HomeMy WebLinkAbout205 ADAMS ST f404. INVOICE DATE DUE DATE INVOICE# TOTAL DUE
/-411■"► -4r_-; 02/09/2021 03/15/2021 2021-00000211
Customer#: 3309 Please Make Check Payable and Remit To:
City of Waterloo
ATTN: City Clerk/Accounts Receivable
TRI-COUNTY HEAD START 715 Mulberry St
PO BOX 1050 WATERLOO, IA 50703
WATERLOO,IA 50704
Amount Enclosed.
DETACH AND RETURN TOP PORTION WITH YOUR PAYMENT
KEEP THIS PORTION FOR YOUR RECORDS
COMMERCIAL INSPECTION-205 ADAMS ST- 11-6-20
FOR BILLING INQUIRY: (319)291-4323
I
L Description
I Total Price
INSPECTION 2,000
OCCUPANCY FEE $70.00
$10.00
CUSTOMER# BILLING'DATE DUE DATE INVOICE#
3309 I 02/09/2021 CHARGES
03/15/2021 2021-00000211
$80.00
Less Prepayment $0.00
Total Due--* $80.00
City of Waterloo
,I
ATERLOO FIRE RESCUE
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INSPECTION REPORT
TRI-COUNTY HEADSTART,205 ADAMS ST,BLDG 20S ADAMS ST, WATERLOO IA 50703 4410
DETAILS
Inspection Date: 11/06/2020 I Inspection Type:Annual Inspection(1Yr) I Inspection Number:3768 1 Shift: N/A Station: N/A i
Unit:326-Fire Prevention Officer I Lead Inspector:BROCK WELIVER I Other Inspectors: N/A I Fee:$80.00
STATUS CODE DESCRIPTION
FAIL 604.2.12-Means of egress Emergency power shall be provided for means of egress illumination in accordance
illumination with Sections 1008.3 and 1104.5.1.
Inspector:BROCK WELIVER-Comments:Egress lights were out when tested: 1)room
HS2,2)room HS4
FAIL Chapter 14-Inspection, Fire alarm system tested at least annually by licensed contractor
testing,and maintenance
Inspector: BROCK WELIVER-Comments:Annual service is due-this has been
scheduled and the violation will be corrected once the contractor has uploaded the
report into The Compliance Engine
GENERAL NOTES
BROCK WELIVER-11/06/2020 @ 16:12 Fire Alarm:annual service is due-this has been scheduled to be performed
BROCK WELIVER-11/06/2020 @ 16:12 Fire Sprinkler:N/A
BROCK WELIVER-11/06/2020 @ 16:13 Fire Extinguisher:current,serviced by Hawkeye Fire&Safety-July 2020
BROCK WELIVER-11/06/2020 @ 16:14 Hood Suppression:current,serviced by Hawkeye Fire&Safety-8-31-2020-report is in
The Compliance Engine
BROCK WELIVER-11/06/2020 @ 16:14 Hood Cleaning:current,serviced by Harris Cleaning-9-1-2020-report is in The
Compliance Engine
BROCK WELIVER-11/06/2020 @ 16:15 Fire Drills: monthly log kept,last performed 10-21-2020
Printed on 11/06/2020 @ 16:18
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GENERAL NOTES
BROCK WELIVER-11/06/2020 @ 16:17 Max number of children allowed=100-approximately 85/day. Number of children 2.5
years old or younger=40 max-approximately 35/day(2019 numbers-due to covid
2020 numbers are lower)
BROCK WELIVER-11/06/2020 @ 16:17 Inspection Fee=$80
BROCK WELIVER-11/06/2020 @ 16:17 Invoice Contact/Paulin Jones/319-235-0383
NEXT INSPECTION DATE
10/22/2021
CONTACT SIGNATURE
Pauline Jones Contact Refused
Refusal Reason: Not required due to ongoing community health crisis
INSPECTOR SIGNATURE
BROCK WELIVER
Signed on: 11/06/2020 @ 15:55
QUESTIONS ABOUT YOUR INSPECTION'
BROCK WELIVER
brock.weliver@waterloo-ia.org
(319)291-4460
Printed on 11/06/2020 @ 16:18
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