HomeMy WebLinkAbout21 W JEFFERSON ST (3) OF W q TF INVOICE DATE DUE DATE INVOICE# TOTAL DUE
e 06/21/2023 07/25/2023 2023-00011285 $80.00
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Customer#: 23830 Please Make Check Payable and Remit To:
City of Waterloo
ATTN: City Clerk/Accounts Receivable
JIMMY JOHNS 715 Mulberry St
21 W JEFFERSON ST WATERLOO, IA 50703
WATERLOO, IA 50702
Amount Enclosed.
DETACH AND RETURN TOP PORTION WITH YOUR PAYMENT
KEEP THIS PORTION FOR YOUR RECORDS
COMMERCIAL INSPECTION-21 W JEFFERSON ST- 5-23-23 FOR BILLING INQUIRY: (319)291-4323
LDescription Total Price J
INSPECTION 2,000 $70.00
OCCUPANCY FEE $10.00
CUSTOMER# BILLING DATE DUE DATE INVOICE# CHARGES
23830 06/21/2023 07/25/2023 2023-00011285 $80.00
Less Prepayment $0.00
Total Due $80.00
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.
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WATERLOO FIRE RESCUE offrip
INSPECTION REPORT t t
IIMMYJOHNS,21 WJEFFERSON ST,BLDG 21 WJEFFERSON ST-STE 104,WATERLOO/A 50702 Oaw
DETAILS
Inspection Date:05/23/2023 ! Inspection Type:Annual Inspection(1Yr) j Inspection Number:7988 j Shift: N/A I Station: N/A I
Unit: N/A Lead Inspector:JEREMIAH VANDYKE j Other Inspectors: N/A Fee:$80.00
STATUS CODE DESCRIPTION
FAIL 1203.2.15-Means of egress Emergency power shall be provided for means of egress illumination in accordance
illumination. with Sections 1008.3 and 1104.5.1.
Inspector:JEREMIAH VANDYKE-Comments:Two emergency egress lights tested and
RJR failed. Must be repaired or replaced.
■ ' Location: 1.Hallway near bathroom.2.Sitting area above believe sign.
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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:JEREMIAH VANDYKE-Comments:Exit light tested and failed. Must be
repaired or replaced.
Location:Main entrance
GENERAL NOTES
JEREMIAH VANDYKE-05/23/2023 @ 16:22 Fire extinguisher serviced/compliant by Pro shield in April 2023.
Printed on 05/23/2023 @ 16:28
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GENERAL NOTES
JEREMIAH VANDYKE-05/23/2023 @ 16:22 10/21/2022 S-(Annual)Fire Sprinkler BLACKHAWK AUTOMATIC SPRINKLERS,INC.
Reviewed Compliant
JEREMIAH VANDYKE-05/23/2023 @ 16:22 02/01/2023 S-(Annual)Fire Alarm HAWKEYE ALARM Reviewed Compliant
JEREMIAH VANDYKE-05/23/2023 @ 16:23 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.
JEREMIAH VANDYKE-05/23/2023 @ 16:23 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-05/23/2023 @ 16:25 Inspection Fee=$80.00
REINSPECTION DATE
06/22/2023
CONTACT SIGNATURE
Jason Chavez Reason for not collecting a signature: NA
INSPECTOR SIGNATURE
JEREMIAH VANDYKE
gnedon:05/23/202316:27 ✓ \JI
QUESTIONS ABOUT YOUR INSPECTION?
JEREMIAH VANDYKE
jeremiah.vandyke@waterloo-ia.org
No phone number available
Printed on 05/23/2023 @ 16:28
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