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Home My WebLink About2834 ANSBOROUGH AVE • INVOICE DATE DUE DATE INVOICE# TOTAL DUE AN; °IL FI �P.r 03/23/2021 04/26/2021 2021-00000230 $100.00 .nagPfe Customer#: 20752 Please Make Check Payable and Remit To: City of Waterloo ATTN: City Clerk/Accounts Receivable HY-VEE#1 715 Mulberry St 2834 ANSBOROUGH AV WATERLOO, IA 50703 WATERLOO,IA 50701 Amount Enclosed. DETACH AND RETURN TOP PORTION WITH YOUR PAYMENT KEEP THIS PORTION FOR YOUR RECORDS COMMERCIAL INSPECTION-2834 ANSBOROUGH AVE-3-19-21 FOR BILLING INQUIRY: (319)291-4323 L Description Total Price INSPECTION 20,000 $90.00 OCCUPANCY FEE $10.00 CUSTOMER# BILLING DATE DUE DATE INVOICE# CHARGES 20752 03/23/2021 04/26/2021 2021-00000230 $100.00 Less Prepayment $0.00 Total Due— $100.00 City of Waterloo �pSERL�O ATERLOO FIRE RESCUE INSPECTION REPORT HY-VEE,2834ANSBOROUGHAYE,BLD 34ANSBOROUGHAVE,WATERLOO/A 50701 4400 DETAILS Inspection Date:03/19/2021 I Inspection Type:Annual Inspection(1 Yr) I Inspection Number:4182 I Shift: N/A I Station: N/A I Unit: N/A 1 Lead Inspector:JEFF SIEBEL I Other Inspectors: N/A I Fee:$100.00 STATUS CODE DESCRIPTION FAIL 1010.1.9.4-Bolt locks Manually operated flush bolts or surface bolts are not permitted. Exceptions: 1.On doors not required for egress in individual dwelling units or sleeping units.2.Where a pair of doors serves a storage or equipment room, manually operated edge-or surface-mounted bolts are permitted on the inactive leaf.3.Where a pair of doors serves an occupant load of less than 50 persons in a Group B, F or S occupancy, manually operated edge-or surface-mounted bolts are permitted on the inactive leaf.The inactive leaf shall not contain doorknobs,panic bars or similar operating hardware.4.Where a pair of doors serves a Group B, F or S occupancy,manually operated edge-or surface-mounted bolts are permitted on the inactive leaf provided such inactive leaf is not needed to meet egress capacity requirements and the building is equipped throughout with an automatic sprinkler system in accordance with Section 903.3.1.1.The inactive leaf shall not contain doorknobs,panic bars or similar operating hardware.5.Where a pair of doors serves patient care rooms in Group 1-2 occupancies,self-latching edge-or surface-mounted bolts are permitted on the inactive leaf provided that the inactive leaf is not needed to meet egress capacity requirements and the inactive leaf shall not contain doorknobs,panic bars or similar operating hardware. Inspector:JEFF SIEBEL-Comments:remove slide bolt lock from dock doors.Slide locks are strictly prohibited. Repeat violation. FAIL 1031.2-Reliability Required exit accesses,exits and exit discharges shall be continuously maintained free from obstructions or impediments to full instant use in the case of fire or other emergency where the building area served by the means of egress is occupied.An exit or exit passageway shall not be used for any purpose that interferes with a means of egress. tri Inspector:JEFF SIEBEL Comments:remove obstructions to exit door from electrical room.Install permanent signage stating"Fire Door Do Not Block"on outside of door. „ _ sue% Printed on 03/22/2021 @ 10:15 Page 1 of 5 STATUS CODE DESCRIPTION FAIL 315.3.1 -Ceiling clearance Storage shall be maintained 2 feet(610 mm)or more below the ceiling in nonsprinklered areas of buildings or not less than 18 inches(457 mm)below sprinkler head deflectors in sprinklered areas of buildings. Inspector:JEFF SIEBEL-Comments:reduce storage in closet by offices to a minimum of 18"below fire sprinkler deflector. FAIL 315.3.2-Means of egress Combustible materials shall not be stored in exits or enclosures for stairways and ramps. Inspector:JEFF SIEBEL-Comments:remove firewood from under fire escape stairs from office area. FAIL 5.2.1 -Annual sprinkler Sprinklers shall be inspected at least annually by licensed contractor system inspection Inspector:JEFF SIEBEL-Comments:provide annual fire sprinkler inspection with all discrepancies corrected.contractor must upload online to the compliance engine. FAIL 509.2-Equipment access Approved access shall be provided and maintained for all fire protection equipment to permit immediate safe operation and maintenance of such equipment.Storage, trash and other materials or objects shall not be placed or kept in such a manner that would prevent such equipment from being readily accessible. f. Inspector:JEFF SIEBEL-Comments:remove obstructions to fire sprinkler riser. _ , Maintain a minimum of 36"clearance at all times. Repeat violation. fi J f z3 Z y yi ?;,, r!7 ' i --- m 3 #77--,:- -,,,.- Printed on 03/22/2021 @ 10:15 Page 2 of 5 , STATUS CODE DESCRIPTION FAIL 605.3-Working space and A working space of not less than 30 inches(762 mm)in width,36 inches(914 mm)in clearance depth and 78 inches(1981 mm)in height shall be provided in front of electrical service equipment.Where the electrical service equipment is wider than 30 inches (762 mm),the working space shall be not less than the width of the equipment. = , ,, Storage of materials shall not be located within the designated working space. - �- Exceptions: 1.Where other dimensions are required or allowed by NFPA 70.2.Access openings into attics or under-floor areas which provide a minimum clear opening of 22 inches(559 mm)by 30 inches(762 mm). # ` Inspector:JEFF SIEBEL-Comments:Remove all obstructions to electrical panels y disconnects and transformers. Maintain a minimum of 36 inch clearance at all times. �= Repeat violation y 4 fa . .t.sn,�tm6uRt dam." 5 - is'a at Y " Sg` Si � %ice - �t - -ter ,= A g - l y _sue € / ` ;: "',. ..gam - ,„--0,- / " t I, �3 4 , i Printed on 03/22/2021 @ 10:15 Page 3 of 5 STATUS CODE DESCRIPTION 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 documentation of kitchen hood exhaust system cleaning inspection with all discrepancies corrected. Contractor must upload 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 documentation of kitchen hood exhaust system cleaning inspection and fire suppression inspection with all discrepancies corrected.Contractor must upload 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. Inspector:JEFF SIEBEL-Comments:Provide documentation of kitchen hood exhaust system fire suppression inspection with all discrepancies corrected.Contractor must upload online to the compliance engine. 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 service for fire extinguishers. GENERAL NOTES JEFF SIEBEL-03/19/2021 @ 08:45 annual inspection$100 Printed on 03/22/2021 @ 10:15 Page 4 of 5 GENERAL NOTES JEFF SIEBEL-03/19/2021 @ 08:54 Annual Fire Alarm due 5/6/21 REINSPECTION DATE 04/07/2021 CONTACT SIGNATURE Kelly Signed on:03/22/2021 @ 09:06 <-e tJ INSPECTOR SIGNATURE JEFF SIEBEL Signed on:03/22/2021 @ 09:06 QUESTIONS ABOUT YOUR INSPECTION? JEFF SIEBEL Jeff.Siebel@Waterloo-ia.org 3192301224 Printed on 03/22/2021 @ 10:15 Page 5 of 5