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Home My WebLink About1761 INDEPENDENCE AVE (2) • W A 7. INVOICE DATE DUE DATE INVOICE# TOTAL DUE 0 09/01/2021 10/05/2021 2022-00000048 $80.00 v 0 • I' rt #sr%�r��rsi�s, f • _ +r.r._ Customer#: 23302 Please Make Check Payable and Remit To: City of Waterloo ATTN: City Clerk/Accounts Receivable K-ZAR 715 Mulberry St 1761 INDEPENDENCE AVE WATERLOO, IA 50703 WATERLOO, IA 50703 Amount Enclosed: DETACH AND RETURN TOP PORTION WITH YOUR PAYMENT KEEP THIS PORTION FOR YOUR RECORDS COMMERCIAL INSPECTION - 1761 INDEPENDENCE AVE- 7-27-21 FOR BILLING INQUIRY: (319)291-4323 I_Description Total Price INSPECTION 2,000 $70.00 OCCUPANCY FEE $10.00 CUSTOMER# BILLING DATE DUE DATE INVOICE# CHARGES 23302 09/01/2021 10/05/2021 2022-00000048 $80.00 Less Prepayment $0.00 Total Due—> $80.00 City of Waterloo Failure to pay in full debts listed herein within ninety days of the due date will result in an additional twenty-five percent late fee applied to any outstanding balance. The delinquent account will be forwarded to Municipal Collections of America for further collection efforts. Debts shall also be subject to collection through the Iowa Department of Administrative Services Offset Program if not paid in full within ninety days. W INVOICE ATE DUE DATE INVOICE'# TOTAL DUE ® ,q,tD 09/01/2021 10/05/2021 2022-00000058 $80.00 .a i • III SKID II II tit O ...... Customer#: 23302 Please Make Check Payable and Remit To: City of Waterloo ATTN: City Clerk/Accounts Receivable K-ZAR 715 Mulberry St 1761 INDEPENDENCE AVE WATERLOO, IA 50703 WATERLOO, IA 50703 Amount Enclosed: DETACH AND RETURN TOP PORTION WITH YOUR PAYMENT KEEP THIS PORTION FOR YOUR RECORDS COMMERCIAL INSPECTION- 1761 INDEPENDENCE AVE- 8-17-21 FOR BILLING INQUIRY: (319)291-4323 L Description I Total Price INSPECTION 2,000 $70.00 OCCUPANCY FEE $10.00 CUSTOMER# BILLING DATE DUE DATE INVOICE# CHARGES 23302 09/01/2021 10/05/2021 2022-00000058 $80.00 Less Prepayment $0.00 Total Due —4 $80.00 City of Waterloo Failure to pay in full debts listed herein within ninety days of the due date will result in an additional twenty-five percent late fee applied to any outstanding balance. The delinquent account will be forwarded to Municipal Collections of America for further collection efforts. Debts shall also be subject to collection through the Iowa Department of Administrative Services Offset Program if not paid in full within ninety days. ATERLO • INSPECTION REPORT K-ZAR, 1761 INDEPENDENCE AVE,BLDG 1761 INDEPENDENCE AVE,WATERLOO IA S0703 DETAILS Inspection Date:07/27/2021 E Inspection Type:Annual Inspection(1Yr) I Inspection Number:4860 I Shift: N/A I Station: N/A I Unit: N/A I Lead Inspector:JEFF SIEBEL Other Inspectors: N/A I Fee:$80.00 VIOLATIONS AND COMPLIANCES Showing only violations and images for this inspection. Please reach out to the lead inspector for more details. Resolved Violations:0 I Passed Codes:29 I Violations:6 I N/A Codes:39 STATUS CODE DESCRIPTION FAIL 605.5-Extension cords Extension cords and flexible cords shall not be a substitute for permanent wiring. Extension cords and flexible cords shall not be affixed to structures,extended through walls,ceilings or floors,or under doors or floor coverings,nor shall such cords be subject to environmental damage or physical impact. Extension cords shall be used only with portable appliances. Inspector:JEFF SIEBEL-Comments:Remove extension cord from the fish game. Install permanent outlet with permits and inspections. Location: Not Provided FAI 605.6-Unapproved Open junction boxes and open-wiring splices shall be prohibited.Approved conditions covers shall be provided for all switch and electrical outlet boxes. Inspector:JEFF SIEBEL-Comments:Install missing breakers or listed blanks in electrical panel by walk in cooler door. Location:Not Provided FAI 609.3.3-Cleaning Hoods,grease-removal devices,fans,ducts and other appurtenances shall be cleaned at intervals as required by Sections 609.3.3.1 through 609.3.3.3. Inspector:JEFF SIEBEL-Comments:Provide current semi-annual kitchen hood exhaust system cleaning/inspection with all discrepancies corrected.Contractor must upload online to the compliance engine.Currently 236 days overdue. Location:Not Provided Printed on 01/08/2024 @ 11:45 Page 1 of 4 STATUS CODE DESCRIPTION FAIL 609.3.3.3-Records Records for inspections shall state the individual and company performing the inspection,a description of the inspection and when the inspection took place. Records for cleanings shall state the individual and company performing the cleaning and when the cleaning took place.Such records shall be completed after each inspection or cleaning and maintained. Inspector:JEFF SIEBEL-Comments: Provide current semi-annual kitchen hood exhaust system cleaning/inspection and fire suppression inspection reports with all discrepancies corrected.Contractor must upload online to the compliance engine. Location: Not Provided FAIL 703.1 -Maintenance The required fire-resistance rating of fire-resistance-rated construction, including,but not limited to,walls,firestops,shaft enclosures, partitions,smoke barriers,floors,fire-resistive coatings and sprayed fire-resistant materials applied to structural members and fire-resistant joint systems,shall be maintained.Such elements shall be visually inspected by the owner annually and properly repaired, restored or replaced where damaged,altered, breached or penetrated. Records of inspections and repairs shall be maintained.Where concealed,such elements shall not be required to be visually inspected by the owner unless the concealed space is accessible by the removal or movement of a panel,access door,ceiling tile or similar movable entry to the space. Openings made therein for the passage of pipes,electrical conduit,wires,ducts,air transfer openings and holes made for any reason shall be protected with approved methods capable of resisting the passage of smoke and fire. Openings through fire-resistance-rated assemblies shall be protected by self-or automatic- closing doors of approved construction meeting the fire protection requirements for the assembly. Inspector:JEFF SIEBEL-Comments:replace missing ceiling tile by fish game above lunch baggies. Location: Not Provided Printed on 01/08/2024 @ 11:45 Page 2 of 4 • STATUS CODE DESCRIPTION FAIL 904.12.6.2-Extinguishing Automatic fire-extinguishing systems shall be serviced at least every six months system service and after activation of the system. Inspection shall be by qualified individuals,and a certificate of inspection shall be forwarded to the fire code official upon completion. Inspector:JEFF SIEBEL-Comments:Provide current semi-annual kitchen hood exhaust system fire suppression inspection report with all discrepancies corrected.Contractor must upload online to the compliance engine.Currently 152 days overdue. Location:Not Provided GENERAL NOTES JEFF SIEBEL-07/28/2021 @ 08:50 annual inspection$80 JEFF SIEBEL-07/28/2021 @ 08:50 fire extinguishers due August. REINSPECTION DATE 08/17/2021 CONTACT SIGNATURE Muhammad AAmir `i4 } Signed on:07/28/2021 @ 08:51 • INSPECTOR SIGNATURE JEFF SIEBEL Signed on:07/28/2021 @ 08:51 Printed on 01/08/2024 @ 11:45 Page 3 of 4 • QUESTIONS ReouT YOUR INSPECTION? JEFF SIEBEL Jeff.Siebel@Waterloo-ia.org 3192301224 Printed on 01/08/2024 @ 11:45 Page 4 of 4 PAYMENT DATE City of Waterloo BATCH NO. 10/12/2023 715 Mulberry St 2024-04000358 COLLECTION STATION Waterloo, IA 50703 RECEIPT NO. COUNTER 1 (319) 291-4323 2024-00004326 RECEIVED FROM CASHIER K-ZAR Doug Anderson DESCRIPTION PAYMENT CODE RECEIPT DESCRIPTION TRANSACTION AMOUNT MBINV MISC BILLING BY INVOICE $80.00 M/B Invoice Type and Number Commercial Inspection Fee- 2024-00000102 010 13000 Accounts Receivable$70.00 010 13000 Accounts Receivable$10.00 Total Cash $0.00 Total Check $80.00 Total Charge $0.00 Total Wire $0.00 Total Other $0.00 Total Remitted $80.00 Change $0.00 1 Total Received $80.00 23 Total Amount: I $80.00 Customer Copy Printed by: Doug Anderson Page 1 of 1 01/05/2024 04:42:51 PM