HomeMy WebLinkAboutFire Safety 8-26-19_5-7White'. Prevention Services . Yellow -' Station Copy Pink = Business Copy
FD 2022 (Rev. 03/2019)
4 ,Ph on e: 661-326-3.979:'• Fax:.661-852-2171
;A
FACILITYDDRESS, , 7a, " ( QD{r
2- .q j�
DATE C?J o
FEE
FACILITY NAME '
..
)
CITY, STATE, ZIPr
BUSINESS OWNER'SNAME' AND ADDRESS
-.
MANAGER'S''NAME' PH, NO. -
BILL;TO (IF:DIFFERENT'FROM ABOVE) NAME, ADDRESS
CITY, STAT,E,;ZIP PH NO.
OCC TYPE '
Oct LOAD
No. OF FLOORS
.- OCC USE
RISER,: DATE
Li
Wei'/Dry sprinkler System
Type of Alarm System
CONSTRUCTION TYPE
HIGH RISE B DG SQ/FT OF BLD
❑ ;YES : NO
CORRECT ALG VIOLATIONS VIOLATION
REQUIREMENTS
CHECKED;BELOW NO.. '
Remove. and safely dispose, of all hazardous refuse and dry vegetation .on the'above;pr.emises (CFC
COMBUSTIBLE WASTE'/ DRY
VEGETATION"
364. 1.'l
2
Provide non-combustible containers with tight, fitting lids for the Storage of, combustible waste and
,rubbish,`pen'ding ;its safe` disposal. '(CFC' 304`:3.2) -Note: ,applies to Containers over,40 gallons:;
COMBUS-TIBLE STORAGE,
3
Relocate combustible storage to provide" at least 3 feet 'c ea'rance around motor, fuse box/fire door (CFC.
6'05.3)' .
4
Relocate fire._extin.guisher(s)'so that they will.be,in a.co.nspicu'ous.focatio;n, hanging on brackets with the
top to, the extIngu,Ishernot'.more" than 5 feet above, the floor:.' (CFC' 906.5 & 9Q6.,9
ExTINGUISHERs -
5
Provide and instaF1'(am.ount)"_____ approved (type size) __ ___ ________ portabte fine.'
g immediately accessible for;use' in (area•),._____-______ _ __ (CFC
extinguisher "to be_ immediate -_-=---___-_
.
TABLE`906:3) .
6
'Re -charge all'fir.e extinguishers. Fire extinguishers shall: be serviced at Feast once ,each .year, and/,or
8fteir each use; by a person havi,ng:a valid license or certificate. (CFC 906.2)
7. _
Provide and maintain `."EXIT" sign(s)" with letters 6=or mo.'re,.inches in height„6' en each required -;exit `
SIGNS
(door/Window) ,to fire escape.:. (CFC 1011)
$
Provide and” maintain appropriate numbers on a contrasting background and visible from ahe,`street t:o
indicate the.'c.orrect address of'the building. _ (CFC 505:1)
g
Rep ( 9 air. all cracks/holes/openin s in
)._ Paster i n (location) -=------ =-=---------- ------ -
FIRE DOORS
�' '
Plastering shall return.:the surface to its.;origInal fire :resi tiye',contlitl.on..�(CFC 703.1) -
FIRE sEPaRATIONs .. _."
,sterin
10
Remove/repair (ite'm.& location)
Self -'closing doors shall be "designed to close,by'gravity, or, by 'the actionof.a m'ech'anical device, or by an'
approved smoke and heat sensitive device. Self-dosing'doors shall have.no.attach`ments capable ofi;
preventing tfe,o.peration of the, closing device. (CFC 703.2)
i1
Remover gall obstruction from hallways., Maintain ali'LLmean's of egress free. - an.y.,sto"rage. (CFC, 1031:1)
EXITS
12
Provide;",a contrasting colored and :pe"rmanentay insta"11ed electric light over or, near`r:equired exit
,
location ______________•_____- to ciearl indicate it as an ,exrt' .'(CFC.100.8),
--=-'_-=--=
( ) Y
sTOR aGE
13.
Remove all storage and/or other obstructions from fire escape. landings alnd. stairways stair, shafts. ` (Fire
escapes/stair shafts ar:e to be maintained free from obstructions at` all .times.) (CF.C: 1003.6).'`
<.
Extens. on co;r:ds shall not' be 'in lieu.of permanent approved wiring. ''Inst'a;ll additional approved,
ELECTRICAL APPLIANCES.
e.IectrlCdl outlets. where needed: (CFC 605.5)'
15
Remove rrlultiple attachment cords from specific electrical convenience outlet'(one `plug pen outlet) ;(CFC
:.
60.5.4)
ouTnooRBURNiNG
i6 .
Recreational fires oro en burnin :< CFC 307:1
FIREwoRKs.
17 `.
Violations of Section (C;FC 5608.:1) & 8.44.040, (B`M;C.). -.
OTHER
CORRECTION DATE
Correct ,.the .violations noted'above by: {.
k r f Y`� X bL 7� V, �Aij � h.) `;r
CUSTOMER: �� - ,r.
C.F..CLEGEN0. CALIFORNIA FIRE CODE
(Signature) ` (Please Print: Name Legibly, Tit le)
C.BC CALIFORNIA` BUILDING CODE
�J: f2
�','"•�
B M.C. BAKERSFIELD MUNICIPAE CODE '
N.F:P.A. NATIONAL FIRE PROTECTION
INSPECTOR 3`+1
+ NO.:
ASSOCIATION' "
-...
N.Ex. �: NATIONAL'ELECTRIC CODE
White'. Prevention Services . Yellow -' Station Copy Pink = Business Copy
FD 2022 (Rev. 03/2019)
FACILITY ADDRESS
0J 5312041
DATE �. h
FEE'
FACILITY NAME a '
CITY, STATE; ZIP L...
y
BUSINESS OWNER'S N/rME AND ADDRESS
MANAGER'S NAME
PH, NO r
BILL TO: '(IF DIFFERENT FROM ABOVE). NAME, ADDRESS
CITY, STATE, ZIP
PH NO:
OCC TYPE
OCC LOAD
NO. OF FLOORS
OCC USE
RISER DATE
. , °'.
�, i ?
X131: (ti.3'" ' r,.. t:
Wet /Dry Sprinkler System
Type of Alarm System
CONSTRUCTION TYPE
HIGH RISE BLDG
SQ /FT OF BLD
❑ YES ❑ ' 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
304,1.1)'
VEGETATION
Provide non - combustible containers with tight fitting lids for the storage of combustible waste and,
2
.
rubbish pending its safe disposal. _(CFC 304.3:2). Note: applies to containers over 40 gallons.
COMBUSTIBLE STORAGE
Relocate combustible storage to provide.at least 3 feet clearance around motor fuse box /fire door (CFC
3
605.3)':
Relocate fire. extinguisher(s), so that they will be in a conspicuous location,: hanging on brackets with the
4
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 o 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
*certificate.,
lifter. each use, by a person having a -valid license or (CFC 906.2) -
Provide and maintain "EXIT" sign(s) with letters 6 or more inches in height over each required exit
SIGNS.
7
(`door /window) to fire escape: (CFC 1011)
8
Provide and maintain appropriate numbers on a contrasting ackground and Msible from the street o
9
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
10
Remove /repair (item & location) -------------------------- - - - - -- - I --------------- - - - - -- Y
Self- closing doors shall be designed to close by gravity, or by the action of a mechanical device, o,r b 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 103.1.1) ,
EXITS
12
Provide a contrasting colored and permanently installed electric li.ght over or near required exit
-
(location) ____ ______ ____ ____ _ _ __ to clearly indicate it as an exit..' (CFC 1008)
STORAGE
Remove all storage and/or other obstructions ;from.fire escape landings and stairways "stair shafts. (Fire .
13
escapes /stair shafts are to be maintained free from - obstructions at aWtimes.) (CFC 1003.6)
Extension cords shall not be used in lieu of permanent approved wiring: Install additional approved
ELECTRICAL APPLIANCES
14
electrical outlets where needed. '(CFC 605.5)
15
Remove multiple attachment cords from specific electrical convenience outlet (one plug p.er outlet) (CFC
605.4)
ouTDOORBURNING`
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..
r .
Correct the violations noted above by:, � ,7 IT
'
CUSTOMER:
LEGEND:
C.F.C. RNIA FIRE CODE,
C.B.C. CALIFORNIA BUILDING CODE
(Signature) (Please Print Name Legibly, Title)
M.C. BAKERSFIELD MUNICIPAL"CODE
NO..:
NATIONAL FIRE PROTECTION
INSPECTOR: -�4
ASSOCIATION
ASSOCIATION
-
N.E:C. NATIONAL ELECTRIC CODE .
White = Customer /Original Yellow - Station Copy Pink — Prevention Services
FD 2022 (Rev. 10/2017)
BAKERSFIELD FIRE DEPARTMENT
FIRE PREVENTION INSPECTION p Prevention Services
B E R S FF I D
FiRF 2101 H Street
Y ARrM r
-,. Bakersfield, CA 93. 301
Phone: 661 -326 -3979 • Fax: 661- 852 -2171
DISTRICT
BLOCK NO.
DATE r r EE. `
FACILITY ADDRESS ^y '�»
CITY,, STATE, ZIP
FACILITY NAME
M NAGER'S NAME
PH NO.
BUSINESS OWNER'S NAME AND ADDRESS.
CITY, STATE, ZIP
PH NO:
BILL TO: (IF DIFFERENT FROM ABOVE) NAME, ADDRESS
CITY, STATE; ZIP,
PH NO:
OCC TYPE
OCC LOAD
NO. OF FLOORS
HIGH RISE BLDG
RISER DATE
[3 YES NO
Aj .✓
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. i,ts 'safe disposal. (CFC 304.3.2) Note: applies to containers over 40 gallons. .
Relocate com. bustible storage provide at least 3 feet clearance_ around motor, fuse box /fire, door (CFC
COMBUSTIBLE STORAGE
3
.to'
60.5.3)
Relocate fire extinguisher(s) so that they wi.li be in a conspicuous location, hanging on brackets with the
4.
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. (CFC 906:2)
Provide and maintain "EXIT" sign(s) with I;etters 6 or more inches in height over each required exit
SIGNS
7
( door /window) to fire escape. (CFC 1011)
Provide and maintain appropriate numbers on a contrasting; background and visible from the street to
8
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
10
Remove /repair (item & location) - - - - -- -----------=-------------------------------------
Selfclosing doors shall be designed to,close .by gravity, or by th.e 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 1028.3)
EXITS
12
Provide a contrasting colored and permanently, installed electric light over or near required exit
(location) _____ __ _____ _____ _______ __ ____ to clearly indicate it as an exit. . (CFC, 1006.3)
i3
Remove all storage.and /or other obstructions from fire escape landings and stairways stair shafts. (Fire
STORAGE .
escapes /stair: shafts are to be maintained free from obstructions at all times.) (*CFC 1003.6)
Extension. cords shall not be used in lieu of permanent approved wiring. Install additional approved
ELECTRICAL APPLIANCES.,
14
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 bu.rnin CFC 307.1
FIREWORKS
17.
Violations of Sect.i.on (CFC 5608..1) & 8..44.040 (B.M.C.).
OTHER
18
»j t '!' ,:AI �'Pt 1.1f� ��e le.ilxl 1i Y 1 �`�= =" ✓'Y <_.
CORRECTION DATE
Correct the violations noted above by: L,J i+
LEGEND:
C.F.C. CALIFORNIA FIRE CODE
C.B.C. CALIFORNIA BUILDING CODE
CODE
CUSTOMER:
Please Print Name Le ibl Title)
(Signature) ( 9 y,•
B.M.C. BAKERSFIELD MUNICIPAL
N.F.P.A. NATIONAL FIRE PROTECTION
INSPECTOR: t F ` NO.:
f
ASSOCIATION
N.E.C. NATIONAL ELECTRIC CODE