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FIRE PREVENTION INSPECTION >t E R S F I L D
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BAKERSFIELD FIRE DEPT. ~ ~;,
Prevention Services . , /, ~'
900 Truxtun Ave., Ste. 210 ~ ;( VJ,~' -~ '
Bakersfield, CA 93301 ~ / i'
Tel.: (661) 326-3979 ^ Fax: (661) 52-2171
DISTRICT BLOCK NO. DATE / ~ _ J'~ ~
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FACILITY ADDRESS , I ~ C
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FACILITY NAME I~ ~ ; P ~ FACILITY PHONE NO.
MANAGER'S NAME
BUSINESS OWNER'S NAME AND ADDRESS ~ CITY, STATE, ZIP OWNER'S PHONE NO.
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BILL TO: (IF DIFFERENT FROM ABOVE) NAME, ADDRESS CITY, STATE, ZIP, BILLING PHONE NO.
OCC TYPE OCC LOAD NO. OF FLOORS HIGH RISE BLDG RISER DATE
^ YES ^ NO
CORRECT ALL VIOLATIONS vio~nr~ox REQUIREMENTS
CHECKED BELOW No.
COMBUSTIBLE WASTE I DRY 1 Remove and safety 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.)
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. (N.F.P.A. No. 10)
EXTINGUISHERS 5 Provide and install (amount) _____ approved (type & size) __________________ portable fire extinguisher 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.)
7 Provide and maintain "EXIT" sign(s) with letters 5 or more inches in height over each required exit (doorlwindow) to
SIGNS fire escape. (U.F.C.)
g Provide and maintain appropriate numbers on a contrasting bac and visible from the street to indicate the
correct address of the building. (B. M.C.) (U.F.C.)
g Repair all (cracks/holeslopenings) 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 & 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. (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 tight over or near required exit (location)
to clearly indicate it as an exit. (U.F.C.)
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STORAGE 1g 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.)
ouTDOORBURNING 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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CUSTOMER: LEGEND:
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( Ignature) (Please Print Name Legib .y, Title)
~; C.F.C. CALIFORNIA FIRE CODE
U.B.C. UNIFORM BUILDING CODE
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~ B.M.C. BAKERSFIELD MUNICIPAL CODE
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INSPECTOR:
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(/' AP NO.: ._N.F.P.A. NATIONAL FIRE PROTECTION
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($IgnatUre~ ASSOCIATION
N.E.C. NATIONAL ELECTRIC CODE
White -Customer/Original Yellow -Station Copy Pink -Prevention Services FD 2022 (Rev. 09/05