HomeMy WebLinkAboutFIRE SAFETY INSP 10-2-18White - Customer /Original Yellow - Station Copy Pink - Prevention Services
FD 2022 (Rev. 10/2017)
FACILITY ADDRESS w�.- _' DATE s FEE
FACILITY NAME r� . -1 r CITY /STATE, ZIP r r
MANAGER'S NAME P O.
BUSINESS OWNER'S NAME AND ADDRESS �
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 t .ti CONSTRUCTION TYPE °"r HIGH RISE BLDG. SQ /FT OF BLD
c 0 YES . 0 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 3b4. 1. 1)
.
VEGETATION
2 Provide non-combustible containers with tight fitting lids 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 Provide and install (amount) _____ approved (type & size) ---------------- _ portable fire
extinguisher to be immediately accessible for use in (area) ______J-- --- ---- ------------ (CFC
TABLE ' 906.3)
E� 6 Re- charge all fire extinguishers: Fire extrangjt�,i„sbe sx all be .v ,d„,a ,l „t, once each year, and/or
,.- after each use, by.a person having a valid license or
certificate. (CFC 906..2)
'f 7 Provide and maintain "EXIT" sign(s) with letters 6 or more inches in height over each required 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 the building. - (CFC 505.1)
9 Repair all .(cracks /holes /openings) in plaster. in (location) --- _---------- ____--- ___ _________ ____
FIRE DOORS / Plastering shall return the surface to its original fire resistive condition. (CFC 703.1) -
FIRE SEPARATIONS
ip 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
4
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)
11 Remove all obstruction from hallways. Ma
12 means of egress free of any storage. (CFC 1031.1)'
EXITS _
12 Provide a contrasting colored and permanently instal-led 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 obstruction s from fire escape Iandi:ngs 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 additional approved
ELECTRICAL APPLIANCES � electrical outlets where .needed. (CFC 605.:5)
5 Remove multiple attachment cords from specific electrical convenience outlet (one plug per outlet) ' (CFC
605.4)
OUTDOOR BURNING 115 Recreational fires or open burning. CFC 307.1
FIREWORKS 1 Violations.of Section (CFC 5608.1) & 8.44.040 (B.M.C.).
OTHER •-�'& •""..�..,� 8 ..,..••�%s• a >' r� "t.iM��'��� `.. � � �.., �y,r^' , , "�,,+� -.. ��+ -+� t✓a• ,,•"",
vg�'y /�y
.(Q C_ i C f 5 ��-E, .:. -'G�, V .,s+.Y`: #. +✓ y✓ X.�
CORRECTION DATE
/Cj6rreet, the violations noted above by: �' �^
LEGEND:
CUSTOMER: C.F.C. CALIFORNIA FIRE CODE
( ature) (Please Print Name Leg ibly, Title) C.B.C. CALIFORNIA BUILDING CODE
B.M.C. BAKERSFIELD MUNICIPAL CODE
J , N.F.P.A. NATIONAL FIRE PROTECTION
INSPECTOR N O.: ASSOCIATION
t
•s''"` i'
N.E:C. NATIONAL ELECTRIC CODE .
White - Customer /Original Yellow - Station Copy Pink - Prevention Services
FD 2022 (Rev. 10/2017)
FACILITY ADDRESS w�.- _' DATE s FEE
FACILITY NAME r� . -1 r CITY /STATE, ZIP r r
MANAGER'S NAME P O.
BUSINESS OWNER'S NAME AND ADDRESS �
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 t .ti CONSTRUCTION TYPE °"r HIGH RISE BLDG. SQ /FT OF BLD
c 0 YES . 0 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 3b4. 1. 1)
.
VEGETATION
2 Provide non-combustible containers with tight fitting lids 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 Provide and install (amount) _____ approved (type & size) ---------------- _ portable fire
extinguisher to be immediately accessible for use in (area) ______J-- --- ---- ------------ (CFC
TABLE ' 906.3)
E� 6 Re- charge all fire extinguishers: Fire extrangjt�,i„sbe sx all be .v ,d„,a ,l „t, once each year, and/or
,.- after each use, by.a person having a valid license or
certificate. (CFC 906..2)
'f 7 Provide and maintain "EXIT" sign(s) with letters 6 or more inches in height over each required 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 the building. - (CFC 505.1)
9 Repair all .(cracks /holes /openings) in plaster. in (location) --- _---------- ____--- ___ _________ ____
FIRE DOORS / Plastering shall return the surface to its original fire resistive condition. (CFC 703.1) -
FIRE SEPARATIONS
ip 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
4
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)
11 Remove all obstruction from hallways. Ma
12 means of egress free of any storage. (CFC 1031.1)'
EXITS _
12 Provide a contrasting colored and permanently instal-led 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 obstruction s from fire escape Iandi:ngs 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 additional approved
ELECTRICAL APPLIANCES � electrical outlets where .needed. (CFC 605.:5)
5 Remove multiple attachment cords from specific electrical convenience outlet (one plug per outlet) ' (CFC
605.4)
OUTDOOR BURNING 115 Recreational fires or open burning. CFC 307.1
FIREWORKS 1 Violations.of Section (CFC 5608.1) & 8.44.040 (B.M.C.).
OTHER •-�'& •""..�..,� 8 ..,..••�%s• a >' r� "t.iM��'��� `.. � � �.., �y,r^' , , "�,,+� -.. ��+ -+� t✓a• ,,•"",
vg�'y /�y
.(Q C_ i C f 5 ��-E, .:. -'G�, V .,s+.Y`: #. +✓ y✓ X.�
CORRECTION DATE
/Cj6rreet, the violations noted above by: �' �^
LEGEND:
CUSTOMER: C.F.C. CALIFORNIA FIRE CODE
( ature) (Please Print Name Leg ibly, Title) C.B.C. CALIFORNIA BUILDING CODE
B.M.C. BAKERSFIELD MUNICIPAL CODE
J , N.F.P.A. NATIONAL FIRE PROTECTION
INSPECTOR N O.: ASSOCIATION