HomeMy WebLinkAboutBUSINESS PLAN~ i~
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R ;+~ BRENDA BOWENS
Y ~' 2617 LEE DRIVE
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r , + '~ i i~~ BAKERSFIELD FIRE DEPT.
~~
FIRE PREVENTION INSPECTION B E R S F I D Prevention Services /~(~'
FIIPIE 900 Truxtun Ave., Ste. 210 ~ I `
~erM r Bakersfield, CA 93301
` ~ Tel.: (661) 326-3979 ^ Fax: (6 1 2-2171
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DISTRICT BLOCK NO. DATE ^' ~~ " ~ EE t~ ~q 1_ 4`"_""'
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FACILITY ADDRESS ~"°") ~ ~
/'^a B CITY, STATE, ZIP ~ ~
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FACILITY NAME -~ r ~`
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MANAGER'S NAME FACILITY PHONE NO.
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BUSINESS OWNER'S NAME AND ADDRESS
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(X CITY, STATE, ZIP . OWNER PHYEyO~~
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BILL TO: (IF DIFFERENT FROM ABOVE) NAME, ADDRESS CITY, STATE, ZIP, BILLING PHONE NO. I
OCC 7YR OCC LOAD NO. OF FLOORS HIGH RISE BL G RISE,IR DATE
^ YES NO ~ /
CORRECT ALL VIOLATIONS VIOLRTION
CHECKED BELOW no. ~ REQUIREMENTS
1 Remove and safely dispose of all hazardous refuse and dry vegetation on the above premises (U.F.C.)
COMBUSTIBLE WASTE I DRY
vEGETArION
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.)
6 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.)
SIGNS 7 Provide and maintain "EXIT" sign(s) with letters 5 or more inches in height over each required exit (door/window) to
fire escape. (U.F.C.)
g Provide and maintain appropriate numbers on a contrasting backgr u ble from the street to indicate the
correct address of the building. (B. M.C.) (U.F. .r ~ ~~~
FIREDOORSI
FIRE SEPARATIONS g Repair all (crackslholeslopenings) in plaster in ation) ________________________________. Plastering
shall return the surface to its original fire resistive condition. (U.B.C.)
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.)
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.)
ELECTRICAL APPLIANCES 14 Extension cords shall not be used in lieu of permanent approved wiring. Install additional approved electrical outlets
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$ 1~
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CUSTOMER: ~i~J_1~.t...1r ~G 11."'~C?-t ~'~.i•' \
(Signature) (Please Print Name Legibly, Title)
INSPECTOR: ~_ ~ 01----~---" AP NO.: ~
(Signature) LEGEND:
C.F.C. CALIFORNIA FIRE CODE
U.B.C. UNIFORM BUILDING CODE
B.M.C. BAKERSFIELD MUNICIPAL CODE
N.F.P.A. NATIONAL FIRE PROTECTION
ASSOCIATION
N.E.C. NATIONAL ELECTRIC CODE
White -Customer/Original Yellow -Station Copy Pink -Prevention Services FD 2022 (Rev. 09/05)
-_,:~ ,~,
STATE OF CNJFORt~~
FIRE 3~I~FETY INSPECTION REQUEST
Sro.esocREV.,o-aa, See lnstructlons on reverse.
AGENCY CONTACTS NAME TELEPHONE NUMBER REQUEST DATE PROGRAM
COMMUNITY CARE LICENSING 559 243-4584 3-27-07 109
EVALUATOR'S NAME REQUESTING AGENCY FACILITY NUMBER REQUEST CODE
MIKE BUSSEY 0354 153807040 3A
RESPONSE REQUIRED cones
LICENSING ~TATE DEPT. OF SOCIAL SERVICES ~ 1. ORIGINAL A. FIRE CLEARANCE
2. RENEWAL B. UFESAFETY
AGENCY
NAME AND COMMUNITY CARE LICENSING 3. CAPACITY CHANGE
ADDRESS 770 E. SHAW, SUITE 3OO 4. 01NNERSHIPCHANGE
FRESNO, CA 93710 5. ADDRESS CHANGE
6. NAME CHANGE
7. OTHER
AMBULATORY NONAMBULATORY BEDRIDDEN TOTAL CAPACITY
CAPACITY PREVIOUS CAPACITY CAPACITY PREYIOUS CAPACITY CAPACITY PREVICUS CAPACITY
'f 4 $ - - - - '14
FACILITY NAME LICENSE CATEGORY
BOWENS, BRENDA FCC FAMILY CHILD CARE
STREET ADDRESS (Adue! LOCatigvij NUMBER OF BUILDINGS
2617 LEE DR. 1
CfTY RESTRAINT
BAKERSFIELD 93304 - NO
FACILITY CONTACT PERSONS NAME HOURS
BRENDA.BOWENS 661 832-8479 DAYTIME
sPECaL coNOmQNs
PLEASE CHECK ALL ROOMS INCLUDING THE GARAGE
Y
BAKERSFIELD FIRE DEPT. PREV.
FlRE 1600 TRUXTON AVE. #401
AUTHORfTY
NAMEAND BAKERSFIELD, CA 93301
ADDRESS f
J
MdSPECTORSNAME (fypa40rPih+Md^) \ TELEPHONE NUMBER
CFlRS NUMBER ~ OCCUPANCY CLASS
VIAL `~°~
/CODES
1. F E CLEARANCE GRANTED
2. FIRE CLEARANCE DENIED
A. EXITS
B. CONSTRUCTION
C. FIRE ALARM
D. SPRINKLERS
E. HOUSEKEEPING
F. SPECIAL HAZARD
G. OTHER
t- ~
DENUIL R U SPECUIL