HomeMy WebLinkAbout437 SULLIVAN INVOICE DATE DUE DATE INVOICE# TOTAL DUE
hT\gli 05/16/2018 06/20/2018 2018-00000323 $150.00
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Customer#: 21828 Please Make Check Payable and Remit To:
City of Waterloo
ATTN: City Clerk/Accounts Receivable
JIM'S FOOD 715 Mulberry St
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 -5-2-18 FOR BILLING INQUIRY: (319)291-4323
L Description ( Total Price
REINSPECTION 2 $150.00
CUSTOMER# BILLING-DATE DUE DATE INVOICE# CHARGES
21828 05/16/2018 06/20/2018 2018-00000323 $150.00
Less Prepayment $0.00
Total Due $150.00
City of Waterloo
'REINSPECTION - Commercial Fire Inspection Form
Inspection Number 480
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* 5/2/2018
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.
2 904.11.6,2 Provide current semi-annual kitchen hood fire
suppression system 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.
Ref# _ Code Violation &Location Corrected
4 Remc-fe 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.
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 $
Occupancy Fee $
Re-inspection Fee $ 150.00
Total Fee* $ 150.00
Received By Store clerk
AN INVOICE OF THIS CHARGE WILL FOLLOW. DO NOT PAY FROM THIS FORM.
File Upload(for long
inspections)
Reinspection
Re-inspection Date Time
3 5/23/2018