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Home My WebLink About1608 UNIVERSITY AVE P. INVOICE DATE DUE DATE /lil INVOICE# TOTAL DUE 04/27/2023 05/30/2023 2023-00011218 $80.00 MAW �fe►'1 :3— � `3 Customer#: 3423 Please Make Check Payable and Remit To: City of Waterloo ATTN: City Clerk/Accounts Receivable FAMILY DOLLAR STORE 715 Mulberry St 500 VOLVO PARKWAY WATERLOO, IA 50703 CHESAPEAKE, VA 23320 Amount Enclosed: DETACH AND RETURN TOP PORTION WITH YOUR PAYMENT KEEP THIS PORTION FOR YOUR RECORDS COMMERCIAL INSPECTION- 1608 UNIVERSITY AVE -3-17-23 FOR BILLING INQUIRY: (319)291-4323 1 LDescription Total Price INSPECTION 2,000 OCCUPANCY FEE $70.00 $10.00 CUSTOMER# BILLING DATE 1 DUE DATE 3423 INVOICE# CHARGES 04/27/2023 05/30/2023 I 2023-00011218 $80.00 Less Prepayment $0.00 Total Due —* $80.00 City of Waterloo WATERLOO FIRE RESCUE a �PSER�pO INSPECTION REPORT litt FAMILY DOLLAR-SUITE A, 1608 UNIVERSITY AYE,BLDG 1608 UNIVERSITY AVE-STE SUITE A, WATERLOO IA 50701 04;0 DETAILS Inspection Date:03/17/2023 j Inspection Type:Annual Inspection(1Yr) 1 Inspection Number:9853 1 Shift: N/A 1 Station: N/A Unit: N/A I Lead Inspector:JEFF SIEBEL I Other Inspectors: N/A 1 Fee:$80.00 VIOLATIONS No Violations Found GENERAL NOTES JEFF SIEBEL-03/20/2023 @ 07:57 ceiling tile replaced in entry and tank secured as a result of inspection.No other violations noted at this time. NEXT INSPECTION DATE 03/15/2025 CONTACT SIGNATURE Scott Andrews GM 2023 fcj Signed on:03/20/2023 @ 07:58 INSPECTOR SIGNATURE JEFF SIEBEL Signed on:03/20/2023 @ 07:58 QUESTIONS ABOUT YOUR INSPECTION? JEFF SIEBEL Jeff.Siebel@Waterloo-ia.org 3192301224 Printed on 03/20/2023 @ 08:03 Page 1 of 1 WATERLOO FIRE RESCUE 3�P�ER�pp INSPECTION REPORT A EL PATRON,301 E 4TH ST,BLDG 301 E 4TH ST,WATERLOO IA 50703 r DETAILS Inspection Date:02/28/2023 ; Inspection Type:Annual Inspection(1Yr) j Inspection Number:7465 Shift: N/A Station: N/A Unit: N/A Lead Inspector:JEFF SIEBEL Other Inspectors: N/A ; Fee:$80.00 STATUS CODE DESCRIPTION FAIL 603.6-Extension cords. Extension cords and flexible cordsshall not be a substitute for permanent wiring and shall be listed and labeled in accordance with UL 817.Extension cords and flexible cordsshall not be affixed to structures,extended through walls,ceilings or floors,or under doors or floor coverings,nor shall such cords be subject to environmental damage or physical impact. Extension cords shall be used only with portable appliances. Extension cords marked for indoor use shall not be used outdoors. Inspector:JEFF SIEBEL-Comments: Remove extension cords and install permanent outlet with permits and inspections:A. in office to freezer B.in basement to sump pump FAIL 606.3.3.3-Records. Records for inspections shall state the individual and company performing the inspection,a description of the inspection and when the inspection took place. Records for cleanings shall state the individual and company performing the cleaning and when the cleaning took place.Such records shall be completed after each inspection or cleaning and maintained. Inspector:JEFF SIEBEL-Comments:Provide current semi-annual kitchen hood exhaust cleaning inspection report with all discrepancies corrected.Contractor must upload online to the compliance engine. FAIL 906.2-General requirements. Portable fire extinguishers shall be selected, installed and maintained in accordance with this section and NFPA 10. Exceptions:1.The distance of travel to reach an extinguisher shall not apply to the spectator seating portions of Group A-5 occupancies.2.Thirty-day inspections shall not be required and maintenance shall be allowed to be once every 3 years for dry-chemical or halogenated agent portable fire extinguishers that are supervised by a listed and approved electronic monitoring device,provided that all of the following conditions are met:2.1.Electronic monitoring shall confirm that extinguishers are properly positioned, properly charged and unobstructed.2.2.Loss of power or circuit continuity to the electronic monitoring device shall initiate a trouble signal.2.3.The extinguishers shall be installed inside of a building or cabinet in a noncorrosive environment.2.4.Electronic monitoring devices and supervisory circuits shall be tested every 3 years when extinguisher maintenance is performed.2.5.A written log of required hydrostatic test dates for extinguishers shall be maintained by the owner to verify that hydrostatic tests are conducted at the frequency required by NFPA 10.3.In Group 1-3,portable fire extinguishers shall be permitted to be located at staff locations. Inspector:JEFF SIEBEL-Comments:provide annual service for fire extinguishers. Printed on 02/28/2023 @ 15:41 Page 1 of 2 GENERAL NOTES JEFF SIEBEL-02/28/2023 @ 15:29 annual inspection$80 JEFF SIEBEL-02/28/2023 @ 15:35 maintain a minimum clear path of 36"in basement at all times. REINSPECTION DATE 03/21/2023 CONTACT SIGNATURE Migeul Palomares Signed on:02/28/2023 @ 15:35 �� .1 /11 1--) Ci INSPECTOR SIGNATURE JEFF SIEBEL Signed on:02/28/2023 @ 15:35 QUESTIONS AMOUT YOUR INSPECTION? JEFF SIEBEL Jeff.Siebel@Waterloo-ia.org 3192301224 Printed on 02/28/2023 @ 15:41 Page 2of2