HomeMy WebLinkAboutBUSINESS PLAN!l CARMEN GUTIERREZ FCC
~ 1412 MAITLAND DRIVE
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~' - ~ ,;' ~" BAKERSFIELD FIRE DEPT. ~ Q
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~~ Prevention Services ~~p
"~ FIRE PREVENTION INSPECTION a EF/RE I D 900 Truxtun Ave., ste. 210 {~
ARTM T .Y
'° Bakersfield, CA 93301 l
y Tel.: (661) 326-3979 ^ Fax: (661) ,52-2171
DISTRICT BLOCK NO. DATE EE ~U
FACILITY ADDRESS I ~ CITY, TATE, 21P j Q
7
FACILITY NAME e~"
/~ NE NO.
MANAGER'S NAME FACILITY PHO
BUSINESS OWNER'S NAME AND ADDRESS CITY, STATE, ZIP OWNER'S PHONE NO.
BILL TO: (IF DIFFERENT FROM ABOVE) NAME, ADDRESS CITY, STATE, ZIP, BILLING PHONE NO.
C~f1(~E OC~ 40AD
f"""(I NO. OF FLOORS HIGH RISE B1L~G RIS R T.E-.
^ YES LY NO
CORRECT ALL VIOLATIONS VIOLATION
CHECKED BELOW No. r
t REQUIREMENTS
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-combus"tible 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.G.) (U.F.C.)
! 4 Relocate fire extinguisher(s) so that they will be in a conspicuous location, ~plgi~p on,
extinguisher not more than 5 feet above the floor. (N.F.P.A. No. 10) t~~ ~ U .~ ets w'th the top to the
EXTING ~ISHERS 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, and/or 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. (l!"F.C.)
g Provide and mairitain 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.)
FIRE DOORS/
FIRE SEPARATIONS g Repair all (cracks/holes/openings) in plaster in (location) ______________________________________. Plastering
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 ar.e"'£o 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 electrica{ 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 M ici al Code B.M.C. re ardin fireworks.
OTHER 1g
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CUSTOMER: ~, `(~ /1 r/~' : l~r~ ~
( I ~ nature) (Please Print Name Legibly, Title)
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INSPECTOR: V ' AP NO.:
SI flatufe~ CEF.CND~ CALIFORNIAFIRE~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)
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STATE C~ I:AUFOP~
TIRE SAFETY INSPECTION REQUEST
See Instructions on reverse.
srD. aso (REV. tas~)
AGENCY CONTACTS NAME TELEPHONE NUMBER REQUEST DATE PROGRAM
COMMUNITY CARE LICENSING 559 243-4584 12-7-06 109
EVALUATOR'S NAME REQUESTING AGENCY FACILITY NUMBER REQUEST CODE
MIKE BUSSEY 0354 153902466 3A
RESPONSE REQUIRED cooEs
uCENSING ~ STATE DEPT. OF SOCIAL SERVICES ~ 1. ORIGINAL A. FIRE CLEARANCE
2. RENEWAL B. LIFE SAFETY
AGENCY
NAIIAEAND ~ COMMUNITY CARE LICENSING
3. CAPACITY CHANGE
ADDRESS 770 E. SHAW, SUITE 3OO 4. OWNERSHIPCHANGE
FRESNO, CA 9371 O 5. ADDRESS CHANGE
6. NAME CHANGE
7. OTHER
AMBULATORY NONAMBULATORY BEDRIDDEN TOTAL CAPACITY
CAPACITY PREVIOUS CAPAgTY CAPACITY PREVIOUS CAPACITY CAPACITY PREVIOUS CAPACITY
14 II - - - - 14
FACILTY NAME LICENSE CATEGORY
GUTIERREZ, CARMEN FCC FAMILY CHILD CARE .
STREET ADDRESS (Actual locatbnJ NUMBER OF BUILDINGS
1412 MAITLAND DR. 1
CTfY RESTRaNT
BAKERSFIELD 93304 NO
FACILITY CONTACT PERSON'S NAME HWRS
CARMEN GUTIERREZ 661 836-3358 DAYTIME
sPEaa. coNDmaNs
PLEASE CHECK ALL ROOMS INCLUDING THE GARAGE
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~ ~ '.. ~ _ ~s~"s 1'O 8s ~~ ~b~LTED~HY INSPECTING AUTHORI'~s tEr ~«
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/DENIAL CODE
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BAKERSFIELD FIRE DEPT _ CODES __
.
FIRE g00 TRUXTON AVE. #210
AUTHORITY ~. F ECLEARANCEGRANTED
NAME AND BAKERSFIELD, CA 93301
ADDRESS .. FlRE CLEARANCE DENIED
,~,, pt:1TS
l.- 8. CONSTRUCTION
C. FlRE ALARM
MJSPECTOR'S (Typed a TELEPHONE NUMBER CFIRS NUMBER O~UpANCY CLASg D. SPRINKLERS
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~ ~ E. HOUSEKEEPING
F. SPECIAL HAZARD
WSPECTION DATE
I _~y INSPECTORS (Typed w P ' fed)
~ I G. OTHER
E7(PWN GENIAL OR LIST SPECIN. gTK)rIS