HomeMy WebLinkAbout120 SUMNER ST INVOICE DATE DUE DATE INVOICE# TOTAL DUE
+�, a F.111 12/14/2022 01/20/2023 2023-00011107 $80.00
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Customer#: 23516 Please Make Check Payable and Remit To:
City of Waterloo
ATTN: City Clerk/Accounts Receivable
CLUB LEGACY 715 Mulberry St
120 SUMNER 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- 120 SUMNER ST- 11-29-22 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
23516 12/14/2022 01/20/2023 2023-00011107 $80.00
Less Prepayment $0.00
Total Due —* $80.00
City of Waterloo
WATERLOO FIRE RESCUE �P�ER`oo
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INSPECTION REPORT
CLUB LEGACY,120 SUMNER ST,BLDG 120 SUMNER ST,WATERLOO IA 50703
DETAILS
Inspection Date: 11/29/2022 ; Inspection Type:Annual Inspection(1Yr) i Inspection Number:7208 1 Shift: N/A I Station: N/A
Unit: N/A Lead Inspector:JEFF SIEBEL Other Inspectors: N/A I Fee:$80.00
STATUS CODE DESCRIPTION
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 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 accessible to the public. Nesting shall be
allowed provided 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:secure compressed gas cylinder behind bar with
chain.
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.
GENERAL NOTES
JEFF SIEBEL-11/30/2022 @ 09:50 annual inspection$80
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GENERAL NOTES
JEFF SIEBEL-11/30/2022 @ 09:51 obstruction(garbage can)removed from outside of exit door during inspection.
REINSPECTION DATE
01/02/2023
CONTACT SIGNATURE
Trice Scott
Signed on: 11/30/2022 @ 09:51 �t �
1/
INSPECTOR SIGNATURE
JEFF SIEBEL
Signed on: 11/30/2022 @ 09:51
QUESTIONS ABOUT YOUR INSPECTION?
JEFF SIEBEL
Jeff.Siebel@Waterloo-ia.org
3192301224
Printed on 11/30/2022 @ 09:53
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