HomeMy WebLinkAbout618 SYCAMORE ST (2) O W A T INVOICE DATE DUE DATE INVOICE# TOTAL DUE
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< 08/01/2023 09/05/2023 2024-00000077 $80.00
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Customer#: 21840 Please Make Check Payable and Remit To:
City of Waterloo
ATTN: City Clerk/Accounts Receivable
BROWN DERBY BALLROOM 715 Mulberry St
215 E 4TH 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- 618 SYCAMORE ST- 7-31-23 FOR BILLING INQUIRY: (319)291-4323
L Description I Total Price
INSPECTION 2,000 $70.00
OCCUPANCY FEE $10.00
CUSTOMER# BILLING DATE DUE DATE INVOICE# CHARGES
21840 08/01/2023 09/05/2023 2024-00000077 $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.
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WATERLOO FIRE RESCUE 44PtERLoo a\
INSPECTION REPORT
BROWN DERBY,618 SYCAMORE ST,BLDG 618 SYCAMORE ST,WATERLOO/A 50703 42406
DETAILS
Inspection Date:07/31/2023 Inspection Type:Annual Inspection(1Yr) j Inspection Number:8745 Shift: N/A Station: N/A
Unit: N/A Lead Inspector:JEFF SIEBEL I Other Inspectors: N/A Fee:$80.00
STATUS CODE DESCRIPTION
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
Location:by front door
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
Location: 1st floor Men's restroom
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
Location:Top of the back stairs for Apt 5
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 light
Location:By elevator 2nd floor
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 light
Location:By Unit 2
Printed on 08/01/2023 @ 09:43
Page 1 of 3
STATUS CODE DESCRIPTION
FAIL 705.2.4-Door operation. Swinging fire doors shall close from the full-open position and latch automatically.
Inspector:JEFF SIEBEL-Comments: Fire door by elevator must completely self-close
and latch.
Location:2nd floor by elevator
FAIL 705.2.4-Door operation. Swinging fire doors shall close from the full-open position and latch automatically.
Inspector:JEFF SIEBEL-Comments:Remove foot drop down hold open devices from
the fire doors. Must self close and latch.Hold open devices connected to the fire
alarm system are allowed.
Location:2nd floor men's and women's restrooms.
FAIL 705.2.6-Testing. Horizontal and vertical sliding and rolling fire doors shall be inspected and tested
annually to confirm proper operation and full closure. Records of inspections and
testing shall be maintained.
Inspector:JEFF SIEBEL-Comments: Provide documentation of current annual fire
door drop test.label illegible.
Location:2nd floor elevator fire door
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-S
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 inspection.
Location:entire building
Printed on 08/01/2023 @ 09:43
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STATUS CODE DESCRIPTION
FAIL 906.7-Hangers and brackets. Hand-held portable fire extinguishers,not housed in cabinets,shall be installed on
the hangers or brackets supplied. Hangers or brackets shall be securely anchored to
the mounting surface in accordance with the manufacturer's installation instructions.
Inspector:JEFF SIEBEL-Comments:All fire extinguishers must be properly mounted
Location: Not Provided
GENERAL NOTES
JEFF SIEBEL-08/01/2023 @ 09:43 annual inspection$80
REINSPECTION DATE
08/21/2023
CONTACT SIGNATURE
Matt K. /
Signed on:08/01/2023 @ 09:40 / `� i
/'-1 --t
INSPECTOR SIGNATURE
JEFF SIEBEL
Signed on:08/01/2023 @ 09:41
QUESTIONS ABOUT YOUR INSPECTION?
JEFF SIEBEL
Jeff.Siebel@Waterloo-ia.org
3192301224
Printed on 08/01/2023 @ 09:43
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