HomeMy WebLinkAbout910 W 5TH ST INVOICE DA IT I .DUE DATE INVOICE# TOTAL DUE
f,+��i ��,,, 02/09/2018 03/15/2018 2018-00000169 $80.00
Customer#: 21972 Please Make Check Payable and Remit To:
City of Waterloo
ATTN: City Clerk/Accounts Receivable
UNA BAR AND RESTAURANT 715 Mulberry St
910 W 5TH ST WATERLOO, IA 50703
WATERLOO,IA 50702
Amount Enclosed:
DETACH AND RETURN TOP PORTION WITH YOUR PAYMENT
KEEP THIS PORTION FOR YOUR RECORDS
COMMERCIAL INSPECTION- 910 W 5TH ST- 1-26-18 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
21972 02/09/2018 03/15/2018 2018-00000169 $80.00
Less Prepayment $0.00
Total Due— $80.00
City of Waterloo
Commercial Fire Inspection Report
Inspection Number 1231
Prior Inspection 209
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* 910 West 5th Street
Business name Una Bar
Inspection Date* 1/26/2018
Proprietor Sam Semsudin
Business Phone 319-883-3285
Email* cindy.young@waterloo-ia.org
Email 2
Property Owner Sam Semsudin
Emergency Contact Sam Semsudin
Information
Phone 319-830-3454
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 Remove or repair lamp behind Nettv.plus sign.
4 Repair egress/exit light above pool table.
Ref# CODE Violation&Location Corrected
5 Remove disco balls from light fixture by pool table and by east end
of bar or provide documentation of proper listed use of fixture and
disco ball.
6 Remove power cord from ceiling to disco ball.
7 Properly mount circuit protected power taps on stage. Each must
plug directly into wall outlet.
8 Remove portable electric heater from kitchen or provide
documentation of proper use and clearances.
9 Remove propane tank from kitchen(building)and store outside
secured in an upright position.
10 Walk in coolers:
A. Properly contain exposed wiring in approved junction box or
remove.
B. Install correct light bulb in fixture and install moisture proof
cover.
C. Remove old light fixtures or install lamps .
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 Pro 3/17
Inspection Fee $ 70.00
Occupancy Fee $ 10.00
Re-inspection Fee $
Total Fee* $ 80.00
Received By Bartender
AN INVOICE OF THIS CHARGE WILL FOLLOW. DO NOT PAY FROM THIS FORM.
File Upload(for long
inspections)
Reinspection
Re-inspection# Date Time
1 2/14/2018