HomeMy WebLinkAboutBUSINESS PLAN'~ ii
H, HEYSELCAMPOS FCC
- - - -- - - 2107 FAYE LANE __ _
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~,i., ~• EAKERSFIELD FIRE DEPT. n g
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Prevention Services
B E R S F I L D
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FIRE PREVENTION I'N'SPECTION FARE 900 Truxtun Ave., ste. 210 {~j
ARAM T Bakersfield, CA 93301 t
Tel.: (661) 326-3979 ^ Fax: (661) 852-2171
DISTRICT BLOCK NO. DATE ~~~ _ /,~ %
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FACILITY ADDRESS p ~~ /
`1 CITY, STATE, ZIP
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FACILITY NAME ~~~ MANAGER'S NAME FACILI7Y_P_HONE Nj. /
BUSINESS OWNER'S NAME ANp ADDRESS ~ ~ CITY, STATE, ZIP ~ OWNER'S PHONE NO.
BILL TO: (IF DIFFERENT FROM ABOVE) NAME, ADDRESS CITY, STATE, ZIP, BILLING PHONE NO.
CC TYPE-~
O OCC LOAD NO. OF)FLOORS E
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HIGH RISE
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CORRECT ALL VIOLATIONS wo~nr~ox REQUIREMENTS
CHECKED BELOW ao.
COMBUSTIBLE WASTE I 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 & size) __________________ portable fire extinguisher to be
immediately accessible for use in (area) _ (U.F.C.)
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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.)
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
---------------
FIREDOORS/
FIRE SEPARATIONS shall return the surface to its original fire resistive condition. (U.B.C.)
10 Remove/re air Item & location _ _ Self-closin
P ( -------------------- 9
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doors shall be designed to close by gravi~ty~~
th~~t~or~f~-~ ical device, or by an approved smoke and
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heat sensitive device. Self-closing door~.~ayl ~,~,el la~tachments capable of preventing the operation of the
closing device. (U.F.C.) L~~~~~~
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 1g Remove all storage and/or other obstructions from fire escape landings and stairways stair shafts. (Fire
escapeslstair 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.)
OUTDOOR BURNING 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 1g ~ . ~ /
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CUSTOMER: _ - , ~ ~1. L.~'t ,J LEGEND:
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(Slynature) (Please Print Name Legibly
Title) C.F.C. CALIFORNIA FIRE CODE
U
B
C
UNIFORM BUILDING CODE
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INSPECTOR: • ` ~; ~ ~~>ff~r<---- AP NO.: ~~ .
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B.M.C. BAKERSFIELD MUNICIPAL CODE
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)
_,
8TATEOFCnuFORNIA
FIRE S~F~If INSPECTION REQUEST
BTa ~ ~. ~~~ See lnstructlons on reverse.
At~1CY CONTACTS NAME TELEPFIOIE NUMBER REQUEST DATE PROGRAM
COMMUNITY CARE LICENSING 59 243-4584 6-21-07 09
EYAWATOR'S NAME REQUESTING AGENCY FAC0.R`! NUMBER REQUEST CODE
JAKE BUSSEY 0354 153904829 A
RESPONSE REQUIRED IDES
~ STATE DEPT. OF SOCIAL SERVICES ~ 1. ORKi1NAL A. FlRE CLEARANCE
i. RENEWAL auFESAFETv
~wiE~ a COMMUNITY CARE LICENSING 3. cAPACiTMCwwGE
~~ 770 E. SHAW, SUITE 300 4.OwNERSHIPCHANGE
FRESNO, CA 93710 s. ADDRESS CHANGE
J A. NAME CHANGE
7. OTHER
AMBULATORY NONAMBULATORY BEDRIDDEN TOTAL CAPAgTY
CAPACRY Pa>:vlous CAPACfIY CAPACITY PREVIg16 CAPAGTY PREVIOUS CAPAg1Y
14 8 14
FACILITY NAME LIGEN9E GATFAVRr
CAMPOS HEYSEL FCC ~ AMILY CHILD CARE
STREET ADDRESS (Aehol Loalbn) NUMBER aF StNtDtlYGB
2107 FAYE LANE ' ' ~ 1
BAKERSFIELD 93304 NO
FACemCONTACTPERSOKS NAME NWF18
HEYSEL CAMPOS 661 837-8767 DAYTIME
SPECIAL CO~DfTT01~
PLEASE CHECK ALL ROOMS INCLUDING THE GARAGE
BAKERSFIELD FIRE DEPT.
A 1600 TRUXTON AVE. $401
"'~'A~~ BAKERSFIELD, CA 93301
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RISPECTOR'BNNE (fjpAaPiiMieQ 7H.EPliOIE NUMEA
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1. Fl9E CLEARAI~K.'E ciR11NTi:D
2. FiRECLEARANCEDENIED
A. ERRS
B. OONSTRUC'TION
C. FlRE ALARM
D. 8PRW0.ER8
E. FIDUSEf(EEPING
F. SPEGAL.HAZARD
a oT-~R
E7~UIM1 oeNIAL. DR uBr SPECIAL