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Home My WebLink About508 BROADWAY ST INVOICE DATE DUE DATE INVOICE# TOTAL DUE ,11,7; 03/23/2021 04/26/2021 2021-00000241 $80.00 °Ierloo \o Customer#: 20748 Please Make Check Payable and Remit To: City of Waterloo ATTN: City Clerk/Accounts Receivable PRIME MART-BROADWAY 715 Mulberry St 508 BROADWAY 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-508 BROADWAY ST-2-18-21 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 20748 03/23/2021 04/26/2021 2021-00000241 $80.00 Less Prepayment $0.00 Total Due $80.00 City of Waterloo q Si L ,ER,... WATERLOO FIRE RESCUE , ..e. 0 rid INSPECTION REPORT PRIME MART,508 BROADWAY ST,BLDG 508 BROADWAY ST,WATERLOO IA 50703 DETAILS Inspection Date:02/18/2021 I Inspection Type:Annual Inspection(1Yr) Inspection Number:4229 I Shift: N/A Station: N/A Unit: N/A I Lead Inspector:JEFF SIEBEL Other Inspectors: N/A STATUS CODE DESCRIPTION FAIL 305.1 -Clearance from Clearance between ignition sources,such as luminaires,heaters,flame-producing ignition sources devices and combustible materials,shall be maintained in an approved manner. Inspector:JEFF SIEBEL-Comments:remove storage against furnace. Repeat violation. Maintain a minimum of 36"clearance to and around furnace. s — Warns odki, Pitt-4[1::iq „ 1 11.11 I 'TA' 2114ii i f -t Printed on 02/18/2021 @ 15:12 Page 1 of 4 STATUS CODE DESCRIPTION FAIL 605.5-Extension cords Extension cords and flexible cords shall not be a substitute for permanent wiring. Extension cords and flexible cords shall not be affixed to structures,extended through walls,ceilings or floors,or under doors or floor coverings,nor shall such cords be subject to environmental damage or physical impact. Extension cords shall be used only with portable appliances. Inspector:JEFF SIEBEL-Comments:remove extension cord from ceiling and frozen ` y, i?rrlf,,,:; '-'11;;-::;'''',:----4- 1--e ---- -, _, -- cocktail freezer.freezer must plug directly into permanent outlet. C � : = - 9 , i `` vice,..- .; --‘r -,=,,---4.,-,---_,. ► S j� � � .k4�i�i� �'SFa�/3 / FAIL 605.7-Appliances Electrical appliances and fixtures shall be tested and listed in published reports of inspected electrical equipment by an approved agency and installed and maintained in accordance with all instructions included as part of such listing. Inspector:JEFF SIEBEL-Comments:2 red bull coolers must plug directly into permanent wall outlet not a power strip. Install permanent power with proper permits and inspections.Repeat offense. Printed on 02/18/2021 @ 15:12 Page 2 of 4 STATUS CODE DESCRIPTION FAIL 906.2-General requirements Portable fire extinguishers shall be selected,installed and maintained in accordance with this section and NFPA 10. Exceptions: 1.The distance of travel to reach an extinguisher shall not apply to the spectator seating portions of Group A-5 occupancies.2.Thirty-day inspections shall not be required and maintenance shall be allowed to be once every 3 years for dry-chemical or halogenated agent portable fire extinguishers that are supervised by a listed and approved electronic monitoring device,provided that all of the following conditions are met:2.1. Electronic monitoring shall confirm that extinguishers are properly positioned,properly charged and unobstructed.2.2. Loss of power or circuit continuity to the electronic monitoring device shall initiate a trouble signal.2.3.The extinguishers shall be installed inside of a building or cabinet in a noncorrosive environment.2.4. Electronic monitoring devices and supervisory circuits shall be tested every 3 years when extinguisher maintenance is performed.2.5.A written log of required hydrostatic test dates for extinguishers shall be maintained by the owner to verify that hydrostatic tests are conducted at the frequency required by NFPA 10.3. In Group 1-3, portable fire extinguishers shall be permitted to be located at staff locations. Inspector:JEFF SIEBEL-Comments: provide annual inspection for fire extinguishers. GENERAL NOTES JEFF SIEBEL-02/18/2021 @ 15:06 annual inspection fee$80 JEFF SIEBEL-02/18/2021 @ 15:07 correct all repeat violations before re-inspection to avoid$100 re-inspection fee. REINSPECTION DATE 03/15/2021 CONTACT SIGNATURE Shahid Chatdren � f J. Signed on:02/18/2021 @ 15:10 ^ INSPECTOR SIGNATURE JEFF SIEBEL Signed on:02/18/2021 @ 15:10 Printed on 02/18/2021 @ 15:12 Page 3 of 4