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Prevention Services ~1 ~q,
FIRE PREVENTION INSPECTION >t EFiRE t D 900 Truxtun Ave., ste. 210 '~ I
AIPTM T Bakersfield, CA 93301
` ~ ~ Tel.: (661) 326-3979 ^ Fax: (661) 852-2171
DISTRICT BLOCK NO. . .. DATE ^~ ~ d (
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BUSINESS OWNER'S NAME AND ADDRESS I 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.
COMBUSTIB
E WASTE /DRY 1 Remove and safely dispose of all hazardous refuse and dry vegetation on the above premises (U.F.C.)
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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 g Provide and install (amount) _`__ approved (type & 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~b ~{ib~ ~Fr~i) tlf~ ~ re~~~ilLldicate the
correct address of the building. (B.M.C.) (U.F.C.) ~~~ ~~ uu ~ (1J ~1
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 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 Violations of Section 7802 U.F.C. or 8.49.040 f the Bak
ersfield Muni
ci al Code B.M.
C. re ardin fire
works.
OTHER 18 (}
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CUSTOMER: ~~`f,,{,1 ~ k
.~cs;~ LEGEND: I^ ' o.~ ~
. C.F.C. CALIFORNIA FIRE CODE
(Signature) (Please Print Name Legibly, Title) U.B.C. UNIFORM BUILDING CODE
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> B.M.C. BAKERSFIELD MUNICIPAL CODE
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INSPECTOR: y > AP NO.: - rJ '1 N.F.P.A. NATIONAL FIRE PROTECTION
(Signature) ASSOCIATION
N.E.C. NATIONAL ELECTRIC CODE
White -Customer/Original, Yellow -Station Copy Pink -Prevention Services
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FD 2022 (Rev. 09/05)
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