HomeMy WebLinkAbout437 SULLIVAN INVOICE DATE DUE DATE INVOICE# TOTAL DUE
(Da
018 05/10/201'8 2018-00000255 $50.00
04/03/2.41::.,.., i
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Customer#: 21828 Please Make Check Payable and Remit To:
City of Waterloo
ATTN: City Clerk/Accounts Receivable
715 Mulberry St
JIM'S FOOD 437 SULLIVAN AV WATERLOO, IA 50703
WATERLOO,IA 50701
Amount Enclosed:
DETACH AND RETURN TOP PORTION WITH YOUR PAYMENT
KEEP THIS PORTION FOR YOUR RECORDS
COMMERCIAL INSPECTION-437 SULLIVAN-3-12-18 FOR BILLING INQUIRY: (319)291-4323 I
Total Price
[Description
INSPECTION 1 $40.00
OCCUPANCY FEE $10.00
INVOICE
CUSTOMER# BILLING DATE DUE DATE 2018-0000# CHARGES $50 00
21828 04/03/2018 05/10/2018
Less Prepayment $0.00
Total Due--÷ $50.00
City of Waterloo
Commercial Fire Inspection Report
Inspection Number 1347
Prior Inspection 480
Number Fill this field if it is available, it will auto-fill business name and address.
Inspector* Jeff Siebel
Waterloo Fire Rescue
715 Mulberry Street Waterloo, IA 50703
Phone(319)-230-1224 Fax. (319)-291-4262
Email:Jeff.Siebel@waterloo-ia.org
File Upload
Address* 437 Sullivan
Business name Jim's Food
Inspection Date* 3/12/2018
Proprietor Jeffrey Jassari
Business Phone 319-234-3000
Email* Zjaf97@gmail.com
Email 2 Cindy.young@waterloo-ia.org
Property Owner Jeffrey Jassari
Emergency Contact Jeffrey Jassari
Information
Phone 414-595-3302
Violations
Ref# CODE Violation &Location Corrected
1 609.3.3.1 Provide current semi-annual kitchen hood exhaust system
cleaning/inspection report with all deficiencies corrected.
2 904.11.6. Provide current semi-annual kitchen hood fire suppression system
2 inspection/testing with all deficiencies corrected by a contractor
certified to work in the State of Iowa
3 Immediately stop using range and portable fryer. Disconnect power
and remove or relocate under hood with proper fire suppression
protection.
CODE Violation &Location Corrected
Ref#
4 Remove all extension cords.All freezers, coolers and heat
producing appliances must plug directly into a permanent wall
outlet. Install permanent power with proper permits and inspections.
(Repeat violation)
Comments: Fire Inspection conducted for kitchen area only-for re-opening.
Oily waste receptacle on site.
If violations noted during the inspection are not corrected by the given re-inspection date,additional fees
are as follows:
$100.00-First Re-inspection I$150.00-Second Re-inspection I$200-Third and subsequent Re-inspections
Reports
Reports Fire Extinguisher Service
Comment Superior 6/17
Inspection Fee $ 40.00
Occupancy Fee $ 10.00
Re-inspection Fee $
Total Fee* $ 50.00
Received By Jerffrey Jassari
AN INVOICE OF THIS CHARGE WILL FOLLOW. DO NOT PAY FROM THIS FORM.
File Upload (for long
inspections)
Reinspection
Re-inspection# Date Time
1 4/6/2018