HomeMy WebLinkAbout619 SYCAMORE ST ► INVQICE DATE DUE DATE
j�/Ill INVOICE#
�� 'I'� TOTAL DUE
•,�.4It��j 02/09/2018 03/15/2018 2018-00000170 $80.00
11116.
Customer#: 8735
Please Make Check Payable and Remit To:
City of Waterloo
A TTN: City Clerk/Accounts Receivable
SYCAMORE CONVENIENCE 715 Mulberry St
619 SYCAMORE 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- 619 SYCAMORE ST- 1-30-18
I FOR BILLING INQUIRY: (319)291-4323
I
LDescription
Total Price J
INSPECTION 2,000
OCCUPANCY FEE $70.00
$10.00
CUSTOMER# I BILLING DATE I DUE DATE
INVOICE# CHARGES
8735 02/09/2018
03/15/2018 I 2018-00000170 $80.00
Less Prepayment $0.00
Total Due--f $80.00
City of Waterloo
REINSPECTION - Commercial Fire Inspection Form
Inspection Number 211
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 ��C\
Address* 617 Sycamore Street
Business Name Syvcamore Conveinance
Inspection Date* 1/30/2018
Proprietor John Eveland
Business Phone 319-234-5958
Email* john@nationalcigar.com
Email 2
Property Owner John Eveland
Emergency Contact John Evland
Information
Phone 319232-8140
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
owe
3 Properly mount circuit protected power tap behind poker
machine at front of store.
4 Remove portable electric heater from front of store or
provide documentation of proper use and clearances.
Ref# Code Vir• tion &Location Corrected
5 Basement:
A. Remove all obstructions from basement stairs.
B. Properly secure compressed gas cylinders to wall with
CHAIN.
C Remove extension cords and adapters from light
fixtures.
D. Remove propane from building.
6 Convenience Store:
Remove obstructions/combustible materials to and
around water heater. Maintain a minimum of 36"
clearance at all times.
Comments:
If violations noted during the inspection are not corrected by the given re-inspection date,additional fees
are as follows:
$100.60 -First Re-inspection I$150.00-Second Re-inspection I$200-Third and subsequent Re-inspections
Reports
Reports Fire Extinguisher Service
Comment
Inspection Fee $ 70.00
Occupancy Fee $ 10.00
Re-inspection Fee $
Total Fee* $ 80.00
Received By John Eveland
AN INVOICE OF THIS CHARGE WILL FOLLOW. DO NOT PAY FROM THIS FORM.
File Upload (for long
inspections)
Reinspection
Re-inspection Date Time
1 2/20/2018