HomeMy WebLinkAbout2039 CROSSROADS BLVD #101 f . INVOICE DATE DUE DATE INVOICE# TOTAL DUE
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Customer#: 23094 Please Make Check Payable and Remit To:
City of Waterloo
ATTN: City Clerk/Accounts Receivable
HARBOR FREIGHT 715 Mulberry St
2039 CROSSROADS BLVD#101 WATERLOO, IA 50703
WATERLOO,IA 50702
Amount Enclosed:
DETACH AND RETURN TOP PORTION WITH YOUR PAYMENT
KEEP THIS PORTION FOR YOUR RECORDS
COMMERCIAL INSPECTION-2039 CROSSROADS BLVD#101 -9-
5-18 I FOR BILLING INQUIRY: (319)291-4323
LDescription
Total Price j
INSPECTION 2,000
$70.00
OCCUPANCY FEE
$10.00
CUSTOMER# I BILLING DATE DUE DATE I INVOICE#
23094 09/04/2018 10/10/2018 CHARGES
2019-00010139
$80.00
Less Prepayment $0.00
Total Due--p $80.00
City of Waterloo
Commercial Fire Inspection Report
Inspection Number 1777
Prior Inspection Fill this field if it is available, it will auto-fill business name and address.
Number
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* 2039 Crossroads Blvd#101
Business name Harbor Freight
Inspection Date* 9/5/2018
Proprietor Tim Nieman
Business Phone 319-232-1825
Email* MGRhft756@harborfreight.com
Email 2 SLSMGR756@harborfreight.com
Property Owner
Emergency Contact GM Tim Nieman
Information
Phone 319-2301792
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 Repair exit door on dock. Door must unlatch and swing to full open
with less than 15#force.
Comments: Provide access to other side of building.
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 Bell 10/17
Inspection Fee S 70.00
Occupancy Fee S 10.00
Re-inspection Fee S
Total Fee* S 80.00
Received By Tim Nieman
AN INVOICE OF THIS CHARGE WILL FOLLOW. DO NOT PAY FROM THIS FORM.
File Upload (for long
inspections)
Reinspection
Re-inspection# Date Time
1 9/26/2018