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BLOCK NO:
DATE EE �}+�
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FACILITY ADDRESS ^�
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CITY_STATE, ZIP
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FACILITY NAME.
.ice✓ F' . i`"Y �7
MANAGER'S..NAME
PH, NO.
:BUSINESS OWNER'S NAME AND ADDRESS ,.
CITY, STATE, ZIP
'PH NO:
BILL TO: (IF DIFFERENT FROM ABOVE) NAME, ADDRESS
CITY, STATE, ZIP;
PH NO.
OCC TYPE
O CCC LOAD
NO. OF FLOORS,
HIGH RISE BLDG'
- RISER DATE
` LO
x C
3
YES t9l< NO..
CORRECT ALL VIOLATIONS VIOLATION
REQUIREMENTS
CHECKED BELOW NO.
1
Remove and, safely .dispose of all hazardous refuse and dry, vegetation on'the aboue..premises (CFC
COMBUSTIBLE WASTE / DRY
3 0A. 1. 1
VEGETATION_
2
Provide non - combustible containers with tight fitting .lids fort -he storage -of comb :ustible waste and
rubbish pending its safe disposal. (CFC 304.3.2) Note: *applies to - containers over 40"ga.11ons.
COMBUSTIBLE STORAGE
3
Relocate combustible storage to provide at least 3 feet clearance around motor fuse b:ox /fire ,d'oor (CFC
.605:3) .
4
Relocate fire extinguishers) so�that they 'will be 'in a conspicuous aocation, 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 a.nd, install (amount.) ____ a.pproved (type & size) ________ ___ __ _ portable fire
extinguisher to be .immediately accessible for, use.in.( area) _____________________________ (C,FC
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. (CFC 906:.2)
7
Provide and maintain "EXIT ". sign(s) with Fetters 6 o more inches in height over. each required.exit
SIGNS
(door /window) to fire.escape. (CFC 10.11)
8 .
Provide and maintain appropriate numbers on a contrasting background a.nd visible from. the street,'to-
indicate the correct address of the.b,uilding. (CFC 505:1)
9
Repair all (cracks /holes /openi.ngs) in plaster in (location) �___`W_______
FIRE
SEPARATIONS FIRE SEPARATIONS
Plastering shall return the sur face to. its original fire resistive. condition. (CFC 703.1), -.
..
lo
Remove/repair, (item &. location) _--------- _--- _ -------------- -------------------- ____ __
Self= closing doors shall be designed to close by gravity,. or by the acti'o.n of a mechanical device, or by on
approved. smoke and heat "sensitive devi-ce-. Self- closing .doors.shal,l have no attachments, capable of.
;
preventing the, operation of the. .closing 'd,evice... ('CFC 703._2);
EXITS
i1
Remove all obstruction: from hallways. Maintain all means of. egress free.o'f'any storage.. (CFC 1028.3`)
12
Provide a contrasting .colored and permanently installed electric light over or, near re.quired. exit:
(locatio.n) ------------------ to clearly indicate it as an exit. . (CFC 1006.3)
STORAGE
13 _
Remove all storage and/or other obstructions from fire escape lan:dings:- and. stairways stair shafts. , (Fire .
escapes/stair..-.shafts are to be maintained-free-from obstructions at all times:) (CFC 1003..6)
14
Extension cords'shall not be used in lieu o.f permane.nt approved wiring.. Install additio'naa approved:
ELECTRICAL APPLIANCES
eleCt:rlCa,I outlets where -needed.: (CFC 605.5) -
15
Remove multiple attachment cords from spec fic.electrical :convenience outlet (one plug per,,o'utlet) (CFC
605.4):
OUTDOOR-BURNING
16
Recreational fires or o en turnip . (CFC-:307.1
FIREWORKS
17
Violations of Section (CFC 5608.1) &,8:44.04.0 (B.M.C.).
OTHER
CORRECTION DATE
Correct the violations noted above by:
LEGEND:.
rl
C:F.C. CALIFORNIA FIRE CODE
CUSTOMER' ` —
CALIFORNIA BUILDING CODE
(Sig`n t re) (Please Nam Legibly, Title)
B.M.C. BAKERSFIELD MUNICIPAL CODE
.Print
1J
N.F.P.A. NATIONAL FIRE PROTECTION
ASSOCIATION-
INSPECTOR: 1-E .r x s NO.:
N.E.C. NATIONAL ELECTRIC CODE