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FIRE PREVENTION INSPECTION ' B EF,RE `
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BAKERSFIELD FIRE DEP7~ ,
Prevention Services ~ Y n / , l
900 Truxtun Ave., Ste. 210 ~1p`~
Bakersfield, CA 93301
Tel.: (661) 326-3979 ^ Fax: (661) 852-2171
DISTRICT
BLOCK N0.
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FACILITY ADDRESS ~~~
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FACILITY NAME FACILITY PHO, E N .
MANAGE 'S NA E
BUSINESS OWNER'S NAME AND ADDRESS CITY, STATE, ZIP OWNER'S PHONE NO.
BILL TO: (IF DIFFERENT FROM ABOVE) NAME, ADDRESS CITY, STATE, 21P, BILLING PHONE NO.
OCC TYPE ~'' OCC LOAD NO. OF FLOORS HIGH RISE BLDG RISER DATE
^ YES ^ NO
CORRECT ALL VIOLATIONS VIOLATION REQUIREMENTS
CHECKED BELOW No. ~~
COMBUSTIBLE W ASTE i 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 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 8 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 backgro d visible from the street to indicate the
correct address of the building. (B. M.C.) (U.F.C.) '` f.~ n;,
g Repair all (crackslholes/openings) in plaster in (location) ___________ " - __. Plastering
--------
------
FIREDOORSI
FIRE SEPARATIONS
-----------
shall return the surface to its original fire resistive condition. (U.B.C.)
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10 Remove/repair (item 8 location) __________________________________________ ~'
____ ___ _.. Self-closin
9
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 operatiori~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.)
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15 ! ._
Remove multiple attachment cords from specific electrical con~v~'nli~nce outlet (one plug per outlet) (N. E.C.) (U.F.C.)
ouTDOORBURNING 16 Violation of Section 1102 dealin with ~recreational~fires a~lo 'en b~urnin U.F.C.
FIREWORKS 17 Vi
lations of Section 7802 U.F.C. or 8.49.040 of the
B
akersfield Munici al Code B.M.C. re ardin fireworks.
OTHER 18 o
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CUSTOMER: ~ LEGEND:
(Signature (Please Print Name Legibl Title)
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~ C.F.C. CALIFORNIA FIRE CODE
U.B.C. UNIFORM BUILDING CODE
B.M.C. BAKERSFIELD MUNICIPAL CODE
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INSPECTOR:
,Q-- AP NO.: N.F.P.A. NATIONAL FIRE PROTECTION
(Signature) ASSOCIATION
N.E.C. NATIONAL ELECTRIC CODE
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White -Customer/Original Yellow -Station Copy Pink -Prevention Services FD 2022 (Rev. 09/05)
. FIRE ORDINANCE VIOLATION.
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~" BAKERSFIELD FIRE DEPT.
>~ ~ x ~-~ ' D Prevention Services
~~ss
~es»r,>Y 900 Trtaxtun Ave., Ste. 210
Bakersfield, CA 93301
Tel.: (661) 326-3979 X .Fax: (661) 852-2171
OCCUPANCY DISTRICT BLOCK NO.. DATE r " ~ p~ -
TO ~
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''SV\'r~.'„:.. 'h FIRM OR DBA `~ +~ a T• ~ '
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COMPANY ADDRESS (CITY, STATE, ZIP) ~-J (/ f :
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l (/ BUSlNES8 PHON ~ ~ . , HOME PHONE
CORRECT ALL VIOLATIONS vau~Taw REQ R MENTS
CHECKED BELOW eo. '
`
A 1 Remove and safely dispose of ail hazardous refuse and dry vegetation on the above premises (U.F.C.)
STE /DRY
COMBUSTIBLE W
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 8 size) ___~___________~ RQlrtable fire extinguisher to be
immediately accessible for use in (area) __________~_~_____~_w~ (U.F.G.)
~: ,
g
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.)
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.)
g Provide and maintain appropriate numbers on a contrasting background and visible from the street to indicate the
- correct address of the building. (B.M.C.) (U. F.C.)
~ g Repair ali (cracks/holes/openings) in ptaster'in (location) __~_~~___________~_______________. Plastering
FIRE DOORS/ shall return the surface to its original fire resistive condition. (U.B.C.)
FlRE SEPARATIONS
- 10 Removelrepair (item & Vocation) ________ _ _ _ _ _ __ _ _ __ ______. 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.)
ERRS 11 Remove ali•obstruction from hallways. Maintain atl 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
ELECTRICALAPPLUWCES 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 1B Violation of Section 1102 dealin with recreational fires or o en burnin U.F.C.
FlREVYORKS 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 s ,
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D - ON (DATE) AN INSPECTION WILL BE MADE, IF NO COMPLIANCE HAS BEEN MADE, ADDITIONAL FEt7EON aECElvwo NOTICE of vloiATaN
REGULATORY ACTION MAY BE INITUITED. ~.~"`"""`°"`-,;.--y„ .~ ~~
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R M RD L ENT BY C M 1 A N DA sIONATURE
AFTER VIOLATIONS ARE CORRECTED, RETURN THIS aV ORDER OFd11E IRE CNffP DATIi COMPLFIEG~
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NOTICE BY MAIL OR IN PERSON TO: ("'-` I ,, ,__, 1,, _ ~~ ~ ~ (
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- BAKERSFIELD FIRE DEPT. INSPECTOR a1DNATURE BiBPEGTOR SKiNATURE
OFFICE OF PREVENTION SERVICES
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BAKERSFIELD, CA 93301 .
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Yellow-Station Copy Pink-Prevention Services i FD1818 (Rev. oslosl