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Home My WebLink AboutDOLLAR GENERAL-820 W. 5TH ST OF W 4 rF INVOICE DATE DUE DATE INVOICE# TOTAL DUE �� ;y, 0 10/02/2026 11/06/2026 2027-00000149 $80.00 u f4 o • ■n on n • T 0 Customer#: 21883 Please Make Check Payable and Remit To: City of Waterloo ATTN.: City Clerk/Accounts Receivable DOLLAR GENERAL - 820 W 5TH ST 715 Mulberry St 100 MISSION RIDGE WATERLOO, IA 50703 GOODLETTSVILLE, TN 37072 Amount Enclosed: DETACH AND RETURN TOP PORTION WITH YOUR PAYMENT KEEP THIS PORTION FOR YOUR RECORDS COMMERCIAL FIRE INSPECTION -820 W 5TH ST-09/18/26 FOR BILLING INQUIRY: (319)291-4323 Description Total Price INSPECTION 2,000 $70.00 OCCUPANCY FEE $10.00 CUSTOMER# BILLING DATE DUE DATE INVOICE# CHARGES 21883 10/02/2026 11/06/2026 2027-00000149 $80.00 Less Prepayment $0.00 Total Due-p $80.00 City of Waterloo Failure to pay in full debts listed herein within ninety days of the due date will result in an additional twenty-five percent late fee applied to any outstanding balance. The delinquent account will be forwarded to Municipal Collections of America for further collection efforts. Debts shall also be subject to collection through the Iowa Department of Administrative Services Offset Program if not paid in full within ninety days. "a Waterloo Fire Rescue IPIC1 } k Inspection Report 425 E.3rd Street Dollar General-820 W 5th ST,BLDG 820 W 5th St,Waterloo IA 50701 INSPECTION DETAILS 1 Inspection Date Inspection Type Inspection Number 0911812026 Annual Inspection(1Yr) c /3 0 3 ��E- 24323 Lead Inspector Shift Station Unit BRAD BALDWIN NIA NIA N/A Other Inspectors N/A SUMMARY OF INSPECTION 030 05 ® 38 Passed codes Failed codes N/A codes NEXT STEPS Please direct questions about your Inspection to: Reinspection Date BRAD BALDWIN brad.baldwin@waterloo-ia.org,3192914319 10/16/2026 GENERAL NOTES BRAD BALDWIN-09118/2026 @ 14:29 Fire extinguishers due annually serviced April 2027 BRAD BALDWIN-09118/2026 @ 14:28 •If all corrections are made before the scheduled re-inspection date,you can call to set up an earlier re-inspection.Normal operating hours for inspections&re-inspections are Monday-Friday,9:00 a.m.-4:00 p.m.*****Re inspection fees may be assessed for subsequent re-inspections.Re- inspection fees start at$100,then$150,and$200 for all subsequent re-inspections. BRAD BALDWIN-09/18/2026 @ 14:28 •Commercial Fire Inspector-brad.baldwin@waterloo-ia.org-Work:319-291-4319(#0)-Cell:319-230-1224 BRAD BALDWIN-09/18/2026 @ 14:28 •$80 annual inspection fee SIGNATURES Contact signature Inspector signature No signature Report completed post inspection Tina Peterson-District Manager Date: BRAD BALDWIN 09118/2026 CHECKLISTS GENERATED ON 9/18/26, 2:35 PM 1 OF 4 Emergency Equipment SI.rl, F.4412 Description Fail 1203.2.15-Means of egress Illumination. Emergency power shall be provided for means of egress Location:Above kleenex Illumination in accordance with Sections 1008.3 and 1104.5.1. Comments:Relocate merchandise obstructing emergency egress light. Fall 1203.2.6-Exit signs. Emergency power shall be provided for exit signs as required Location:Main exit(interior door) in Section 1013.6.3.The system shall be capable of powering Comments:Repair or replace exit signlegress light combo that tailed the required load for a duration of not less than 90 minutes. to illuminate during test General Housekeeping Stair, Code Deer:option Fail 315.3.1-Ceiling clearance, Storage shall be maintained 2 feet(610 mm)or more below Location:Sales floor the ceiling in nonsprinkleretl areas of buildings or not less Comments:Lower merchandise within 24"of ceiling.Maintain proper than 18 inches(457 mm)below sprinkler head deflectors in clearance at all times. sprinklered areas of buildings.Exceptions:1.The 2-foot(610 mm)ceiling clearance is not required for storage along walls in nonsprinklered areas of buildings.2.The 18-inch(457 mm) ceiling clearance is not required for storage along walls in areas of buildings equipped with an automatic sprinkler system in accordance with Section 903.3.1.1,903.3.1.2 or 903.3.1.3. Electrical Safety Status Code Description Fail 603.5.2-Application and usePower supply. Relocatable power taps and current taps shall be directly Location:Office connected to a permanently installed receptacle.Exceptions: Comments:Remove power strip daisy chained(front one strip to 1.Where approved for use in a Group A occupancy or in a another).Each power strip shall plug directly to a wall outlet meeting room in a Group B occupancy,not more than five relocatable power taps shall be permitted to be connected together or connected to an extension cord for temporary use to supply power to electronic equipment.2.Current taps and relocatable power taps shall not be required to connect directly to a permanently installed receptacle outlet where used for 90 days or less for the purpose of testing the performance of such devices. 2 OF 4 GENERATED ON 0/18/26, 2:35 PH Fire Resistant Construction Maintenance Status Code Description Fail 704.1 - Maintaining protection. Where required when the building was originally constructed, Location: Bathroom materials and systems used to protect joints and voids in the Comments: Replace missing ceiling tile following locations shall be maintained. The materials and systems shall be securely attached to or bonded to the adjacent construction, without openings visible through the construction. 1.Joints in or between fire-resistance-rated walls, floors or floorlceiling assemblies and roof or roof/ceiling assemblies. 2.Joints in smoke barriers. 3.Voids at the intersection of a horizontal floor assembly and an exterior curtain wall. 4.Voids at the intersection of a horizontal smoke barrier and an exterior curtain wall. 5.Voids at the intersection of a nonfire-resistance-rated floor assembly and an exterior curtain wall. 6.Voids at the intersection of a vertical fire barrier and an exterior curtain wall. 7.Voids at the intersection of a vertical fire barrier and a nonfire-resistance-rated roof assembly. Unprotected joints and voids do not need to be protected where such joints and voids were not required to be protected when the building was originally constructed. Where the system design number is known, the system shall be inspected to the listing criteria and manufacturer's installation instructions. GENERATED ON 9/19/20, 2:35 PM 3 OF 4 Statement of Fees FEE Invoice Date Inspection Fee Date Paid Amount Paid NIA $80.00 Invoice Number Check Number Transaction Number NIA NIA NIA GENERATED ON 9/18/28, 2:35 PM 4 OF 4