HomeMy WebLinkAbout210 E TOWER PARK RDINVOICEDATE
DUE DATE
INVOICE #
TOTAL DUE
01/25/2024
02/28/2024
2024-00000255
$610.00
Customer #: 10758
SAM'S CLUB #6514
210 E TOWER PARK DR
WATERLOO, IA 50701
Please Make Check Payable and Remit To:
City of Waterloo
ATTN: City Clerk/Accounts Receivable
715 Mulberry St
WATERLOO, IA 50703
Amount Enclosed:
DETACH AND RETURN TOP PORTION WITH YOUR PAYMENT
KEEP THIS PORTION FOR YOUR RECORDS
COMMERCIAL INSPECTION - 210 E TOWER PARK DR - 1-19-24
FOR BILLING INQUIRY: (319)291-4323
[ Description
INSPECTION 100,000
OCCUPANCY FEE
Total Price j
$600.00
$10.00
CUSTOMER #
BILLING DATE
DUE DATE
INVOICE #
CHARGES
10758
01/25/2024
02/28/2024
2024-00000255
$610.00
Less Prepayment
Total Due —>
City of Waterloo
$0.00
8610.00
Failure to pay in full debts listed herein within ninety days of the due date will result in an additional twenty-five percent
late fee applied to any outstanding balance. The delinquent account will be forwarded to Municipal Collections of
America for further collection efforts. Debts shall also be subject to collection through the Iowa Department of
Administrative Services Offset Program if not paid in full within ninety days.
WATERLOO FIRE RESCUE
INSPECTION REPORT
SAM'S CLUB, 210 E TOWER PARK DR, BLDG 210 E TOWER PARK DR, WATERLOO IA 50701
DETAILS
Inspection Date: 01/19/2024 ; Inspection Type: Annual Inspection (1Yr) ; Inspection Number: 9743 I Shift: N/A Station: N/A
Unit: N/A j Lead Inspector: JEFF SIEBEL j Other Inspectors: JEREMIAH VANDYKE I Fee: $600.00
VIOLATIONS AND COMPLIANCES
Showing only violations and images for this inspection. Please reach out to the lead inspector for more details.
Resolved Violations: 0 I Passed Codes: 54 I Violations: 5 I N/A Codes: 14
STATUS CODE DESCRIPTION
FAI L
1203.2.15 - Means of egress Emergency power shall be provided for means of egress illumination in
illumination. accordance with Sections 1008.3 and 1104.5.1.
Inspector: JEFF SIEBEL - Comments: test and repair egress light
Location: back kitchen area
FAIL 1203.2.6 - Exit signs. Emergency power shall be provided for exit signs as required in Section 1013.6.3.
The system shall be capable of powering the required load for a duration of not
less than 90 minutes.
Inspector: JEFF SIEBEL - Comments: repair exit light , face fell off
Location: SE Door #26
FAIL 1203.4.3 - Records. Records of the inspection, testing and maintenance of emergency and standby
power systems shall include the date of service, name of the servicing technician,
a summary of conditions noted and a detailed description of any conditions
requiring correction and what corrective action was taken. Such records shall be
maintained.
Inspector: JEFF SIEBEL - Comments: Provide documentation of testing of all
emergency egress/exit lights including egress lights above exit doors with all
deficiencies corrected with signature and date.
Location: entire store
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STATUS CODE DESCRIPTION
FAIL 5.2.1 - Annual sprinkler Sprinklers shall be inspected at least annually by licensed contractor
system inspection
FAI L
Inspector: JEFF SIEBEL - Comments: Annual Fire Inspection dated 8/22/23 Lists
discrepancies . Contractor must upload corrections online to the compliance
engine.
Location: Not Provided
Table 8.1.1.2 - Fire pump Fire pump being tested (run)? Weekly for diesel/monthly for electric.
inspection, testing, and
maintenance Inspector: JEFF SIEBEL - Comments: Provide current annual fire pump inspection
report with all discrepancies corrected. Contractor must upload report online to
the compliance engine. currently 169 days past due. If engine maintenance
report not included with fire pump report, email current engine service report
with all discrepancies corrected to fire inspector.
GENERAL NOTES
JEFF SIEBEL - 01/23/2024 @ 14:36
JEFF SIEBEL - 01/23/2024 @ 14:37
JEFF SIEBEL - 01/23/2024 @ 14:37
REINSPECTION DATE
02/09/2024
Location: Fire Pump
annual inspection $600
Fire door drop test in tire center 4/2023
fire extinguishers due in March 2024
Printed on 01/23/2024 @ 14:47
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CONTACT SIGNATURE
Josh Marx - Club Manager
Signed on: 01/23/2024 @ 14:41
INSPECTOR SIGNATURE
JEFF SIEBEL
Signed on: 01/23/2024 @ 14:41
QUESTIONSAIOUT YOUR INSPECTION?
JEFF SIEBEL
Jeff.Siebel@Waterloo-ia.org
3192301224
r-__,_ „ ci L y
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