HomeMy WebLinkAbout2181 LOGAN AVE INVOICE DATE DUE DATE INVOICE# TOTAL DUE
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11r, 02/09/2018 03/15/2018 2018-00000153 $100.00
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Customer#: 4431 Please Make Check Payable and Remit To:
City of Waterloo
ATTN: City Clerk/Accounts Receivable
HY-VEE#2 715 Mulberry St
2181 LOGAN AV WATERLOO, IA 50703
WATERLOO,IA 50703
Amount Enclosed:
DETACH AND RETURN TOP PORTION WITH YOUR PAYMENT
KEEP THIS PORTION FOR YOUR RECORDS
COMMERCIAL INSPECTION-2181 LOGAN AVE-2-6-18 FOR BILLING INQUIRY: (319)291-4323
LDescription I Total Price
INSPECTION 20,000 $90.00
OCCUPANCY FEE $10.00
CUSTOMER# BILLING DATE DUE DATE INVOICE# CHARGES
4431 02/09/2018 03/15/2018 2018-00000153 $100.00
Less Prepayment $0.00
Total Due $100.00
City of Waterloo
' REINSPECTION - Corn -rcial Fire Inspection Form
Inspection Number 230
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* 2181 Logan Avenue
Business Name Hy-Vee
Inspection Date* 2/6/2018
Proprietor Lucas Chapman
Business Phone 319-234-8627
Email* 1863mgrper1@hy-vee.com
Email 2
Property Owner Lucas Chapman
Emergency Contact Lucas Chapman
Information
Phone 319-504-8483
Violations
Code Violation &Location Corrected
Ref#
1 NFPA 25 Provide current annual fire sprinkler system
inspection/testing report with all deficiencies corrected by
a contractor certified to perform work in the State of Iowa.
Report dated 7/7/17 from Black Hawk Sprinkler lists
discrepancies. Provide documentation of corrections
being completed.
2 Provide annual generator service report with all
discrepancies corrected.
3 Provide annual generator load bank test with all
discrepancies corrected.
4 609.3.3.1 Provide current semi-annual kitchen hood exhaust
system cleaning/inspection report with all deficiencies
corrected.
Ref# Code Violation &Location Corrected
5 904.11.6.2 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
6 Provide documentation of emergency egress/exit light
report with all discrepancies corrected with a signature
and date.
7 Side dock door:
A. Install permanent red sign with white letters within 12
inches of the exit door hardware on the inside stating "
PUSH UNTL ALARM SOUNDS. DOOR CAN BE OPENED
IN 15 SECONDS. "
B. Install permanent red sign on outside of dock door
stating"Do not Block Fire Door"
8 Electrical room upstairs:
Remove obstructions. Maintain a minimum of 36"
clearance to electric panels and transformers at tall
times.
Dispose of open containers old compressor oil.
9 Replace missing ceiling tiles in fruit slicing area.
10 Replace all missing and broken grease filters in main
kitchen exhaust hood.
11 Clean or replace loaded head in Cafe
12 Remove extension cords to reach in coolers by Aisle#1.
Install permanent outlets with proper permits and
inspections.
13 Replace missing ceiling tile by water fill station
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 Annual Fire Alarm
Comment A plus 12/14/17 Mike Benafuel
Reports
Comment Private Hydrant Inspection by Black Hawk Sprinkler 7/7117
Reports Fire Extinguisher Service
Comment Superior 1/18
^ . - Inspection Fee Seo.O0
, . . .
Occupancy Fee 01o.Oo
me'inopectionpwo $
Total Fee* $ 100.00
Received By Lucas Chapman
»m INVOICE OpTHIS CHARGE WILL FOLLOW. o0 NOT PAY FROM THIS FORM.
File Upload (for long
inspections)
Re/OSpectiOD
Re-inspection Date Time
1 2/27/2018