HomeMy WebLinkAbout1927 JEFFERSON ST INVOICE DATE DUE DATE INVOICE# TOTAL DUE
( jS) 11/16/2018 01/17/2019 2019-00010204 $80.00
(Nrloo Ao
Customer#: 23125 Please Make Check Payable and Remit To:
City of Waterloo
ATTN: City Clerk/Accounts Receivable
SABOR LATINO RESTAURANT 715 Mulberry St
1927 JEFFERSON ST WATERLOO, IA 50703
WATERLOO, IA 50701
Amount Enclosed:
DETACH AND RETURN TOP PORTION WITH YOUR PAYMENT
KEEP THIS PORTION FOR YOUR RECORDS
COMMERCIAL INSPECTION - 1927 JEFFERSON ST- 11-5-18 FOR BILLING INQUIRY: (319)291-4323
L Description I Total Price
INSPECTION 2,000 $70.00
OCCUPANCY FEE $10.00
CUSTOMER# BILLING DATE DUE DATE INVOICE# CHARGES
23125 11/16/2018 01/17/2019 _ 2019-00010204 $80.00
Less Prepayment $0.00
Total Due — $80.00
City of Waterloo
•
INSPECTION - Commercial Fire Inspection Form
Inspection Number 75
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* 1927 Jefferson
Business Name Sabor Latino Restaurant
Inspection Date* 11/5/2018
Proprietor Silvio Uriqs
Business Phone 917-443-0512
Email* uriassilvia@hotmail.com
Email 2
Property Owner Slivio Uriqs
Emergency Contact Silvio
Information
Phone 319-429-0377
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 Provide annual service for fire extinguishers and K-guard.
4 Repair exit/egress light by back door.
5 Install panic hardware with proper permits and
inspections on back exit wood door or remove door.
Comments: Grease waste receptacle container 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
Comment
Inspection Fee $ 70.00
Occupancy Fee $ 10.00
Re-inspection Fee $
Total Fee* $ 80.00
Received By Silvio Uriqs
AN INVOICE OF THIS CHARGE WILL FOLLOW. DO NOT PAY FROM THIS FORM.
File Upload (for long
inspections)
Reinspection
Re-inspection Date Time
1 11/26/2018