HomeMy WebLinkAbout042-600-049 CF ArchiveTOBE:CQI�IIPLETED.; BY'tNSPECTING AUTHORITY
CLEARANCE/DENIAL CODE
CODES
FIRE BUTTE CDF 1. IRE CLEARANCE GRANTED
AUTHORITY STEVE FOWLER
NAME AND 176 NELSON AVE. 2. FIRE CLEARANCE DENIED
ADDRESS OROVILLE, CA 95965 A. EXITS
I B. CONSTRUCTION
C. FIRE ALARM
D. SPRINKLERS
INSPECTOR'S NAME (Typed orPrinf6d) TELEP; ZONE NUMBER CFIRS NUMBER OCCUPANCY CLASS
5-30—E. HOUSEKEEPING
3 7_ D x2 F. SPECIAL HAZARD
INSPECTION DATE r INSPECTOR'S SIGNAT ed orPrinted) G. OTHER
`�,5 OD 2
EXPLAIN DENIAL OR LIST SPECIAL CONDITIONS
..
/2-1
C ell dzA..0
L
a
CEIVED
-
% 'UN -
_005
ATE OF CALIFORNIA
IRE SAFETY INSPECTION • REQUEST
See instructions on reverse.
C. D.850 (REV. 10-94)
GENCY CONTACTS NAME
TELEPHONE NUMBER
REQUEST DATE
PROGRAM
CDSS/COMMUNITY CARE LICENSING
530 895-5033
5110/05
CCL
VALUATOR'S NAME
REQUESTING AGENCY FACILITY NUMBER
REQUEST CODE
0104/LISA MCKAY
0454043 87
31A & 3A
CODES
1. ORIGINAL A. FIRE CLEARANCE
DEPARTMENT OF SOCIAL SERVICES
LICENSING
2. RENEWAL B. LIFE SAFETY
AGENCY COMMUNITY CARE LICENSING
NAME AND 520 COHASSET ROAD, SUITE 6
3. CAPACITY CHANGE
ADDRESS CHICO, CA 95926
4. OWNERSHIP CHANGE
5. ADDRESS CHANGE
L
6. NAME CHANGE
7. OTHER
AMBULATORY
NONAMBULATORY
BEDRIDDEN
TOTAL CAPACITY
CAPACITY
PREVIOUS CAPACITY
CAPACITY
PREVIOUS CAPACITY
CAPACITY
PREVIOUS CAPACITY
14
8
0
0
14
FACILITY NAME _
LICENSE CATEGORY
FAZLIC, ELVIRA FAMILY CHILD CARE HOME
810
STREETADDRESS (ActualLocaUon)
NUMBER OF BUILDINGS
1134 WALNUT GLEN CT.
CITY
RESTRAINT
CHICO
NO
FACILITY CONTACT PERSON'S NAME
HOURS
ELVIRA FAZLIC (530) 892-8623
M -F 7:30AM - 5PM
SPECIAL CONDITIONS
,
TOBE:CQI�IIPLETED.; BY'tNSPECTING AUTHORITY
CLEARANCE/DENIAL CODE
CODES
FIRE BUTTE CDF 1. IRE CLEARANCE GRANTED
AUTHORITY STEVE FOWLER
NAME AND 176 NELSON AVE. 2. FIRE CLEARANCE DENIED
ADDRESS OROVILLE, CA 95965 A. EXITS
I B. CONSTRUCTION
C. FIRE ALARM
D. SPRINKLERS
INSPECTOR'S NAME (Typed orPrinf6d) TELEP; ZONE NUMBER CFIRS NUMBER OCCUPANCY CLASS
5-30—E. HOUSEKEEPING
3 7_ D x2 F. SPECIAL HAZARD
INSPECTION DATE r INSPECTOR'S SIGNAT ed orPrinted) G. OTHER
`�,5 OD 2
EXPLAIN DENIAL OR LIST SPECIAL CONDITIONS
..
/2-1
C ell dzA..0
L
a
CEIVED
-
% 'UN -
_005
ire Prevention Bureau Butte County Fire Rescue White Copy - Business
76 Nelson Avenue California Department of Forestry Yellow Copy — Occupancy File
)roville, CA 95965 and Fire Protection Pink Copy — Station File
elephone 530-538-7888 Facility Inspection Report Occ. Class. ;
W
530-538-2105
Address: 3 { f i Business Name:
►wner/Manager: v - Bus:
-'i, ��l1ZLI -
,ssistant Manager: -- _-.:-, Bus: _,.,
wilding Owner: Bus: �(._ Cj Hm:
Adress:
AN TNQPF.f TION nF VnITR FACH.1TV REVEALED THE FOLLOWING:
1.
Fire Extinguishers: Required, service due
10.
Exit(s) obstructed, inadequate
2.
Extension cords: Excess use, defective 1 '.
11.
Exit sign(s) required, illumination
3.
Excessive rubbish, trash, debris C -_
12:
Exit sign lights need replacing
4.
Fire alarm system defective -
-13.
Exit, lighting: Required, defective
5.
Sprinkler system: Service required, defective-
14.
Smoke detectors: Required,, defective;
6.
Kitchen hood extinguishing system service due
15. Wiring: Exposed, damaged connectors, etc.
7.
Fire walls, ceilings, fire doors, draft stops
16.
Heating system: Defective appliance, flue combustibles
8.
Knox -Box keys
17.
Address posted and visible from road
9.
Fire Drill Witnessed Yes ❑ No ❑
18.
Other
DETAILED EXPLANATION AND CORRECTION N:
UUMI LU I EL:
F -L_ f1 "t.
j? !
rc'U%G�
O 29 G
'f-Iil H�
-`x1ti' S lb(�c�`�S r
i': 1 'a ,16
H(.f)v�2 it tJ� \'oc.> PJ:: = t l -'f /A
70;S
j
G y
r✓,.27-i- i 0 ` I
;ma(=:
cV= ,z .
1IJC,)IA)
f11 `
1 Ii.,4,
ii-) RJAr_LL-)A I k ra°� H C
ZA`l
46UL'7c 1,
I -Af iJ(�C-i,� r,� 10l7-/ /d`I I
Date:' Discussed with: Signed
0/ 1-; j6LI(Print) C1017A, tf l- iC, I
Inspecting O icer: \\
t3attalion 1 2 3 '4 5 6 7 Station: u� FPB C -;�� R ('CX,�e1
FIRE PREVENTION SAVES LIVES, PROPERTY, AND BUSINESS. YOUR COOPERATION WITH
CORRECTING THE ABOVE LISTED ITEMS IS APPRECIATED. RE -INSPECTION DATE:
ire Prevention Bureau Aft.Zutte County Fire Rescue White Copy - Business
76 Nelson Avenue California Department of Forestry Yellow Copy — Occupancy File
roville, CA 95965 and Fire Protection Pink Copy — Station File
;lephone 530-538-7888 Facility Inspection Report Occ. Class.
ax 530-538-2105
Address: WAWVI- kN Business Name: , t. r� Cf -T r 1 e.lTsc ti,/
er/ManaI yc^�. fj Bus: Hm: n 7 Z Fax:
sistant Manager: Bus: fin:
udding Owner: T ,,, j Bus: How gcj (- j j
ddress:
.l►T n►TonsnmTni►T ni'i vniT1D Ti Ad'1T.1TV 12FVFA1.F1D THE FOLLOWING -
1.
i11\ it\/J11IV i
Fire Extinguishers: Required, service due
10.Exits)
obstructed, inadequate
2.
Extension cords: Excess use, defective
11.
Exit sign(s) required, illumination
3.
Excessive rubbish, trash, debris
12.
Exit sign lights need replacing
4.
Fire alarm system defective
13.
Exit lighting: Required, defective
5.
Sprinkler system: Service required, defective
14.
Smoke detectors: Required, defective
6.
Kitchen hood extinguishing system service due
15.
Wiring: Exposed, damaged connectors, etc.
7.
Fire walls, ceilings, fire doors, draft stops
16.
Heating system: Defective appliance, flue combustibles
8.
Knox Box keys
17.
Address posted and visible from road
9.
Fire Drill Witnessed Yes ❑ No ❑
18.
Other
RfTT
I DETAILED EXPLANATION AN I) I.UKKLU I1"A n: li . L.
GAA fa -C) Lr �k
/`3 -- hisra
A-1 1 o 111+7 i o t,< t2?Axo c i um. 1 Ez 7- /6
ate:
Discussed with:
Signed: j
rint �
`
`�
Inspecting Officer:
Battalion 1 2 3 4, 5 6 7
Station: , i-- ` r FPB
FIRE PREVENTION SAVES LIVES, PROPERTY, AND BUSINESS. YUUK UUUMMAllUA Wlln
CORRECTING THE ABOVE LISTED ITEMS IS APPRECIATED. RE -INSPECTION DATE:
Aaw
ire Prevention Bureau Butte County Fire Rescue .� White Copy - Business
76 Nelson Avenue California Department of Forestry Yellow Copy — Occupancy File
roville, CA 95965 and Fire Protection Pink Copy —Station File
lephone 530-538-7888 Facility Inspection Report Occ. Class.'
ax 530-538-2105
Address: Business Name: "��n/ qy q>lt �; C��
er/Manager:y Gly/ /� z It G Bus: Hm:� ' .'% 2 3 Fax:
sistant Manager: Bus: Him:
wilding Owner. Bus: Hm:
ddress:
A -&T n►TonUrmTniv nTi 'Vn_FTV IvA rn .TTV RF.V1W A 1.F.D TNF. FnT J.0WTNG-
1.
Fire Extinguishers: Required, service due
10.
Exit(s) obstructed, inadequate
2.
Extension cords: Excess use, defective
11.
Exit sign(s) required, illumination
3.
Excessive rubbish, trash, debris
12.
Exit sign lights need replacing
4.
Fire alarm system defective
13.
Exit lighting: Required, defective
5.
Sprinkler system: Service required, defective14.
i415.
Smoke detectors: Required, defective
6.
Kitchen hood extinguishing system service due
Wiring: Exposed, damaged connectors, etc.
7.
Fire walls, ceilings, fire doors, draft stops
16.
Heating system: Defective appliance, flue combustibles
8.
Knox Box keys
17.
Address posted and visible from road
9.
Fire Drill Witnessed Yes ❑ No [I18.
Other
DETAILED EXPLANATION AND CORRECTIONS: CORRECTED:
; r vYVP14tst
I�IQF1� ?yWD�'� 1�''`t'[:t--Na ;- ?�T l�-vl�-� l� S� �'�ti-fl._•�S
ons rye T� elc
149C7_VC_-c-4 AFS U��rti
t0lo �F r�' FAL S C r� SF
�40Vi1 /� s -rte �ar-� �4�J� 0�-�
PAC
V6147- )_Y rL 7�� s r ✓� r ,5Y r 2
c't'nnyR�t. E6r l ;))Ace.
"�S � yJ�a'i �'-' J�)r�i���.tnJ A .. ,�nlz7�c.�-� �> E�i1�1i�►�i�-riS
Date: Discussed with:gne. ill 7 p(Print) H__ v'1AA
Inspecting Officer:
' S Ai 7 Ctati�n `� FPB�i'-- — --
FIRE PREVENTION SAVES LIVES, PROPERTY, AND BUSINESS. YOUWCOOPERATION WTH
CORRECTING THE ABOVE LISTED ITEMS IS APPRECIATED. RE -INSPECTION DATE: v�T
ST TEC CALIFORNIA
P•RE SAFETY INSPECTION REQUEST
See instructions on reverse.
STE). 850 (REV. 10-94)
AGI ---NCY CONTACT'S NAME
TELEPHONE NUMBER
REQUEST DATE
PROGRAM
CIDSS/COMIA=Y CARE LICENSING
530 895-5033
6/7/02
PREVIOUS CAPACITY
EV LUATOR'S NAME
REQUESTING AGENCY FACILITY NUMBER
REQUESTCODE
108/CRYSTAL LOWE
045403479
1A
i0
CODES
I -DEPARTMENT OF SOCIAL SERVICES
1. ORIGINAL A. FIRE CLEARANCE
L LENSING
AGENCY COMMUNI'T'Y CARE LICENSING
STI 1EETADDRESS (Actual Location)
2. RENEWAL B. LIFE SAFETY
ME AND 520 COHASSET ROAD, SUITE 6
1
3. CAPACITY CHANGE
ADDRESS CHICO, CA 95926
RICO, CA 95926
4. OWNERSHIP CHANGE
5. ADDRESS CHANGE
L
6. NAME CHANGE
7. OTHER
AMBULATORY
NONAMBULATORY
BEDRIDDEN
TOTAL CAPACITY
CAPACITY
PREVIOUS CAPACITY
CAPACITY
PREVIOUS CAPACITY
CAPACITY PREVIOUS CAPACITY
10
OROVILLE, CA 95965
2. FIRE CLEARANCE DENIED
i0
FA ILITYNAME
LICENSECATEGORY
AZLIC, ELVIRA FAMILY CHILD CARE HOME
FCCH
STI 1EETADDRESS (Actual Location)
NUMBER OF BUILDINGS
1138 WALNUT GLEN COURT
1
CITY
RESTRAINT
RICO, CA 95926
NO
FA ILITY CONTACT PERSON'S NAME huurc5
LVIRA FAZLIC (530) 332-1683 M -F 7am-5pm
SP CIALCONDITIONS
*"-'MS FACILITY IS CURRENTLY LICENSED FOR 10 AS B ASHAW, CHRISTINA FAMILY CHILD CARE HOME. ATTACHED IS
A COPY OF THE PREVIOUS INSPECTION MADE AT THIS ADDRESS.
TO, BE.. COMPLETED BY INSPECTING: AUTHORITY
CLEARANCE/DENIAL CODE /
INS PECTOR'SNAME (Typed orPrinted) TELEPHONENUMBER CFIRS NUMBER OCCUPANCYCLASS
E. HOUSEKEEPING
A,/z-L ee ( ,.�U )Jr•, ) ,�� /� - F. SPECIAL HAZARD
INSPECTION DATE INSPECTOR'S SIG NATURE(TypedorPrint G. OTHER
EXI DLAIN DENIALOR LIST SPECIAL CONDITIONS
iiiiiii f
v •
Of
�BUTTE CDF �
CODES
FIRE
STEVE FOWLER
1. RE CLEARANCE GRANTED
THORITY
176 NELSON AVENUE
ME AND
TIDDRESS
OROVILLE, CA 95965
2. FIRE CLEARANCE DENIED
A. EXITS
B. CONSTRUCTION
C. FIRE ALARM
D. SPRINKLERS
INS PECTOR'SNAME (Typed orPrinted) TELEPHONENUMBER CFIRS NUMBER OCCUPANCYCLASS
E. HOUSEKEEPING
A,/z-L ee ( ,.�U )Jr•, ) ,�� /� - F. SPECIAL HAZARD
INSPECTION DATE INSPECTOR'S SIG NATURE(TypedorPrint G. OTHER
EXI DLAIN DENIALOR LIST SPECIAL CONDITIONS
iiiiiii f
v •
Of
..ft,
BUTTE COUNTY FIRE DEPARTMENT/CDF FIRE
INSPECTION NO. 1 2 3
TITLE 19/24 ,
FACILITY INSPECTION
REINSPECT:YES NO
Facility Occupancy
Address il5,sS t�: 1 —r/_/e7 Inspector V2
Phone Station
Contact .;,Z_!r' Station Phone
Compliance: Yes No = 0 Not applicable = N/A
ACCESS --All inspections ELECTRICAL --All inspections
Address correct/posted and visible from road (Butte Co. Code 32-9)
i Access to public street or 20 ft. wide lane (r19-3.05)
1/—Gates wide enough to admit fire apparatus (r19-3.16)
Fire protection equipment visible/accessible (r19-3.14)
RTABLE FIRE EXTINGUISHERS -- All Inspections
Extinguishers have current annual service tag (r19-575.1 A)
maximum travel 75 ft. (T19-567)
�ZP.rovide clear access to fire extinguisher Cr19-563.2)
I Extinguishers mounted on wall/or in cabinet, visible and signed (r19-5638)
EXITS --All Inspections
Exits not obstructed Cris -3.11)
Exit signs in place (CBC 1003.2.9.1)
=Doors operate without key or special knowledge (CFC 1207.3)
Rooms with Occupant Load of 50 Persons or More
Exit illumination and signs in place (CBC 1003.2.8.2)
t
;Maximum occupancy sign in place (r19 3.30>
r Two exit doors/panic hardware swing in direction of travel (CFC 2501.8.2)
HOUSEKEEPING -- All Inspections
No waste or rubbish accumulation inside or outside T19-3.14)
T
Reduce storage to at least "below ceiling/ sprinklers (T19-3.14)
Remove combus. storage from heater, mech., elect. room (r19 -3.19f)
Provide approved metal container for oily rag storage (T-19-3.190)
Flammable liquids stored properly tT-19-3.15)
Corrections and Com
Extension cords do not replace permanent wiring (CEC-400-8(1))
Extension cords do not pass through doors/walls (CEC-400-8 (2,3))
x_30 inch clearance around all electrical panels (CEC-110-16A)
r All panels and breakers are marked (CEC-110-17 C)
Repair holes in fire -resistive construction CEC (300-21,22)
Multi -plug power strips have circuit breaker (CEG 400-13)
FIRE PROTECTION EQUIPMENT -- All Inspections
Hood system serviced/tagged every 6 mo. by cert. tech. (r19-904)
Clean filters, hood, and duct area over cooking appliances (CFC 1006.2.8)
Maintain extinguishing systems- (r-19-3.24)
Provide spare sprinkler -treads (6 min.) and/or sprinkler wrench (r19-904.5)
Replace damaged, corroded, or painted sprinkler heads (r19-904.5)
11
Identifysprinkler valves and secure in open position (r19-904.5)
Replace missing caps on fire department connection Cr19-904.3)
Provide 5 -yr. certification test for sprinkler/standpipe (r19-904)
MECHANICAL EQUIPMENT --All Inspections
Vents and chimneys -- No obvious hazards (CMC -Ch. 8)
SMOKE DETECTORS -- Day Care Sr. Res., Hospitals, Apts.
Properly installed and tested (T19-749,754)
SCHOOLS, JAILS AND HOSPITALS
Decorations and curtains fire retardant (r19-3.08)
LPG tanks fenced with locked gates (r19-3.22)
FIRE DRILLS -- School and Day Care (Title 19-3.13)
The above deficiencies must be corrected within days.
All systems operable/hooked to office
Held monthly (elementary schools)
Held semi-annually (high schools)
Evacuation plans posted in all rooms
Emergency procedures posted in office
Teachers take roll books
Inspection Date:
Owner/Manager AP #.
nrw
BUTTE COUNTY FIRE DEPARTMENT/CDF FIRE
6 TITLE 19/24 INSPECTION NO. _t) Z 3
F k, FACILITY INSPECTION
REINSPECT,, YES NO
Facility '
_ Occupancy
Address Inspector
Phone Station
Contact 1i/.F; rr' _':_ Station Phone
/ Compliance: Yes =-/
ACCESS -- All inspections
Address correct/posted and visible from road (Butte Co. Code 32-9)
l- Access to public street or 20 ft. wide lane (T19 -3.o5)
Gates wide enough to admit fire apparatus (T19-3.16)
Fire protection equipment visible/accessible (T19-3.14)
No = 0 Not applicable = N/A
PORTABLE FIRE EXTINGUISHERS --All Inspections
_Extinguishers have current annual service tag (r19-575.1 A)
_Maximum travel 75 ft. (T19-567)
[.s'Provide clear access to fire extinguisher (T19-563.2)
L Extinguishers mounted on wall/or in cabinet, visible and signed (T19-563.8)
EXITS -- All Inspections
_"Exits not obstructed (r19-3.11)
Ai ' /LF_Xit signs in place (CBC 1003.2.9.1)
i Doors operate without key or special knowledge (CFC 1207.3)
Rooms with Occupant Load of 50 Persons or More
i'
Exit illumination and signs in,place (CBC 1003.2.8.2)
Maximum occupancy sign`in place (T19-3.30)
Two exit doors/panic.-hardware swing in direction of travel (CFC 2501.8.2)
HOUSEKEEPING -- All Inspections
_TNo waste or rubbish accumulation inside or outside T19-3.14)
A` Reduce storage to at least _" below ceiling/ sprinklers (r19-3.14)
.
Remove combus. storage from heater, mech., elect. room (r19 -3.19f)
Provide approved metal container for oily rag storage (T -19-3.19c)
ELECTRICAL --All inspections
Extension cords do not replace permanent wiring (CEC-400-8(1))
Extension cords do not pass through doors/walls (CEC-400-8 (2,3))
�. 30 inch clearance around all electrical panels (CEC-110-16A)
All panels and breakers are marked (CEC-110-17 C)
Repair holes in fire -resistive construction CEC (300-21,22)
Multi -plug power strips have circuit breaker (CEC 400-13)
FIRE PROTECTION EQUIPMENT -- All Ins
Hood system serviced/tagged every 6 mo. by cert. tech. (r19-904)
Clean filters, hood, and uct area over,cgooking appliances (CFC 1006.2.8)
Maintain extinguishing ems ,Fff93.24)
Provide sparer- 4 s (6 min.) and/or sprinkler wrench (r19-904.5)
Replace damage%,7¢6`rroded, or painted sprinkler heads (r19-904.5)
Identify sprinkle"r'valves and secure in open position (T19-904.5)
Replace,missing caps on fire department connection (r19-904.3)
Provide 5 -yr. certification test for sprinkler/standpipe (r19-904)
MECHANICAL EQUIPMENT --All Inspections
'�vents and chimneys -- No obvious hazards (CMC -Ch. 8)
SMOKE DETECTORS -- Day Care Sr. Res., Hospitals, Apts.
✓ Properly installed and tested (T19-749,754)
SCHOOLS, JAILS AND j4OSPITALS
Decorations and cfuitains fire retardant (r19-3.08)
LPG tanks fenced with locked gates (r19-3.22)
FIRE DRILLS -- School and Day Care (Title 19-3.13)
Flammable liquids stored properly (r-19-3.15) t'f All systems operable/hooked to office
Held monthly (elementary schools)
Held semi-annually (high schools)
Evacuation plans posted in all rooms
Emergency procedures posted in office
The above deficiencies must be corrected within ' dFPysf
Owner/Manager
Inspection Date:
AP #
�' Fit_-•. .,.� �T
Count
L�
LAND OF NATURAL WEALTH AND BEAUTY
�� f PLANNING DIVISION
L-� DEPARTMENT OF DEVELOPMENT SERVICES
7 COUNTY CENTER DRIVE • OROVILLE, CALIFORNIA 95965-3397
TELEPHONE: (530) 538-7601
FAX: (530) 538-7785
October 24, 2000
Kristina Bashaw
1138 Walnut Glen CT.
Chico, CA 95926
Re: Minor Use P
Dear Ms. Bashaw:
AP 042-600-045
Enclosed is your validated Minor Use Permit No. MUP 00-13 to allow Minor Use Permit for large
family day care.
Should you have any questions regarding this matter, please contact this office between 8:00 a.m.
and 4:00 p.m., Monday through Friday.
Sincerely,
z L
Roland Parks
Office Assistant III
Enc.
cc: Land Development Division (g)
Building Division (y)
Environmental Health (p)
Department of Forestry (gr)
MINOR USE PERMIT
OCT 2 4 2000
BUTTE COUNTY PLANNING COMMISSION
DATE: (Certified Mail Rec.)
MUP 00-13
PERMIT NO.
042-600-049
ASSESSOR'S PARCEL NO.
Pursuant to the provisions of the Zoning Ordinance of the County of Butte and the special conditions
set forth below: Kristina Bashaw is hereby granted a Minor Use Permit in accordance with the
application filed April 10, 2000, to allow a large family day care facility for 10 or fewer children.
Failure to comply with the conditions specified herein as the basis for approval of application
and issuance of Permit, constitutes cause for the revocation of said permit in accordance with
the procedures set forth in the Butte County Zoning Ordinance, including Butte County Code
Sec. 24-45.65.
2. Unless otherwise provided for in a special condition to this Minor Use Permit, all conditions
must be completed prior to or concurrently with the establishment of the granted use. The
use granted by this permit must be established within 24 months of the delivery of the
countersigned permit to the Permittee.
Minor changes may be approved administratively by the Directors of Development Services,
Environmental Health, or Public Works upon receipt of a substantiated written request by
the applicant, or their respective designee, Prior to such approval, verification shall be made
by each Department or Division that the modification is consistent with the application, fees
paid and environmental determination as conditionally approved. Changes deemed to be
major or significant in nature shall require a formal application for amendment.
4. If any use for which a Minor Use Permit has been granted is not established within two years
of the date of receipt of the countersigned permit by the Permittee, the permit shall become
null and void and reapplication and a new permit shall be required to establish the use.
The terms and conditions of this permit shall run with the land and shall be binding upon and
be to the benefit of the heirs, legal representatives, successors, and assigns of the Permittee.
Conditions of Approval:
The facility is a single family residence that shall be the principal residence of the provider
and the large day care facility shall be clearly incidental and secondary to the use of the
property for residential purposes.
A minimum of four (4) off-street parking spaces shall be provided, consisting of:
(a) Two (2) off-street parking spaces for the residents of the dwelling.
(b) One (1) off-street parking space for each employee. The two (2) required residential
spaces may not be used for employees.
(c) One (1) off-street parking space/loading area.
One sign, not to exceed 3 square feet, is allowed. This sign shall not be placed in the front
yard building setback.
4. The large family day care home shall be licensed by the California Department of Social
Services, Community Care Licensing.
Meet all California Building Code regulations pertaining to large family day care facilities,
including, but not limited to, the installation of smoke detectors, a device for sounding
alarm, fire extinguishers, and exit doors operable from the inside without the use of a key or
any special knowledge or effort.
6. Prior to issuance of the Minor Use Permit the large day care facility shall be inspected by the
Butte County Fire Department/CDF and the State Fire Marshal.
7. Building permits shall be required for any change of occupancy. Prior to issuance of the
Minor Use Permit, applicant shall obtain any necessary building permits.
Applicant must also comply with all other applicable State and local statutes, ordinances and
regulations.
NOTE: Issuance of this Minor Use Permit does not waive requirement of obtaining Building and
Health Department permits before starting construction, nor does it waive any 0her regirements.
CC: Land Development Division
Building Division
Health Department
Department of Forestry
ry-NC e.��4e. �
FILE No.235 08:15 '00 11:06 ID=CCL CHICO D.O.
STATE OF CALIFORNIA
FIRE SAFETY INSPECTION 12EQUEST
AGENCY CONTACTS NAME
DSS/COMMUNITY CARE LICENSLNG
EVALUATO"NAME --
0104/PAMALA SEXTON
FH ; : 530 895 5934 E 1
Sea instructlons on reverse.
TELEPMONE NUMBER
( 530 895-5033
REOUESTINGAGENCY FACILITY NuMAfA
045402452
LICENSING
AGENCY DEPARTMENT OF SOCIAL SERVICES
NAME AND COMMUNITY CARE LICENSING
ADDRESS 520 COHASSET ROAD, SUITE 6
CHICO, CA 95926
L
8115100
PR06RAM
RE(RESTCODE
3A
AMBULATORY NONAMBULATORY
CAPACITY PRflVIOVSCAPAC7Y CAPAC.T/ SCAPACITY CAPACRY
14 8 0 0 0
FACIUTYNAME
BASHAW, KRISTINA FAMILY CHILD CARE HOME
eTREETADOREss(AmWlLOCdIbnJ -
H38 WALNUT GLENN CT.
GrY
CHICO
FACILITY CONTACT PERSONS NAME
KRISTINA BASHAW (530) 521-3507 (CELLULAR)
SPECV4.CONDITIONS
IF THIS FORM SENT TO YOU
)DEN I TOTAL CAPACrrY
PACITY
14
UCENSECATEcORY
810 FCCH
Pj7 NUMBER OF BUILDIN08
RESTRAINT
NONE
l HOURS
DAYS
PLEASE NOTIFY OUR OFFICE. THANK YOU
_. ,• :,: TatS�AAlRG�TEP 1.iliJB)'EGTING
hroRF'rY .
CLEARA 210CNiµ OpDE
F
1. ORIGINAL A. FIRE CLEARANCE
2. RENEWAL 8, LIFE WETY
3. CAPACITY CHANGE
4. OWNERSHIP CHANGE
S. ADDRESS CHAN8E
AUTHORITY BUTTE COUNTY FIRE DEPARTMENT
6. NAME CHANGE
1. FIRE CLEARANCE GRANTED
7. OTHeFt
AMBULATORY NONAMBULATORY
CAPACITY PRflVIOVSCAPAC7Y CAPAC.T/ SCAPACITY CAPACRY
14 8 0 0 0
FACIUTYNAME
BASHAW, KRISTINA FAMILY CHILD CARE HOME
eTREETADOREss(AmWlLOCdIbnJ -
H38 WALNUT GLENN CT.
GrY
CHICO
FACILITY CONTACT PERSONS NAME
KRISTINA BASHAW (530) 521-3507 (CELLULAR)
SPECV4.CONDITIONS
IF THIS FORM SENT TO YOU
)DEN I TOTAL CAPACrrY
PACITY
14
UCENSECATEcORY
810 FCCH
Pj7 NUMBER OF BUILDIN08
RESTRAINT
NONE
l HOURS
DAYS
PLEASE NOTIFY OUR OFFICE. THANK YOU
_. ,• :,: TatS�AAlRG�TEP 1.iliJB)'EGTING
hroRF'rY .
CLEARA 210CNiµ OpDE
F
7
FIRE TED CRAWFORD
CODES
AUTHORITY BUTTE COUNTY FIRE DEPARTMENT
1. FIRE CLEARANCE GRANTED
NAME AND 176 NELSON AVENUE
ADDRESS OROVILLE, CA 95965
2. FIRE CLEARANCE DENIED
A. EXITS
L
B. CONSTRUCTION
C. FIRE ALARM
SPRINKLERS
iNSPECTOR'S NAME(FypedwPr(nted)
TELEPMONENUMBER CFIRS NUMBERD.
OCCUPANCY CLASS
/C [%�
�—sE.
�
HOUSANG
V
�?�
F. SPECIAL HA2ARD
G. OTHER
INSPECTIONDATE iNSPECTOkSSIGNATUR Pdnrod)
EXPWNDENNIIAAjLORLISTSPECIALCONDITIONS
-�i�-CAA .
FlUi too .2'35 08/15 ' 00 11:06 ^--CCL CH I CO D.O. FAQ :63`0 6-1934 PAGE L.
STATECir CALIFORNIA
FIRE SAFETY INSPECTION REQUEST
sTaaso�ty ,o.e�y See instructions an revue.
AGENCY CONTACTS wmE TM2PHONE NUMM REOUsEST CATS PROGRAM
• DSS/COMMLTNTTY C QM LICENSLNG 530 895-5033 8/15/00
EVALtAATO"N" E REOUESTINGAGENCYFAOiUTYNUMAM RE4U£STCCGE
0104/MANIALA SEXTON � 045402452 3A
A
UCENSING I
AGENCY DEPARTMENT OF SOCIAL SERVICES
SIE AND CO TY CARE LICENSING
AOORESS 52.0 COHASSET ROAD, SLATE 6
CMCO, CA 95926
L
AMBULATORY NONAMOULATORY
CAPACRY _- P9SAQ. US-W-ACrrY CAoAL."^� �. __ sP- Q g,v
14 8 0 0 0
FACUTYN ME
aASHAW, KRISTINA FAMILY CHILD CARE HOME'
It 3 8 'WALNUT GLENN CT.
amambe—
C4 Ty
CHICO
FACIurr CONTACT P61WITS NA M
KRISTINA SASHAW (530) 521.3507 (CELLULAR }
BEDRIDDEN TOTAL CAPACTY
P-VX=CAFAC1TY- -
�4
LICENSECATEGOR'Y
810 FCCH
NUMBER OF BuILDINW
RESTRAINT
I ONE
MOuRS
DAYS
�ciAi.CONDITIQNS
IF THIS FOIUM SENT TO YOU IN ERROR, PLEASE NOTIFY OUR OFFICE. THANX YOU
....... .. .. ... . .... 1. ...i. , .,.I..I:.1. ,1.._11:1..1..• .1. .1. I.w .. .. ., •I..M.. .. _:/wr :1• .. ... ••
. .. .• . . ..... . ... .. .. ; .1 :1•. •.1« JI..,. wl .• • .:1.:1.:11'. ,,�, . w :il•...N..1. ..1 .. ' • . 1..1.•..»h�11_II+:►1. � ... .... .... .. , .. ... .. a .... ... .. ... .. .. .
... mp 11 .. . . .� •• ... .. , . . .. .. ...
7 -71
1
FIRE TED CRAWFORD
AUTHORITY BU`T'TE COUNTY FIRE DEPARTMENT
NME AND 176 NELSON AVENUE
ADDRESS OROVILLE, CA 95965
INSK=0f;'5 NAME (ryp" arPtih(e) - -
�y4E7- � wZ Cly
N3PECTIQNOATE ►tVSPECTGR'S3tGNATVR
'--T
D(PlAIN DENIAL OR L*TSPECIAL CQNDMONS
J
CLEARANC946 tai cl.:o�
COD►S
i.
FIRE Ci..EARANCE GRANTE3
2. FfFkE CLEARANCE DENIED
A- EXITS
3. CONSTRUCTION
C. ERRE Al ARM
TELEPMONENUMER i CFiRS NumaFiR I CCCUPANCYCLASS C_ SPRINKLERS
It
% I Ic. HOUSEKEEPING G `: G� �� F. SPECIAL. HAZARD
G. OTHER
00
Poo
0 7 1
/-151
CODES
, _ ORIGINAL A. FIRE CLEARANCE
2. RENEWAL A. UFE 3R M
3. CAPACITY Ct- ANGI:
4. OWNERSMIP CHANGE
S. AOORESS CHANGE
6. NAIVE CHANGE
7. OTMI:R
AMBULATORY NONAMOULATORY
CAPACRY _- P9SAQ. US-W-ACrrY CAoAL."^� �. __ sP- Q g,v
14 8 0 0 0
FACUTYN ME
aASHAW, KRISTINA FAMILY CHILD CARE HOME'
It 3 8 'WALNUT GLENN CT.
amambe—
C4 Ty
CHICO
FACIurr CONTACT P61WITS NA M
KRISTINA SASHAW (530) 521.3507 (CELLULAR }
BEDRIDDEN TOTAL CAPACTY
P-VX=CAFAC1TY- -
�4
LICENSECATEGOR'Y
810 FCCH
NUMBER OF BuILDINW
RESTRAINT
I ONE
MOuRS
DAYS
�ciAi.CONDITIQNS
IF THIS FOIUM SENT TO YOU IN ERROR, PLEASE NOTIFY OUR OFFICE. THANX YOU
....... .. .. ... . .... 1. ...i. , .,.I..I:.1. ,1.._11:1..1..• .1. .1. I.w .. .. ., •I..M.. .. _:/wr :1• .. ... ••
. .. .• . . ..... . ... .. .. ; .1 :1•. •.1« JI..,. wl .• • .:1.:1.:11'. ,,�, . w :il•...N..1. ..1 .. ' • . 1..1.•..»h�11_II+:►1. � ... .... .... .. , .. ... .. a .... ... .. ... .. .. .
... mp 11 .. . . .� •• ... .. , . . .. .. ...
7 -71
1
FIRE TED CRAWFORD
AUTHORITY BU`T'TE COUNTY FIRE DEPARTMENT
NME AND 176 NELSON AVENUE
ADDRESS OROVILLE, CA 95965
INSK=0f;'5 NAME (ryp" arPtih(e) - -
�y4E7- � wZ Cly
N3PECTIQNOATE ►tVSPECTGR'S3tGNATVR
'--T
D(PlAIN DENIAL OR L*TSPECIAL CQNDMONS
J
CLEARANC946 tai cl.:o�
COD►S
i.
FIRE Ci..EARANCE GRANTE3
2. FfFkE CLEARANCE DENIED
A- EXITS
3. CONSTRUCTION
C. ERRE Al ARM
TELEPMONENUMER i CFiRS NumaFiR I CCCUPANCYCLASS C_ SPRINKLERS
It
% I Ic. HOUSEKEEPING G `: G� �� F. SPECIAL. HAZARD
G. OTHER
00
Poo
0 7 1
/-151