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HomeMy WebLinkAboutBUSINESS PLAN~ ~ ~._ ~; SE1II..S 1818 WESTBROOK DRIVE a~'ar. a. :..~,;.:~.:.w~r~:x,-y~y.~~,~r+,:a~:+..r..,:.•v.aa....;,~,.r~,;,,Ni..~~ts: t-~~.--:.,-..,....r.;-<=: ~~::n~:~~'~`bt;:+~'. `a '~'. 'th.~f;;:t-~` ilr.,wa~~ F.<R~t."F'."q`~z'~°'iw~c~',e~tc ~;r5~at~,~~sry.,.w,.;av"N-w~~.nc;.,x ~-~~~~;,.: 5'~. r - '~ ~ *= ~ 3'~? t' 1 `~.-,: ) ~_~ ~FIRE_..,PREVENTION INSPECTION a EF,RE I D ~~ ARTM T , .~ ~ ; i ~ 1;r;~~ BAKERSFIELD FIRE DEPT. Prevention Services /~~ ~~, 900 Truxtun Ave., Ste. 210 ~ ,~,(~,~1~ '. Bakersfield, CA 93301 Tel.: (661) 326-3979 ^ Fax:~(5f~) 8~7~1, ,~ DISTRICT BLOCK NO. DATE •^~ / ~~ { ~ ~ EE ~ /C v •~ f ..~_ C ^~ FACILITY ADDRESS Q ` ~ 4 ~~ ~ CITY, STATE, ZIP i~ ~ ~ ~ (j 1 l,,•~ FACILITY NAME h \ / T a ~ ~ ~ ~ MANAGER'S NAME ,{~ FACILITY PHONE NO. BUSINESS OWNER'S NAME AND ADDRESS ~ CITY, STATE, ZIP OWNER'S HONE NO. '~ BILL TO: (IF DIFFERENT FROM ABOVE) NAME, ADDRESS CITY, STATE, 21P, BILLING PHONE NO. OCC TYPE OCC LOAD NO. OF FLOORS HIGH RISE BLDG RISER DATE -~- ^ YES ^ NO CORRECT ALL VIOLATIONS VIOLATION REQUIREMENTS CHECKED BELOW No. BUSTIB STE /DRY 1 Remove and safely dispose of all hazardous refuse and dry vegetation on the above premises (U.F.C.) COM LE WA '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, hartgirtg 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.) ,~~„~l) 7 r Provide and maintain "EXIT" sign(s) with letters 5 or more inches''inilii;ight 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 ~FIREDOORSI FIRE SEPARATIONS shall return the surface to its original fire resistive condition. (U.B.C.) ~ . 10 Remove/repair (item & location) ____________________ _ _ _ _ _______. Self-closing pproved smoke and doors shall be designed to close by gravity, or by the action ofl~drtavi~e~r ~ heat sensitive device. Self-closing doors shall have no attachments a e f p Y t' 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 riot 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 firewdrks-: OTHER 1$ / ~ n CUSTOMER: .!..%' r/~t ~-~'~'~`~~~ .-~--•~ ND~ . ... ,. r.~ r SI nature -~ Please Print Name Le Ibl Title C.F.C CALIFORNIA FIRE CODE U.B.C. UNIFORM BUILDING CODE ,~~-'.-~b ~~ f ^-~ ~ B.M.C. BAKERSFIELD MUNICIPAL CODE y INSPECTOR: Wi'''t. r~.fE..~t± ;~~ l. ~s( /J~.~-r.- AP NO.: ~'""' N.F.P.A. NATIONAL FIRE PROTECTION f (Signafur`e) v ~ ASSOCIATION N.E.C: NATIONAL ELECTRIC CODE E White -Customer/Original Yellow =Station Copy Pink -Prevention Services F~ 2022, (ReV. ~9/~5) _ .,, -y° ~. ,,~STAT CALIFORNIA SAFETY INSPECTION REQUEST STD. 850 (REV.'i,0-94) _~~~d~ See instructions on reverse. 4GENCY CONTACTS NAME TELEPHONE NUMBER, REQUEST DATE PROGRAM LATCC 323 981- 3329 04/07/06 Group Home EVALUATOR'S NAME REQUESTING AGENCY FACILITY NU MBER REQUEST CODE CJ Quitoriano 157806009 CODES / _ ~ ~~ ~`e Gt ^ ~~ ` ~ 1 v y ~ 7 1. ORIGINAL A. FIRE CLEARANCE LICENSING 2. RENEWAL B. LIFE SAFETY AGENCY Deparhnent of Social Services NAME AND LOS Angeles and TIl-Coastal COUnt1eS 3. CAPACITY CHANGE ADDRESS Children's Residential Program 4. OWNERSHIP CHANGE 1000 Corporate Center Dr. Suite 200A 5. ADDRESS CHANGE ~Montery Park, CA 91754 _I 6. NAME CHANGE 7. OTHER AMBULATORY NONAMBULATORY BEDRIDDEN TOTAL CAPACITY CAPACITY PREVIOUS CAPACITY CAPACITY PREVIOUS CAPACITY CAPACITY PREVIOUS CAPACITY 5 5 FACILITY NAME LICENSE CATEGORY Sails VI GH-730 STREET ADDRESS (AclualCocatron) NUMBER OF BUILDINGS 1818 Westbrook Dr. 1 CITY I RESTRAINT Bakersfield, CA 93309 FACILITY CONTACT PERSON'S NAME HOURS Luis Raya (661)837-4380 24/7 SPECIAL CONDITIONS ' '. TO BE COMPLETED BY INSPECTING AUTHORITY ~~ ~LEARANCE .r CODES FIRE Bakersfield City Fire Department 1. IRE CLEARANCE GRANTED AUTHORITY prevention Services NAME AND . ~ FIRE CLEARANCE DENIED 900 Truxtun Ave., Sulte 21O ADDRESS Bakersfield, CA 93301 A. EXITS B. CONSTRUCTION C. FIRE ALARM INSPECTOR'SNAME(TypedorPrinted) TELEPHONENUMBER CFIRSNUMBER OCCUPANCYCLASS U. SPRINKLERS r^- E. HOUSEKEEPING ~t~( ~µ~ ) r ~~~~ F. SPECIAL HAZARD INSP TIONDATE / "~ l .•, INSPECTOR'S SIGN E(T orPrinte ~ ~ // /1 "- G. OTHER EXPLAIN DENIAL OR x ,,~ ;~;. ~ . r. ~~ STATE OF CALIFORNIA -HEALTH ANO HUMAN SERVICES AGENCY FACILITY SKETCH (Floor .Plan) CALIFORNIA DEPARTMENT OF SOCULL SERVICES COMMUNITY CARE LICENSING 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 Plan). Show room sizes (e.g. 8.5 x 12). Keep close to scale. Use the space below. See back for yard sketch. FACILITY NAME: A~A~~~SS~ tr~`~~t , ~~~'~+~ ~:~r~' ~~ ~- ~ I ~ ~ = 1 -- ~ ~ T ~_ I 1 - - ~ 1 ~ t -- -- I - L I 1 - ~ ~ I - --r - __ -~ I - - - I I 1 _ - ~-I __i -~ , - { ~' ~ - - i i ~' _' i ~ i I I ~ I _ _ ~ i _ - - - -- - ~ i i ~~ _ _ - ~ ~ 1 i ~ -- - I i _ ~ ( _ ~1 ~ l I ~ ~ I ~ ~ ~ j ~ , _ - - - -~~ - ~ i ~ I I ~ I ~ I _ I . _. I ' ~-I ~ I ~ f _ ~ I I f - _ _ _ I - - ~ t~ ' ~ I I ~ I J I ~ - , ~®~ I ~ ~ - I ~ I ~- ~-- I i I ' I I - I - - ~-- I - - . ~ ~ _I I - _.. I -- ~ ' ~ I ~ I ~_ ~ I l _ _' I I l 1 ' ' - C- r ~ I ~ L i _ i _ I I i I I I ~ ~ ~ ; h ~ - - - '= ~ ! ~ I I I i i i ~ l _ - -- - r 1 I i I E I I A ~ ~ f ~ ~_ I ~ I I - I I I ~ i i ~ l l ~ = I - ~ I I _ ~ _' i I I ~ . ' I ~T _ I _ " ~ ~ ! f ~ I _~ ___ i~ i - _ ~ _ _- I I! I ~ i I I I ~ I ~- ~ ~ _ ~- l r I I -- ~ - I ~ - I i t f L ~ ~ -1 1 ~ i ~__ i 1 i - I T _ T I ~ _ _ , _1 _ 1 _ I ~ i 1 ~ I i __~ --- __ i ~ ~ I I ~ I _ I I ~ ~ ~, __ ~ _ - - i I ( C i I ~ -- _ - ~ ~, i -I ~ I --- _ s . 1 ~ I - I i '_ -- - I ~~ I I _ ~ I I - i 1 _ ~ 1 I _. - _I - I I - i i ~ { ! ~ ~_ I - ~ ~1 ~- ~ -- ~ _ Ti_ ' i__ F ! . - ~ ~ ~ ~ ~ . I - , - I , rt - J , ~ I _ I - I I --- -~ ~ I ~ I ~ ! ~ _ _ - , ~ i , ~ ~ I I I ~ I ~ ,, - - - -1 , ~ - ~ I - I - f ~ _ ~ ~ 1 f ( - - - ~ -_ - - ~ . ~ _ LIC 999 (3/'99) ~_. _ ~ f r" ?~~ •~ ~/ . c. r STATE OF CALIFORNIA -HEALTH AND HUMAN SERVICES AGENCY CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNRY 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. InGude 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. FACIL~, \~ Y ~ I ~~ l~~~ti^'-J ~ LAvv!"") M •= l -) tw. ~.J~-~ • `~ .-~, °~r.~^. r - ; - , r n - ~ ~ I -T I ~ i - -j ~ I I ~ I I ~ I I I ~ l I -~ I I ' I 1 ' -~~'~~ I ) ..._ __ ~ ~ f j ~ J -_ ~ { .Jt _._ 1 _, ~ ~ ' - 1 I I ~ _ I ~ ( I I I ..._ ~ T ~ I I I --~ - r i ~ I i _ 1 ~ I I I I I ~ I _ _ i - -- i ' ~r ' I _ i _ _ ~ . 1 I ~ ~ I ~ ~ - ~ I - ~ ~ ~ ~ - I ~ I -- I I I ~ i ~ - I I I ~ -- -1 - - - ~ r i i I { r I I , ~ - i -- ~. ' 1 _. ~ I I - - -I i 1 ~ - I ~ f ! L_ ~ __ 1 i I 1 I I ~ I ~ ' I i i ~ - ~ - I ~ I - ; - - ~ - - - -- ; - ~ I - ~ -- - - - - { I ~ '- -, I ~ - I _ ~ ~ - - j --t - ~ ~ - --- -- ~- ~ - i ~ i I - - -- - ~ I ' I I I 1 I ~ T - _ ~ _ - -- I ~~ _ 1 r 1 _ ~ _ _ _ _ ~ _ i ~ I _l ~ l L - i I - i I - 1 - - - -, _ -- 1 ~ _ I _ _ I-- ! -I ~ -- tJ ~ ~ ~ ! ~ ~ I ~ 1_- ~' ,._rFORNIA ' ,~.c SAFETY INSPECTION REQUEST i ~' STD.850(REV."0-94) ~~1~re~ See Instructions on reverse. AGENCY CONTACTS NAME TELEPHONE NUMBER REQUEST DATE PROGRAM LATCC 323 981- 3329 04/07/06 Group Home EVALUATOR'S NAME REOUESTINGAGENCYFRCILITY NUMBER REQUESTCODE CJ Quitoriano 157806009 CODES _ ~~ G ~ l ~ ~~ ~ ~ FIRE CLEARANCE GINAL A ~ ~1 I y Y ` . 1. ORI LICENSING 2. RENEWAL B. LIFE SAFETY AGENCY Department of Social Services NAME AND Los Angeles and Tri-Coastal Counties s. CAPACITY CHANGE ADDRESS Children's Residential Program 4. OWNERSHIP CHANGE 1 OOO Corporate Center Dr. Suite 2OOA 5. ADDRESS CHANGE ~Montery Park, CA 91754 _1 6. NAME CHANGE .,., .- 7. OTHER AMBULATORY NONAMBULATORY BEDRIDDEN TOTAL CAPACITY CAPACITY PREVIOUS CAPACITY CAPACITY PREVIOUS CAPACITY CAPACITY PREVIOUS CAPACITY 5 ~ ~5 FACILITY NAME LICENSE CATEGORY Sails VI GH-730 STREET ADDRESS (ActualCocation) NUMBER OF BUILDINGS 1818 Westbrook Dr. 1 CITY ~ RESTRAINT Bakersfield, CA 93309 FACILITY CONTACT PERSON'S NAME HOURS Luis Raya (661)837-4380 24/7 SPECIAL CONDITIONS TO BE_COMPLETED $Y INSPECTJN,G AUTHORITY ~~~ ~ ~ ~ ~ ~ . ,., E '-CLEARANC CODES FIRE Bakersfield City Fire Department 1. IRE CLEARANCE GRANTED AUTHORITY prevention Services NAME AND . ~ FIRE CLEARANCE DENIED 900 Truxtun Ave., Suite 21O ADDRESS Bakersfield, CA 93301 A. EXITS B. CONSTRUCTION C. FIRE ALARM INSPECTOR'SNAME(TypedorPrinted) TELEPHONE NUMBER CFIRSNUMBER OCCUPANCY CLASS - U. SPRiIVKLERS E. HOUSEKEEPING ,p / ~-~1 /' ( ~._, ~ '" ~~Q~~ F. SPECIAL HAZARD INSP TIONDAT E INSPECTOR'S SIGN E(T orPrlnte G. OTHER / ~ -V ~ - EXPLAINDENIALORLI TSP ECIALCONDITI NS ~: . B A K E R S P I E ~ :L ~ :D FAX Transmittal COVER SHEET FIRE DEPARTMENT PREVENTION SERVICES 1600 Truxtun Avenue, Suite 401, Bakersfield, CA 93301 Business Phone (661) 326-3979 • FAX (661) 852-2171 TO: ~~CI I i G~ NO. OF PAGES: COMPANY: I~p~TC-fey./ Pa-'~ ~ FAX NO.: I DATE: ~ - ~{- C7~ FROM: ~5~~- COMMENTS: ~© ~~ ~~~~ 0.S ~ sz~ ~ I~ i (~~ i (~ `~ ~ 1 t ~ ~/ ~ U ~T ~ C~'(~S ~~ ~~j~IGtl(~~~ 0..7\ 1~ ~ ~O~JG.~r~ W~~1~S