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2641 OSWELL STREET, SUITE #B
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BAKERSFIELD FIRE DEP
`~ B E R S P I L D Prevention Services
F~~RE PREVENTION INSPECTION FARE 900 Truxtun Ave., ste. 210
AItTM T Bakersfield, CA 93301
Tel.: (661) 326-3979 ^ Fax: (661) 852-2171
DISTRICT BLOCK NO. DATE r'/!~?~ B
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FACILITY ADDRESS ~ f ~ ! / ~ /~ r,~
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CITY, S
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FACILITY NAME ~ MANA R'S A E FACILITY PHONE NO.
BUSINESS OWNER'S NAME 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
CHECKED BELOW No.
/DRY 1 Remove and safely dispose of all hazardous refuse and dry vegetation on the above premises (U.F.C.)
COMBUSTIBLE WASTE
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 8 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 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 c~tr sting background and visible from the street to indicate the
correct address of the building. (B. M.C.) (U.F. ~/
g Repair all (cracks/holes/openings) in plaster in (location) __' __ ___________________________. Plastering
FIREDOORSI
FIRE SEPARATIONS shall return the surface to its original fire resistive condition. ( .B
10 Remove/repair (item 8 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 1g 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.)
14 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 Violations of Section 7802 U.F.C. or 8.49.040 of the Bakersfield Munici al Code B.M.C. re ardin fireworks.
OTHER 18
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CU$T~MER: LEGEND:
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:
/.~ R ZA- AP NO.: 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)
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FIRE ORDINANCE VIOLATION. ' ~ B_ °11R`,', _D
BAKERSFIELD FIRE DEPT,,
Prevention Services ~f'
900 Truxtun Ave., ate. 210
Bakersfield, CA 93301
Tel.: (661) 326-3979 X Fax: (661) 852-2171
OCCUPANCY
,t DISTRICT BLOCK NO. DATE
TO [ ~ TITLE FIRM OR DBA
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COMPANY ADDRESS (CITY, 8TATE, 21P) BUSINESS PHONE HOME PHONE
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CORRECT ALL VIOLATIONS VgIATgN REQUIREMENTS ~
CHECKED BELOW No:
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S~ t
1 Remove and safely dispose of all hazardous refuse and dry vegetation on the above premises (U.F.C.)
COMBUSTIBLE WASTE / ORY
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, hangings on brackets with the top to the
extinguisher not more than 5 feet above the floor. (N.F.P.A. No. 10)
E)RINGUtSHERS 5 Provide and install (amount) __M approved (type & size) ______________ portable fire extinguisher to be
----
immediately accessible for use in (area) ____________________________ (U.F.G.)
g 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~st,reet to indicate the
correct address of the building. (B.M.C.) (U.F.C.) ;
" -~~ ~} g Repair all (cracks/holes/openings) in plaster in (location) ____________ 1_ _ _____________. Plastering
~ Y
F)REDOORSr
FIRE SE
ARATIO shall return the surface to its original fire resistive condition. (U.B.C.)
P
NS
10 Removelrepair (item !I< 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.)
ExRS 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 fire escape landings and stairways stair shafts. (Fire
escapes/stair shafts are to be maintained free from obstructions at all times.) (U.F.C.)
14 Extension cords shall not be used in lieu of permanent approved wiring. Install additional approved electrical outlets
ELECTRICALAPPUIWCES 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.
FlREWORKS 17 Violations of Section 7802 U.F.C. or 8.49.040 of t
he Bakersfield Munici
a
l
Code B
.M.C. re ardin fireworks.
OTHER (~ R
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~N (DATE) AN INSPECTION WILL BE MADE, IF NO CO LIANCE H BEEN MADE, ADDITIONAL
REGULATORY ACTION MAY BE INITIATED
PERSON RECENINO NOTICE OF VIOLATgN
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C 1 D sssNATURE
AFTER VIOLATIONS ARE CORRECTED, RETURN THIS ~O~ER~T a+~~
NOTICE BY MAIL OR tN PERSON TO: ~. ' ~,'~
BAKERSFIELD FIRE DEPT: ass croRSIDNATURE PECTOR SIfiNATURE
OFFICE OF PREVENTION SERVICES tEOENo-
cs.a CALIFORNW ~
CODE
900 TRUXTi1N AVE., SUITE 210 _
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BAKERSFIELD, CA 83301 AK
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NF.PA NATIONAL FlRE PROTECTION AsaOC1AT10N ..
N.E.C. NATIONAL ELECTRIC CODE
FD1916 IREV. ovoal
White - CustomerlOriginal Yellow -Station Copy Pink -Prevention Services