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f= . BAKERSFIELD FIRE DEPT. ~~- '
Prevention Services
FIRE PREVENTION INSPECTION >3 EF/RE t D 900 Truxtun Ave., Ste: 210
D ARfM T
` Bakersfield; CA 93301
Tel.: (661) 326-3979 ^ Fax: (661) 852;-2.171 '
KBF-7320
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FACILITY NAME
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(~J MANAGER'S NAME ~ ~ ~ FACILITY PHONE~,NO. ,
BUSINESS OWNER'S; NAME AND ADDRESS
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~- CITY, STATE, ZIP OWNER'S PHONE NO.
BILL TO: (IF DIFFERENT FROM ABOVE) NAME, ADDRESS CITY, STATE, 21 P, BILLING PHONE NO.
OCC=TYPE .. - - OCC LOAD ~NO. OF FLOORS HIGH RISE BLDG RISER DATE
i ^ YES ~'" NO ~ .
CORRECT ALL VIOLATIONS woLnnon REQUIREMENTS "
CHECKED BELOW : 'NO. ~ ~ -
COMBUSTIBLE WASTE /DRY 1 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 srDRAGE 3 Relocate combustible storage to..provide at.least 3 feet clearance around motor fuse~box/fire 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 Shan 5 feet above-the floor. (N. F. P. A. No. 10)
EXTINGUISHERS •, 4 5 Provide and install (amount) /`°4t approved (type & size) r~71_~~~_r~V_ portable fire extinguisher to be
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~1 immediately accessible for use in (area) __~r~~=
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`~~=^~--^'^-`"' 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. (U.F.C.) ~
~ 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 background arid.Visible from the street to indicate the
correct address of the building. (B. M, C.) (U.F.C.)
~ 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 Removel~epair (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 light over or near required exit (location).'
______________________________ to clearly indicate it as an exit. (U.F.C.) i -
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 alf times.) (U.F.C.):
14 Extension cords shalt not be used iri lieu' of permanent approved wiring. Install ad'ditiohal approved electrical outlets
ECECTRICALAPPLIAN¢ES 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.
FIREVYORKS 17 ~ Violations of Section 7802 U.F.C. .or 8.49.040 of the Bakersfield Munici al Code B.M:C. ~re ardih fireworks-. ~ '
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CUSTOMER: ~`~•-{"`~ rl -. LEGEND:.
C.F.C. '
CALIFORNIA FIRE CODE .
/ (;Signature)' ;' (Please Print Name Legibly,~Title) ` .
U.B.C.. UNIFORM BUILDING CODE
~ ~
INSPECTOR: (r~ :1;*;,1•• It _ G^""'~' AP NO.: _-..C"'-"s"'~
~. ~(SlgnatUr2) ~. B.M.C. BAKERSFIELD MUNICIPAL CODE', ,
,~.N.F.P.A.. .NATIONAL FIRE PROTECTION
ASSOCIATION ,
N.E.C. -' NATIONAL ELECTRIC CODE
i
-White -Customer/Original
Yellow -Station Copy
Pink -Prevention Services
•FD 2022 (Rev. 09705) ': „ -