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BAKERSFIELD FIRE DEPARTMENT
FIRE; PREVENTION INSPECTION Prevention Services
B K B R 8 F I ft D 1501 Truxtun Avenue 1St Floor
t FIRE Bakersfleld, CA 93301
Ari T Phone: 661- 326 -3979 •Fax: 661- 852 -2171
DISTRICT BLOCK NO. ~ DATE BE
FACILITY ADDRESS UQ
FACILITY NAME NAG R'S illlk& PH NO.
J 6
BUSINESS OWNER'S NKME AND ADDRESS CITY, STATE, ZIP PH NO.
BILL TO: (IF DIFFERENT FROM ABOVE) NAME, ADDRESS CITY, STATE, ZIP, PH NO.
OCC TYPE OCC LOAD NO. OF FLOORS HIGH RISE BLDG RISER DATE
YES NO
CORRECT ALL VIOLATIONS YIOUTION REQUIREM T
CHECKED BELOW N..
1 Remove and safely dispose of all hazardous refuse and drL-VI04etation on the above premises (CFCCOMBUSTIBLEWASTE /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)
Relocate fire extinguisher(s) so that they will be in a conspicyous- 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' fit: least once each year, and /or
after each use, by a person having a valid license or certificate. (CCR ITLE 19: 575.1)
7 Provide and maintain "EXIT" sign(s) with letters 5 or more inches in height over each required exit
SIGNS door /window) to fire escape. (CFC 1011.5.1)
a Provide and maintain appropriate numbers on a contrasting background and vi bble 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 in lieu of permanent approved wiring. Install additional approved
ELECTRICAL APPLIANCES electrical outlets 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
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CUSTOMER: LEGEND`
C.F.C. FORNIA FIRE CODE
ignature) (Please Print Name Legibly, Titl C.B.C. CALIFORNIA BUILDING CODE
BAKERSFIELD MUNICIPAL CODE
INSPECTOR: AP NO.: N.F.P.A. NATIONAL FIRE PROTECTION
Sig ture) ASSOCIATION
N.E.C. NATIONAL ELECTRIC CODE
White - Customer /Original Yellow - Station Copy Pink - Prevention Services
I
FD 2022 (Rev. 03/08)