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T _ BAKERSFIELD FIRE DEPT. ~'
Prevention Services ~(', j~'~:? {
FIRE^ PREVENTION INSPECTION a EPi1RE ` D 900 Truxtun Ave., Ste. 210
- AIPTM f Bakersfield, CA 93301
el.: (661) 326-3979 ^ Fax: (661) 852-2171
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DISTRICT BLOCK NO. DATE ~~~ EEC
FACILITY ADDRESS I • ~~ CITY, STATE, ZIP
FACILITY NAME MAN GER'S NAME F CIL13 PHONE N
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BUSINESS OWNER'S NAME AND AD ESS CITY„ TATE, P OWNER'S PHONE NO.
BILL TO: (IF DIFFERENT FROM ABOVE) NAME, ADDRESS
n CITY, STATE, ZIP, BILLING PHONE NO,
,~
OCC TYPE
r• OCC LOAD NO. OF FLOORS HIGH RISE BLDG RISER DATE
^ YES ^ NO
CORRECT ALL VIOLATIONS VIOLATION REQUIREMENTS
CHECKED BELOW No.
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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 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) ~~~~~ ~t_ portable fire extinguisher to be
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immediately accessible for use n (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.)
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.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 attachment's 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.)
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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.)
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STORAGE 13 Remove all storage andlor 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
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n,~eu of permanent approved wirin Install additional approved jectric I outlets
ELECTRICAL APPLIANCES _ _
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Whefe`ne ded.' N.E.C. (U.F.C.) I ~ .-~~ „~~ f1 l J~1 ~ f -f wit O ~ )~ I/
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15 Remove multiple attachmen cordsT
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 Section 7802 U.F.C. or 8.49.040 of the Bakersfield Munici al Code B.M.C. re ardin fireworks.
OTHER 1g
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CUSTOMER' i'' ~ -~- CEF.CND. CALIFORNIA FIRE CODE
~--~~ (Si -nature) (Please Print Name Legibly, Title) U.B.C.., UNIFORM BUILDING CODE
B.M.C. BAKERSFIELD MUNICIPAL CODE
INSPECTOR: ~ AP NO.:
~~ N.F.P.A. NATIONAL FIRE PROTECTION
-
`N (Sig ature) _
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)