HomeMy WebLinkAbout619 SYCAMORE ST INVOICE DATE DUE DATE INVOICE# TOTAL DUE
/I,,---41-
rf, 02/16/2023 03/20/2023 2023-00011161 $80.00
Customer#: 8735 Please Make Check Payable and Remit To:
City of Waterloo
ATTN: City Clerk/Accounts Receivable
SYCAMORE CONVENIENCE 715 Mulberry St
619 SYCAMORE 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 - 619 SYCAMORE ST- 1-30-23 FOR BILLING INQUIRY: (319)291-4323
LDescription I Total Price
INSPECTION 2,000 $70.00
OCCUPANCY FEE $10.00
CUSTOMER# BILLING DATE DUE DATE INVOICE# CHARGES
8735 02/16/2023 03/20/2023 2023-00011161 $80.00
Less Prepayment $0.00
Total Due $80.00
City of Waterloo
\ \C\
%•
/^/���`� OC\
WATERLOO FIRE RESC ; ' 1-, 4,,,Entoo
INSPECTION REPORT
SYCAMORE CONVIENENCE STORE,617 SYCAMORE ST,BLDG 617 SYCAMORE ST-STE 619
1
SYCAMORE,WATERLOO/A 50703 42400
‘C ‘1
DETAILS
Inspection Date:01/30/2023 Inspection Type:Annual Inspection(1Yr) j Inspection Number:7502 Shift: N/A Station: N/A
Unit: N/A Lead Inspector:JEFF SIEBEL ! Other Inspectors: N/A I Fee:$80.00
STATUS CODE DESCRIPTION
FAIL 315.3-Storage in buildings. Storage of materials in buildings shall be orderly and stacks shall be stable.Storage
of combustible materials shall be separated from heaters or heating devices by
distance or shielding so that ignition cannot occur.
Inspector:JEFF SIEBEL-Comments:clear 36"path in basement for fire department.
maintain path clear of obstructions.
FAIL 5303.5.3-Securing Compressed gas containers,cylinders and tanks shall be secured to prevent falling
compressed gas containers, caused by contact,vibration or seismic activity.Securing of compressed gas
cylinders and tanks. containers,cylinders and tanks shall be by one of the following methods: 1.Securing
containers,cylinders and tanks to a fixed object with one or more restraints.
2.Securing containers,cylinders and tanks on a cart or other mobile device designed
for the movement of compressed gas containers,cylinders or tanks.3. Nesting of
compressed gas containers,cylinders and tanks at container filling or servicing
facilities or in sellers'warehouses not open to the public.Nesting shall be allowed
provided that the nested containers,cylinders or tanks,if dislodged,do not obstruct
the required means of egress.4.Securing of compressed gas containers,cylinders
and tanks to or within a rack,framework,cabinet or similar assembly designed for
such use. Exception:Compressed gas containers,cylinders and tanks in the process
of examination,filling,transport or servicing.
Inspector:JEFF SIEBEL-Comments:properly CHAIN all compressed gas cylinders in
basement.
Printed on 01/31/2023 @ 08:19
Page 1 of 3
STATUS CODE DESCRIPTION
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 fire extinguisher service. Due 2/1
GENERAL NOTES
JEFF SIEBEL-01/31/2023 @ 08:16 annual inspection$80
JEFF SIEBEL-01/31/2023 @ 08:18 cooking equipment disconnected and not in use at this time.
REINSPECTION DATE
03/01/2023
CONTACT SIGNATURE
John Eveland(Sarah) / cJ -k>
Signed on:01/31/2023 @ 08:15
INSPECTOR SIGNATURE
JEFF SIEBEL
Signed on:01/31/2023 @ 08:16
Printed on 01/31/2023 @ 08:19
Page 2 of 3
QUESTIONS AMOUT YOUR INSPECTION?
JEFF SIEBEL
Jeff.Siebel@Waterloo-ia.org
3192301224
Printed on 01/31/2023 @ 08:19
Page 3 of 3