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' ~ EAKERSFIELD FIRE DEPT. _
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i B E R~ S F I L D ,{
FIRE PREVENTION LNSPECTION FIRE 900 Truxtun Ave., Ste. 210 '1V
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"" Bakersfield, CA 93301 ~~.
Tel.: (661) 326-3979 ^ Fax: (661) 8 -2171
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DISTRICT ~ ~ BLOCK NO. {',~~, DATE ~ I _,.. I (:f .. t`~ "7
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MANAGER'S NAME ~ ~
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BUSINESS OWNER'S'NAME AND ADDRESS !. CITY, STATE, 21P ~ O NER'S,PHONE NO.
BILL TO: (IF DIFFERENT FROM ABOVE) NAME, ADDRESS / CITY, STATE, ZIP, - BILLING PHONE NO.
OCC TYPE
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~ OCC/"LOAD NO. OF FLOORS
~ HIGH RISE BLDG . p~ RISER/DATE
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CORRECT ALL VIOLATIONS VIOLATION ~ ~ ~
~ REQUIREMENTS
CHECKED BELOW No.
COMBUSTIBLE WASTE I DRY ~ Remove and safely dispose of all hazardous refuse and dry vegetation on the above premises (U.F.C.) '
VEGETATION 2 Provide non-combustible containers with tight fitting lids for the storage of combustible waste and rubbish pending its
safe disposal (U.F.C.)
COMBUSTIBLE STORAGE 3 Relocate combustible storage to provide at least 3 feet clearance around motor fuse.boxlfire door (N. E.C.) (U.F.C.)
q. Relocate fire extinguisher(s) so that they will be in a conspicuou
'on, hanging o_n brackets with the tdp to the
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extinguisher not more than 5 feet above the floor. (N. F.P. A. No )
EXTINGUISHERS 5 Provide and install (amount) _____ approved (type 8 size) __________________ p t I ~tinguisher to be
immediately accessible for use in (area) _____________________________ (U.F.C.) '-
g Re-charge all fire extinguishers. Fire extinguishers shall be serviced at least once each .year, andlor after 'each use,
by a person having a valid license or certificate. (U.F.C.)
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Provide and maintain "EXIT" sign(s) with I,ettersil5~or more inches in height over each required' exit (door/window) to
SIGNS fire escape. (U.F.C.) '~• ~'
g Provide and maintain appropriate numbers on a contrasting background and visible from the street to indicate the
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correct address of the building. (B. M.C.) (U.F.C.)
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g Repair all-(.cracks/holes/openings) in plaster in (location) _____ __________________. Plastering
FIRE DOORS/
FIRE SEPARATIONS shall return the surface to its original fire resistive condition. (U.B.C.)
10 Remove/repair (.item 8 location) _rr____________ _________________________________.. 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. (U. F. C.)
EXITS 11 Remove all obstruction from hallways. Maintain all means of egress free of any storage. '(U.F.C.).
12 Provide a contrasting colored and permanently installed electric light over or near required exit (location) . .
to clearly indicate it as an exit. (U.F.C.) ,
-=----------------------------
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.) (U.F.C.) ~.
14 Extension cords shall not be used in lieu of permanent approved wiring. Install additional~,approved.electrical outlets
ELECTRICAL APPLIANCES where needed. (N.E.C.) (U.F.C.) - ~ -
15 Remove multiple attachment cords from specific electrical convenience outlet (one plug per outlet) _(N.E.C:) (U.F.C.)
OUTDOOR BURNING 16 Violation of Section 1102 dealin with recreational fires or o en burnin U.F.C.
FIREwORKS~ ,., 17 Violations of Section 7802, U.F.C. or 8.49.040 of the Bakersfield Munici al Code B.M.C. re ardin fireworks. ~,
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OTHER , _ ~j 1~ 1 S ~, ,/
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CUSTOMER: -~"`~%+*-'~--- f F. ~
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~.~~•. LEGEND:
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)(Signature) y (Please Print Name Legibly., Tltle)
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C.F.C: CALIFORNIA FIRE CODE
U:B.C.. UNIFORM BUILDING CODE ~ ~
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INSPECTOR: ,~ '~,'~ i~ ~~'~, t_ R:~ ~Q ~).w---~~' AP NO.: .B.M.C; _ BAKERSFIELD MUNICIPAL CODE I `
N.F.P.A. NATIONAL FIRE PROTECTION
(Signature) ., '""~ ^'~' f r~r' r^ ASSOCIATION `
N.E.C. NATIONAL ELECTRIC CODE
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White -Customer/Origirial Yellow -Station Copy Pink -Prevention Services
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FD 2022 (Rev. 09/05)