HomeMy WebLinkAboutBUSINESS PLAN
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FIRE PREVENTION INSPECTION
BAKERSFIELD FIRE DEPT. '7' A l '} 'r
Prevention Services ..;,( \(J
900 Truxtun Ave., Ste. 210 y Y
Bakersfield, CA 93301
Tel.: (661) 326-3979 0 Fax: (661)
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DISTRICT . I BLOCK NO. DATE 9/~~JdG EE C1sV-
FACILITY ADDRESS 3blG l~,- b\ <t- q 1~ O~ CITY, STATE, ZIP IS-;,k...,:') \" "-) ~ (\
FACILITY NAME fl'I:)SS ~P\J\.1!' r.+ .we-<:;,. 5"-.. {) MANAGER'S NAME ~ .' 11"" FACILITY PHONE~. ~'.:J
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BUSINESS OWNER'S NAME AND ADDRESS .. . CITY, STATE, ZIP OWNER'S PHON-i: NO.
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BILL TO: (IF DIFFERENT FROM ABOVE) NAME, ADDRESS CITY, STATE, ZIP, Sf?) ....0/30 BILLING PHONE NO.
OCC TYPE I OCC LOAD II NO. OF FLOORS I HIGH RISE BLDG RISEAfLQ ~l I
'- 0 YES 0 NO
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CORRECT ALL VIOLATIONS VIOLATION REQUIREMENTS
CHECKED BELOW NO.
1 Remove and safely dispose of all hazardous refuse and dry vegetation on the above premises (U,F.C.)
COMBUSTIBLE WASTE I DRY
VEGETATION 2 Provide non-combustible containers with tight ~it~ing 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.PA No. 10) ,
EXTINGUISHERS 5 Provide and install (amount) _____ approved (type & ENTftflt-r;;-------- portable fire extinguisher to be
immediat~ly accessible for use in (area) ______________ _ _ ~9==1-U
6 Re-charg~ all fire extinguishers. Fire extinguishers shall be serviced at lea~ once ch 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.)
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.)
9 Repair all (cracks/holes/openings) in plaster in (location) ______________________________________. Plastering
FIRE DOORS / 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.)
EXITS
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/slair 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 dealinq with recreational fires or ODen burnino. IU.F.C. \
FIREWORKS .....1,7... Violations of Section 7802 IU.F.C.) or 8.49.040 of the Bakersfield Municipal Code (B.M.C.) reqardinq fireworks.
OTHER 18~ 71""......'" -V('O\) I. ~ <-.. I\)ot~.\., c.c,-T '. c..,"" 0" .. ( ,. .../-u /-I G o~1 ~.... ., },.... ~\~-
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/)nAil'?" (tlj)/I~ LEGEND: ,
CUSTOMER: C.F.C. CALIFORNIA FIRE CODE
.... - (Signature) (Please Print Name Legibly, Title) U.B.C. UNIFORM BUILDING CODE
r~/2.-~( #..1\ AP N01>- B.M.C. BAKERSFIELD MUNICIPAL CODE
INSPECTOR: 1<1 N.F.P.A. NATIONAL FIRE PROTECTION
(Signature) ASSOCIATION
N.E.C. NATIONAL ELECTRIC CODE
KBF.7320
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White - Customer/Original
Yellow - Slalion Copy
Pink - Prevention Services
FD 2022 (Rev. 09/05)
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BAKERSFIELD 1IRE DEPT~r0?, ~ ,,-
Prevention Services , r
900 TruXtun Ave., Ste.210'. ~-
Bakersfield, CA.93301,.',
Tel.: (661) 326-3979 X Fax: (661) 852-'2171
---. . DATE! I I
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FIRM OR DBA 0.1 o'S{':>fII\I~ I ')
BUSINESS,PHONE IHOME PHONE
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'~"FIRE ORDINANCE VIOLATI
OCCUPANCY.("v-J L^,)~<::~1; ;' DISTRICT
TO .' ,<:".,' ,TITLE
COMPANY ADDRESS (CITY, STATE, ~P) ~'3 G /'0'
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CORRECT ALL VIOLATIONS VIOLATION
CHECKED BELOW NO.
COMBUSTIBLE WASTE / DRY
VEGETATION
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10
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COMBUSTIBLE STORAGE
EXTIN~UISHERS
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ELECTRICAL APPlIANCES
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OUTDOOR BURNING 16
FIREWORKS
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OTHER
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REQUIREMENTS .
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Remove and safely dispase af all hazardaus refuse and dry vegetatian an the abave premises (U.F.C.)
Prav.ide non.combustible containers w,ith tight fitting lids far the starage 'af cambustible waste an~rubbish, pending its
safe disposal. (U.F.C.)' .'.
~elocate cambustible starageto provi~e!lt least 3 feet clearance around matar fuse box/fire daar (N.E.C.) (U:F.C.)
'"' .' , . .
\. Relocate fire e'xtinguisher(s) sa that they will be in a canspicuaus lacatian, hanging an brackets w.ith the tap to. the
. extinguisher.nat mare thaI) 5 feet above the flaar. (N.F.P.A. No.. 10)-.,. ' '
Pr~vide ~nd install(amaunt) __L_ appraved (type & siz'e) _JS__~~.:..~2.__,:,__' partable fire extinguisher to. be
immediately accessible f~: use in (area),_____..f.:-'_~f..e.{;::,'d_____________.(U.F .C.)
. Re-charge all fire extingui~h~ert.' Fire extinguishers shall be serviced at least an~e each year, 'and/ar after each use,
'by a person having a valid license er certificate, (U.F.C.)
Prav.ide and maintain "EXIT" sign(s) with letters 5 ar m6re inches in height aver each required exit (daar/windaw) to.
fire escape. (U.F.C.)
Provide and maintain app'rapriate numbers an a cantrasting backgraund. and visible fram the street to. indicate the
carrect address.af the building. (B.M.C.) (U.F.C.) "
Repair all (cracks/hales/apenings) in plaster in (Iocatian) __________________..:______~___:.._______. P.lastering
shall'return the surface to. its ariginal fire resistive canditian. (U.B,C.)
. .
Remave'/r~p"'aJr (item .&.Iacatian) _..:.________:.______.:...___________-'_______________________,.._' Self-clasing
daars'snall be designed to. clase by gravity, af by the action af a mechanical device, ar. byan appraved smake and
heat s.ensitive device.' Self.clasing daars'shall have no. attachments capable af preventing .the aperatian af the
clasing device. ,(U.F.C.) .
11
Remoye all abstructian fram hallways. 'Maintain all means af egress}ree af any starage.' (U.F.C,)
Prav'ide acantrasting calared and. permanently installed electricc"light ailer ar near required exit (Iacatian)
. ,. ____ __ ..:. __ _ _____ _ to. clearly indicate it as an exit....:.(QX.~.) .' .
Remave all starage and/ar other abstructions' fram fire escape landings and stairways stair shafts. (Fire
escapes/stair shafts are to. be maintained free fram abstructians at all times,) (U.F,C.)
Extensian cards shall nat be used in lieu af permanent appraved/wirin~' Install additia'nal appraved electrical autlets
where needed. (N.E.C.) (U.F.C.) ,_
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, Remave multiple atta'chment cards fram specific electi:i'cal.convenience autlet (a~e plug per autlet) (N.E.C.) (U.F.C.)
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'-Vialatian af Sectian 1102 dealina with recreatianal firesar aDe~-bUrnina, . rU.F .C. i\
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Violatians af Sectia'n 7802 rU.F,C. i 'ar 8.49.040 af the Bakersfield Munici~al Cade (B_M.C.) 're!l"ardina firewarks.
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,g,_ON (DATE) . '. <l I , I ,,c.;, AN INSPECTION WILL BE MADE, IF NO COMPlIANCE .HAS BEEN MADE, ADDITIONAL
/ REGULATORY ACTIoN. MAY BE INITIATED.' ' ,
. [J , ..'" ""'''T BY C AlL PROVIDING A HEARING OATf'.
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AFTER VIOLATIONS ARE CORRE'CTED, RETURN THIS
NOTICE BY MAIL OR IN PERSON TO~~ . , .,
__ BAKERSFIELD FIRE DEPT. .
OFFICE OF PREVENTION SE'RVICES -"
900 TRUXTUN AVE., SUI1E:~10 .
, BAKERSFIELD, CA 93301\
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'-' OATECOMPlDEIlt J 0' J '-I' /Or.
. INSPECTOR SIGNA'TURE
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BY aRDER OF THE FIRE CHIEF
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INSPECTOR SIGNATURE
LEGEND:
C.F.c. '
U.B.C.
B.M.C.
N.F.P.A.
N.e.C.
CAUFORNIA FIRE CODE
UNFORM BUtUlING CODE
BAKERSFIELD MUNIQPAL CoDE
NAllONAL FIRE PROl1!CTION A8S0CIAllON
NAllONAL ELECTRIC CODE .
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White - Customer/Onglnal .
. Pink - Prevention Services, .
Yellow- Station Copy
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