HomeMy WebLinkAboutBUSINESS PLANANNETTE SEVALL FCC
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FIRE PREVENTION LNSPECTION >> EF~RE t
ARAM T
BAKERSFIELD FIRE DEPT.
Prevention Services ~~~
900 Truxtun Ave., Ste. 210 Y~i
Bakersfield, CA 93301
Tel.: (661) 326-3979 ^ Fax: (661 2-2171
DISTRICT BLOCK NO. DATE EE
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BUSINESS OWNER'S NAME AND ADDRESS CITY, STATE, ZIP OWNER'S PHONE NO.
BILL TO: (IF DIFFERENT FROM ABOVE) NAME, ADDRESS CITY, STATE, 21 P, BILLING PHONE NO.
OTC ~Y OCC LO D NO. OF FLOORS HIGH RISE BLDG RI ER D ' E
~ ^ YES ~ NO
CORRECT ALL VIOLATIONS VIOLATION REQUIREMENTS
CHECKED BELOW Ho.
1 Remove and safely dispose of all hazardous refuse and dry vegetation on the above premises (U.F.C.)
COMBUSTIBLE WASTE /DRY
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 g Provide and install (amount) _____ approved (type & size) __________________ portable fire extinguisher to be
immediately accessible for use in (area) _____________________________ (U.F.C.)
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 "EXI i ) .i tt s o nches 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/holeslopenings) in plaster in (location) ______________________________________. Plastering
FIRE DOORS/
FIRE SEPARATIONS shall return the surface to its original fire resistive condition. (U.B.C.)
t0 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 andlor 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.)
OUTDOOR BURNING 16 Violation of Section 1102 dealin with recreational fires or o en burnin U.F.C. '
FIREWORKS 17 Violations of Section 780 U.F. or 8.49.040 of the Bakersfield Munici al Code B.M.C. re ardin fireworks.
OTHER
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CUSTOMER ~"J V
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``-"~ dSl n ture) Please Print Name Legibly itle) C.F.C
CALIFORNIA FIRE CODE
U.B.C. UNIFORM BUILDING CODE
B.M.C. BAKERSFIELD MUNICIPAL CODE
INSPECTOR: 'r AP NO.: ----N.F.P.A. NATIONAL FIRE PROTECTION
(SlgnatUre) ASSOCIATION
N.E.C. NATIONAL ELECTRIC CODE
White -Customer/Original Yellow -Station Copy Pink -Prevention Services FD 2022 (Rev. 09105)
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STATE OF CAl`~~.7RN'A"
FIRE SAFETY INSPECTION REQUEST
sm, eso tREV. ~o-eal
See Instrucflons on reverse. ~
AGENCY CONTACTS NAME TELEPHONE NUMBER REQUEST DATE PROGRAM
COMMUNITY CARE LICENSING 559 243-4023 10/17/06 109
EVALUATOR'S NAME REQUESTING AGENCY FACILITY NUMBER REQUEST CODE
PATRICIA POLANCO - 0399/MA 153805050 3A
RESPONSE REQUIRED coDEs
~
~ 1. ORIGINAL A. FIRE CLEARANCE
LICENSING
STATE DEPT. OF SOCIAL SERVICES 2. RENEWAL B. LIFE SAFETY
AGENCY
NAME AND COMMUNITY CARE LICENSING 3. CAPACITY CHANGE
ADDRESS 770 E. SHAW AVENUE, SUITE 300 4. OWNERSHIPCHANGE
FRESNO, CA 93710-7785 5. ADDRESS CHANGE
6. NAME CHANGE
7. OTHER
AMBULATORY NONAMBULATORY BEDRIDDEN TOTAL CAPACITY
CAPACITY PREVIDUS CAPACITY CAPACITY PREYIDUS CAPACITY CAPACITY PREVIOUS CAPACITY
14 ~i 4
FACILITY NAME LICENSE CATEGORY
SEVELL, ANNETTE FCC
STREET ADDRESS (Actual Location) NUMBER OF BUILDINGS
3609 Feista Ave one
CfTY RESTRAINT
Bakersfield, CA 93313 none
FACIIITY CONTACT PERSON'S NAME HOURS
Sevell, Annette 661 836-9072 DAYS
sPEaAL coNOmoNs
"Check all rooms including the garage"
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~, _ ~_ .~ ~~ TTO BE~G.OMPLETED_BY tN$PECTING A~ ' ~z<r ~``E `. •; . .. _ <
Bakersfield Fire Depart. Prevention
FlRE g00 Truxtun Ave Suite 210
AUTHORfTY
NAMEAN~ Bakersfield, CA 93301
ADDRESS
INSPECTOR'S NAME (TjyW or Pr1nNd)
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INSPECTION DATE INSPECTOR
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(TE~~L'~E//PHONE NUMB//ER // CC CFlfRS NUM/B~E/R~ OCCUPANCY CLASS
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~L,EAAANCE ~bEt~11AL CODE
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CODES
t. FARE CLEARANCE GRANTED
~2...- FlRE CLEARANCE DENIED
A. EXITS
B. CONSTRUCTION
C. FIRE ALARM ,
D. SPRtNKLER3
E. HWSEKEEPING
F. SPECIAL HAZARD
G. OTHER
EXPLAIN DQ~NAL Oft~UST SPEGAL CON[
Street City/ Address Range Street ~
Code Street Name Direction County Beginning Ending Side Tns Rng Section 1/4 Index # Map Type Map Number Comments
4693 FERN RIDGE LANE BAKE 8600 8699
1458 FERN TREE COURT BAKE 1900 2199
1501 FERN WAY BAKE 2700 2799
4495 FERNCREEK FALLS DRNE BAKE 6300 6399
1511 FERRY STREET BAKE 500 699
4287 FESSLER LANE BAKE 11900 12099
1514 FICUS DRIVE BAKE 8100 8199
1499 FIDDLELEAF LANE BAKE 2000 2099
1497 FIELDSPRING DRNE BAKE 1300 1699
6095 FIELDSTONE DRNE BAKE 10700 10999
1500 FIESTA AVENUE BAKE 3300 3699
1512 FIG STREET BAKE 500 699
4335 FIGHTING IRISH DRNE BAKE 8100 8199
6051 FIJI DRIVE BAKE 5500 5699
1521 FILSON STREET BAKE 1700 1999
1505 FINCH WAY BAKE 6500 6799
1517 FINCHLEY DRNE BAKE 10200 10799
1478 FINDON COURT BAKE 11900 11999
2286 FINISH LINE DRNE BAKE 3800 3999
T30S R27E 35 A 123-35 TRACT 6178-1,2
T30S R27E 13 D 123-13 TRACT 5895
T29S R27E 7
T30S R28E 6
T30S R26E 12
T30S R27E 17
T30S R27E 8
T30S R27E 6
T29S R29E 20
T30S R27E 23
T30S R28E 6
T30S R27E 35
T30S R27E 20
T30S R28E 16
T30S R28E 30
T30S R27E 6
T30S R26E 12
T29S R29E 20
D 102-07 TRACT
B 124-06
D 122-12 TRACT
B 123-17 TRACT
A 123-08 TRACT
C 123-06 TRACT
B 10420 TRACT
D 123-23 TRACT
B 124-06
A 123-35 TRACT
A 123-20 TRACT
A 124-16
A 124-30
C 123-06 TRACT
D 122-12 TRACT
D 10420 TRACT
1469 FINSBURY COURT BAKE 11500 11799 T29S R26E 25 D 101-25 TRACT
1503 FIORRO STREET KERN T30S R27E 2 A 123-02
1518 FlREBAUGH STREET BAKE 6800 7499 T30S R27E 21 D 123-21 TRACT
1504 FIRWOOD WAY BAKE 4000 4099
1436 FISHERS PEAK DRNE BAKE 10600 10799 T29S R27E 31 A 102-31 TRACT
4262 FITZGERALD DRNE BAKE 9700 10199 T30S R27E 18 D 123-18 TRACT
1507 FJORD DRNE BAKE 4700 5399
1507 FJORD DRNE BAKE 4200 4499
1508 FLAGSTAFF WAY BAKE 3300 3499
4114 FLAT IRON COURT BAKE 12100 12299 T29S R26E 13 C 101-13 TRACT
4241 FLATHEAD RNER COURT BAKE 500 599 T29S R26E 36 B 101-36 TRACT
4625 FLATROCK DRNE BAKE 6600 6699 T30S R27E 21 D 123-21 TRACT
1510 FLEETWOOD WAY BAKE 3600 3799 T29S R28E 15 A 103-15 TRACT
1513 FLEUR STREET BAKE 3100 3299 T29S R28E 14 C 103-14 TRACT
1516 FLICKER DRNE BAKE 4200 4799 T30S R27E 11 A 123-11
City of Bakereflekl -Master Street List Page 61 of 178
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6077-6,10
UNION 10
6001-B
5678-B
4650 <<``
5218 V~
6193-1
4642
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UNION 10
5958-3
6323-1
CASA LOMA
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5425D 5877AC PRNATE v
5955-B PRNATE
5923-2 CERT OF
CORR 6-26-
02 FR LOLA i
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5489-F PRNATE
5664-2 5845-
A,C,D
5827-F
5940.DF
5669-B
5882-6B
6166-4,6
2130
3698-A
PRNATE
Wednesday, August 30, 2006
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