HomeMy WebLinkAbout2060 CROSSROADS BLVD (2) INVOICE PATE DUE DATE INVOICE# TOTAL DUE
/iv."��\ r,. 02/09/2018 03/15/2018 2018-00000144 $80.00
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Customer#: 3954 Please Make Check Payable and Remit To:
City of Waterloo
ATTN: City Clerk/Accounts Receivable
PAYLESS SHOE SOURCE 715 Mulberry St
2060 CROSSROADS BLVD - SUITE 115 WATERLOO, IA 50703
WATERLOO,IA 50702
Amount Enclosed:
DETACH AND RETURN TOP PORTION WITH YOUR PAYMENT
KEEP THIS PORTION FOR YOUR RECORDS
COMMERCIAL INSPECTION-2060 CROSSROADS BLVD- 1-22-18 FOR BILLING INQUIRY: (319)291-4323
TDescription I Total Price J
INSPECTION 2,000 $70.00
OCCUPANCY FEE $10.00
CUSTOMER# BILLING DATE DUE DATE INVOICE# CHARGES
3954 02/09/2018 03/15/2018 2018-00000144 $80.00
Less Prepayment $0.00
Total Due- $80.00
City of Waterloo
om rcial Fire Inspection Report
Inspection Number 1222
Prior Inspection Fill this field if it is available, it will auto-fill business name and address.
Number
Inspector* Chris Ferguson
Waterloo Fire Rescue
425 E 3rd Street Waterloo, IA 50703
Phone(319)493-1025
Email:chris.ferguson@waterloo-ia.org
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Address* 2060 Crossroads Bvld
Business name Payless Shoesource
Inspection Date* 1/22/2018
Proprietor Payless Shoesource#867
Business Phone 319-291-6664
Email* voelkerdebra@yahoo.com
Email 2
Property Owner Crossroads Center
Emergency Contact
Information
Phone
Violations
Ref# CODE Violation &Location Corrected
1 2015 IFC: Section 1031.4- Exit Signs: Exit sign at main entryway did
not function wtien test button was pressed. Corrective action:
repair/replace above item so that sign will illuminate when test
button is pushed.
2 2015 IFC: Section 906.1 Inspection,testing, maintenance: Fire
detection...extinguishing systems shall be maintained in an
operative condition at all times. Blackhawk Sprinklers identified 6
sprinkler heads that were dirty and need cleaning during their
annual inspection. Please contact a licensed sprinkler contractor to
have heads cleaned as necessary.
Comments: Please feel free to contact me with any questions or concerns. Have above items
corrected or a plan of correction in place by the re-inspection date below to avoid
any additional fees.Thank you for your time and cooperation.
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 Fire Extinguishers were tagged current for annual and gauge was in the green.
Inspection Fee $ 8 .
Occupancy Fee $ 10.00
Re-inspection Fee $
Total Fee* $ 90.00
Received By
AN INVOICE OF THIS CHARGE WILL FOLLOW. DO NOT PAY FROM THIS FORM.
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inspections)
Reinspection
Re-inspection# Date Time
1 2/19/2018 11:00pm