HomeMy WebLinkAbout1515 LAFAYETTE ST INVOICE DATE DUE DATE INVOICE# TOTAL DUE
//-1P. � ; 02/15/2023 03/20/2023 2023-00011133 $100.00
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Customer#: 21445 Please Make Check Payable and Remit To:
City of Waterloo
ATTN: City Clerk/Accounts Receivable
WATERLOO WOMENS CENTER FOR CHANGE 715 Mulberry St
1515 LAFAYETTE ST WATERLOO, IA 50703
WATERLOO, IA 50703
Amount Enclosed:
DETACH AND RETURN TOP PORTION WITH YOUR PAYMENT
KEEP THIS PORTION FOR YOUR RECORDS
COMMERCIAL INSPECTION- 1515 LAFAYETTE ST- 1-10-23 FOR BILLING INQUIRY: (319)291-4323
CDescription Total Price
REINSPECTION 1 $100.00
CUSTOMER# BILLING DATE DUE DATE INVOICE# CHARGES
21445 02/15/2023 03/20/2023 2023-00011133 $100.00
Less Prepayment $0.00
Total Due—> $100.00
City of Waterloo
WATERLOO FIRE RESCUE 44PSERtop
INSPECTION REPORT
WOMEN'S CENTER FOR CHANGE,1515 LAFAYETTE ST,BLDG 1515 LAFAYETTE,WATERLOO/A e�,,�
507013 -
DETAILS
Inspection Date:01/10/2023 I Inspection Type:Annual Inspection(1Yr) I Inspection Number:7308 I Shift: N/A
Station:Station 1 Fire Headquarters I Unit: N/A I Lead Inspector:JEREMIAH VANDYKE I Other Inspectors: BROCK WELIVER
Fee:$100.00
VIOLATIONS
No Violations Found
GENERAL NOTES
JEREMIAH VANDYKE-01/10/2023 @ 14:08 Fire extinguisher serviced/compliant by Proshield on 1/2022. Has contractor scheduled
to have it serviced.
JEREMIAH VANDYKE-01/10/2023 @ 14:09 08/08/2022 S-5 Year Sprinkler BLACKHAWK AUTOMATIC SPRINKLERS,INC.Reviewed
Compliant
JEREMIAH VANDYKE-01/10/2023 @ 14:09 07/21/2022 S-(Annual)Fire Sprinkler BLACKHAWK AUTOMATIC SPRINKLERS,INC.
Reviewed Compliant
JEREMIAH VANDYKE-01/10/2023 @ 14:10 07/20/2022 S-(Annual)Fire Alarm HAWKEYE ALARM Reviewed Compliant
JEREMIAH VANDYKE-01/10/2023 @ 14:10 07/19/2022 S-(Semi-Annual)Kitchen Exhaust PROSHIELD FIRE&SECURITY Reviewed
Compliant
JEREMIAH VANDYKE-01/10/2023 @ 14:10 07/19/2022 S-Kitchen Hood Suppression PROSHIELD FIRE&SECURITY Reviewed
Compliant
JEREMIAH VANDYKE-01/10/2023 @ 14:15 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.
Printed on 01/10/2023 @ 14:25
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GENERAL NOTES
JEREMIAH VANDYKE-01/10/2023 @ 14:15 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-01/10/2023 @ 14:15 Inspection Fee=$100.00
JEREMIAH VANDYKE-01/10/2023 @ 14:15 Generator and Load bank serviced/compliant by Pioneer Critical power on 11/10/2022
and 4/25/2022.
NEXT INSPECTION DATE
01/19/2024
CONTACT SIGNATURE
Blake Burton Contact Refused
Refusal Reason:N/A emailed.
INSPECTOR SIGNATURE
JEREMIAH VANDYKE VL
Signed on:01/10/2023 @ 14:24
QUESTIONS AMOUT YOUR INSPECTION?
JEREMIAH VANDYKE
jeremiah.vandyke@waterloo-ia.org
No phone number available
Printed on 01/10/2023 @ 14:25
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