HomeMy WebLinkAbout777 ISLE OF CAPRI BLVD Cilirrik,
INVOICE DATE DUE DATE INVOICE# TOTAL DUE
05/26/2021 06/30/2021 2021-00000265 $610.00
iFiliglie
Customer#: 13049 Please Make Check Payable and Remit To:
City of Waterloo
ATTN: City Clerk/Accounts Receivable
ISLE OF CAPRI 715 Mulberry St
ACCOUNTS PAYABLE WATERLOO, IA 50703
777 ISLE OF CAPRI BLVD
WATERLOO,IA 50701
Amount Enclosed:
DETACH AND RETURN TOP PORTION WITH YOUR PAYMENT
KEEP THIS PORTION FOR YOUR RECORDS
COMMERCIAL INSPECTION-777 ISLE OF CAPRI BLVD -3-25-21 FOR BILLING INQUIRY: (319)291-4323
[Description I Total Price J
INSPECTION 100,000 $600.00
OCCUPANCY FEE $10.00
CUSTOMER# BILLING DATE DUE DATE INVOICE# CHARGES
13049 05/26/2021 06/30/2021 2021-00000265 $610.00
Less Prepayment _ $0.00
Total Due—÷ $610.00
City of Waterloo
44p'(R(o�TERL O FIRE RESCUE F.60---1 N .,
INSPECTION REPORT t t �-'
ISLE OF CAPRI,777 ISLE OF CAPRI BLVD,BLDG 777 ISLE OF CAPRI BLVD,WATERLOO IA 50702 4400
DETAILS
Inspection Date:03/25/2021 I Inspection Type:Annual Inspection(1Yr) I Inspection Number:4330 I Shift: N/A ; Station: N/A I
Unit: N/A I Lead Inspector:JEFF SIEBEL I Other Inspectors: N/A
VIOLATIONS
No Violations Found
GENERAL NOTES
JEFF SIEBEL-03/29/2021 @ 10:48 Fire door tests by Wondor 1/6/21
JEFF SIEBEL-03/29/2021 @ 10:48 Fire drill completed 1/9/21
. \c)
JEFF SIEBEL-03/29/2021 @ 10:25 (Annual inspection 6 0 \K.9 \
JEFF SIEBEL-03/29/2021 @ 10:28 Violations found during inspection and corrected immediately:A. Missing ceiling tiles in
fire control center,data room by fire control center,arcade,gaming floor by women's
restroom. B. NRT room hole in ceiling patched with metal patch.C. Room 930 had
plastic bag on smoke detector. D. Drop down feet on electrical room doors in elevator
lobbies.
JEFF SIEBEL-03/29/2021 @ 14:35 emergency exit/egress light testing 3/23/20 maintenance.
JEFF SIEBEL-03/29/2021 @ 14:36 generator load bank 7/29/20
JEFF SIEBEL-03/29/2021 @ 14:37 Generator Service 8/4/20
JEFF SIEBEL-03/29/2021 @ 14:48 all violations corrected at this time.
NEXT INSPECTION DATE
04/23/2022
Printed on 03/29/2021 @ 14:50
Page 1 of 2
JNTACT SIGNATURE
Danny Lane C
Signed on:03/29/2021 @ 14:49 CC
INSPECTOR SIGNATURE
JEFF SIEBEL
Signed on:03/29/2021 @ 14:49
QUESTIONS ABOUT YOUR INSPECTION'
JEFF SIEBEL
Jeff.Siebel@Waterloo-ia.org
3192301224
Printed on 0329/2021 @ 14:50
Page 2 of 2