HomeMy WebLinkAbout428 FRANKLIN (2) INVOICE DATE DUE DATE INVOICE# TOTAL DUE
/114 1 I I"
l�� FIR, M- 12/17/2018 01/30/2019 2019-00010216 $80.00
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Customer#: 13289 Please Make Check Payable and Remit To:
City of Waterloo
ATTN: City Clerk/Accounts Receivable
X-O FOODS &LIQUOR 715 Mulberry St
428 FRANKLIN ST WATERLOO, IA 50703
WATERLOO,IA 50703
Amount Enclosed:
DETACH AND RETURN TOP PORTION WITH YOUR PAYMENT
KEEP THIS PORTION FOR YOUR RECORDS
COMMERCIAL INSPECTION-428 FRANKLIN- 11-16-18 FOR BILLING INQUIRY: (319)291-4323
LDescription I Total Price
INSPECTION 2,000 $70.00
OCCUPANCY FEE $10.00
CUSTOMER# BILLING DATE DUE DATE INVOICE# CHARGES
13289 12/17/2018 01/30/2019 2019-00010216 $80.00
Less Prepayment $0.00
Total Due-- $80.00
City of Waterloo
( omrrArcial Fire Inspection Report
Inspection Number 1907
Prior Inspection 145
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* 428 Franklin Street
Business name XO food and Liquor
Inspection Date* 11/16/2018
Proprietor Andrea Quinto Enrique
Business Phone 319-234-8977
Email* kaur777@aol.com
Email 2
Property Owner Kashmir Kaur
Emergency Contact Kashmir Kaur
Information
Phone 319-450-5422
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.
Clean grease filters. Filters are extremely greasy.
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 Remove hanging plastic from ceiling by kitchen.
4 Repair egress/exit light above main exit door.
Ref# CODE Violation &Location Corrected
5 Remove extension cord to South Beach Freezer. Install permanent
power with proper permits and inspections.
6 Reduce storage in back room to a minimum of 24"below ceiling
and lights in back room
7 Remove obstructions, provide a minimum of 36"clearance to
electrical panels and K-guard extinguisher at all times.
8 Replace cracked and damaged gas pump hoses:
A. Pump 2
B. Pump 3
C. Pump 4
9 Repair/replace outlet cover in front of building.
10 Allow inspector opportunity to test emergency fuel stop button for
gas pumps.
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 Fire Extinguisher Service
Comment Hawkeye Fire Equipment 8/18
Inspection Fee $ 70.00
Occupancy Fee $ 10.00
Re-inspection Fee $
Total Fee* $ 80.00
Received By Andrea Enrique
AN INVOICE OF THIS CHARGE WILL FOLLOW. DO NOT PAY FROM THIS FORM.
File Upload (for long
inspections)
Reinspection
Re-inspection# Date Time
1 12/7/2018