HomeMy WebLinkAboutBUSINESS PLANii _-____~.~.~
~ i VICKI'S FCC
3308 DARTMOUTH STREET
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y r-=~•~ ~ :" ~' ~ '~~~ BAKERSFIELD FIRE DEPT.+ /d~ ~,
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-~ ~~~ ~ Prevention Services !~
FIRE PREVENTION INSPECTION a EF~RE I D 90o Truxtun Ave., Ste. 2io `
-~ AIrfM T Bakersfield CA 93301 ~~
. a' ,
', ~ ~ Tel.: (661) 326-3979 ^ Fax: (661) 2-2171
DISTRICT BLOCK NO. DATE EE ~'"-
FACILITY ADDRESS ~ /j /1
,,J tJ CITY, ST TE, ZIP
FACILITY NA
! T!~~ / GE 'S NAM FA ILI H ENO
Jam'" l•'~ E
BUSIN -NAME A DDRESS CITY, STATE, ZIP OWNER'S PHONE NO.
BILL TO: (IF DIFFERENT FROM ABOVE) NAME, ADDRESS CITY, STATE, ZIP, BILLING PHONE NO.
OC ~ P OCC LO D NO. OFF OORS HIGH RISE B G RIS TE
^ YES NO
CORRECT ALL VIOLATIONS VIOLATION REQUIREMENTS
CHECKED BELOW No.
COMBUSTIBLE WASTE /DRY 1 Remove and safely dispose of all hazardous refuse and dry vegetation on the above premises (U.F.C.)
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 8 size) __________________ portable fire extinguisher to be
immediately accessible for use in (area) _____________________________ (U.F.C.)
g Re-charge all fire extinguishers. Fire h ~I ~e ~rvy~~ least once each year, and/or after each use,
by a person having a valid license or certificate. (U.F. .)
7 Provide and maintain "EXIT" sign(s) with letters 5 or more inches in height 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
FIRE DOORS/
FIRE SEPARATIONS shall return the surface to its original fire resistive condition. (U.B.C.)
10 Remove/repair (item & 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.)
14 Extension cords shall not 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.)
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 1 g ..
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CUSTOMER' LEGEND:
C.F.C. CALIFORNIA FIRE CODE
ignat re) • (Please Print Name Legibly Title) U.B.C. UNIFORM BUILDING CODE
INSPECTOR: ~'~---- AP NO.: ~ B.M.C. BAKERSFIELD MUNICIPAL CODE
.~N.F.P.A. NATIONAL FIRE PROTECTION
Ignature ASSOCIATION
N.E.C. NATIONAL ELECTRIC CODE
White -Customer/Original Yellow -Station Copy Pink -Prevention Services FD 2022 (Rev. 09/05)
... ~~,,~
ST!lTF OF~JJFOr`WIA '
Fl~3E SAFETY INSPECTION REQUEST
sm. eso (REV. ro•e~)
See lnstructlons on reverse.
AGENCY CONTACTS NAME TELEPHONE NUMBER REQUEST DATE PROGRAM
COMMUNITY CARE LICENSING 559 248-2885 11-21-06 109
EVALUATOR'S NAME REQUESTING AGENCY FACILITY NUMBER REQUEST CODE
PATRICIA MENDOZA 153800545 3A
RESPONSE REQUIRED cones
LICENSING ~TATE DEPT. OF SOCIAL SERVICES" ~
AGENCY 1. ORIGINAL A. FIRECLEARANCE
2. RENEWAL- B.UFESAFETY
NAME AND COMMUNITY CARE LICENSING s. CAPACITY CHANGE
ADDRESS 770 E. SHAW, SUITE 300. ~ 4. OWNERSHIP CHANGE
FRESNO, CA 9371 O 5. ADDRESS CHANGE
6. NAME CHANGE
7. OTHER
AMBULATORY NONAMBULATORY BEDRIDDEN TOTAL CAPACITY
CAPAGTY PREVIOUS CAPACITY CAPACITY PREVIOUS CAPACITY CAPACITY PREVIOUS CAPACITY
i 4 is - - - - 14
i FACILITY NAME
VICKI'S FCC
LICENSE CATEGORY
FAMILY CHILD CARE
sTREEr ADDRESS (Aawr coearion)
3308 DARTMOUTH ST.
NUMBER OF BUIU7INGS
1
crTY
BAKERSFIELD 93305
FACILITY CONTACT PERSON'S NAME
VICTORIA VANDERWARK ~
RESTRaNr
NO
HOURS
DAYTIME
PLEASE CHECK ALL ROOMS INCLUDING THE GARAGE
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'' ~ f. ~ ° '~' ~ ~ :°~ ~'Itl'~TO Bt= COM<aa~D pY INSPECTI AUTHORITY ;~ ~ fps -~`"
k... .F . .t.. 5"-~i ~3 ~
IAI. CODE
rBAKERSFIELD FIRE DEPT. ~ coDEs
FlRe 900 TRUXTUN AVE. #210
AUTHORITY
NAME AND BAKERSFIELD, CA 93301
ADDRESS
MiSPECTOR'S NAMfE (Tj}~W a PrlnNd) TELEPHONE NUMBER
WSPECiIONDATE INSPECTORS TURF aP' )
DENIAL oR usr sPEQIa. aTtoNs
1. FIRE CLEARANCE GRANTED
2. FlRE CLEARANCE DENIED
A. EXITS
B. CONSTRUCTION
C. FlRE ALARM
D. SPRINnZl=RS
CFlRS NUMBER OCCUP CLASS
~ ~~~
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E. HOUSEKEEPING
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~ F. SPECIALHAZARO
G. orHER