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BAKERSFIELD FIRE DEPT. /dl
Prevention Services ~1?f)O ~
900 Truxtun Ave., Ste. 210 f Y
Bakersfield, CA 93301
Tel.: (661) 326-3979 0 Fax: (661 2-2171
FIRE PREVENTION INSPECTION
DISTRICT
FACILITY ADDRESS
FACILITY NAME
BUSINESS OWNER'S NAME AND ADDRESS
CITY, STATE, ZIP
CITY, STATE, ZIP,
BILLING PHONE NO.
OCC TYPE
BILL TO: (IF DIFFERENT FROM ABOVE) NAME, ADDRESS
NO. OF FLOORS
HIGH RISE BLDG
DYES 0 NO
CORRECT ALL VIOLATIONS VIOLATION
CHECKED BELOW NO.
COMBUSTIBLE WASTE / DRY
VEGETATION
COMBUSTIBLE STORAGE
EXTINGUISHERS
SIGNS
FIRE DOORS I
FIRE SEPARATIONS
11
EXITS
12
STORAGE 13
14
ELECTRICAL APPLIANCES
15
OUTDOOR BURNING 16
FIREWORKS
OTHER
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CUSTOMER:
INSPECTOR:
KBF-7320
OCC LOAD
RISER DATE
REQUIREMENTS
Remove and safely dispose of all hazardous refuse and dry vegetation on the above premises (U.F.C.)
2
Provide non-combustible containers with tight fitting lids for the storage of combustible waste and rubbish pending its
safe disposal. (U.F.C.)
Relocate combustible sto~l!ge to provide at least 3 feet clearance around motor fuse box/fire door (N.E.G.) (U.F.G.)
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Relocate fire extin~ua~M(~) 'so that they will be in a conspicuous location, hanging on brackets with the top to the
extinguis're.f:\[lot mbr~ than 5 feet above the floor. (N.F.P.A. No. 10)
Provide a~d install (amount) _____ approved (type & size) __________________ portable fire extinguisher to be
immediately accessible for use in (area) _____________________________ (U.F.G.)
3
4
5
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
fire escape. (U.F.C.)
8 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.) .
Repair all (cracks/holes/openings) in plaster in (location) _________'-_ _ -2--2nn~ ____________. Plastering
shall return the surface to its original fire resistive condition. (U.B.C.) vt1(J
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.)
9
Remove all obstruction from hallways. Maintain all means of egress free of any storage. (U.F.C.)
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.)
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.)
Extension cords shall not be used in lieu of permanent approved wiring. Install additional approved electrical outlets
where needed. (N.E.C.) (U.F.C.)
Remove multiple attachment cords from specific electrical convenience outlet (one plug per outlet) (N.E.C.) (U.F.C.)
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(PI ase Print Name Legibly, Title)
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N.E.C.
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CALIFORNIA FIRE CODE
UNIFORM BUILDING CODE
BAKERSFIELD MUNICIPAL CODE
NATIONAL FIRE PROTECTION
ASSOCIATION
NATIONAL ELECTRIC CODE
White - Customer/Original
Yellow, Station Copy
Pink - Prevention Services
FD 2022 (Rev. 09/05)