HomeMy WebLinkAbout3815 UNIVERSITY AVE INVOICE DATE DUE DATE INVOICE# TOTAL DUE
���,,�Ria ,; 02/16/2023 03/20/2023 2023-00011162 $80.00
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Customer#: 12631 Please Make Check Payable and Remit To:
City of Waterloo
ATTN: City Clerk/Accounts Receivable
DOLLAR GENERAL 715 Mulberry St
100 MISSION RIDGE WATERLOO, IA 50703
GOODLETTSVILLE, TN 37072
Amount Enclosed:
DETACH AND RETURN TOP PORTION WITH YOUR PAYMENT
KEEP THIS PORTION FOR YOUR RECORDS
COMMERCIAL INSPECTION-3815 UNIVERSITY AVE-2-2-23 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
12631 02/16/2023 03/20/2023 2023-00011162 $80.00
Less Prepayment $0.00
Total Due $80.00
City of Waterloo
WATERLOO FIRE RESCUE y,„Ep,.00
INSPECTION REPORT \
DOLLAR GENERAL,3815 UNIVERSITYAVE,BLDG 3815 UNIVERSITYAVE,WATERLOO/A 50701
DETAILS
Inspection Date:02/02/2023 Inspection Type:Annual Inspection(1Yr) j Inspection Number:7334 I Shift: N/A I Station: N/A I
Unit: N/A ; Lead Inspector:JEFF SIEBEL 1 Other Inspectors: N/A i Fee:$80.00
STATUS CODE DESCRIPTION
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:JEFF SIEBEL-Comments:repair exit/egress above dock door.
FAIL 603.5-Relocatable power Multiplug adapters,such as cube adapters,unfused plug strips or any other device
taps and current not complying with NFPA 70 shall be prohibited.The construction and use of current
taps.Multiplug adapters. taps and relocatable taps shall be in accordance with NFPA 70 and this code.
Inspector:JEFF SIEBEL-Comments:remove multi-plug adapter from office breakroom
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 extinguisher in
break room.
GENERAL NOTES
JEFF SIEBEL-02/08/2023 @ 08:39 annual inspection$80
Printed on 02/08/2023 @ 08:47
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REINSPECTION DATE
03/01/2023
CONTACT SIGNATURE
corporate F
Signed on:02/08/2023 @ 08:43
INSPECTOR SIGNATURE
JEFF SIEBEL
Signed on:02/08/2023 @ 08:39
QUESTIONS ASOUT YOUR INSPECTION?
JEFF SIEBEL
Jeff.Siebel@Waterloo-ia.org
3192301224
Printed on 02/08/2023 @ 08:47
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