HomeMy WebLinkAbout515 LIME ST INVOICE DATE DUE DATE INVOICE# TOTAL DUE
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Customer#: 6750 Please Make Check Payable and Remit To:
City of Waterloo
ATTN: City Clerk/Accounts Receivable
BOYS & GIRLS CLUB 715 Mulberry St
515 LIME 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- 515 LIME ST - 12-15-20
FOR BILLING INQUIRY: (319)291-4323
L Description I
Total Price J
INSPECTION 2,000 $70.00
OCCUPANCY FEE
$10.00
CUSTOMER# BILLING DATE DUE DATE INVOICE# CHARGES
6750 01/04/2021 I 02/10/2021 2 _
I 021 00000167
$80.00
Less Prepayment $0.00
Total Due—* $80.00
City of Waterloo
FIRE RESCUE
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(BOYS&GIRLS CLUB,515 LIME
BLDG 515 LIME ST,WATERLOO IA 5070 440
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DETAILS
Inspection Date(12/15/2020 I I 'spection Type:Annual Inspection(1Yr) I Inspection Number:5 'S rft: N/A I Station: N/A 3
Unit:326-Fire Pry do icer 1 Lead Inspector:BROCK WELIVER I Other Inspectors: N/A I ee:$80.0O,
STATUS CODE DESCRIPTION
FAIL L 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: BROCK WELIVER-Comments:STEM Room-ceiling tiles that are missing
need to be replaced
GENERAL NOTES
BROCK WELIVER-12/15/2020 @ 16:36 Fire Alarm:current,serviced by Hawkeye Alarm 11-3-2020
BROCK WELIVER-12/15/2020 @ 16:36 Fire Sprinkler:N/A
BROCK WELIVER-12/15/2020 @ 16:36 Hood Cleaning:current,serviced by Proshield 11-19-2020
BROCK WELIVER-12/15/2020 @ 16:36 Hood Suppression:current,serviced by Proshield 11-192020
BROCK WELIVER-12/15/2020 @ 16:37 Fire Extinguishers:current,serviced by Proshield May 2020
BROCK WELIVER-12/15/2020 @ 16:37 This inspection was for the 515 Lime St location only.
Printed on 12/15/2020 @ 16:40
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GENERAL NOTES
BROCK WELIVER-12/15/2020 @ 16:37 Inspection Fee=$80
BROCK WELIVER-12/15/2020 @ 16:38 Invoice Contact/Bryan Burton/319-830-7061
BROCK WELIVER-12/15/2020 @ 16:38 Arrangements have been made to replace the ceiling tiles listed above-no re-
inspection needed
NEXT INSPECTION DATE
12/15/2021
CONTACT SIGNATURE
Bryan Burton Contact Refused
Refusal Reason:Not required due to Covid-19
INSPECTOR SIGNATURE
BROCK WELIVER
Signed on:12/15/2020 @ 14:19
QUESTIONS ABOUT YOUR INSPECTION?
BROCK WELIVER
brock.weliver@waterloo-ia.org
3192914460
Printed on 12/15/2020 @ 16:40
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