HomeMy WebLinkAboutBUSINESS PLANi ~,
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YOLANDA TAPIR FCC ,,
- ti 12509 LAVINA AVENUE ;'
- -_
• BAKERSFIELD FIRE DEPT.
._
Prevention Services ,~
FIRE ,PREVENTION INSPECTION ` >t EFiRE t D .900 Truxtun Ave., Ste. 210 ~////I~~~/
ARTM T .Bakersfield CA 93301 ` ~
Tel.: (661) 326-3979 0 Fax: (661) 85 -2171
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DISTRICT BLOCK NO. DATE .~-~"' . ~r
) EE
FACILITY ADDRESS Q + `r , / ' n
" 1 ~ ~.~ 1 / V ~C CITY, STATE,
ZIP ~ ~ / ~ ~ ~ ~
FACILITY NAME / ~ +
~ ~~~'` MANAGER'S NAME ° F~CCILITY PHONE NO.
~
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1.
BUSINESS OWNER'S AME AND ADDRESS ~ CITY, STATE,-ZIP OWNER'S PHONE NO.
BILL TO: (IF DIFFERENT FROM ABOVE) NAME, ADDRESS CITY, STATE, ZIP, BILLING PHONE NO.
A
T,YA OCC LO NO. OF FLOORS HIGH RISE`BL G RI~EIYO ~'E-~
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^ YES NO ,
.J~ y
CORRECT ALL VIOLATIONS v+o~nr+ow i ~
I REQUIREMENTS
CHECKED BELOW eo.
B
I
TE I
RY
S 1 Remove and safely dispose of all hazardous refuse and dry vegetation on the above premises (U.F.C.)
COM
U
T
BLE WAS
D
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 boxlfire door (N.E.C.) (U.F.C.)
q 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)
Ex7tNGUISHERS 5 Provide and install (amount) _____ approved (type & size) __________________ portable fire extinguisher to be
immediately accessible for use in (area) _____________________________ (U.F.C.)
8 Re-charge all fire extinguishers. Fire extinguishers shall be serviced at least once each year, andlor 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 (crackslholes/openings) in plaster in (location) ______________________________________. Plastering
FIRE DOORS/ shall return the surface to its original fire resistive condition. (U.B.C.)
FIRE SEPARATIONS
10 Remove/repair (item 8 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.)
r
EXITS 11 Remove all obstruction from hallways. Maint ~ If a ess free of any storage. (U.F.C.)
12 ,
Provide a contrasting colored and permanently installed electric'" i ~~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.)
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 18•°
1
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CUSTOMER: ~~ ~, LEGEND:
, C.F.C. CALIFORNIA FIRE CODE
Signa ure (Please Print Name Legibl Tltle)
~ U.B.C. UNIFORM BUILDING CODE
~~ ~
INSPECTOR: ~1~~~~Jwt~~-------- AP NO.: ~~ B.M.C. BAKERSFIELD MUNICIPAL CODE
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 ZOZZ (Rev. O9/O5)
.~. ..
STATE/t~F CALIFORNIA
FIRE SAFETY INSPECTION REQUEST
See Jnstructlons on reverse.
sro. aso (REV. Io•>u>
AGENCY CONTACTS NAME TELEPHONE NUMBER REQUEST DATE PROGRAM
COMMUNITY CARE LICENSING 559 248-2885 3-13-07 109
EVALUATORS NAME REQUESTING AGENCY FACILITY NUMBER REQUEST CODE
PATRICIA MENDOZA 0378 153903165 3A.
RESPONSE REQUIRED coDEs
LICENSING ~TATE DEPT. OF SOCIAL SERVICES ~ 1. ORIGINAL A. FIRE CLEARANCE
2. RENEWAL B. LIFE SAFETY
AGENCY
NAME AND COMMUNITY CARE LICENSING 3. CAPACITY CHANGE
ADDRESS 770 E. SHAW, SUITE 3OO 4. OWNERSHIP CHANGE
FRESNO, CA 93710 5. ADDRESS CHANGE
6. NAME CHANGE
7. OTHER
AMBULATORY NONAMBULATORY BEDRIDDEN TOTAL CAPACITY
CAPACITY PREVIOUS CAPACITY CAPACITY PREVIOUS CAPACITY CAPACITY PREVIOUS CAPACITY
14 8 - - - - 14
FAGLRY NAME LICENSE CATEGORY
TAPIA, YOLANDA & FERNANDO FCC FAMILY CHILD CARE
STREET ADDRESS (Aclwl Location) NUMBER OF BUILDINGS
12509 LAViNA AVE. 'i
CITY RESTRAINT
BAKERSFIELD 93312 NO
FACILITY CONTACT PERSON'S NAME HOURS
YOLANDA TAPIA 661 829-2812 DAYTIME
sPECIAI. CONDRIONs
PLEASE CHECK ALL ROOMS INCLUDING THE GARAGE
+SPE
BAKERSFIELD FIRE DEPT.
FIRE PREVENTIVE SERVICES
AUTHORITY
NAMEAND 1600 TRUXTON AVE. #401
ADDRESS BAKERSFIELD, CA 93301
L-
N~SPECTOR'S NAME (Tjyad Or P~lnt~ TELEPHONE NUMBER
CODE8
t. 51RE CLEARANCE GRANTED
2. FlRECLEARANCEDENIED
A. EXITS
B. CONSTRUCTION
C. FIRE ALARM
SPRINKLERS
D
CFlRS NUMBER OCCUPANCY CLASS .
~~
~ E. !!~JSEKEEPING
F. SPEClALHAZARD
AVSPECTION DATE` INSPECTORS TU or G. OTHER
!~a
E7fPLAIN OR UST SPECIAL __._...'.
i~ j~.~ BAKERSFIELD FIRE DEPT. /x~ /~~~
B E R S F I L D Prevention Services UV"
FIRE PREVENTION INSPECTION FIRE 900 Truxtun Ave., ste. 210
ARTM T
- Bakersfield, CA 93301
Tel.: (661) 326-3979 ^ Fax: (661) 85 -2171
DISTRICT BLOCK NO. DATE " _~~] EE ~ ~ /
n
1 ~1
/
FACILITY ADDRESS j ~~ J
/
/ CITY, STATE, ZIP ~~
FACILITY NAME
n ~ M/~ A
~
D LITY PHONE NO.
FACI
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te` ~ A,/ r
1 ~ A
BUSINESS OWNER'S NAM
AND ADDRES CITY,~STATE, ZIP ~ Y
~ OWNER'S PHONE NO.
f t
l
BILL TO: (IF DIFFERENT FROM ABOVE) NAME, ADDRESS CITY, STATE, ZIP, BILLING PHONE NO.
OCCi7YPE OCC LOAD NO. OF LOORS HIGH RISE CDG RISER/DATE
,~. ~ ^ YES , NO
CORRECT ALL VIOLATIONS VIOLATION REQUIREMENTS / ~
CHECKED BELOW eo.
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.)
g Re-charge all fire extinguishers. Fire extinguishers shall be serviced at least once each year, andlor 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.)
1
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
----------------
FIREDOORS/
FIRE SEPARATIONS shall return the surface to its original fire resistive conditio ~ .C.)
10 Remove/repair (item & location) _______________________________ _ _ _ _____•__. Self-closing
~
doors shall be designed to close by gravity, or by the action of a mechanic I
e~e, n approved smoke and
t
~
heat sensitive device. Self-closing doors shall have no attachments capable of pre
he operation of the
~`^~'/s
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 1g 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 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: ~ // 2
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C,,,,___,,.~-~ (S'g ature) (Please Print Name Legibly, Title) C
F.C
CALIFORNIA FIRE CODE
U.B:C. UNIFORM BUILDING CODE
B.M.C. BAKERSFIELD MUNICIPAL CODE
INSPECTOR: ~ ~~,1 JJ,~, AP NO.: N.F.P.A. NATIONAL FIRE PROTECTION
(Signature) ~'-----'-' ~-' ASSOCIATION
~)r ~. r J.. J ..>< N.E.C. NATIONAL ELECTRIC CODE
White - CustomerlOriginal Yellow -Station Copy Pink -Prevention Services FD 2022 (Rev. 09/05)