HomeMy WebLinkAbout1104 WASHINGTON ST INVOICE DATE DUE DATE INVOICE# TOTAL DUE
„% i ,APT,Q 06/15/2021 07/30/2021 2021-00000299 $80.00
ertoo,.
Customer#: 14228 Please Make Check Payable and Remit To:
City of Waterloo
ATTN: City Clerk/Accounts Receivable
KWIK STOP#3 715 Mulberry St
1104 WASHINGTON ST WATERLOO, IA 50703
WATERLOO,IA 50702
Amount Enclosed:
DETACH AND RETURN TOP PORTION WITH YOUR PAYMENT
KEEP THIS PORTION FOR YOUR RECORDS
COMMERCIAL INSPECTION- 1104 WASHINGTON ST- 6-1-21 FOR BILLING INQUIRY: (319)291-4323
Description Total Price J
INSPECTION 2,000 $70.00
OCCUPANCY FEE $10.00
CUSTOMER# BILLING DATE DUE DATE INVOICE# CHARGES
14228 06/15/2021 07/30/2021 2021-00000299 $80.00
Less Prepayment $0.00
Total Due $80.00
City of Waterloo
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i . 00 FIRE RESCUE
INSPECTION REPORT
KWIKSTOP 3, 1104 WASHINGTON;)r,BLDG 1104 WASHINGTON ST-STEA, WATERLOO IA =' IP
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DETAILS
Inspection Date:06/01/2021 I Inspection Type:Annual Inspection(1Yr) f Inspecti Number: 1035 I Shift: N/A I Station: N/A
Unit: N/ I Lead lnspctor:JEFF SIEBEL ; Other Inspectors: N/A Fe .$80.00
STATUS CODE DESCRIPTION
FAIL 605.6-Unapproved Open junction boxes and open-wiring splices shall be prohibited.Approved covers
conditions shall be provided for all switch and electrical outlet boxes.
Inspector:JEFF SIEBEL-Comments:replace missing breakers in electrical panel or
install listed blanks
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:toaster and coffee pot must plug directly into wall
outlet,not power strip.
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-06/02/2021 @ 07:36 annual inspection$80
Printed on 06/02/2021 @ 07:37
Page 1 of 2
REINSPECTION DATE
06/22/2021
CONTACT SIGNATURE
Mohammad ILYAS (�
Signed on:06/02/2021 @ 07:32 r'`���� y
4ij 6vit1/61
INSPECTOR SIGNATURE
JEFF SIEBEL
Signed on:06/02/2021 @ 07:32
QUESTIONS ABOUT YOUR INSPECTION?
JEFF SIEBEL
Jeff.Siebel@Waterloo-ia.org
3192301224
Printed on 06/02/2021 @ 07:37
Page 2 of 2
ATERLOO FIRE RESCUE
D2 '
p'C8RL0
INSPECTION REPORT 41:t';'`
'GYRO HUT, 1104 WASHINGTO ST,BLDG 1104 WASHINGTON ST-STE B, WATERLOO IA 50702 attiO
D AILS
Inspection ate:06/01/2021/l Inspection Type:Annual Inspection(1Yr) ,-friSp-ec on Number:1036 I Shift: N/A I Station: N/A
Unit: N/A ? ad Inspect :JEFF SIEBEL 1 Other Inspectors: N/A I Fe :$50.00
STATUS CODE DESCRIPTION
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 current semi-annual kitchen hood fire
suppression system inspection with all discrepancies corrected.Contactor must
upload online to the compliance engine.currently 94 days past due
GENERAL NOTES
JEFF SIEBEL-06/02/2021 @ 09:40 Hood fire suppression 94 days overdue. Hood cleaning due on 6/9/21. Both are every 6
months.
JEFF SIEBEL-06/02/2021 @ 09:39 annual inspection $50
REINSPECTION DATE
06/22/2021
CONTACT SIGNATURE
Manager
Signed on:06/02/2021 @ 09:37 C" L.
t3.
INSPECTOR SIGNATURE
JEFF SIEBEL
Signed on:06/02/2021 @ 09:37
Printed on 06/02/2021 @ 09:42
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