HomeMy WebLinkAboutBUSINESS PLAN-~!~:,~ECTION RECORD ~ ~ ~~~ Bakersfield Fire Dept.
_~~ 1715 Chester Ave. . ~~.,,~ ~
1_ ~ Bake sf iel~d~,~A 93301 ~ `
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FACILITY NAME: 1 ~
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MANAGER NAME: FACILITY PHONE ~"'
BUSINESS OWNER NAME, ADDRESS, ZIP CODE "`"°'
BILL TO: (IF DIFFERENT FROM ABOVE}-NAME, ADDRESS, ZIP CODE, PHONE No.
OCC TYPE OCC LOAD No. OF FLOORS HI RISE BLDG. r
YES O NO RISER D TE
.VIOLATION NOTICE CORRECT ON:
~,. ~ ~ n DATEbF`REINSPECTION
3.
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5.
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$.
EN~'~ ~ E ~ 212006
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NOTES
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CUSTOMER:
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INSPECTOR: ~ ~ l ~~ ~
AP No. FIRE PREVENTION SERVICES
(661) 326-3979
WHITE ORIGINAL-OWNER YELLOW-INSPECTOR'S COPY PINK-FILE
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FD1952
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STATE OF CALI FORNIP.
FIRE SAFETY INSPECTION REQUEST
STD.850 (REV. 10 94j
See instructions on reverse.
4GENC1'CONTACT'S NAME !TELEPHONE NUh1BER I REQUEST BATE PROGRAM
LATCC 323 981-3324 ` 01/25/06 i Group Home
EVALUATORSNAME REQUESTING AGENCYFACIDTYNUMBER ~
! .. -
REQUEST CODE
Elnora Smith ~ 157806005 lA
1. ORIGINAL A. FIRE CLEARANCE
LICENSING 2. RENEWAL 6. LIFE SAFETY
AGENCY Department of Social Services
NAME AND Los Angeles and Tri-Coastal Counties 3. CAPACITY CHANGE
ADDRESS Cillldl'en~5 IZeSidelltlal PrOgralTl 4. OWNERSHIP CHANGE
1000 COTpOrate Center Dr. Slllte 200A 5. ADDRESS CHANGE
Montery Park, CA 91754
6. NAME CHANGE
7. OTHER
AMBULATORY NONAMBULATORY BEDRIDDEN ~ TOTAL CAPACITY
CAPACITY PREVIOUS CAPACITY CAPACITY '' PREVIOUS CAPACITY CAPACITY '; PREVIOUS CAPACITY
L
~ L 6
...... _ _ . _ _..._.._ _...... _ _.._.... __..._
__ _.... __ .... _ _._... _ __..
__. _ _ ___... _ _ .
FACILITY NAME .__...... _ ._.... _. _.. _
__... .
LICENSE CATEGORY
NEW DESTINY YOUTN FACILITY GH-730
STREET ADDRESS (ActuaiLocatinn) ~ I NUMBER OF BUILDINGS
790 Coulter Piue , 1
CITY RESTRAINT
Bakersfield, CA 93313
FACILITY CONTACT PERSON'S NAME ~ HOURS
CatlTerine L. Powell (661) 213-4332 24/7
SPECIAL CONDITIONS
TO BE' COMPLETED BY INSPECTING AUTHORITY -,
FIRE _.I
I
Bakersfield City Fire Department
AUTHORITY prevention Services
NAME AND 900 Truxtun Avenue Suite 210
ADDRESS Bakersfield, CA 90031
INSPECTOR'S NA"JE (Iyced er ~rinJted~!
`.
INSPECTIOND TE I INSPECTOR'S '
_ ...~ ~
- ' Via, ~'~
EXPLAIN DENIAL ORL(;TSPECIALCO DITIOIVS
(TELEPHjfON\E NUrA-B-E~Rr!^ 'fir` CFlRSINUMBE ""R'''~~~ I OCCUPAJrNCY CLASS
CODES
1 IRE CLEARANCE GRANTED
5.., FIRE CLEARANCE DENIED
A. EXITS
B. CONSTRUCTION
C. FIRE ALARM
D, SVRINKLERS
E. HOUSEKEEPING
F. SPECIAL HAZARD
G. OTHEP.
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