HomeMy WebLinkAbout210 E TOWER PARK DR //11\k
-� INVOICE I}ATE DUE DATE INVOICE#/��## I14 TOTAL DUE
" ���''� 02/09/2021 03
/15/2021 2021-00000207 $610.00
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Customer#: 10758
Please Make Check Payable and Remit To:
City of Waterloo
A TTN: 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
COIVIlVIERCIAI,INSPECTION-210 E TOWER PARK DR- 1-14-21
IFOR BILLING INQUIRY: (319)291-4323
LDescription
I Total Price J
INSPECTION 100,000
OCCUPANCY FEE $600.00
$10.00
CUSTOMER# BILLING DATE DUE DATE
INVOICE# CAGES
10758 02/09/2021
03/15/2021 2021-00000207
$610.00
Less Prepayment $0.00
Total Due $610.00
City of Waterloo
+ i
WATERLOOFIRE RESCUE �P�ER(pp
INSPECTION REPORT
SAM'S CLUB,210 E TOWER PARK DR,BLDG 210 E TOWER PARK DR,WATERLOO IA 50701 44(0
DETAILS
Inspection Date:01/14/2021 I Inspection Type:Annual Inspection(1Yr) Inspection Number:4809 I Shift: N/A Station: N/A
Unit: N/A Lead Inspector:JEFF SIEBEL Other Inspectors: N/A I Fee:$610.00
STATUS CODE DESCRIPTION
FAIL 5.2.1.1.6-Missing Escutcheons and coverplates for recessed,flush,and concealed sprinklers shall be
escutcheons replaced if found missing during the inspection.
Inspector:JEFF SIEBEL-Comments:replace missing fire sprinkler escutcheon in pop
closet at front of store.
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:JEFF SIEBEL-Comments: Repair all egress lights including:A. by front
counter in kitchen. B.women's restroom by fire sprinkler riser.
FAIL 604.4.2-Records Records of the inspection,testing and maintenance of emergency and standby
power systems shall include the date of service,name of the servicing technician,a
summary of conditions noted and a detailed description of any conditions requiring
correction and what corrective action was taken.Such records shall be maintained.
Inspector:JEFF SIEBEL-Comments: Provide documentation of testing and repair of all
egress and exit lights including ceiling. Report dated 1/4/21 by Ryan Filcher only lists
9 egress lights.
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 tiles in The Money Room.
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STATUS CODE DESCRIPTION
FAIL 903.3.3-Obstructed locations Automatic sprinklers shall be installed with due regard to obstructions that will delay
activation or obstruct the water distribution pattern.Automatic sprinklers shall be
installed in or under covered kiosks,displays, booths,concession stands or
equipment that exceeds 4 feet(1219 mm)in width. Not less than a 3-foot(914 mm)
clearance shall be maintained between automatic sprinklers and the top of piles of
combustible fibers. Exception: Kitchen equipment under exhaust hoods protected
with a fire-extinguishing system in accordance with Section 904.
Inspector:JEFF SIEBEL-Comments:sprinkler head in women's restroom at front is
loaded.provide correction.
FAIL Table 8.1.1.2-Fire pump Fire pump being tested(run)?Weekly for diesel/monthly for electric.
inspection,testing,and
maintenance Inspector:JEFF SIEBEL-Comments: Fire pump testing ok. Provide annual diesel
engine service.
GENERAL NOTES
JEFF SIEBEL-01/19/2021 @ 09:58 annual inspection$610
JEFF SIEBEL-01/19/2021 @ 09:59 multi-plug adapter in HMS corrected during inspection.
JEFF SIEBEL-01/19/2021 @ 10:25 Maximum storage height per fire sprinkler design in general merchandise areas is 18'.
Review current storage heights and reduce to allowable height.
JEFF SIEBEL-01/19/2021 @ 10:29 kitchen hood cleaning 10/2/20 Assure. Due 4/2/21
JEFF SIEBEL-01/19/2021 @ 10:32 kitchen hood fire suppression Hawkeye Fire 9/9/20. Due 3/9/21
JEFF SIEBEL-01/19/2021 @ 10:31 annual fire alarm 5/14/20 walmart security
JEFF SIEBEL-01/19/2021 @ 10:33 Annual fire sprinkler Viking 8/25/20
JEFF SIEBEL-01/19/2021 @ 10:33 Annual fire pump function Viking 8/25/20
JEFF SIEBEL-01/19/2021 @ 10:34 private fire hydrants viking 5/11/20
Printed on 01/19/2021 @ 10:38
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REINSPECTION DATE
02/04/2021
CONTACT SIGNATURE
Dave Emerson
Signed on:01/19/2021 @ 10:35
_b\VE
INSPECTOR SIGNATURE
JEFF SIEBEL
Signed on:01/19/2021 @ 10:35
QUESTIONS ABOUT YOUR INSPECTION?
JEFF SIEBEL
Jeff.Siebel@Waterloo-ia.org
3192301224
Printed on 01/19/2021 @ 10:38
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