HomeMy WebLinkAboutBUSINESS PLAN. ~... __
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CTION RECORD
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Bakersfield Fire Dept.
1715 Chester Ave.
Bakersf field, CA 93301
DATE• ~! (~ FA ~ IT~ DDRESS: ~ ~ ~~ ~ ~ FEE ~ ~~
FACILITY NAME: s O'~- L4// ~~`-~~'-C
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MANAGER NAME: ~ --•~x ~. ~-?t--Q _~P _ _ ~g ~ FACILITY PHONE ~ a "' ~„~
BUSINESS OWNER NAME, ADDRE S, ZIP CODE ~ ~, t '? c.~~~~~i' b~, ~ d ~ ~' , ~ O~XI(1 ~
BILL TO: (IF DIFFERENT FROM ABOVE}-NAME, ADDRESS, ZIP CODE, PHONE No.
OCC TYPE
.~~ OCC LOAD
°"'' ~ No. OF FLOORS
` HI RISE BLDG.
YES O NO b' RISER DATE
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VIOLATION NOTICE CORRECTION: ~
1.
~ DATEbFREINSPECTION
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CUSTOMER: ~._. ' /
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INSPECTOR: -T ~''°~ ~ AP No. FIRE PREVENTION SERVICES
(661) 326-3979
WHITE ORIGINAL-OWNER YELLOW-INSPECTOR'S COPY PINK-FILE
FD1952
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STA1 ~:OF CIW.~NIA
FIFiE~SAFETY INSPECT{ON REQUEST
sTD ~ ~, ,o-~l See lnstructlons on reverse.
AGENCY CONTACT'S NAME TELEPNONE NUMBER REQUEST DATE PROGRAM
COMMUNITY CARE LICENSING 559 243-4580 Oi/24/06 109
EVALUATORS NAME REQUESTINQ AOENCV FACILITY NUMBER REQUEST CODE
MaryAnne Lai #318/c' 153801769 7A
RESPONSE REQUIRED cones
LICENSING ~TATE DEPT. OF SOCIAL SERVICES ~
AGENCY
NAIiAEAND COMMUNITY CARE LICENSING 1. ORK3INAL A. FIRE CLEARANCE
2. RENEWAL B. LIFE SAFETY
3. CAPACITY CHANGE
ADDRESS 770 E. SHAW AVENUE, SUITE 300 4. OWNERSHIP CHANGE
FRESNO, CA 93710-778 5. ADDRESS CHANGE
6. NAME CHANGE
7. OTHER
AMBULATORY NONAMBULATORY BEDRIDDEN TOTAL CAPACITY
CAPACfTY PREVIOUS CAPACITY CAPACITY PREVIOUS CAPACITY CAPACITY PREVIOUS CAPACRY
69 3 72
FACILITY NAME LICENSE CATEGORY
MAOF Child Care Center Preschool PS
STREET ADDRESS (Actw/ LOGfbtlJ NUMBER OF BUILDINGS
715 E. California Avenue 2
CRY ~ RESTRAINT
Bakersfield, CA 93307 NONE
FACILTIY CONTACT PERSON'S NAME HOURS
Tanya Williams (661)328-6921 ~-,~+~ t~oir~ ~~ `~'~~. DAYS
sPEaAL coNDmoNs
Bakersfield Fire Department ~
n o 2101 "H" Street
Au
Rrnr
NAIAEAND Bakersfield, Ca 93301
ADDRESS
NISPECTOR'S NAME (Typd aP~iM~d) TElEPF10NE NUMBER
pdSPECTION DATE INSPECTORS
N DENIAL 0 ST SPECUIL C
1~IRE CLEARANCE GRANTED
2. FlRE CLEARANCE DENIED
A. EXITS
& CONSTRUCTION
C. FlRE ALARM
CRRS NUMBER OCCUPANCY CLA85 D. SPRINKLER8
E. HOUSEKEEPING
~Q~ ~ ~ .~ F. SPECIAL HAZARD
G. OTHER