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~~ BAKERSF,IELD FIRE DEPT:
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- e E R 3 P 1 D Prevention Services / 15 D'
FIRE PREVENTION INSPECTION FARE 90o Truxtun Ave., ste. 210 ~i ~
ARTM r Bakersfield, CA 93301 `/
Tel.: (661) 326-3979 ^ Fax: (661) 852-2171
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DISTRICT BLOCK NO.
s 1 DATE ' f, ~
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FACILITY ADDRESS \ ~ ~
` CITY, STATE, ZI ~ ~~ t~ '
FACILITY NAME l .1 MANAGER'S NAME ) \~%, C I H N
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BUSINESS OWNER'S NAME AND ADDRE CITY, STATE, ZIP ~, J ` <''~ " WNE 'S PHONE NO.
BILL TO: (IF DIFFERENT FROM ABOVE) NAME, ADDRESS CITY, STATE, 21P, BILLING PHONErNO.
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OCC TYPE OCC LOAD NO. OF FLOORS HIGH RISE BLDG RISER DATE
^ YES ^ NO
CORRECT ALL VIOLATIONS wourioN REQUIREMENTS
CHECKED BELOW xo.
LE WASTE /DRY
COMB 1 Remove and safely dispose of all hazardous refuse and dry vegetation on the above premises (U.F.C.)
USTIB
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
r' extinguisher not more than 5 feet above the floor. (N.F.P.A. No. 10)
EXTINGUISHERS- 5 Provide and install (amount) ____ a~ro~rg/ i (type & size) ___ _ _______ t I tinguisher to be
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~
immediately accessible for use in
r~a) ~ I
_ _____ (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.) / z:9 ;'.j
`
Provide and maintain appropriate?
numbers on a contrasting background and visible from'the street to indicate the
_ g correct address of the building. (B. M.C.) (U.F.C.)
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9 Re air all cracks/holes/o enin s In taster in location Plasterin
P ( P 9 )~ P ( )-------------------------------------- 9
;FIR o Rsl
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 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 13 Remove all storage and/or other obstr-uctions from fire escape landings and stairways stair shafts. (Fire
escapes/stair shafts are to be maint~iried free from obstructions at all times.) (U.F.C.)
14 Extension cords shall not be ~se~d~i, lieu of permanent approved wiring. Install additional approved electrical outlets
ELECTRICAL APPLIANCES where needed. (N. E. C.) (U.F,:C.)
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15 Remove multiple attachment cord_ffr m ecific electrical convenience outlet (one plug per outlet) (N.E.C.) (U.F.C.)
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OUTDOOR BURNING 16 ~ `~ {
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Violation of Sec(ion 1~. dealin with recreational fires or o en burnin U.F.C.
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FIREWORKS 17 Violations of Section 7802 .F.C. or 8:49:040.of,the Bakersfield Munici al Code B.M.C. re ardin fireworks.
OTHER
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CUSTOMER: ~ /~ ~
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``"'~ (Signature) " ~ ~ (Please Print Name Legibljr, Title) C
F.C
CALIFORNIA FIRE CODE
U.B.C. UNIFORM BUILDING CODE
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` B.M.C. BAKERSFIELD MUNICIPAL CODE
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INSPECTOR:
"~-- AP NO~a.~r. V ~ N.F.P.A. NATIONAL FIRE PROTECTION
(Signature) ASSOCIATION
N.E.C. NATIONAL ELECTRIC CODE
KBF-7320
White -Customer/Original Yellow -Station Copy Pink -Prevention Services FD 2022 (Rev. 09/05)