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BAKERSFIELD FIRE DEPT. //~~I~~
FIRE PREVENTI >I ~ R s F t D Prevention Services ~ oD
O N INSPECTION F/RE 900 Truxtun Ave., Ste. 210 ~/ rf
- AIrfM f Bakersfield, CA 93301
Tel.: (661) 326-3979 ^ Fax: (661) 852-2171
DISTRICT BLOCK NO. DATE P ~ d ~
P EE ~ C7`J
FACILITY ADDRESS ~
n CITY, ST
ATE, ZIP
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FACILITY NAME
`"~ MANAGER'S NAME.,..-- CILITY,P,HgN NO.
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BUSINESS OWNER'S NA E AND ADDRESS CITY, STATE, ZIP OWNER'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 VIOLATION ~~
REQUIREMENTS -/1
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 STORAGE 3 Relocate combustible storage to provide at least 3 feet clearance around motor fuse box/fire door (N.E.C.) (U.F.C.)
q 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.)
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.) b -~ ~' it C~ ac, t d
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 all (cracks/holes/openings) in plaster in (location) _______ __ _ ___. Plastering
FIREDOORSI
FIRE SEPARATIONS shall return the surface to its original fire resistive condition. (U.B~~~~ ~~
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 mearis of egress free of any storage. (U.F.G.)
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.)
tq 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.)
OUTDOOR BURNING 16 Violation of Section 1102 dealin with recreational fires or o en burnin U.F.C.
FIREWORKS 17 V' lations of Section 7802 U.F.C. or 8.49.040 of the Bakersfield Mun~ al Code B.M.C. re ardin fireworks.
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CUSTOMER: LEGEN
C.F.C. CALIFORNIA FIRE CODE
(Signature) (Please Print Name Legibly, Title) U.B.C. UNIFORM BUILDING CODE
~~~~~-~ ~ (Z / ~
INSPECTOR: ~"~t AP NO-.. -~,~ `~ B.M.C. BAKERSFIELD MUNICIPAL CODE
N.F.P.A. NATIONAL FIRE PROTECTION
(Signature) ASSOCIATION
N.E.C. NATIONAL ELECTRIC CODE
White -Customer/Original Yellow -Station Copy Pink -Prevention Services
FD 2022 (Rev. 09/05)
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FIRE ORDI,N~ANCE VIOLATION A 0078
~~~ ~~
OCCUPANCY DISTRICT BLOCK NO. ATEL-"') ~ /1 ~ .
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TO TITLE ~/
~v ~ IRM OR DBA"
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COMPANY ADDRESS (CITY, STATE, ZIP) ~7 T ~ r/-/1(~ /{ f~ 1""~~, ~
V V ` ~ +•v r USINESS PHONE OME PHONE
CORRECT ALL REQUIREMENTS
VIOLATIONS VIOLATION
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 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 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 services 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
SIGNS (door/window) to 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 all (cracks/holes/openings) in plaster in (location) ______________________________________.
FIRE DOORS!
FIRE SEPARATIONS Plastering 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.)
1P 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.)
iq Extension cords shall not be used in lieu of permanent approved wiring. Install additional approved
ELECTRICAL APPLIANCES electrical outlets where needed. (N. E.C.) (U.F.C.)
ig 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 dealing witFi'recreational fires or open burning. (U.F.C.)
FIREWORKS 17 Violations of Section 7802 (U.F.C.) or 8.49.040 of the Bakersfield Municipal Code (B.M.C.) regarding
firework
.
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BAKERSFIELD FIRE DEPT.
>t BF
RE ' ~. n Prevention Services
~
AItTM t 900 Truxtun Ave.; Ste. 210
Bakersfield, CA 93301
Tel.: (661) 326-3979
Fax: 661) 852-2101
I ON (DATE) j~ ~ / '// U A~1INSPECTION WILL BE MADE, IF NO COMPLIANCE ~,,.,:.PERSON:RECE/IVING NO~'M7~Y-..ICE OF VIOLATION
HAS BEEN MADE, ADDITION L REGULATORY ACTION MAY BE INITIATED. `'- :~ ./: .:c."..~-'%'--°f"'""
~ AN ENFORCEMENT ORDER WILL BE SENT BY CERTIFIED MAIL PROVIDING A HEARING DATE. ~-'"°.,`~-" 1^ f SIGNATURE 1
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AFTER VIOLATIONS ARE CORRECTED, RETURN THIS aY ORDER OF THE FI E'CHIEF DATE COMPLETED:
NOTICE BY MAIL OR IN PERSON TO:
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BAKERSFIELD FIRE DEPT. NSPEC R IGNATURE INSPECTOR SIGNATURE
OFFICE OF PREVENTION SERVICES LEGE
C. CALIFORNIA FI CODE
900 TRUXTUN AVE., SUITE 21O .B.C. UNIFORM BWL'l)ING CODE
BAKERSFIELD, CA 93301 B.M.C. BAKERSFIELD MUNICIPAL DE
N.F.P.A. NATIONAL FIRE PROTECTION ASSOCIATION
N.E.C. NATIONAL ELECTRIC CODE
White -Customer/Original Yellow -Station Copy Pink -Prevention Services
FD1916 (REV. ozios)
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