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Customer #: 9993
APPLEBEE'S
2780 CROSSSROADS BLVD
WATERLOO, IA 50702
INVOICE DATE
DUE DATE
INVOICE #
TOTAL DUE
05/20/2025
06/25/2025
2025-00000349
$80.00
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 - 2780 CROSSROADS BLVD - 4-17-25
FOR BILLING INQUIRY: (319)291-4323
Description
INSPECTION 2,000
OCCUPANCY FEE
Total Price
$70.00
$10.00
CUSTOMER #
BILLING DATE
DUE DATE
INVOICE #
CHARGES
9993
05/20/2025
06/25/2025
2025-00000349
$80.00
Less Prepayment
Total Due —>
City of Waterloo
$0.00
$80.00
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
Applebee's - 2780 Crossroads BLVD, BLDG 2780 Crossroads Blvd, Waterloo IA
50702
INSPECTION DETAILS
Inspection Date
04/17/2025
Lead Inspector
JEFF SIEBEL
Inspection Type
Annual Inspection (1Yr)
°\ 425 E. 3rd Street
Other Inspectors
N/A
Shift
N/A
Inspection Number
13861
Station Unit
N/A NIA
SUMMARY OF INSPECTION
0 34
Passed codes
NEXT STEPS
0 7 ® 35
Failed codes NIA codes
Please direct questions about your Inspection to:
JEFF SIEBEL
Jeff.Siebel@Waterloo-ia.org, 3192301224
FEE
Invoice Date Inspection Fee
N/A $80.00
Date Paid Amount Paid
Reinspection Date
05/12/2025
Invoice Number Check Number Transaction Number
N/A N/A N/A
GENERAL NOTES
JEFF SIEBEL - 04/21/2025 @ 15:51
annual inspection $80
SIGNATURES
Contact signature Inspector signature
Eric Gielau
04/21/2025 JEFF SIEBEL 04121/2025
CHECKLISTS
Emergency Equipment
Status Code Description
Fail 1203.2.15
0 Emergency power shall be provided for means of egress Location: North Side dining
illumination in accordance with Sections 1008.3 and 1104.5.1.
Fail 1203.2.15
Comments: repair egress light
GENERATED ON 4/21/25, 10:51 AM
1 OF 3
0 Emergency power shall be provided for means of egress Location: by eixt door to go orders.
illumination in accordance with Sections 1008.3 and 1104.5.1.
Fire Alarm System
Status Code
Fail Chapter 14
Fire alarm system tested at least annually by licensed
contractor
General Housekeeping
Status
Fail
Code
304.3.1
Materials susceptible to spontaneous ignition, such as oily
rags, shall be stored in a listed disposal container. Contents
of such containers shall be removed and disposed of daily.
Electrical Safety
Comments: repair egress lights.
Description
Location: Fire Alarm Inspection Report
Comments: Provide current fire alarm inspection report. Currently 44
days past due. Contractor must upload online to the complicance
engine.
Description
Location: kitchen.
Comments: purchase new oily waste container. current one has lid
broken off.
Status Code Description
Fail 603.4
A working space of not Working space around electrical Location: By express delivery pick up
equipment shall be provided in accordance with Section Comments: remove obstructions (shelving) in front of electrical
110.26 of NFPA 70 for electrical equipment rated 1,000 volts or panel. Maintain a minimum of 36" clearance.
Tess, and Section 110.33 of NFPA 70 for electrical equipment
rated over 1,000 volts. The minimum required working space
shall be not less than 30 inches (762 mm) in width, 36 inches
(914 mm) in depth and 78 inches (1981 mm) in height shall be
providedin front of electrical service equipment. Where the
electrical service equipment is wider than 30 inches (762
mm), the minimum working space shall be not less than the
width of the equipment. Storage of materials shall not be
located within the designated working space. Exceptions: 1.
Where other dimensions are required or allowed by NFPA 70.
2. Access openings into attics or under -floor areas that
provide a minimum clear opening of 22 inches (559 mm) by 30
inches (762 mm).
Fire Resistant Construction Maintenance
Status Code Description
Fail 704.1
QWhere required when the building was originally constructed, Location: Both storage rooms in kitchen
materials and systems used to protect joints and voids in the Comments: replace missing ceiling tile in storage rooms. Smoke/heat
following locations shall be maintained. The materials and will not function properly without tiles.
systems shall be securely attached to or bonded to the
adjacent construction, without openings visible through the
construction. 1.Joints in or between fire -resistance -rated
walls, floors or floor/ceiling assemblies and roof or
roof/ceiling assemblies. 2.Joints in smoke barriers. 3.Voids at
the intersection of a horizontal floor assembly and an exterior
curtain wall. 4.Voids at the intersection of a horizontal smoke
barrier and an exterior curtain wall. 5.Voids at the intersection
of a nonfire-resistance-rated floor assembly and an exterior
curtain wall. 6.Voids at the intersection of a vertical fire
barrier and an exterior curtain wall. 7.Voids at the intersection
of a vertical fire barrier and a nonfire-resistance-rated roof
GENERATED ON 4/21/25, 10:51 AM
2 OF 3
assembly. Unprotected joints and voids do not need to be
protected where such joints and voids were not required to
be protected when the building was originally
constructed. Where the system design number is known, the
system shall be inspected to the listing criteria and
manufacturer's installation instructions.
Additional Codes
Status
Fail
O
Code
907.8.4
The building owner shall be responsible to maintain the fire
and life safety systems in an operable condition at all times.
Service personnel shall meet the qualification requirements
of NFPA 72 for inspection, testing and maintenance of such
systems. Records of inspection, testing and maintenance
shall be maintained.
Description
Location: South Dining room
Comments: remove tape from smoke detector.
GENERATED ON 4/21/25, 10:51 AM
3 OF 3