HomeMy WebLinkAboutFire SFTYFACILITY ADDRESS r�
DATE . FEE
.,.
FACILITY NAME � � �
CITY , STATE , ZIRd, � ,k> • +'
BUSINESS OWNER'S NAME AND ADDRESS
MANAGER'S NAME
PH NO.
BILL TO: (IF DIFFERENT FROM ABOVE) NAME,.ADDRESS
CITY, STATE, ZIP
PH,NO.
OCC TYPE
OCC LOAD
NO OF FLOORS
OCC USE
RISER DATE
Wet /Dry Sprinkler. System
Type of Alarm System
CONSTRUCTION TYPE
HIGH RISE BLDG
SQ /FT OF BLD
-
❑ YES Cf'``NO
CORRECT ALL VIOLATIONS VIOLATION
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)r
2.
Provide non - combustible containers with tight fitting Kids. for the storage of combustible waste and
rubbish pending its safe disposal. '(CFC 304:3:2) Note: applies to containers over 40 gallons.
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
R.rovide and install (amount) _A"& _' approved '(type & size) __ __ - _port ble fire
extinguisher to be immediately accessible for. use in (area.) _ t? _ _ 4 _ (CFC
TABLE 906.3)
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 letters 6 or more inches in height over each requingd exit
SIGNS
(door /window) to fire escape. (CFC 1011)
8
Provide and maintain.. appropriate numbers on 'a .contrasting background and visible from the street to
indicate the correct address of'th"e building ,- CFC.505..1) .
n`
9
Repair all (cracks /holes /openings )� in plaster' i n (location) _______ ___ ______ __ ___ _________________
FIRE DOORS./
Plastering shall retuen, the. surface to its original fire resistive condition: (CFC 703.1)
FIRE SEPARATIONS
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 al] means of egress free of any storage. (CFC 1031,1)
12
Provide a contrasting colored and permanently installed electric light over or near required exit
(location) --- _----- ___- __ __ _____ ___ _ __ ___ to clearly indicate it as an exit.' (CFC 1008)
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 1003,6)
14..
Extension cords shall not. be used in lieu of permanent approved wiring.. Install addltiona jr, :approved
ELECTRICAL APPLIANCES
electrical outlets where needed. (CFC '605 '.5)
Is
Remove' multiple attachment cords from specific electrical convenience outlet (one plug per outlet) (CFC
605:4)
OUTDOOR BURNING
16.
Recreational fires or open bu'rnin . CFC 307.1
FIREWORKS
17 w
Violations of Section (CFC 5608.1) & 8.44.040 (B.M.C.).-
OTHER
i8,/
,rte :. Ch• .. .irk. -. .
CORRECTION .DATE
Correct. the violations noted above by: p ;'
CUSTOMER:
LEGEND:
C.F.C. CALIFORNIA FIRE CODE
(Signature) (Please Print Name Legibly, Title)
C.B.C. CALIFORNIA BUILDING CODE
B.M.G BA,KERSFIELD MUNICIPAL CODE
INSPECTOR:`" `. �-»- NO.:
N.F.P:A. NATIONAL FIRE PROTECTION
ASSOCIATION
N.E.C. NATIONAL ELECTRIC CODE
White - Customer/Original Yellow Statio_R:Copy Pink Prevention Services
FD 2022 (Rev. 10/2017)