HomeMy WebLinkAboutFIRE SAFETY 9.10.18FACILITY ADDRESS $ DATE 01
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FACILITY NAME "" ,. CITY, STATE, ZIP
BUSINESS OWNER'S NAME AND ADDRESS MANAGER'S NAME'
PH NO �/' ro
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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 Alarmp System
CONSTRUCTION TYPE HIGH RISE BLDG
SQ /FT,OF BLD.
a
CORRECT ALL VIOLATIONS VIOLATION
REQUIREMENTS
CHECKED BELOW' NO..
i
Remove and safely dispose of all hazardous 'refuse ` and dry vegetation on the above premises (CFC
COMBUSTIBLE WASTE / DRY
3.04.1'.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 ex ' her(s) so that they will be in�a,cons.p.Le oa&j4)„ca•tion, hanging on brackets with the
op ,to the extinguisher not more than 5 fLnff—above the floor. (CFC 906:5 & 906.9)
5
Provide and instal) (amount) ----- approved (type & size) ___ ___ ___ __ __ portable fire
EXTINGUISHERS
extinguisher to be immediately accessible for use in (area) ____ ____ ________ ________ (CFC
-
TABLE ,906.3)
6
Re- charge all fire extinguishers. fire extinguishers: shall be serviced at Ieast.o.nce each year, and /or
after each use; by: a person having a valid license or certificate. (CFC 906.2)'
j
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)
' t
'',
Repair all cracks /holes /o.penin s in plaster in (location
FiREDOORS/
Plastering shall return the surface to its original fire resistive condition. -(CFC 703.1)
FIRE' SEPARATIONS
to
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) ,
11.
Remove all obstruction from hallways. Maintain all means of egress free of any storage. (CFC 1031.1).
EXITS
t 12
Provide a contrasting. colored and permanently installed electric light,over or near required exit
(location) ------------------------ - - - - -- to ;clearly indicate i f. a s an. exit., (CFC ' 100 8 )
STORAGE
6
Remove all storage and/or 'other obstructions from fire escape landings and ;st'airways stair shafts. (Fire
escapes /stair shafts are to be maintained' free from obstructions,,at all times.) (CFC 1,003.6)
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)
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 307.1
FIREwoRK&
17
Violations of Section (CFC 5608.1) & 8.44.040 (B'.`M.,C.).:
OTHER
1
.rte $ .. d i..:r � ,._ ' -:'w� . t d��,.1 l*,.:,.L� IS �( C, dr,`... R°Y S_C, .e�
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CORRECTION DATE
rect the violations noted above.b
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CUSTOMER:
D•
LEGEND:
C.F.C. CALIFORNIA FIRE CODE
(Signature)-.• (Please Print Name Legibly, Title)
C.B.Cr CALIFORNIABUIL , CODE
B.M.C. 13AKERSFIELD MUNICIPAL CODE
�� t.: NO.:
N.F.P.A. NATIONAL FIRE PROTECTION
INSPECTOR: .. �, , „
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ASSOCIATION
ELECTRIC CODE
N.E.C. NATIONAL
White Customer/Original Yellow - Station Copy Pink -- Prevention Services
FD 2022 (Rev. 10/2017)