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BAKERSFIELD FIRE DEPARTMENT
FIRE PREVENTION INSPECTION Prevention Services
B R B R S P I B D 1501 Truxtun Avenue 1St Floor
FIRE Bakersfield, CA 93301
O A� 1 phone: 661 - 326 -3979 • Fax: 661 - 852 -2171
DISTRICT
BLOCK NO.
DATE
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FACILITY ADDRESS O Sp a,`� 1 N�` `
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CITY, STATE, ZIP {ZV C ``, S �� .
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FACILITY NAME h.� ' Y) `� �
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MANAGER'S NAME
PH NO.
BUSINESS OWNER'S NAME AND ADDRESS
CITY, STATE, ZIP
PH NO.
BILL TO: (IF DIFFERENT FROM ABOVE) NAME, ADDRESS
CITY, STATE, ZIP,
PH NO.
OCC TYPE
OCC LOAD
NO. OF FLOORS
HIGH RISE BLDG
RISER DATE
❑ YES ❑ N O
CORRECT ALL VIOLATIONS VIOLA Ion
REQUIREMENTS
CHECKED BELOW Mo.
I
Remove and safely dispose of all hazardous refuse and dry vegetation on the above premises (CFC
COMBUSTIBLE WASTE / DRY
VEGETATION
304.1.1 )
2
Provide non - combustible containers with tight fitting lids for the storage of combustible waste and
rubbish pending its safe disposal. (CFC 304.3.1)
COMBUSTIBLE STORAGE
3
Relocate combustible storage to provide at least 3 feet clearance around motor fuse box /fire door (CFC
605.3)
a
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. (CFC 906.5 & 906.9)
EXTINGUISHERS
5
Provide and install (amount) _ approved (type & size) __________________ portable fire
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extinguisher to be immediately accessible for use in (area) _____________________________ (CFC
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TABLE 906.3(1))
Re- charge all fire extinguishers. Fire extinguishers shall be serviced at least once each year, and /or
r
after each use, by a person having a valid license or certificate. (CCR TITLE 19: 575.1)
7
Provide and maintain "EXIT" sign(s) with letters 5 or more inches in height over each required exit
SIGNS
(door /window) to fire escape. (CFC 1011.5.1)
8
Provide and maintain appropriate numbers on a contrasting background and visible from the street to
indicate the correct address of the building. (CFC 505)
9
Repair all (cracks /holes /openings) in plaster in (location) ......
FIRE DOORS/
FIRE SEPARATIONS
7
Plastering shall return the surface to its original fire resistive condition. (CFC 703.1)
1o�
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. (CFC 703.2)
exns
11
Remove all obstruction from hallways. Maintain all means of egress free of any storage. (CFC 1028.3)
12
Provide a contrasting colored and permanently installed electric light over or near required exit
(location) ______________________________ to clearly indicate it as an exit. (CFC 2403.12.6)
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.) (CFC 1028.3)
14
Extension cords shall not be used in lieu of permanent approved wiring. Install additional approved
ELECTRICAL APPLIANCES
t
electrical outlets where needed. (CFC 605.5)
15
Remove multiple attachment cords from specific electrical convenience outlet (one plug per outlet) (CFC
605.4)
OUTDOOR BURNING
16
Recreational fires or open burning. CFC 1102
FIREWORKS
17
Violations of Section 7802 (CFC) & 8.49.040 (B.M.C.). '
OTHER
18
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CUSTOMER: .� \ :) �') � )� 4�( p 1 1.. i {,f 1
C.F.C. CALIFORNIA FIRE CODE
C.B.C. CALIFORNIA BUILDING CODE
. --_ ignature) (Please Print Name Legibly, Title)
I
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B.M.C. BAKERSFIELD MUNICIPAL CODE
INSPECTOR: AP NO.:
N.P.P.A. NATIONAL FIRE PROTECTION
gnature)
ASSOCIATION
N.E.C. NATIONAL ELECTRIC CODE
FD 2022 (Rev. 03/08)
White - Customer /Original Yellow - Station Copy Pink - Prevention Services