HomeMy WebLinkAboutBUSINESS PLANI''~ ~ jw, SANDRA HAMPTON FCC
~'i~ 3506 SORANNO AVENUE
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FIRE PREVENTION INSPECTION B EF~RE I D
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BAKERSFIELD FIRE DEPT. I (,~,
Prevention Services ~I~ `~
900 Truxtun Ave., Ste. 210 ~~ U
Bakersfield, CA 93301
Tel.: (661) 326-3979 ^ Fax: (66 852-2171
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DISTRICT
BLOCK NO.
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FACILITY ADDRESS ~~ ~`~ ~ ~ ~ ~~ ~_ / ~
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FACILITY NAME .-.~,,•~ rA ~,,,` ~ t, °~ ~~ ~
~ MANAGER'S NAME FACI•C~IT~YPH%N~E~•:}'"`]`-~~'
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BUSINESS OWNER'S NAME AND ADDRESS
~ CITY, STATE, ZIP OWNER'S•PHONE NO.
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BILL TO: IIF DIFFERENT FROM ABOVE) NAME, ADDRESS CITY, STATE, ZIP, BILLING PHONE NO.
O C TYPE OiC~D NO. O8F FLOORS HIGH RISE BLDG RISE 'DA'TE
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N ^ YES ~ NO
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CORRECT ALL VIOLATIONS VIOLATION
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REQUIREMENTS
CHECKED BELOW Na.
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R 1 Remove and safely dispose of all hazardous refuse and dry vegetation on the above premises (U. F. C.)
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COMBUSTIBLE WAST
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.)
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)
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, and/or 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 n ~ r an { I le from the street to indicate the
correct address of the building. (B. M.C.) (U.F.C.)
g Repair all (cracks/holes/openings) in plaster in (location) ______________________________________. Plastering
FIREDOORSI
FIRE SEPARATIONS 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 1g 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:
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ignature) ~ (Please Print Name Legibly, Title)
(S C.F.C. CALIFORNIA FIRE CODE
U.B.C. UNIFORM BUILDING CODE
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INSPECTOR: t:~~V+~ ~~~1~\fJt AP NO.: ~~~--~ B.M.C. BAKERSFIELD MUNICIPAL CODE
N.F.P.A. NATIONAL FIRE PROTECTION
l (Signature) ~ y ~ ASSOCIATION
N.E.C. NATIONAL ELECTRIC CODE
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White -Customer/Original Yellow -Station Copy Pink -Prevention Services FD 2022 (Rev. 09105)
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STATE OF CAIIFOPNIA
FIRE SAFETY INSPECTION REQUEST
See lnstrucilons on reverse.
s7D. eso IREV. ~asa~
AGENCY CONTACTS NAME TELEPHONE NUMBER REQUEST DATE PROGRAM
COMMUNITY CARE LICENSING 559 243-4056 7-31-07 109
EVALUATOR'S NAME REQUESTING AGENCY FACILITY NUMBER REQUEST CODE
KATRINA OWENS 0327 153904846 1A
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. OWNERSHIP CHANGE
FRESNO, CA 93710 5. ADDRESS CHANGE
6. NAME CHANGE
7. OTHER
AMBULATORY NONAMBULATORY BEDRIDDEN TOTAL CAPACITY
CAPAGTY PREVIOUS CAPACITY CAPACITY PREVIOUS CAPACITY CAPACITY PREVKKIS CAPACRY
14 - - - - - 14
FACILITY NAME LICENSE CATEGORY
HAMPTON, SANDRA FCC FAMILY CHILD CARE
STREET ADDRESS (Aciwl Location) NUMBER OF BUILDINGS
3506 SORANNO AVE. 1
GTY RES7RaNT
BAKERSFIELD 93309 i} ~-~-%~z- ~~~3" ~~~ ~ NO
FAGUTY CONTACT PERSON'S NAME Nouas
SANDRA HAMPTON 661 397-4337 DAYTIME
sPEGAL coNDmoNs
PLEASE CHECK ALL ROOMS INCLUDING THE GARAGE
ENT'D A U G O 1 2007 ~`"e
BAKERSFIELD FIRE PREVENTION
FlRE 1600 TRUXTON AVE. #401
AUTHORITY
NAMEAND BAKERSFIELD, CA 93301
ADDRESS
M~SPECTOR'S NAME (Typed or PrinNd)A TELEPHONE NUMBER CRRS NUMBER OCCUPANCY CLASS
0 ~~ ~ ~~~a
OR SPECIAL DITIONs° " ~ ~
~E CLEARANCE GRANTED
2. FIRE CLEARANCE DENIED
A. EXITS
B. CONSTRUCTION
C. FIRE ALARM
D. SPRiNKLEF~I
E. HOUSEKEEPING
F. SPECIAL HAZARD
G. oTHER