HomeMy WebLinkAbout2060 CROSSROADS BLVD INVOICE DATE DUE DATE INVOICE# TOTAL DUE
/=F'r4rArk4 03/23/2021 04/26/2021 2021-00000244 $150.00
Customer#: 23541 Please Make Check Payable and Remit To:
City of Waterloo
ATTN: City Clerk/Accounts Receivable
SPIRIT HALLOWEEN 715 Mulberry St
2060 CROSSROADS 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-2060 CROSSROADS BLVD-3-16-21 FOR BILLING INQUIRY: (319)291-4323
L Description I Total Price J
REINSPECTION 2 $150.00
CUSTOMER# BILLING DATE DUE DATE INVOICE# CHARGES
23541 03/23/2021 04/26/2021 2021-00000244 $150.00
Less Prepayment $0.00
Total Due—* $150.00
City of Waterloo
c341
WATERLOO FIRE RESCUE ' •.. %4A ,- t 0
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INSPECTION REPORT 'r, V,� ,tiV.
SPIRIT HALLOWEEN,2060 SUITE 300 CROSSROADS BLVD,BLDG 2060 CROSSROADS BLVD-ST \ - \ AI'
249,WATERLOO IA 50702
DETAILS
Inspection Date:03/16/2021 I Inspection Type:Annual Inspection(1Yr) ection Number:5456 I Shift: N/A I Station: N/A
Unit: N/A 1 Lead Inspector:JEFF SIEBEL Other Inspectors: N/A 1 Fee:$1'111,0 .bQ
60
STATUS CODE DESCRIPTION
FAIL 5.2.1 -Annual sprinkler Sprinklers shall be inspected at least annually by licensed contractor
system inspection
Inspector:JEFF SIEBEL-Comments:fire sprinkler inspection 305 days overdue.
Contractor must submit online
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 egress light testing and
inspection with all discrepancies corrected.
FAIL Chapter 14-Inspection, Fire alarm system tested at least annually by licensed contractor
testing,and maintenance
Inspector:JEFF SIEBEL-Comments: provide current annual fire alarm inspection
report with all discrepancies corrected.contractor must submit online.305 days
overdue.
GENERAL NOTES - -.
JEFF SIEBEL-03/16/2021 @ 11:40 re-inspection fee$150
N.
REINSPECTION DATE ",,.
04/15/2021
Printed on 03/16/2021 @ 11:48
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CONTACT SIGNATURE
Ken Bentley t-- 6 r1 e 6Y1 a-�Zca
Signed on:03/16/2021 @ 11:43 i "
711.E LD
INSPECTOR SIGNATURE
JEFF SIEBEL
Signed on:03/16/2021 @ 11:43
QUESTIONS ABOUT YOUR INSPECTION?
JEFF SIEBEL
Jeff.Siebel@Waterloo-ia.org
3192301224
Printed on 03/16/2021 @ 11:48
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