HomeMy WebLinkAbout1106 LA PORTE RD INVOICE DATE DUE DATE INVOICE# TOTAL DUE
/oar iFil\ .• 06/04/2018 07/10/2018 2018-00000356 $80.00
Customer#: 4470 Please Make Check Payable and Remit To:
City of Waterloo
ATTN: City Clerk/Accounts Receivable
VIC'S LOUNGE 715 Mulberry St
P.O. BOX 1801 WATERLOO, IA 50703
Waterloo,IA 50704
Amount Enclosed:
DETACH AND RETURN TOP PORTION WITH YOUR PAYMENT
KEEP THIS PORTION FOR YOUR RECORDS
COMMERCIAL INSPECTION- 1106 LAPORTE RD - 6-5-18 FOR BILLING INQUIRY: (319)291-4323
[Description I Total Price
INSPECTION 2,000 $70.00
OCCUPANCY FEE $10.00
•
CUSTOMER# BILLING DATE DUE DATE INVOICE# CHARGES
4470 06/04/2018 07/10/2018 2018-00000356 $80.00
Less Prepayment $0.00
Total Due—* $80.00
City of Waterloo
Commercial Fire Inspection Report
Inspection Number 1519
Prior Inspection 461
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* 1106 La Porte Road
Business name Vic's Lounge
Inspection Date* 6/5/2018
Proprietor Diane Derifield
Business Phone 319-429-6632 319-269-8596
Email* derifield2@gmail.com
Email 2
Property Owner Diane Derifield
Emergency Contact Diane Derifield
Information
Phone 319-429-6632 319-269-8596
ViolatiOnS
Ref#
CODE Violation&Location Corrected
Replace dead man panel on electrical panel in front closet.
2 Properly secure compressed gas cylinders with CHAIN by pop at
front of bar.
3 Pizza oven:
A. Repair/replace faulty cord on oven
B.Verify clearance distances and remove combustible materials
(shelving)for oven.
4 Remove fryer or install proper kitchen hood with fire suppression
system.
• Ref# CODE Violation&Location Corrected
5 Replace missing ceiling panel in front room.
6 Provide annual service for fire extinguishers.
7 Remove latch on patio exit gate. Exit must be able to open with one
movement of hand with out special tools or knowledge.
8 Repair egress light by west end of bar.
Comments:
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
Comment
Inspection Fee $ 70.00
Occupancy Fee $ 10.00
Re-inspection Fee $
Total Fee* $ 80.00
Received By Bartender
AN INVOICE OF THIS CHARGE WILL FOLLOW.DO NOT PAY FROM THIS FORM.
File Upload(for long
inspections)
Reinspection
Re-inspection# Date Time
1 6/26/2018