HomeMy WebLinkAbout201 W 18TH ST INVOICE DATE DUE DATE INVOICE# TOTAL DUE
talumb, 02/08/2018 03/12/2018 2018-00000138 $80.00
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Customer#: 5728 Please Make Check Payable and Remit To:
City of Waterloo
ATTN: City Clerk/Accounts Receivable
WISHBONE 715 Mulberry St
201 W 18TH ST WATERLOO, IA 50703
WATERLOO,IA 50702
Amount Enclosed:
DETACH AND RETURN TOP PORTION WITH YOUR PAYMENT
KEEP THIS PORTION FOR YOUR RECORDS
COMMERCIAL INSPECTION-201 W 18TH ST- 1-9-18 FOR BILLING INQUIRY: (319)291-4323
LDescription Total Price
INSPECTION 2,000 $70.00
OCCUPANCY FEE $10.00
CUSTOMER# BILLING DATE DUE DATE INVOICE# CHARGES
5728 02/08/2018 03/12/2018 _ 2018-00000138 $80.00
Less Prepayment $0.00
Total Due $80.00
City of Waterloo
Commercial Fire Inspection Deport
Inspection Number 1187
Prior Inspection 174
Number Fill this field if it is available, it will auto-fill business name and address,
Inspector* Jeff Siebel
Waterloo Fire Rescue
715 Mulberry Street Waterloo, IA 50703
Phone(319)-230-1224 Fax: (319)-291-4262
Email: Jeff.Siebel@waterloo-ia.org
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Address* 201 West 18th Street
Business name Wishbone
Inspection Date* 1/9/2018
Proprietor Randy or Jim Wieman
Business Phone 319-234-4641
Email* wishboneii@hotmail.com
Email 2
Property Owner Jim Wieman
Emergency Contact Jim Wieman
Information
Phone 319-504-0495
Violations
Ref# CODE Violation &Location Corrected
1 609.3.3.1 Provide current semi-annual kitchen hood exhaust system
cleaning/inspection report with all deficiencies corrected.
2 904.11.6. Provide current semi-annual kitchen hood fire suppression system
2 inspection/testing with all deficiencies corrected by a contractor
certified to work in the State of Iowa
3 Properly mount circuit protected power tap by dart boards
4 Repair egress/exit light by kitchen back door.
5 Remove storage(chairs) Maintain a minimum of 36"clearance to
water heater in basement at all times.
Ref# CODE Violation t$.,Location Corrected
, .
6
Comments: 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 7/17 Proshield
Inspection Fee $ 70.00
Occupancy Fee S 10.00
Re-inspection Fee S
Total Fee* $ 80.00
Received By Jim Weiman
AN INVOICE OF THIS CHARGE WILL FOLLOW. DO NOT PAY FROM THIS FORM.
File Upload (for long
inspections)
Reinspection
Re-inspection# Date Time
1 1/30/2018