HomeMy WebLinkAbout905 FRANKLIN STREET - PEOPLE'S COMMUNITY HEALTH CLINIC OF W 4 rF INVOICE DATE DUE DATE INVOICE# TOTAL DUE
0 06/18/2026 07/23/2026 2026-00000568 $100.00
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Customer#: 10918 Please Make Check Payable and Remit To:
City of Waterloo
ATTN: City Clerk/Accounts Receivable
PEOPLES COMMUNITY HEALTH CLINIC 715 Mulberry St
905 FRANKLIN ST WATERLOO, IA 50703
WATERLOO,IA 50703
Amount Enclosed:
DETACH AND RETURN TOP PORTION WITH YOUR PAYMENT
KEEP THIS PORTION FOR YOUR RECORDS
COMMERCIAL FIRE INSPECTION- 905 FRANKLIN ST- 06/16/2026 FOR BILLING INQUIRY: (319)291-4323
Description Total Price
INSPECTION 2,000 HH $90.00
OCCUPANCY FEE $10.00
CUSTOMER# BILLING DATE DUE DATE INVOICE# CHARGES
10918 06/18/2026 07/23/2026 2026-00000568 $100.00
Less Prepayment $0.00
Total Due -* $100.00
City of Waterloo
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
rah Inspection Report 425 E.3rd Street
Q People's Community Health Clinic-905 Franklin ST,BLDG 905 Franklin St,Waterloo
IA 50703
INSPECTION DETAILS
Inspection Date Inspection Type Inspection Number
06/16/2026 Annual Inspection(1Yr) foeit0 ert 17141
Lead Inspector Shift Station Unit
JEREMIAH VANDYKE NIA N/A N/A
Other Inspectors
BRAD BALDWIN
SUMMARY OF INSPECTION
052 02 C19
Passed codes Failed codes N/A codes
NEXT STEPS
Please direct questions about your Inspection to: Reinspection Date
JEREMIAH VANDYKE
jeremiah.vandyke@waterloo-ia.org 07116f2026
GENERAL NOTES
JEREMIAH VANDYKE-06/16/2026 @ 16:02
All life safety systems are compliant per Compliance engine website.
JEREMIAH VANDYKE-06/1612026 @ 16:02
Dryer vents cleaned in house and logged June 2026.
JEREMIAH VANDYKE-06/16/2026 @ 16:03
Fire extinguishers serviced by Superior 2026.
JEREMIAH VANDYKE-06/16/2026 @ 16:03
Re-inspection dates are automatically generated 30 days out from the initial inspection.Normal operating hours for inspections&re-inspections are
Monday-Friday,8:00 a.m.-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-06/16/2026 @ 16:03
Lt.Van Dyke-jeremiah.vandyke@waterloo-ia.org-Work:319-291-4460-Cell:319-883-1615
JEREMIAH VANDYKE-06/16/2026 @ 16:03
Inspection Fee=$100.00(To be mailed out by City via snail mail.)
SIGNATURES
Contact signature Inspector signature
No signature
Report completed post inspection
GENERATED ON 6/16/26, 4:09 PM 1 OF 3
Dan Adams-Maintenance Date:
///7-
CHECKLISTS
Emergency Equipment
Seam Code Description
Fail 1203.2.15-Means of egress illumination.
Emergency power shall be provided for means of egress Location:1.Near room 1605.2.Basement north west wall(Old light)
illumination in accordance with Sections 1008.3 and 1104.5.1. 3.Near room 1706 X-Ray.4.Near room 1813.5.Near reception#2.6.
Near room 1401.7.Near room 2402.
Comments:Egress or Exit lighting tested and failed.Need to repair or
replace.
Fail 1203.4.3-Records.
Records of the inspection,testing and maintenance of Location:Discussed starting a log for exitlegress lighting for next
emergency and standby power systems shall include the date inspection.
of service,name of the servicing technician,a summary of Comments:Discussed starting a log for exitlegress lighting for next
conditions noted and a detailed description of any conditions inspection.
requiring correction and what corrective action was taken.
Such records shall be maintained.
GENERATED ON 6/16/26, 4:09 PM 2 OF 3
a
® Statement of Fees
FEE
Invoice Date Inspection Fee Date Paid Amount Paid
N/A $100.00
Invoice Number Check Number Transaction Number
NIA NIA NIA
GENERATED ON 6/16/26, 4:09 PM 3 OF 3