HomeMy WebLinkAbout1600 OLYMPIC DR • INVOICE DATE DUE DATE INVOICE# TOTAL DUE
��/4 03/01/2018 04/05/2018 2018-00000211 $100.00
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Customer#: 3311 Please Make Check Payable and Remit To:
City of Waterloo
ATTN: City Clerk/Accounts Receivable
SUNNYSIDE COUNTRY CLUB 715 Mulberry St
1600 OLYMPIC DR WATERLOO, IA 50703
WATERLOO,IA 50701
Amount Enclosed:
DETACH AND RETURN TOP PORTION WITH YOUR PAYMENT
KEEP THIS PORTION FOR YOUR RECORDS
COMMERCIAL INSPECTION- 1600 OLYMPIC DR-2-28-18 FOR BILLING INQUIRY: (319)291-4323
[Description Total Price
INSPECTION 20,000 $90.00
OCCUPANCY FEE $10.00
CUSTOMER# BILLING DATE DUE DATE INVOICE# CHARGES
3311 03/01/2018 04/05/2018 2018-00000211 $100.00
Less Prepayment $0.00
Total Due—> $100.00
City of Waterloo
i
Com rcial Fire Inspection Report
Inspection Number 1327
Prior Inspection 262
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* 1600 Olympic Drive
Business name Sunnyside Country Club
Inspection Date* 2/28/2018
Proprietor Blake Watson
Business Phone 319-234-1707
Email* bwatson@sunnysidecountryclub.com
sunnysidecountryclub.com
Email 2 judy@sunnysidecountryclub.com
Property Owner Blake Watson
Emergency Contact Blake Watson
Information
Phone 334-701-1271
Violations
CODE Violation &Location Corrected
Ref#
1 904.11.6. 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
2 NFPA 72 Provide current annual fire alarm inspection/testing report with all
deficiencies corrected by a contractor certified to perform work in
the State of Iowa.
3 Provide emergency egress/exit light testing report with all
discrepancies corrected with a signature and date.
4 Replace missing moisture proof light fixture cover in kitchen walk in
cooler.
Ref q CODE Violation &LocaCcfn
Corrected
5 Remove circuit protected power tap daisy chained in pro shop to
cash register.
6
Comments: Obtain final inspection for area of building under construction. Test remaining
exit/egress light
Fire Sprinkler due in April
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 Annual Fire Sprinkler
Comment Black Hawk 4/3/17 Main
4/3/17 Proshop
Inspection Fee $ 90,00
Occupancy Fee $ 10.00
Re-inspection Fee $
Total Fee* $ 100.00
Received By Blake Watson
AN INVOICE OF THIS CHARGE WILL FOLLOW. DO NOT PAY FROM THIS FORM.
File Upload (for long
inspections)
Reinspection
Re-inspection# Date Time
1 4/5/2018