HomeMy WebLinkAboutBUSINESS PLAN® LAURA ROMERO FCC
3702 SYCAMORE CREEK DRIVE
C
I~~`dS~~ECTION RECO~~D ~~ " (nc~~'I
Bakersfield Fire Dept.
1715 Chester Ave.
Ba ersfield, CA 93301
_-
~ -~ i ~ <;
DATE: FACILITY ADDRESS: ~ n ~ ZIP:q FEE:
~~pp
~
C'1 A~l\.G.,
FACILITY NAME: I
~ , ~ ~C"'
__
„
MANAGER NAME: """"~~ '~
BUSINESS OWNER NAME, ADDRESS, ZIP CODE -°" ~ _" p
FACILITY PHONE ~ ~ ~ - ~"1 t
_'
BILL TO: (IF DIFFERENT FROM ABOVE}-NAME, ADDRESS, ZIP CODE, PHONE No.
OCC TYPEy OCC LOAD
C..~ No. OF FLOORS
! HI RISE BLDG.
YES O NO ® RISER DATE
~ /_
VIOLATION NOTICE CORRECTION:
1. ~
2. ~ `-'e BLS! ~ CiC.~..~ ~~,Q `A--t/1..~... ~t~--/~ DATEbFREINSPECTION
U
3.
4. '
5.
6. l
2
~~
7.
8. -
9.
10.
11.
12. '
13. ' ~ ~~
frt
14.
15.
NOTES
n ,l
~.1~~ ~) (V~-~
CUSTOMER;~
1'
(~
INSPECTOR; ~ ~ .G AP No. V ~-- FIRE PREVENTION SERVICES
(661) 326-3979
WHITE ORIGINAL-OWNER YELLOW-INSPECTOR'S COPY PINK-FILE
FD1952
STATE Cif CALIF~`I.>":`.RIA
FIRE !?AFETY INSPECTION REQUEST
See Jnstructlons on reverse.
sTD. aso (Rev. ~ae4)
AGENCY CONTACTS NAME TELEPHONE NUMBER REQUEST DATE PROGRAM
COMMUNITY CARE LICENSING 559 243-4023 1-30-06 109
EVALUATOR'S NAME REQUESTING AGENCY FACILITY NUMBER REQUEST CODE
PATRICIA POLANCO 153902831 3A
RESPONSE REQUIRED coDEs
~
~ 1. ORIGINAL A. FIRECLEARANCE
ucENSING
TATE DEPT. OF SOCIAL SERVICES 2. RENEWAL B. LIFE SAFETY
AGENCY
NAME AND COMMUNITY CARE LICENSING a. cAPACITYCHANCE
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
i4 8 14
FACIUTY NAME UGENSE GATECiUFiT
ROMERO, LAURA FCC FAMILY CHILD CARE
STREET ADDRESS (Adwl Location) NUMBER OF BUILDINGS
3702 SYCAMORE CREEK DR. 1
CITY RESTRAINT
BAKERSFIELD 93313
FACIUTY CONTACT PERSONS NAME HOURS
LAURA ROMERO (661) 835-9185 DAYTIME
sPecIAL coNOmoNs
~+" _ TO BL COMPLETED BY'INSPECTIhiCi Al)THORI?Y ~ ~' ~ .x`-` ~ w~r~ _:
z Fps:
CLEARANCE IAL CODE
BAKERSFIELD FIRE DEPT ~ coDEs
.
FlRE g00 TRUXTON AVE
#210 1. IRE CLEARANCE GRANTED
.
AUTHORfiY
.1
NAME AND BAKERSFIELD, CA 93301
FlRECIEARANCEDENIED
ADDRESS ~,, pT~
B. CONSTRUCTK)N
C. FlRE ALARM
NISPECTOR'S NAME (TypadorPriMad) TELEPHONE NUMBER CRRS NUMBEA OCCUPANCY CLASS D. SPTiINKLEPS
r l
" ~ /
((% ~
36.E C
~ODJ
~ E. HOUSEKEEPING '
F. SPECIALHA2ARD
RISPECTLON DATE INSPECTORS SIG a PmbO G. OTHER
a - ~
EXPWN DENIAL OR UST S PECUIL CON S