HomeMy WebLinkAboutINSPECTIONSI
MMMRSFIELD FIRE DEPARTMENT
FIRE PREVENTION INSPECTION Prevention services
1501 Truxtun Avenue 1st Floor
FIRS Bakersfield, CA 93301
Phoney 61- 26 -3979 • Fax: 661 -852 -2171
DISTRICT BLOCK NO.
5
DAYS
75�'47 f� SS
i! V
FACILITY ADDRESS 5
w n R E
CITY, STATE, ZIP
f+llA )< s t A
!AGILITY NAME �+'. - ^'j'°_.� ` r I ¢ i b
J „ j .`.a5 S Ck -
MANAGER'S NAM! PH NO,
BUSINESS OWNER'S NAME AND ADDRESS
CITY, STATE, ZIP PH NO.
RILL TO: (IF DIFFERENT PROM ABOVE) NAME, ADDRESS
CITY, STATE, ZIP, PH NO,
TYPE
OCC LOAD
'
NO. Of FLOORS
NIGH KISS SLOG SECT GATE
Q YES ONO � .2vpa
CORRECT ALL VIOLATIONS vio
CHECKED BELOW •o. o.
REQUIREMENTS
COMBU:rIRUwASre /DAY
1
Remove and safely dispose of all hazardous refuse and dry vegetation on the above premises (CFC
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)
coNBUSnaus 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)
ExTINGUIEHERf
5
Provide and install (amount) _____ approved (type & size) __________________ portable fire
extinguisher to be Immediately accessible for use in (area) ________________ (CFC
----- _______
TABLE 906.3(1))
A? lr•r�
ke-charge
6
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)
SIGNS
7
Provide and maintain "EXIT" sign(s) with letters 5 or more inches in height over each required exit
(door /window) to fire escape. (CFC 1011.5.1)
a
Provide and maintain appropriate numbers on a contrasting background and visible from the street to
Indicate the correct address of the building. (CFC 505)
FINS DOOM�
9
Repair all (cracks /holes /openings) in plaster In (location) ______ _______________________________
FIRE SEPARATIgy
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)
man
it
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)
ELECTRICAL APPLIANCES
14
Extension cords shall not be used in lieu of permanent approved wiring. Install additional approved
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
Rerreational firgS or open bUrning. CF 1 2
fI11E1S0RKS
17
Violations of Section 7802 (CFC) &18.49.040 (B.M.C.).
OTHER
_ 18
t,. 4. 1- (,,s.. � /C.. t..�',. �tj -rlc C-0ve,ac�rs
AWA
Y� � a
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• /'
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,1 6 ,> C
JJ
CUSTOMER:
(Signature) (Please Print Name Legibly, Title)
C.F.C. CALIFORNIA FIRE CODE
C.E.C. CALIFORNIA BUILDING CODE
r
INSPECTOR: !� ` 'r�. "" AP NO.:
E.N.C. BAKERSFIELD MUNICIPAL CODE
N•F•P•A. NATIONAL FIRE PROTECTION
(Signature)
y # 72 d ._ &Af t
ASSOCIATION
N.E.C. NATIONAL ELECTRIC CODE
FD 2022 (Rev. 03/09)
White - Customer /Original Yellow - Station Copy Pink - Prevention Services
"V ".t
r'L
BAKERSFIELD FIRE DEPARTMENT
FIRE PREVENTION INSPECTION Prevention Services
1501 Truxtun Avenue 1St Floor
PINS Bakersfield, CA 93301
`t+ r Phon 2 �- 6 -3979 R Fax: 661- 852 -2171
DISTRICT
BLOCK NO.
DATE r
as
FACILITY ADDRESS ,/5
CITY,
FACILITY NAM!
MANAGER'S NAM[
PM NO.
RUSINESS OWNERIfMAME AND ADDRESS - f
CITY, STATE, ZIP
PN. NO.
RILL TO: (IF DIFFERENT FROM ABOVE) NAME, ADDRESS
CITY, STATE, ZIP,
PH NP.
OCC Tr ►[
Ott LOAD
NO. OF FLOORS
HIGH KIM BLDG
RISER DATE
IN
O YES O NO
.7A07
CORRECT ALL VIOLATIONS VIC" ON
CHECKED BELOW No.
REQUIREMENT{
COMBUSTIBLE
I
Remove and safely dispose of all hazardous refuse and dry vegetation on the above premises (CFC
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)
auks
7
Provide and maintain "EXIT" sign(s) with letters 5 or more inches in height over each required exit
(door /window) to fire escape. (CFC 1011.5.1)
e
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)
FIRS DOOM
PIGS SEPARATIONS
________ ________ _____ _ _ _ _ _,
Plastering shall return the surface to Its original fire resistive condltion. (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)
BxlTs
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)
ELECTRICALAPPLIANC[S
14
Extension cords shall not be used in lieu of permanent approved wiring. Install additional approved
electrical outlets where needed. (CFC 605.5)
15
Remove multiple attachment cords from specific electrical convenience outlet (one plug per_9utlet) (CFC
605.4) '0', / iT / P ^�; ;i + 7. r ✓
'` r . (t^
DUTDOOIIRURMING
16
Recreational fires or open burnina. (CFC 11021 ,
PINWORM
17
Violations of Section 7802 (CFC) & 8.49.040 (B.M.C.).
OTHER
18
X C .,c-? , ^` 5- ro.0.7( ...:' :e c�,�r"/ ,rya. /�G c. tr r�ie✓��G�r1 ✓"-
�,
? cl it's 4 �'
CiA��
CUSTOMER: w ; r . + ,
LEOC.
f' A/ (Signature), ' (Please Print Name Legibly, Title)
CALIFORNIA FIRE CODE
C.S.C. CALIFORNIA BUILDING CODE
INSPECTOR: ,,/ �.-
E.N.C. SAKERSFULD MUNICIPAL CODE
19-4A — �1 APNO.:
N.F.PJL NATIONAL FIRE PROTECTION
(Signature)
ASSOCIATION
N.E.C. NATIONAL ELECTRIC CODE
White - Customer /Original Yellow - Station Copy Pink - Prevention Services
FD 2022 (Rev. 03108)
SELF - CERTIFICATION CHECKLIST
Fire Prevention
13 alZrol
BAKERSFIELD FIRE DEPT.
Prevention Services
900 Truxtun Ave., Suite 210
Bakersfield, CA 93301
Tel.: (661) 326 -3979
Fax: (661) 852 -2171
FACILITY NAME: 1
SELF-CERTIFICATION DATE:
ADDRESS: (Complete Address with City, State and Zip C de) /'
LAO t E . v- 0 �- �EA-V1 E'. - - � 4 30.7
HONE NUMBER:
dvo ( ) 3� 14" 5 095
FACILITY CONTACT:
FAX NUMBER:
DO NOT DISCARD — FAILURE TO RETURN WILL RESULT IN FIRE DEPARTMENT INSPECTION
INSTRUCTIONS: Please verify and check each item as appropriate. Include comments on each line or at the bottom as necessary.
When completed, make a second copy for your records and mail the original to the address above. Failure to return will result in inspection.
YN� OPERATION
COMMENTS
❑ Spent fluorescent tubes saved in a suitable container and recycling*
(If you rely on an outside agency for the recycling, please indicate the name, address, and phone number of the
agency that removes your tubes.)
C� --
Name:
Phone No.:
ddress:
[3 EV4 Waste batteries saved in suitable container for recycling*
❑ 1]4-- Discarded electronic devices saved for recycling*
❑ 15' Discarded items containing Mercury saved for recycling*
❑ ®-�' Discarded non -empty aerosol spray cans saved for recycling*
❑ Current annually serviced "ABC Type" fire extinguisher every 75 feet of travel
❑ Extension cords not used in place of what should be permanent wiring
❑ All exits indicated by exit signs, not more than 100 feet apart, if occupant load
is 100 or more
❑ Minimum of 30 inches of clearance in front of electrical panels
❑ Cover plates installed on all electrical outlets, switches, and junction boxes (no
exposed wiring)
❑ Flammable and combustible material stored properly and not adjacent to a
source of ignition (check hot water heater and furnace area)
❑ Do you use or store any hazardous materials on site?
❑ V Does your building have a monitored fire alarm system?
94--'0 Does your building have a fire suppression (sprinkler) system?
*Recycle at the Kern County Special Waste Facility, 4951 Standard Street, Bakersfield, CA 93308. Phone: (661) 862 -8922
COMMENTS:
REGARDING THIS CHECKLIST? PLEASE CALL US AT (661) 326 -3979
14oi s. by u,►�Atz Lo, - �,� m a ►���.
Business Site / Responsible Party (Please Print)
FD 2155b (Rev. 09 /06)c.
f
211--.1
SELF - CERTIFICATION CHECKLIST
Fire Prevention
BAKERSFIELD FIRE DEPT:
Prevention Services
900 Truxtun Ave., Suite 210
Bakersfield, CA 93301
Tel.: (661) 326 -3979
Fax: (661) 852 -2171
FACILITY NAME:
.-X
ELF - CERTIFICATION DATE:
ADDRESS: (Complete Address with City, State and Zip C de)
q
HONE N MBER:
► ,2 4 - 5 b93
FACILITY CONTACT:
�
AX NUMB R:
<�.
el 3�y -b�50
DO NOT DISCARD — FAILURE TO RETURN WILL RESULT IN FIRE DEPARTMENT INSPECTION
INSTRUCTTONS: Please verify and check each item as appropriate. Include comments on each line or at the bottom as necessary.
When completed, make a second copy for your records and mail the original to the address above. Failure to
return will result in inspection.
Y N
COMMENTS
Spent fluorescent tubes saved in a suitable container and recycling*
Name:
(H you rely on an outside agency for the recycling, please indicate the name, address, and phone number the
agency that removes your tubes.)
hone No.:
ddress:
Waste batteries saved in suitable container for re
❑ Discarded electronic devices saved for recycling*
❑ Discarded items containing Mercury saved for recycling*
❑ ltl"" Discarded non -empty aerosol spray cans saved for recycling*
❑ Current annually serviced "ABC Type" fire extinguisher every 75 feet of travel
❑ W--"Extension cords not used in place of what should be permanent wiring
❑ All exits indicated by exit signs, not more than 100 feet apart, if occupant load
is 100 or more
❑ Minimum of 30 inches of clearance in front of electrical panels
❑ Cover plates installed on all electrical outlets, switches, and junction boxes (no
exposed wiring)
❑ 67,'llammable and combustible material stored properly and not adjacent to
a
source of ignition (check hot water heater and furnace area)
❑ Do you use or store any hazardous materials on site?
❑ Does your building have a monitored fire alarm system?
❑ Does your building have a fire suppression (sprinkler) system?
'Recycle at the Kem Countv Snarial wacia r2rirr., doca 04--A ,_a Qa___a
COMMENTS:
oanv1a11eIu, %.14 noswa. t-none: (bbl) 862 -8922
NG THIS CHECKLIST? PLEASE CALL US AT (661) 326 -3979
Business Site / Responsible Pa (Please Print)
FD 2155b (Rev. 0`+910