HomeMy WebLinkAboutBUSINESS PLAN~~// _ -
SAILS CRISIS
~A ,>'" 3505 WESTCHESTER AVENUE
~'- ~~ BAKERSFIELD FIRE DEPT.
~: ~~~' » ~ R s p I D Prevention Services ~~
~~RE PREVENTION INSPECTION FIRE 90o Truxtun Ave., ste. 210 ~~
,: wIPTM T Bakersfield, CA 93301
Tel.: (661) 326-3979 ^ Fax: (661) 852-2171
DISTRICT BLOCK NO. DATE '"'1 / `
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FACILITY ADDRESS CITY, STATE
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FACILITY NAME ~ ~ ~ N GER'S NAM FACILITY PHONE O.
BUSINESS OWNER'S NAME AND ADDRESS CITY, STATE, ZIP OWNER'S PHONE NO.
BILL TO: (IF DIFFERENT FROM ABOVE) NAME, ADDRESS CITY, STATE, ZIP, BILLING PHONE NO.
OCC`TYP,
• - OCC LOAD NO. OF FLOORS HIGH RISE BLDG
^ YES ^ NO RISER DATE
CORRECT ALL VIOLATIONS viourioN
CHECKED BELOW wo. REQUIREMENTS
1 Remove and safely dispose of all hazardous refuse and dry vegetation on the above premises (U.F.C.)
COMBUSTIBLE WASTE /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 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.)
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.)
SIGNS 7 Provide and maintain "EXIT" sign(s) with letters 5 or more inches in height over each required exit (door/window) to
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.)
FIRE DOORS/
FIRE SEP
RATIONS g Repair all (cracks/holes/openings) in plaster in (location) ______________________________________. Plastering
shall return the surface to its original fire resistive condition. (U.B.C.)
A 10 Remove/repair (item 8 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.)
ELECTRICAL APPLIANCES 14 Extension cords shall not be used in lieu of permanent approved wiring. Install additional approved electrical outlets
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.)
ouTDOORBURNING 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 18 ~
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CUSTOMER: _- -- _~
(SI afore) (Please Print Name Legibly, Title)
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INSPECTOR: ,A/t'G1--...._.... AP NO.: ~ ` ~
~ (Signature LEGEND:
C.F.C. CALIFORNIA FIRE CODE
U.B.C. UNIFORM BUILDING CODE
B.M.C. BAKERSFIELD MUNICIPAL CODE
N.F.P.A. NATIONAL FIRE PROTECTION
ASSOCIATION
N.E.C. NATIONAL ELECTRIC CODE
White -Customer/Original Yellow -Station Copy Pink -Prevention Services FD 2022 (Rev. 09/05)
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STATE OF CP i.IFORNIA
FIRE SAFETY INSPECTION REQUEST
See instructions on reverse.
srD. eso (REV. m-sa l
AGENCY CONTACT'S NAME TELEPHONENUMBER REOUESTDATE PROGRAM
LATCC 323 981- 3329 04/05!06 Group Home
EVALUATOR'S NAME REOUESTINGAGENCYFACILITYNUMBER REOUESTCODE
CJ Quitoriano 157806006 lA
CODES
~ --- --~ 1. ORIGINAL A. FIRE CLEARANCE
LICENSING ~
2. RENEWAL B. LIFE SAFETY
AGENCY Department of Socia] Services
NAME AND LOS ArigeleS and Trl-COaStal COllritleS 3. CAPACITY CHANGE
ADDRESS Children's Residential Program 4. OWNERSHIP CHANGE
1000 Corporate Center Dr. Suite 200A 5. ADDRESS CHANGE
Montery Park, CA 91754
CHANGE
-_ ~ 6. NAME
7. OTHER
AMBULATORY NONAMBULATORY BEDRIDDEN TOTAL CAPACITY
CAPACITY ~ I PREVIOUS CAPACITY CAPACITY PREVIOUS CAPACITY CAPACITY PREVIOUS CAPACITY
-----------------~------- ------- 4
-------------
L--------------
L-------~
--------- 4
i--- ---------- __ __
FACILITY NAME LICENSE CATEGORY
Sails Crisis GH-730
STREETADDRESS (ActualLocation) NUMBER OF BUILDINGS
3505 Westchester Ave . 1
CITY RESTRAINT
Bakersfield, CA 93309
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FACILITY CONTACT PERSON'S NAME , ..-.~ _,-~-~ .~ ..}
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SPECIALCONDITIONS ---J...--------_-_......__.__._.._...__--------- -----------------------------__----
TO BE COMPLETED BY INSPECTING AUTHORITY
CLEARANC OENIALCODE
-
' I _ CODES--____--
FIRE Bakersfield City Fire Department ~RE CLEARANCE GRANTED
AUTHORITY prevention Services
NAME AND 900 Truxtun Ave., Suite 210 2. FIRE CLEARANCE DENIED
ADDRESS Bakersfield, CA 93301 A. ExITs
~ B. CONSTRUCTION
---
C. FIRE ALARM
_.....--------.....____....__..._------..._._..... ---.._...._...____--------------_-------------.____
INSPECTOH'SNAME;TyoedorPrmted) TELEPHONENLIAABER ...__._....... ~----- ___.._.__..._._.__r .__----~._..._...___.....--
1 .,FIRS NUMBER I.000UPAIVCVCL.4SS D. SPRINKLERS
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F. SPECIAL HAZARD
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FACELtTY SKETCH (Floor Plan) _
• Appr~cants are required m pr+avide a sketch ot'the floor plan of the home or iaratity and ovtslde yard. The tkaor sketc~r rrruet label rooms
such ae ttre k+tctren, bath, t{ring roam, etc. Chr~e the names of the roorces that xrt7t tae used by stafF/residents~c~-enta/cl-lidran. Door end
window exRs from the rooms rr+uet ba ohown in ~ of an emergency {seo ~mergertcy 171s3ster Pion). SNOW rooRr ages {eg. $.5 %
i2 . tie fa stai9. Use the S Ce beiovK See taactc for and skatrh.
fl~pU%r++~*SE: _ !l~oORES~
5gi>,S Crisls Home 13st)S >ntestche5ier Ave. RBkersfietd. Ca. 9349
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f+ACf~t7Y SKETCH a;Yar+d~
... The yard sketch should show aq buitdic-ga In the yard inc{uding the home tlHith no detail), garage and storage bulls{ng_
tnc{ude walks, driveways, pray area. fe~rlces, gates. show any potentia{ hazardous area such 85 pools, gat'hage storage,
a11tt118{ pens, etC. show El1e OYt3falf yard size. Sty to keeg the sues close to scare. Use the space below:
SAILS Crisis Hcsme..__ _.._ „ - _ _ 3505 Westchester Ave. Bakersfield. Ca. 9331)9 _ _ ..
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