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FIRE PRE.~YL~~LTION INSPECTION F,RE
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FACILITY NAME ~ ~') ) ~ MANAGER'S NAME ° CI Y PF~p E N
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BUSINESS OWNER'S NAME AND ADDRESS CITY, STATE, ZIP OW R'S PHONE NO.
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 wo~nrior+ REQUIREMENTS
CHECKED BELOW Ho.
1 Remove and safely dispose of all hazardous refuse and dry vegetation on the above premises (U.F.C.)
COMBUSTIBLE WASTE /DRY
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 ovide at least 3 feet clearance around motor fuse box/fire door (N.E.C.) (U.F.C.)
Relocate combustible s`orage to pr'
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Relocate fire extinguisher(s) so'that they will be in a conspicuous location, hanging on brackets with the top to the
extinguisher not~m'ore than 5 feet above the floor. (N.F.P.A. No. 10)
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EXTINGUISHERS
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~P~royide and install (amount) _____ approved (type & size) __________________ portable fire extinguisher to be
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immediately accessible for use in (area) ______ _ _ ____ (
• g Re-charge all fire extinguishers. Fire g s r hall a ser i ed 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 (door/window) to
SIGNS fire escape. (U.F.C.) ~,,:•t
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Provide and maintain appropriate numbers on "a 4c"aritca~ting 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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Repair all (cracks/holes/openings) in plaster in (locati;on) _____________________________- Plastering
FIREDOORSI
. shall return the surface to its original fire resistive condition. (U.B.C.)
FIRE SEPARATIONS
10 __ ____ ____~If-closing
Remove/repair (item 8 location) _________ _____ _ __ ____ ____°_ _________
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doors shall be designed to close by gravity, or by the action of a meclianical device or by an approoved smoke and
heat sensitive device. Self-closing doors shall have no attachments capable of preventing the~ope~ation of the
closing device. (U.F.C.)
11 Remove all obstruction from hallways. Maintain all means of egress free of any storage. (U.F.C.)
EXITS
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.)
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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.)
OU7000RBURNING 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.
OTHER 18 '
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CUSTOMER: "~ ~~", ~~ ~ ~ ` _
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C.F.C. VV CALIFORNIA FIRE CODE
(Please Print Name Legibly, Title)
(Signature) U.B.C. UNIFORM BUILDING CODE
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~ B.M.C. BAKERSFIELD MUNICIPAL CODE
NATIONAL FIRE PROTECTION
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INSPECTOR:
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(Signature)''' ' I`" ~~>/~' ` r
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N.E.C. NATIONAL ELECTRIC CODE
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BAKERSFIELD FIRE DEPT.
Prevention Services _ / ~~
900 Truxtun Ave., Ste. 210 /
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Bakersfield, CA 93301
Tel.: (661) 326-3979 ^ Fax: (661) 2-2171
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KBF-7320 r" ~^' ' '~ v
White -Customer/Original Yellow -Station Copy Pink -Prevention Services FD 2022 (Rev. 09/05)