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BAKERSFIELD FIRE DEPARTMENT
RE PREVENTION INSPECTION Prevention Services '
H [ H R s F I E D 1501.Truxtun Avenue 1St Floor
Ajr%I f
Bakersfield, CA 93301
Na:
Phone: 661-326-3979 e Fax: 661-852-2171
DISTRICT BLOCK NO. DATE C_ 1 _ I I Ee
FACILITY ADDRESS CITY, STATE, ZIP
FACILITY NAME MANAGER'S NAM¢ PH
BUSINESS OWNER'S NAME A D ADDRESS C) O
CITY, STATE, ZIRg 1 PH NO.
BILL TO: (IF DIFFERENT FROM ABOVE) NAME, ADDRESS CITY, STATE, ZIP, 9 H NO.
OCC TYPE OCC LOAD NO. OF FLOORS HIGH RINSE BLDG RISER DATE
YES NO
CORRECT ALL VIOLATIONS vtOUTIO REQUIREMENTS
CHECKED BELOW No.
1 Remove and safely dispose of all hazardous refuse and dry vegetation on the above premises (CFC
COMBUSTIBLE WASTE / DRY
VEGETATION 304.1.1 )
2 Provide non - combustible containers with tight fitting lids for the storage of combustible waste and
rubbish pending Its safe disposal. (CFC 304.3.1)
COMBUSTIBLE STORAGE 3 Relocate combustible storage to provide at least 3 feet clearance around motor fuse box /fire door (CFC
605.3)
4 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. (CFC 906.5 & 906.9)
EXTINGUISHERS 5 Provide and install (amount) ----- approved (type & size) ____ _____ __ ____ ___ portable fire
extinguisher to be immediately accessible for use in (area) _______ ________ ___ __ ___ __ ____ (CFC
TABLE 906.3(1))
6 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. (CCR TITLE 19: 575.1)
7 Provide and maintain "EXIT" sign(s) with letters 5 or more
i
inches in height over each required exit
SIGNS door /window) to fire escape. (CFC 1011.5.1)
8 Provide and maintain appropriate numbers on a contrasting background and visible from the street to
Indicate the correct address of the building. (CFC 505)
9 Repair all (cracks /holes /openings) in plaster in ( location) _________ ___ ________ __________________.
FIRE DOORS/
FIRe SEPARATIONS Plastering shall return the surface to its original fire resistive condition. (CFC 703.1)
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. (CFC 703.2)
EXITS
11 Remove all obstruction from hallways. Maintain all means of egress free of any storage. (CFC 1028.3)
12 Provide a contrasting colored and permanently installed electric light over or near required exit
location) ___ ___________ __ __ _____ ____ ___ to clearly Indicate it as an exit. (CFC 2403.12.6)
STORAGE 13 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.) (CFC 1028.3)
14 Extension cords shall not be used liin lieu of permanent approved wiring. Install additional approved
ELeCTRICALAPPLLANCES electrical out e s where needed. (CFC 605.5)
15 Remove multiple attachment cords from specific electrical convenience outlet (one plug per outlet) (CFC
605.4)
OUTDOOR BURNING 16 Recreational fires or open burning. CFC 1102
FIREWORKS _ 17 Violations of Section 7802 (CFC) & 8.49.040 (B.M.C.).
OTHER 1
v
CUSTOMER: F-57 D LEGEND:
Signature) ease Print Name Leg bly, Title)
C.F.C. CALIFORNIA FIRE CODE
CALIFORNIA BUILDING CODE
B'M.C. MUNICIPAL CODE
INSPECTOR: d - ! W (T1 AP NO.: NATIONALN.F. P.A. NATIONAL FIRE PROTECTION
Signature) ASSOCIATION
N.E.C. NATIONAL ELECTRIC CODE
22 (Rev. 03/08)
White - Customer /Original Yellow - Station Copy Pink - P vention Services
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