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BAKERSFIELD FIRE DEPT.Il~ (I
>, E R S P I L D Prevention Services ~"~
FIRE PREVENTION INSPECTION FARE 90o Truxtun Ave., ste. 210 ~~
ARTM T Bakersfield, CA 93301 i
' y Tel.: (661) 326-3979 ^ Fax: (661 852-2171
DISTRICT BLOCK NO. DATE ~ ,( ~
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BUSINESS OWNER'S NAME AND ADDRESS CITY, STATE, ZIP OWNER'S PH N 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
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CORRECT ALL VIOLATIONS VIOLATION
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REQUIREMENTS ~ ~
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ose of all hazardous refuse and dr
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COMBUSTIBLE WASTE /DRY 1 .
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Provide non-combustible containers with tight fitting lids for the storage of combusti
safe disposal. (U.F.C.)
COMBUSTIBLE sTORAGE 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 than 5 feet above the floor. (N.F.P.A~No. 10)
EXTINGUISHERS 5 portable fire extinguisher to be
Provide and install (amount) _____ approved (type.8 size) _________
__
immediately accessible for use in (area) _ ..
Re-charge all fire extinguishers. Fire extinguishers shall be serviced at letast once eac y ,+~n reach use,
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by a person having a valid license or certificate. (U.F.C.)
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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.)
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g Repair all (cracks/holes/openings) in plaster in (location) _______________________'t_')_~' 1 Plastering
FIREDOORSI
FIRE SEPARATIONS shall return the surface to its original fire resistive condition. (U.B.C.) J' i7
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 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 firg $scape landings and stairways stair shafts. (Fire
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escapes/stair shafts are to be maintained free froin(ti6structions at all times.) (U.F.C.)
14 r
Extension cords shall not be used in lieu of-~e~rmanent 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 Sec
t n 7802 U.F.C. or 8.49.040 of the Bakersfield Munici al Code B.M.C. re ardin fireworks.
OTHER 18 p
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CUSTOMER: ~7 LEGEND:
' Ignatu •e) (Please Print Name Legibly, Title) C.F.C. CALIFORNIA FIRE CODE
U.B.C. UNIFORM BUILDING CODE
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INSPECTOR: ~ -1" C.:: -~~-~ 'c` 1 AP NO~r~ t) "-y' B.M.C. •BAKERSFIELD MUNICIPAL CODE
N.F.P.A. "NATIONAL FIRE PROTECTION
(SlgnatUfe) ASSOCIATION
N.E.G. NATIONAL ELECTRIC CODE
White -Customer/Original Yellow -Station Copy Pink -Prevention Services FD 2022 (Rev. 09/05)