HomeMy WebLinkAbout506 W 9TH ST W4 r INVOICE DATE DUE DATE INVOICE# TOTAL DUE
11/01/2023 12/10/2023 2024-00000159 $80.00
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Customer#: 7635 Please Make Check Payable and Remit To:
City of Waterloo
ATTN: City Clerk/Accounts Receivable
KWIK STAR#380 715 Mulberry St
1626 OAK ST WATERLOO, IA 50703
LA CROSS, WI 54602
Amount Enclosed:
DETACH AND RETURN TOP PORTION WITH YOUR PAYMENT
KEEP THIS PORTION FOR YOUR RECORDS
COMMERCIAL INSPECTION- 506 W 9TH ST- 10-13-23 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
7635 11/01/2023 12/10/2023 2024-00000159 $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
INSPECTION REPORT 4:0D
KWIK STAR#380,506 W 9TH ST,BLDG 506 W 9TH ST,WATERLOO IA 50702
DETAILS
Inspection Date: 10/13/2023 1 Inspection Type:Annual Inspection(1 Yr) Inspection Number:8968 Shift: N/A Station: N/A
Unit: N/A Lead Inspector:JEFF SIEBEL Other Inspectors: N/A j Fee:$80.00
STATUS CODE DESCRIPTION
FAIL 102.4-Application of building The design and construction of new structures shall comply with the International
code. Building Code,and any alterations,additions,changes in use or changes in
structures required by this code,which are within the scope of the International
Building Code,shall be made in accordance therewith.
Inspector:JEFF SIEBEL-Comments:obtain final plumbing inspection for water heater
installed by Bergan Plumbing.Contact Bergan and tell them you need a final
inspection on water heater.
Location: Not Provided
t:
FAIL 1203.2.15-Means of egress Emergency power shall be provided for means of egress illumination in accordance
illumination. with Sections 1008.3 and 1104.5.1.
Inspector:JEFF SIEBEL-Comments:repair egress light by wine shelves
Location: Not Provided
FAIL 305.1 -Clearance from Clearance between ignition sources,such as luminaires,heaters,flame-producing
ignition sources. devices and combustible materials,shall be maintained in an approved manner.
Inspector:JEFF SIEBEL-Comments:Remove cardboard on ovens.Maintain proper
clearances to oven per manufacturers recommendations.
1110,* F-4,1
ems= 1Location:kitchen
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STATUS CODE DESCRIPTION
FAIL 603.2-Abatement of unsafe Identified electrical hazards shall be abated.Identified hazardous electrical conditions
conditions and electrical in permanent wiring shall be brought to the attention of the responsible code official.
hazards. Electrical wiring,devices,appliances and other equipment that is modified or
damaged and constitutes Conditions that constitute an electrical shock or fire hazard
shall be abated not be used.
Inspector:JEFF SIEBEL-Comments:Properly mount electrical control to wall.
Currently hanging by wires.
'10 Location:Above door to back room store on storage room side.
4.
is 1 i
FAIL 603.4-Working space and A working space of not Working space around electrical equipment shall be provided
clearancesclearance. in accordance with Section 110.26 of NFPA 70 for electrical equipment rated 1,000
volts or less,and Section 110.33 of NFPA 70 for electrical equipment rated over 1,000
volts.The minimum required working space shall be not less than 30 inches(762 mm)
in width,36 inches(914 mm)in depth and 78 inches(1981 mm)in height shall be
providedin front of electrical service equipment.Where the electrical service
�. ' - equipment is wider than 30 inches(762 mm),the minimum working space shall be
not less than the width of the equipment.Storage of materials shall not be located
within the designated working space.Exceptions: 1.Where other dimensions are
required or allowed by NFPA 70.2.Access openings into attics or under-floor areas
` that provide a minimum clear opening of 22 inches(559 mm)by 30 inches(762 mm).
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viej 'At lir Inspector:JEFF SIEBEL-Comments:Remove obstructions from electrical panel.
r Maintain a minimum of 36"clearance at all times.
Location: Back room
FAIL 603.9.4-Prohibited areas. Portable,electric space heaters shall not be operated within 3 feet(914 mm)of any
combustible materials.Portable,electric space heaters shall be operated only in
locations for which they are listed.
Inspector:JEFF SIEBEL-Comments:Remove electric heater from office.
Location:Office
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STATUS CODE DESCRIPTION
FAIL 606.3.3.3-Records. Records for inspections shall state the individual and company performing the
inspection,a description of the inspection and when the inspection took place.
Records for cleanings shall state the individual and company performing the cleaning
and when the cleaning took place.Such records shall be completed after each
inspection or cleaning and maintained.
Inspector:JEFF SIEBEL-Comments: Provide current semi-annual kitchen hood
cleaning inspection report with all discrepancies corrected.currently 25 days past
due.
Location: Not Provided
GENERAL NOTES
JEFF SIEBEL-10/16/2023 @ 08:46 annual inspection$80
REINSPECTION DATE
11/03/2023
CONTACT SIGNATURE
Kwik trip service i (- <4
Signed on:10/16/2023 @ 08:50
INSPECTOR SIGNATURE
JEFF SIEBEL
Signed on: 10/16/2023 @ 08:51
QUESTIONS ABOUT YOUR INSPECTION?
JEFF SIEBEL
Jeff.Siebel@Waterloo-ia.org
3192301224
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