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Home My WebLink About210 E TOWER PARK DR INVOICE DATE DUE DATE INVOICE# TOTAL DUE n��ailk ter„. 02/09/2018 03/15/2018 2018-00000145 $610.00 m Customer#: 10758 Please Make Check Payable and Remit To: City of Waterloo ATTN: City Clerk/Accounts Receivable SAM'S CLUB #6514 715 Mulberry St 210 E TOWER PARK DR WATERLOO, IA 50703 WATERLOO,IA 50701 Amount Enclosed: DETACH AND RETURN TOP PORTION WITH YOUR PAYMENT KEEP THIS PORTION FOR YOUR RECORDS COMMERCIAL INSPECTION-210 E TOWER PARK DR- 1-19-18 FOR BILLING INQUIRY: (319)291-4323 [Description I Total Price J INSPECTION 100,000 $600.00 OCCUPANCY FEE $10.00 CUSTOMER# BILLING DATE DUE DATE INVOICE# CHARGES 10758 02/09/2018 03/15/2018 2018-00000145 $610.00 Less Prepayment $0.00 Total Due $610.00 City of Waterloo Commercial Fire Inspection Report Inspection Number 1214 Prior Inspection 210 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* 210 East Tower Park Drive Business name Sam's Club Inspection Date* 1/19/2018 Proprietor Jason Ford Business Phone 319-236-9933 Email* jaford.s06514.us@samsclub.com Email 2 Cavideg.us@samsclub.com Property Owner Emergency Contact Jason Ford information Phone 843-290-9211 Violations Ref# CODE Violation &Location Corrected 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 5/25/17 lists deficiencies. Provide documentation of all deficiencies corrected. 2 609.3.3.1 Provide current semi-annual kitchen hood exhaust system cleaning/inspection report with all deficiencies corrected. 3 904.11.6. 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 Ref# CODE Violation &Location Corrected 4 Provide documentation of fire pump engine service with all discrepancies corrected. 5 Remove obstructions(snow and ice)to East exit doors. Doors must open with less than 15#force and have a clear path to a public way. 6 Repair exit light by Ecolab station 26/27 7 Provide access to fire pump room for fire inspection. 8 Remove electric heater from taste and tip or provide documentation of proper clearances and use. 9 Repair light fixtures in both freezers. 10 Repair outside egress light by Ecolab station 9 11 Repair exit light and outside egress light by Eco lab 7. 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 Walmart Security with Iowa license 5/17/17 Reports Emergency Egress Exit and Egress Lights Testing. Comment Dillon Lancaster 11/17/17 Reports Fire Door Comment Cornell Storefront System 2/17/17 Reports Fire Extinguisher Service Comment Hawkeye Fire Equip 3/17 Reports Comment Fire Pump flow test by Viking Automatic Sprinklers 5/25/17 Reports Comment Private Fire Hydrant Test/Inspection 5/25/17 Viking Automatic Sprinklers Inspection Fee $ 600.00 Occupancy Fee $ 10.00 Re-inspection Fee $ Total Fee* $ 610.00 Received By Jason Ford AN INVOICE OF THIS CHARGE WILL FOLLOW. DO NOT PAY FROM THIS FORM. File Upload (for long inspections) Reinspection Re-inspection# Date Time 1 2/9/2018