HomeMy WebLinkAbout905 FRANKLIN STINVOICE DATE
DUE DATE
INVOICE #
TOTAL DUE
07/09/2025
08/12/2025
2026-00000029
$100.00
Customer #: 10918
PEOPLES COMMUNITY HEALTH CLINIC
905 FRANKLIN ST
WATERLOO, IA 50703
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 - 905 FRANKLIN ST - 6-17-25
FOR BILLING INQUIRY: (319)291-4323
Description
INSPECTION 2,000 HH
OCCUPANCY FEE
Total Price
$90.00
$10.00
CUSTOMER #
10918
BILLING DATE
07/09/2025
DUE DATE
08/12/2025
INVOICE
2026-00000029
CHARGES
$100.00
Less Prepayment
Total Due —>
City of Waterloo
$0.00
$100.00
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 Rept:rit---
425' . 3rd Street
People's Community Health Clinic - 905 Franklin ST, BLDG 905 Franklin St, Waterloo
IA 50703
INSPE€T N DETAILS
Inspection Date
06117/2025
Lead Inspector
JEREMIAH VANDYKE
tnspection Type
Annual Inspection (1Yr)
\ i
Other Inspectors
Brad Baldwin, BROCK WELIVER
Shift
N/A
Inspection Number
15417
Station
NIA
Unit
NIA
SUMMARY OF INSPECTION
0 52
Passed codes
NEXT STEPS
01 020
Failed codes NIA codes
Please direct questions about your Inspection to:
JEREMIAH VANDYKE
jeremiah.vandyke@waterloo-ia.org
GENERAL NOTES
JEREMIAH VANDYKE - 06/18/2025 @ 09:11
5/13/2025 S - (Annual) Fire Sprinkler BLACKHAWK AUTOMATIC SPRINKLERS, INC. Reviewed Compliant
JEREMIAH VANDYKE - 06/18/2025 @ 09:12
2/18/2025 S - (Annual) Fire Alarm HAWKEYE ALARM Reviewed Compliant
JEREMIAH VANDYKE - 06/18/2025 @ 09:12
5/30/2024 S - 5 Year Sprinkler BLACKHAWK AUTOMATIC SPRINKLERS, INC. Reviewed Compliant
JEREMIAH VANDYKE - 06/18/2025 @ 09:14
Removed door stops for fire rated doors in rooms 1218 and 1212 during inspection.
JEREMIAH VANDYKE - 06/18/2025 @ 09:14
Dryer log last cleaned 6/212025.
JEREMIAH VANDYKE - 06/18/2025 @ 09:15
Egress and exit light testing last completed 6/2025.
JEREMIAH VANDYKE - 06/18/2025 @ 09:15
Fire extinguishers serviced by Superior Fire Feb. 2025.
Reinspection Date
07118/2025
JEREMIAH VANDYKE - 06/18/2025 @ 09:16
Re -inspection dates are automatically generated 30 days out from the initial inspection. Normal operating hours for inspections & re -inspections are
Monday a€" Friday, 8:00 a.m. a€" 5:00 p.m. If the automatically generated re -inspection date lands on a weekend, the re -inspection will typically be
performed the following Monday or Tuesday. If all corrections are made before the 30 days, you can call to set up an earlier re -inspection. ****"Re
inspection fees may be assessed for subsequent re -inspections. Re -inspection fees start at $100, then $150, and $200 for all subsequent re-inspections.-
JEREMIAH VANDYKE - 06/18/2025 @ 09:16
Lt. Van Dyke - jeremiah.vandyke@waterloo-ia.org a€" Work: 319-291-4460 - Cell: 319-883-1615
GENERATED ON 6/18/25, 9:18 AM 1 OF 3
JEREMIAH VANDYKE - 06118/2025 @ 09:16
Inspection Fee = $100.00 (To be mailed out by City via snail mail.)
SIGNATURES
Contact signature
No signature
NA
Dan Adams -Maintenance
CHECKLISTS
Electrical Safety
Status Code
Inspector signature
Date: JEREMIAH VANDYKE 0611812025
Fail 603.5.2
ORelocatable power taps and current taps shall be directly
connected to a permanently installed receptacle. Exceptions:
1. Where approved for use in a Group A occupancy or in a
meeting room in a Group B occupancy, not more than five
relocatable power taps shall be permitted to be connected
together or connected to an extension cord for temporary use
to supply power to electronic equipment. 2. Current taps and
relocatable power taps shall not be required to connect
directly to a permanently installed receptacle outlet where
used for 90 days or less for the purpose of testing the
performance of such devices.
Description
Location: 1. 2 East Provider office middle desk. 2. Room 1111 office.
Comments: Power strips are hanging and need to be secured.
GENERATED ON 6/18/25, 9:18 AM
2 OF 3
Statement of Fees
FEE
Invoice Date Inspection Fee
N/A $100.00
Invoice Number
NIA
Date Paid Amount Paid
Check Number Transaction Number
NIA NIA
GENERATED ON 6/18/25, 9:18 AM
3 OF 3