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~' BAKERSFIELD FIRE DEPT. Q~
B E R S P[ t. D Prevention Services ~~
FIRE PREVENTION INSPECTION P/RE 900 Truxtun Ave., Ste. 210 ~•
- - AIrTM ~ Bakersfield, CA 93301
Tel.: (661) 326-3979 ^ Fax: (661) 852-2171
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DISTRICT BLOCK NO. DATE ~ '
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FACILITY ADDRESS ~ ~ ~i ~ ~ Q CITY, STATE, Z /~
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FACILITY NAME
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~ MANAGER'S NAME ~ AGILITY P O.
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BUSINESS OWNER'S NAME AND ADDRESS CITY, STATE, ZIP O N R'S P ONE 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
CHECKED BELOW No.
S
/DRY 1 Remove and safely dispose of all hazardous refuse and dry vegetation on the above premises (U. F. C.)
TIBLE WASTE
COMBU
VEGETATION 2 P vide non-combustible containers with tight fitting lids for the storage of combustible waste and rubbish pending its
safe isposal. (U.F.C.)
COMBUSTIBLE STORAGE 3 Relocat combustible storage to provide at least 3 feet clearance around motor fuse box/fire door (N.E.C.) (U.F.C.)
4 Relocate fir ext' fisher(s) so that they will be in a conspicuous location, hanging on brackets with the top to the
extinguisher n r than 5 feet above the floor. (N.F.P.A. No. 10)
EXTINGUISHERS 5 Provide and insta o t) _____ approved (type 8 size) __________________ portable fire extinguisher to be
immediately access or se in (area) (U.F.C.)
g ~' Re-charge all fire extin fishers. Fire extinguishers shall be serviced at least once each year, and/or after each use,
by a person having a vali icense or certificate. (U.F.C.)
7 Provide and maintain "EXIT" )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 b rs on a contrasting background an isible from the street to indicate the
correct address of the building. (B. .) (U.F.C.) '
g lastering
Repair all (cracks/holes/openings) in pl ter in (location) ___________________________ _ ~ ~
FIRE DOORS/
FIRE SEPARATIONS ~~
shall return the surface to its original fire ~ five condition. (U.B.C.)
10 Remove/repair (item & location) __________ ____________________________________________. Self-closing
doors shall be designed to close by gravity, or he action of a mechanical device, or by an approved smoke and
heat sensitive device. Self-closing doors shall b~ no attachments capable of preventing the operation of the
closing device. (U.F.C.)
EXITS 11 Remove all obstruction from hallways. Maintain all a Hof egress free of any storage. (U.F.C.)
12 ~~-
Provide a contrasting colored and permanently insta Tectric light over or near required exit (location)
______________________________ to clearly indicate it exit. (U.F.C.)
STORAGE 1g Remove all storage and/or other obstructions from fire esca Ian g d stairways stair shafts. (Fire
escapes/stair shafts are to be maintained free from obstructi s a times.) (U.F.C.) `~
14 Extension cords shall not be used in lieu of permanent approve ing. Install additional approved electrical outlets
ELECTRICAL APPLIANCES where needed. (N. E.C.) (U.F.C.)
15 Remove multiple attachment cords from specific electrical convenie utlet (one plug per outlet) (N.E.C.) (U.F.C.)
ouTDOORBURNING 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 Munic' Code B.M.C. re ardin fireworks.
OTHER 18
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CUSTOMER: r + I LEGEND:
7 C.F.C. CALIFORNIA FIRE CODE
(Signature (Please Print Name Legibly, Title) U.B.C. UNIFORM BUILDING CODE
B.M.C. BAKERSFIELD MUNICIPAL CODE
INSPECTOR: /.-~/' ~ ,,~ , w - AP NOs~ N.F.P.A. NATIONAL FIRE PROTECTION
-~' `($IgnatUre) ASSOCIATION
N.E.C. NATIONAL ELECTRIC CODE
White -Customer/Original Yellow -Station Copy Pink -Prevention Services FD 2022 (Rev. 09/05)