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'r BAKERSFIELD FIRE DEPARTMENT
FIRE PREVENTION INSPECTION W ,
Prevention Services
2101 H treet
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Ba rsfi e Id, CA 93301
Phone: 651- 326 =3979 • Fax :. 661 -852 -2171
FACILITY ADDRESS > _ �r., . DATE} .— t'.
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FEE .
FACILITY NAME rE / CITY, STAVE° ZIP'
BUSINESS OWNER'S NAME AND ADDRESS' # MANAGER'S -NAME
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PH NO.
BILL TO: (IF DIFFERENT FROM ABOVE) NAME,.ADDRESS CITY,, STATE, ZIP
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PH NO.
OCC TYPE
OCC LOAD
NOa OF FLOORS
OCC USE
RISER DATE -
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Wet /Dry Sprinkler System
Type of Alarm System F f f '_CONSTRUCTION TYPE a�..r HIGH RISE BLDG
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YES Ef NO.
SQ /F BLD
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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
304.'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.
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)'
5
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)
Provide•.and maintain "EXIT" s.ign(s). with letters 6 or more inches in height over each. required exit
SIGNS
7
(door /'window) 'to fire escape:. (CFC 1011)
a .
Provide and maintain appropriate numbers on a contrasting background and visible from the. street to
-
indicate the correct address of the building.` (CFC 505.1.)
g,
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
io
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..
:12
Provide a contrasting colored and permanently installed electric Fight over or near required exit
( location) ----- _---- _ ---------------- - -_ to clearly indicate it as an exit. (CFC 1008) .
Remove all storage and /or. other obstructions from fire escape landings and,stairways` stair shafts. (Fire
STORAGE
13'
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)
i5
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
FIREWORKS
17
Violations of Section (CFC 5608.1) & 8.44.040 (B.M.C.).
OTHER
18
CORRECTION DATE
Corr p,ct the lPons, noted above_ y: �
CUSTOMER: �'-+ "°" rf !
LEGEND:
C.F.C. CALIFORNIA FIRE CODE
C.B.C. CALIFORNIA BUILDING CODE .
(Signature) (Please Print Name Legibly,` Title)
B.M.C. BAKERSFIELD MUNICIPAL CODE
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"' NO.:
N.F.P.A. NATIONAL FIRE PROTECTION
INSPECTOR: .f d
ASSOCIATION
N.E.C. NATIONAL ELECTRIC CODE
White - Customer /Original Yellow Station Copy, Pink - Prevention Services
FD 2022 (Rev. 10/2017)