HomeMy WebLinkAboutBUSINESS PLANi
IM irMARISCOS PUERTO VALLERTA
_ i~2401 WHITE LANE I
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FIRE PREVENTION INSPECTION >I ~P/RE I D
BAKERSFIELD FIRE DEPT.
Prevention Services ~, ^b~
900 Truxtun Ave., Ste. 210 VJ
Bakersfield, CA 93301
Tel.: (661) 326-3979 ^ Fax: (661) 852-2171
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DISTRICT BLOCK NO. DATE ~ 1 O ~
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FACILITY ADDRESS ~ ~ ~ b CITY, STAT
E, ZIP /(~ _ t l
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FACILITY NAME ~ ~
~l G ~~~ U~ ~ ~. MANAGER'S NAME CyILITY PHONE NO.
~,~~.`) s ~,_~
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 R~R DATE
^ YES ^ NO
CORRECT ALL VIOLATIONS VIOLATION REQUIREMENTS
CHECKED BELOW xo.
C
E W
TE /DRY 1 Remove and safely dispose of all hazardous refuse and dry vegetation on the above premises (U.F.C.)
OMBUSTIBL
AS
VEGE7ATK)N 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
cSl
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 on a contrasting background and visible from the street torindicate the
correct address of the building. (B. M.C.) (U. F.C.) ~
~~ g Repair all (cracks/holes/openings) in plaster in (location) _____________________________________. Plastering
FIRE DOORS/
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 mec anica device, or an d 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 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 Violat
io
ns of Section 7802 U.F.C. or 8.49.040 of the Bakersfield Munici al Code B.M.C. re ardin fireworks.
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CUSTOMER: i~y LEGEND:
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Signature) ``` (Please Print Name Legibly, Title) C.F.C. CALIFORNIA FIRE CODE
U.B.C. UNIFORM BUILDING CODE
{{'~~,,~,
INSPECTOR: ~- ~~L) j 4 AP N(t~~,G 17 "~"'J B.M.C. BAKERSFIELD MUNICIPAL CODE '
N.F.P.A. NATIONAL FIRE PROTECTION
(Signature) ~ ASSOCIATION
N.E.C. NATIONAL ELECTRIC CODE
White -Customer/Original Yellow -Station Copy Pink -Prevention Services FD 2022 (ReV. 09/05)
)
FIRE ORDINANCE VIOLATION. ~:~
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BAKERSFIELD FIRE DE
B__. _6_R_$_F I --D Prevention Services -1
~e~i /
AI~TN T 900 Truxtun Ave., Ste. 210 / ~~
Bakersfield, CA 93301 (I
Tel.: (661) 326-3979 X Fax: (661) 852-2171
OCCUPANCY DISTRICT BLOCK NO. DATE ~ '3 t ~ S
TO~-~ ~~~ ~Ly~ TITLE l~~n-IZ.. FIRM OR D A SCUS ir7i...~„ _., ~~L~+
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COMPANY ADDRESS (CITY, STATE, ZIP) n /ti O l ~l+ f ~! Lam/ ~ ~
~e~`7 BUSINESS PHONE-~ 'a! r.i
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CORRECT ALL VIOLATIONS wouT
CHECKED BELOW wo. REQUIREMENTS
T
A
T
I
RY 1 Remove and safely dispose of all hazardous refuse and dry vegetation on the above premises (U.F.C.)
COMBUS
IBLE W
S
E
D
VEGETATION 2 Provide non-combustible containers with tight fitting lids for the storage of combustible waste and rubbish pending its
sate 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.)
q 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)
E7CTINGUISHERS 5 Provide and install (amount) _____ approved (type 8~ 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.)
SIGNS 7 Provide and maintain "EXIT" sign(s) with letters 5 or more inches in height over each required exit (doorlwindow) 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.)
FJREDOORSI g Repair all (cracks/holes/openings) in plaster in (location) _____________________________________. Plastering
shall return the surface to its original fire resistive condition. (U.B.C.)
FIRE SEPARATIONS
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.)
~~ 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 Tight 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.)
ELECTR~gLAppLIANCEg 14 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.)
15 Remove multiple attachment cords from specific electrical convenience outlet (one plug per outlet) (N. E.C.) (U.F.C.)
OUTDOORBURNIN(i 18 Violation of Section 1102 dealin with recreational fires or o en burnin U.F.C.
FIREWORt(S 17 Violations of Section 7802 U.F.C
or 8.49.0
4
0 of the Bak
ers
field Munici al
Code B.M.C. re a
r
din fireworks.
OTHER 1 S ''
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~~~ t' ~~~ tL ( ! ( S (T / C'ZO I,C.. / f.~.d~'~+~ 1' F~V~~ ~ l~v"M~i.C.,
ON (DATE) AN INSPECTION WILL BE MADE, IF NO COMPLIANCE HAS BEEN MADE, ADDITIONAL
REGULATORY MAY ~ INITIATED. P MNG No OF VIOLATpN
L P VI IN A H ING DATE. SIGNATU
AFTER VIOLATIONS ARE CORRECTED, RETURN THIS
NOTICE BY MAIL OR IN PERSON TO: sY ORDER OF TN_ EFlgE CHIE_~S
~ „' `. DATE COM
;
BAKERSFIELD FIRE DEPT.
OFFICE OF PREVENTION SERVICES
800 TRUXTUN AVE., SUITE 210
BAKERSFIELD, CA 8"13D1 INSPECTOR sICNATURE
LEGEND:
C.F.C. CALIFORNIA FIRE CODE
u.e.c. uN~oRM euanlNO coDE
B.M.C. fiAKERSFIELD MUNICIPAL CODE
NFPA NATpNAL FIRE PROTECTION ASSOCU1TpN
N.E.C. NATIONAI. ELECTRIC CODE ~~ CT NATURE
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e-
White-Customer/Original Yellow-Station Copy Pink-Prevention Services FD1918 (REV. ozros-
"' BAKERSFIELD FIRE DEPT.
Prevention Services ~ J ~. l
FIRE PREVENTION INSPECTION >t ei/RE I L D 900 Truxtun Ave., Ste. 210 ~ l
A/t TM T Bakersfield, CA 93301
Tel.: (661) 326-3979 ^ Fax: (661) 852-2171
DISTRICT BLOCK NO. \ DATE+ EE -~~~'
~
FACILITY ADDRESS ~ CITY, STATE, ZIP
FACILITY NAME
t MANAGER'S NAME FACILITY PHO N00. ~ a~
~ ~ , ~ ~ t ~ ,
Y
t ~
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 wour~oN REQUIREMENTS
CHECKED BELOW ro.
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 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 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
FIRE DOORS/
FIRE SEPARATIONS shall return the surface to its original fire resistive condition. (U.B.C.)
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 eg f e
~l~s a .)
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 t~
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CUSTOMER: J LEGEND:
C.F.C. CALIFORNIA FIRE CODE
(Signature) (Please Print Name Legibly, Title) U.B.C. UNIFORM BUILDING CODE
INSPECTOR: G~<:~.~ ~ ~~ AP NO.~C~ B.M.C. BAKERSFIELD MUNICIPAL CODE
N.F.P.A. NATIONAL FIRE PROTECTION
_
(Signature) ASSOCIATION
N.E.C. NATIONAL ELECTRIC CODE
~~
White -Customer/Original Yellow -Station Copy Pink -Prevention Services FD 2022 (Rev. 09/05)
d
' - ~ BAKERSFIELD FIRE DEPT. ~~'
Prevention Services 1 /„~
FIRE PREVENTION INSPECTION >t EFiRE t ~ 90o Truxtun Ave., ste. 210 ~~
~- ARTM f
Bakersfield, CA 93301
Tel.: (661) 326-3979 0 Fax: (6 852-2171
DISTRICT BLOCK NO. DATE ,~ ~ / /
i
~ EE --
FACILITY ADDRESS ~ ' ~ Lev ~ 1 ~
C• CITY, STATE, ZIPi >
l,
~~ R~ GJ ~
f~
FACILITY NAME ~ /'~1 n~ ~ FACILITY PHONE NO.
MANAGER'S NAME"
I
BUSINESS OWNER'S NAME AND ADDRESS OWNER'S PHONE NO.
CITY, STATE, ZIP
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.
COMBUSTIBLE WASTE/DRY 1 Remove and safely dispose of all fiazardous 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 box/fire door (N.E.C.) (U.F.C.)
hanging on brackets with the top to the
Relocate fire extinguisher(s) so that they will be in a conspicuous location
4 ,
extinguisher not more than 5 feet above the floor. (N.F.P.A. No. 10)
EXTINGUISHERS ~~ Provide and install (amount) ___~_ approved (type & size) ___ _~___Gl~ 4 S 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 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
FIRE DOORSI
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 o~ p~ ven ing the operation of the
closing device. (U.F.C.) J U
Exlss
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
ELECTRICAL APPLIANCES where needed. (N.E.C.) (U.F.C.)
15 Remove multiple attachment cords from specific eleciricai 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 Vi ations 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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CUSTOMER: ~i~~~~~-')
.-~7 LEGEND:
_
,. _
(Signature) \ (Please Print Name Legibly, Title) C.F.C. CALIFORNIA FIRE CODE
U.B.C. UNIFORM BUILDING CODE
-~ \
INSPECTOR: C-~'~ ~'~---`- AP NO~,~. (' B.M.C. BAKERSFIELD MUNICIPAL CODE
N.F.P.A. NATIONAL FIRE PROTECTION
(Signature) ASSOCIATION
N.E.C. NATIONAL ELECTRIC CODE
31
White -Customer/Original Yellow -Station Copy Pink -Prevention Services FD 2022 (Rev. 09/05)
~.a.e, ~~~~y zNf SEC-r~aN ~~ ~%..
CC~RRECTi®N NOTICE
04117
BAKERSFIELD FIRE DEPARTMENT
~~~~
Location ~~-~~ t W `~ ~ ~ ~-^~
Name ~'Z- G 1-~-' ~~ ~1~'-mac
You are hereby required to make the following
corrections at the above location:
Inspector
FD 1950 326-3951
Date _ ~ t~ 12 ~ 0 ~ L.~ ~ .~S
~'" BAKERSFIELD FIRE DEPT.
Prevention Services l0`~
FIRE PREVENTION INSPECTION a EFiRE I D 900 Truxtun Ave., ste. 2io ~ ~
- -- ~ ~- ~ ABTM T
;~.. Bakersfield, CA 93301
Tel.: (661) 326-3979 ^ Fax: (661) 852-2171
I11~' 1 fc .
DISTRICT BLOCK NO. DATE C"' a ~
J EE ~w„i
FACILITY ADDRESS '
O ~ s\ ~ CITY, STA
TE, ZIP
~
~
~ , 4 `` t
FACILITY NAME ~ ~ ~. `
' ~ C J~
~~ ~ CILITY P NEht~(O.
MANAGER'S NAME
~
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BUSINESS OWNER'S NAME AND ADDRESS O.
CITY, STATE, ZIP OWNER'S PHONE N
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.
OM
/DRY 1 Remove and safely dispose of all hazardous refuse and dry vegetation on the above premises (U.F.C.)
C
BUSTIBLE 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.)
6 Re-charge all fire extinguishers. Fire extinguishers shall be serviced at least once each year, andlor 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.)
FIRE DOORS/ g Repair all (cracks/holeslopenings) in plaster in (location) _______ _~ tt i A 1 ~ ________________. Plastering
~7'j~-
FIRE SEPARATIONS shall return the surface to its original fire resistive condition. (U.B.C.)
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 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.)
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 p
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CUSTOMER: l ~aa~~ , ~"'p LEGEND:
,
_ C.F.C. CALIFORNIA FIRE CODE
(Signature)
(Please Print Name Legibly, Title) U.B.C. UNIFORM BUILDING CODE
~--~
INSPECTOR:~.r~" 7 1/ AP NO.:~~ B.M.C. BAKERSFIELD MUNICIPAL CODE
N.F.P.A. NATIONAL FIRE PROTECTION
-' i (Signature) t ASSOCIATION
N.E.C. NATIONAL ELECTRIC CODE
White -Customer/Original Yellow -Station Copy Pink -Prevention Services
FD 2022 (Rev. 09/05)
.. - ...... I y. ti .., _ -. .,...
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FIRE PREVENTION INSPECTION a EF,RE I
- Ali<TM f
BAKERSFIELD FIRE DEPT.
Prevention Services
900 Truxtun Ave., Ste. 210
Bakersfield, CA 93301
Tel.: (661) 326-3979 ^ Fax: (661) 852-2171
DISTRICT BLOCK NO. DATE ~ f ~~
C
7 EE (f
f
FACILITY ADDRESS Q t \ _`\ 1~
I Win CITY, STATE, Z
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P "'> `1i `r ~ ~ .C~
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FACILITY NAME r
' MANAGER'S NAME
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BUSINESS OWNER'S N ME AND ADDRESS CITY, STATE, ZIP OWN R'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 I Ef~ DATE
^ YES ^ NO 1
i
CORRECT ALL VIOLATIONS vio~wtiox REQUIREMENTS
CHECKED BELOW xo.
1 Remove and safely dispose of all hazardous refuse and dry vegetation on the above premi .F.C.)
COMBUSTIBLE WASTE /DRY
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 ~ ___ portable fire extinguisher to be
Provide and install (amount) ____ approved (type & size) _
- ----
__
immediately accessible for use in (area) ______________ _ (U.F.C.)
g Re-charge all fire extinguishers. Fire extinguishers shall be serviced at lea e~hg ,and/or after each use,
by a person having a valid license or certificate. (U.F.C.) 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
FIRE DOORS/
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 obstructions from fire escape landings and stairways stair shafts. (Fire
escapeslstair 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 lations of Sectio
n
7802 U.F.C. or 8.49.040 of the Bakersfield Munici al Code B.M.C. re a
rdin fi
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eworks.
OTHER 18 ('
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CUSTOMER: G~','~ LEGEND:
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~'(Slgnature) (Please Print Name Legibly, Title) C.F.C. CALIFORNIA FIRE CODE
U.B.C. UNIFORM BUILDING CODE
INSPECTOR: ~x / ~ ~ ~... n,_._. AP NO~~~c.. t) ~ B.M.C. BAKERSFIELD MUNICIPAL CODE
N.F.P.A. NATIONAL FIRE PROTECTION
- (Signature) ASSOCIATION
N.E.C. NATIONAL ELECTRIC CODE
White -Customer/Original Yellow -Station Copy Pink -Prevention Services FD 2022 (ReV. 09/05)