HomeMy WebLinkAboutBUSINESS PLANECTION RECORD
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Bakersfield Fire Dept.
1715 Chester,Ave.
Bakersf field, CA 93301
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DATE:
trt~~- o FACILITY ADDRE S:
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~~30 FEE:
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FACILITY NAME: ~~
MANAGER NAME: -~-~ ~.
BUSINESS OWNER NAME, ADDRESS, ZIP CODE °'°"" ~~Y~'~-- FACILITY PHONE ~~ ~~ ~ ~ a
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BILL TO: (IF DIFFERENT FROM ABOVE~NAME, ADDRESS, ZIP CODE, PHONE No. /~ ~~ 6~^
OCC TYPE
~~ OCC LOAD
~_ No. OF FLOORS
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YES O NO D~ RISER DATE
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VIOLAT N N TICE CORRECTION:
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CUSTOMER: P . ~~.f ,~ r~ ~~)~/.~
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INSPECTOR: ~~ '-,
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ti- - - ~ - FIRE PREVENTION SERVICES
(661) 326-3979
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FD1952
STATE OF CALIFORNIA
FIRE SAFETY INSPECTION REQUEST
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See /nstructlons on reverse.
AGENCY CONTACTS NAME TELEPHONE NUMBER REQUEST DATE PROGRAM
COMMUNITY CARE LICENSING 559 243-4584 1-17-06 109
EVALUATORS NAME REQUESTING AGENCY FACILITY NUMBER REQUEST CODE
MIKE BUSSEY 153903292 5A
coDEs
RESPONSE REQUIRED
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~ 1. ORIGINAL A. FIRE CLEARANCE
LICENSING
TATE DEPT. OF SOCIAL SERVICES 2. RENEWAL B. LIFE SAFETY
AGENCY
NAME AND COMMUNITY CARE LICENSING 3. CAPACITY CHANGE
ADDRESS 770 E. SHAW, SUITE 3OO 4. OWNERSHIPCHANGE
FRESNO, CA 93710 5. ADDRESS CHANGE
6. NAME CHANGE
7. OTHER
AMBULATORY NONAMBULATORY BEDRIDDEN TOTAL CAPACITY
CAPAGTY PREVIDUS CAPAGtt CAPACITY PREVIOUS CAPACITY CAPACITY PREVIOUS CAPACITY
14 14
FAGLRY NAME LICENSE GATEGOFiY
JONES, DEBRA FCC FAMILY CHILD CARE
STREET ADDRESS (Actual Location) NUMBER OF BUILDINGS
2504 MIRIA DR. 1
CTTY RESTRAINT
BAKERSFIELD 93307
FACILITY COKTACT PERSONS NAME HOURS
DEBRA JONES 661 805-1205 DAYTIME
sPECIAL coNDmonls
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IAL COOS
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BAKERSFIELD FIRE DEPT cones
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FIRE g00 TRUXTON AVE
#210 ~FIRECLEARANCEGRANTED
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AUTHORITY
NAMEAND BAKERSFIELD, CA 93301 2. flRECLEARANCEDENIED
ADDRESS ,,, p(~
B. CONSTRUCTION
C. FIRE ALARM
riSPECTOR'S NAME yyrd a P TELEPHONE NUMBER CFlRS NUMBER OCCUPANCY CLASS D. SPRINKLERS
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