HomeMy WebLinkAbout2780 CROSSROADS BLVD � INVOICE DATE DUE DATE INVOICE# TOTAL DUE
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imp.1MI, 01/04/2021 02/10/2021 2021-00000164 $200.00
OValle
Customer#: 9993 Please Make Check Payable and Remit To:
City of Waterloo
ATTN: City Clerk/Accounts Receivable
APPLEBEE'S 715 Mulberry St
2780 CROSSSROADS BLVD WATERLOO, IA 50703
WATERLOO,IA 50702
Amount Enclosed:
DETACH AND RETURN TOP PORTION WITH YOUR PAYMENT
KEEP THIS PORTION FOR YOUR RECORDS
COMMERCIAL INSPECTION-2780 CROSSROADS BLVD- 12-17-20 FOR BILLING INQUIRY: (319)291-4323
L Description Total Price J
REINSPECTION 3 $200.00
•
CUSTOMER# BILLING DATE DUE DATE INVOICE# CHARGES
9993 01/04/2021 02/10/2021 2021-00000164 $200.00
Less Prepayment $0.00
Total Due $200.00
City of Waterloo
WATERLOO FIRE RESCUE qC,C1).5
INSPECTION REPORT
APPLEBEE'S,2780 CROSSROADS BLVD,BLDG 2780 CROSSROADS BLVD, WATERLOO IA 50702 440
DETAILS
Inspection Date:12/17/2020 ; Inspection Type:Annual Inspection(1Yr)),lri pection Number:5229 I Shift: N/A ; Station: N/A
Unit: N/A I Lea ector:JEFF SIEBEL Other Inspectors: N/A I Fee:$8 00
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STATUS CODE DESCRIPTION
FAIL 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 cleaning inspection report with all discrepancies corrected. Contractor must
submit online to The Compliance Engine.
FAIL 609.3.3.1 -Inspection Hoods,grease-removal devices,fans,ducts and other appurtenances shall be
inspected at intervals specified in Table or as approved by the fire code official.
Inspections shall be completed by qualified individuals.
Inspector:JEFF SIEBEL-Comments: Provide current semi-annual kitchen hood
exhaust cleaning inspection report with all discrepancies corrected.Contractor must
submit online to The Compliance Engine.
FAIL 609.3.3.2-Grease If during the inspection it is found that hoods,grease-removal devices,fans,ducts or
accumulation other appurtenances have an accumulation of grease,such components shall be
cleaned in accordance with ANSI/IKECA C 10.
Inspector:JEFF SIEBEL-Comments: Provide current semi-annual kitchen hood
exhaust cleaning inspection report with all discrepancies corrected.Contractor must
submit online to The Compliance Engine.
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 cleaning and fire suppression inspection report with all discrepancies
corrected.Contractor must submit online to The Compliance Engine.
FAIL 904.12.6.2-Extinguishing Automatic fire-extinguishing systems shall be serviced at least every six months and
system service 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.
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STATUS CODE DESCRIPTION
Inspector:JEFF SIEBEL-Comments: Provide current semi-annual kitchen hood fire
suppression inspection report with all discrepancies corrected.Contractor must
submit online to The Compliance Engine.
FAIL Chapter 14-Inspection, Fire alarm system tested at least annually by licensed contractor
testing,and maintenance
Inspector:JEFF SIEBEL-Comments:provide annual fire alarm inspection report with
all discrepancies corrected.Contractor must submit online to The Compliance
Engine.
GENERAL NOTES
JEFF SIEBEL-12/17/2020 @ 09:15 Re-inspection fee$200
JEFF SIEBEL-12/17/2020 @ 09:18 called alexis cell phone and left message.
REINSPECTION DATE
01/19/2021
CONTACT SIGNATURE
Alexis McFarland icz'
Signed on: 12/17/2020 @ 09:19
INSPECTOR SIGNATURE
JEFF SIEBEL
Signed on: 12/17/2020 @ 09:19
QUESTIONS ABOUT YOUR INSPECTION?
JEFF SIEBEL
Jeff.Siebel@Waterloo-ia.org
3192301224
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