HomeMy WebLinkAbout244 ASH ST W 4 INVOICE DATE DUE DATE INVOICE# TOTAL DUE
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11/15/2023 12/20/2023 2024-00000163 $80.00
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Customer#: 11613 Please Make Check Payable and Remit To:
City of Waterloo
ATTN: City Clerk/Accounts Receivable
KNIGHTS OF PYTHIAS 715 Mulberry St
244 ASH 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 -244 ASH ST- 10-17-23 FOR BILLING INQUIRY: (319)291-4323
Description I Total Price
INSPECTION 2,000 $70.00
OCCUPANCY FEE $10.00
CUSTOMER# BILLING DATE DUE DATE INVOICE# CHARGES
11613 11/15/2023 12/20/2023 2024-00000163 $80.00
Less Prepayment $0.00
Total Due— $80.00
City of Waterloo
Failure to pay in full debts listed herein within ninety days of the due date will result in an additional twenty-five percent
late fee applied to any outstanding balance. The delinquent account will be forwarded to Municipal Collections of
America for further collection efforts. Debts shall also be subject to collection through the Iowa Department of
Administrative Services Offset Program if not paid in full within ninety days.
WATERLOO FIRE RESCUE \ \\0\72 �pSER40O
INSPECTION REPORT /'
KNIGHTS OF PYTHIAS-FURGERSON LODGE G5,244 ASH ST,BLDG 244 ASH ST, WATERLOO IA 1
50703 `1
DETAILS
Inspection Date: 10/17/2023 I Inspection Type:Annual Inspection(1Yr) Inspection Number:9525 ; Shift: N/A ; Station: N/A
Unit: N/A ! Lead Inspector:JEFF SIEBEL j Other Inspectors: N/A ( Fee:$80.00
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 current annual service for fire
extinguishers. Receipt may be emailed to Jeff.Siebel@waterloo-ia.org
Location:three locations
GENERAL NOTES
JEFF SIEBEL-10/18/2023 @ 13:48 Annual Inspection$80
JEFF SIEBEL-10/18/2023 @ 14:06 email documentation of fire extinguisher service.
REINSPECTION DATE
11/07/2023
Printed on 10/18/2023 @ 14:07
Page 1 of 2
CONTACT SIGNATURE
Al Oliver (cc'
/Signed on: 10/18/2023 @ 13:50
INSPECTOR SIGNATURE
JEFF SIEBEL
Signed on: 10/18/2023 @ 13:50
QUESTIONS AIOUT YOUR INSPECTION?
JEFF SIEBEL
Jeff.Siebel@Waterloo-ia.org
3192301224
Printed on 10/18/2023 @ 14:07
Page 2 of 2