HomeMy WebLinkAboutBUSINESS PLAN.~,
I
A SERVANTS HEART YOUTH GUID
4001 WOOD LANE
rt ~ * ~ Y ~~ ~ 4 t I
r, ~ BAKERSFIELD FIRE DEPT. ~~
Prevention Services
FIRE PREVENTION INSPECTION a EFIIRE r D 900 Truxtun Ave., ste. 210 ~~ I
.~, ~Rrr r '~~
_ ` " Bakersfield, CA 93301
' ~ Tel.: (661)"326-3979 ^ Fax: (661 52-2171
DISTRICT BLOCK NO. DATE
~D- / ~ D EE ~ d (,
FACILITY ADDRESS !~ O / / ~ ~ CITY, STATE, ZIP
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FACILITY NAME G MANAGER'S NAME / / FAG111 Y PHON NO
BUSINESS OWNER'S NAME AND ADDRESS CITY, STATE, ZIP ~/~~ ~ ~
/ `,' /rl /l~ ~ ~ OWNER'S PHONE NO.
'
BILL TO: (IF DIFFERENT FROM ABOVE) NAME, ADDRESS CITY, STATE, ZIP, BILLING PHONE NO.
C E OCC GOAD NO. OFF OORS HIGH RISE BL G ISE D TE
^ YES NO
CORRECT ALL VIOLATIONS vio~~TioN REQUIREMENTS ~ i ~ ~ -
CHECKED BELOW eo. f
' 1 Remove and safely dispose of.all hazardous refuse and dry vegetation on the `above premises (U
F
C:
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- ~
COMBUSTIBLE WASTE /DRY
- .
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,
_
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VEGETATION 2 Provide non-combustible containers with ti
ht fitting lids for.the storage of combustible wast
and rubbish pending its
e
safe disposal: (U.F.C.)
COMBUSTIBLE STORAGE 3Y : • .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
-,- •text'iri~guisher not more than 5 feet above the floor. (N.F.P.A. No. 10)
EXTINGUISHERS ,
~5 Y
-%Pr'oy~ide and install (amount) _____ approved (type & size) __________________ portable fire extinguisher to be
~' immediately accessible for use in (area)
(U.F..G:)
'--
___
g Re-charge-all fire extinguishers. Fire extinguishers shall b_e serviced at least once each year, and/or after each use,
'
by a pe'r
son having a valid license or certificate. (U.F.C.)
~
7 ~ .~
.
Provide-anil maintain "EXIT" sign(s) with letters 5 or more inches in height over each required exit (door/window) to
~
SIGNS fire esca
pe-'(U.F.C.) _
g Provide and maintain appropriate numbers on a contrasting ckground and visible from the street to indicate the
correct add.~sss of the building. (B. M.C.) (U.F.C.)
`
g
Repair all,~(c~a~ks oles/openings) in plaster in (location) ____
~~ '
__________ _ _ _ _
Plastering
FIRE DOORS/ _________
shall returnKtfrei-surface to its original fire resistive condition
(U
B
C
)
FIRE SEPARATIONS .
.
.
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8
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10 emove
repa
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t~m_.
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cation _ __ _ _ __ ___ _
~ ~ ) ------------ - --- --- ----- --- ------- ----------. S e If-c I os i n g
doors shall be d'esigne~d'"to-close by gravity, or by the action of a mechanical device, or by an approved smoke and
heat sensitive deviceSelf-clo'.sing doors shall have no attachments capable of pre~nting.the operation of the
closing device. (U.F,,,,Ca) mac; 1
EXITS
11 ; ~-
Remove all obstructiori~fftyoOm hallways. Maintain all means of egress free of any storage. (U.F.C.)
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12 Provide a contrasting color
d and permanently installed electric light over or near required exit (location)
________________________4_ 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~p'~manent 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 fir o' o en burnin U.F.C.
FIREWORKS 17 Violations of Section 7802 U.F.C. or 8_49.040 of'the"Bake~ field Munici al Code B.M.C. re ardin fireworks.
OTHER 18 F
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CUSTOMER: ~~~ ~, LEGEND:
i nature` S ~`----
g_ ) ~ (PI~Print Name Legi6ly,:Title) C.F.C. CALIFORNIA FIRE CODE
U.B.C. UNIFORM BUILDING CODE
r B.M.C. BAKERSFIELD MUNICIPAL CODE
INSPECTOR: t ,P/t AP NO.: ~ 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)
- '
STATE OF CALIFORNIA
FIRE SAFETY INSPECTION REQUEST
STD-H50(REV.?0-94)
AG NCY CONTACT'S NAME
DEPARTMENT OF SOCIAL SERVICES
_. _ ___
EVALUATOR'S NAtv1E
Eseguiel Rodri<,uez (8001)
Y f 4 ` ~ t
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. _ -,
See insfrucfions onreverse. -
TELEPHONE NUM9ER - RcOUEST DATE I PROGF2AM
323 981-3300 ~ 9/1/06 GH-730
REQUESTING AGENCY FACILITY NUM9ER REQUEST CODE
157806022 IA
- CODES _ '
- 1. ORIGINAL A. FIRE CLEARANCE
LICENSING ~ De artment of Social Services '
P
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 s. ADDRESS CHANGE
SUI"I'E 200-A VION"I'EREY P:1RK
CA 91754
,
__ 6. NAME CHANGE
7. OTHER
AMBULATORY NONAMBULATORY ~ BEDRIDDEN j TOTAL CAPACITY
CAPACITY PREVIOUS CAPACIi'~.' CAPACITY I PREVIOUS CAPACITY CApAC!TY !- PREVIO'JSCAPAC!TV i
6 I ~
_
CE
T
G
RY
FACILITYNAME I !I
NSECA
E:
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A Servants heart Youth Guidance Center I
- - GH 730
-----~-~~-
STREETADDRESS .F,c;!~a!Loca'iarl - ~~---_~----_-~_-----~--~_~ I
-----~ I NUAR3ER OE BUILDINGS
4001 ~'~'ood Lane ~ 1
CITY --- --~--------- _ -~-------------- --- ---~ RESTRAINT --~--- -
Bakersf-field, CA 933109 None
i
___- -- _-- -- --- -------- ------------ -------------- - ----- --_------
Fi.G:!ITY CONTACT PERSON'S NAME -- __ -. _...___. - -------- -- ~---- ----------...
I iiOURS
Rosanda Anderson (661) 396-9797 ~ 24
SPECLAL CONDITIONS
` TO BE_.COMRLETED BY INSPECTING AUTHORITY _J
- ~ ~ NG~IAL CODE
Bakersfield City Fire Department
FIRE 2101 "H" St.
Bakersfield, CA 93301
NAME AND
ADDRESS
Ester Deon
i
L- _
I^:SPECTOR'S NA^.^E i 7ynea cr Pri: did!
~~~r ~
INSPE;:TION DATE
'fELEPHONENUM1IBER I CFIRSNUI•k3ER
CLASS
CODES _
1. FI E CLEARANCE GRANTED
2. rlRt CLEARANCE CENIED
A- EXITS
E. CONSTRUCTION
C. FIRE ALARM
D. SPRINKLERS
E. HOUSEKEEPING
F. SPECIAL HAZF.RD
G- OTHER
-:
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Diningroom
Staff Work
Area
Bathroom 1
(Clients/Staff}
(6x10)
Bathroom 2' - `
Clients
Bedroom 3
10x10
2 Clients
4001 Wood Lane
Livingroom
(12x10)
Bedroom 1
8x10
2 Clients
Bedroom 2
8x10
Z Clients
T';1) i`
~ ---~. ~' _
r
G
2,
Laundry
Garage Room I
(Storage}
Staff Office
12x12
Kitchen
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Gas Cutoff
Grass
Area
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Rose Bushes
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---------------- Original message header ------------------
From: BFD HazMat 900 Truxtun - 10.1.17.55
Date: Tuesday, October 10, 2006 3:23:34 PM
Subject:
--------------------- Recipient List ----------------------
13239813309 [successful transmission]