used by staff/residentsiclients/children. Door and .ittdow`exits from the rooms must be.shown in case of an emergency (see Emergency Disaster Plan). Show room sizes (e.g. 8.5 x ~3 :, _... _, .. ~:: ... ~ + 1 I i t l i LIC 999 (3199) STATE OF CALIFORNIA -HEALTH AND HUMAN SERVICES AGENCY CALIFORNIA DEPARTMENT OF SOCIAL SERVICES ± COMMUNITY CARE LICENSING ` FACILITY SKETCH (Yard) 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 close to scale. Use the space below. AGILITY NAME: (( 11 1/~ 1 - 5 ~') ~~ v~a+~+pls