HomeMy WebLinkAboutKWIK STAR #380-506 W. 9TH ST O WA rF INVOICE DATE DUE DATE INVOICE# TOTAL DUE
A .�t 10/02/2026 11/06/2026 2027-00000162 $80.00
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Customer#: 7635 Please Make Check Payable and Remit To:
City of Waterloo
ATTN: City Clerk/Accounts Receivable
KWIK STAR#380 715 Mulberry St
1626 OAK ST WATERLOO, IA 50703
LA CROSS, WI 54602
Amount Enclosed:
DETACH AND RETURN TOP PORTION WITH YOUR PAYMENT
KEEP THIS PORTION FOR YOUR RECORDS
COMMERCIAL FIRE INSPECTION - 506 W 9TH 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
7635 10/02/2026 11/06/2026 2027-00000162 $80.00
Less Prepayment $0.00
Total Due —> $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.
Waterloo Fire Rescue
slag Inspection Report 425 E.3rd Street
Kwik Star#380-506 W 9th ST,BLDG 506 W 9th St,Waterloo IA 50702
INSPECTION DETAILS
Inspection Date Inspection Type � Inspection Number
0911812026 Annual Inspection(1Yr) 7LF: J $rt. 19193
Lead Inspector Shift Station Unit
BRAD BALDWIN NIA N/A N/A
Otr er Inspecrors
N/A
SUMMARY OF INSPECTION
0 43 10 ® 26
Passed codes Failed codes N/A codes
NEXT STEPS
Please direct questions about your Inspection to: Reinspection Date
BRAD BALDWIN 1011412026
brad.baldwin@waterloo-ia.org,3192914319
GENERAL NOTES
BRAD BALDWIN-09/22/2026 @ 10:36
Fire extinguishers due annually serviced March 2027
BRAD BALDWIN-09/22/2026 @ 10:36
•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-09122/2026 @ 10:36
•Provide corrections to avoid progressive re-inspection fees beginning at$100.Beer/Liquor application will not be signed until violations and hazards
corrected
BRAD BALDWIN-0912212026 @ 10:35
•Commercial Fire Inspector-brad.baldwin@waterloo-ia.org-Work:319-291-4319(#0)•Cell:319-230-1224
BRAD BALDWIN-09/2212026 @ 10:35
•$80 annual inspection fee
SIGNATURES
Contact signature Inspector signature
No signature
Report completedeelpost ostinspection
Alicia 2025-store leader Date: BRAD BALDWIN 09/22/2026
CHECKLISTS
GENERATED ON 9/22/28, 10:38 AM 1 OF 6
Additional Codes
Status Code Description
Fail 2305.2•Equipment maintenance and Inspection.
Motor fuel-dispensing facility equipment shall be maintained Location:Fuel pump 1
In proper working order at all times in accordance with Comments:Necessary repairs shall be made to pumps out of service.
Sections 2305.2.1 through 2305.2.5.
Fail 2305.2-Equipment maintenance and inspection.
Motor fuel-dispensing facility equipment shall be maintained Location:Fuel pump 4
in proper working order at all times in accordance with Comments:Necessary repairs shall be made to 87 Octane pump out
Sections 2305.2.1 through 2305,2.5. of service.
Fail 2305.2-Equipment maintenance and inspection.
Motor fuel-dispensing facility equipment shall be maintained Location:Fuel pump 2
in proper working order at all times in accordance with Comments:Necessary repairs shall be made to 88 Octane pump out
Sections 2305.2.1 through 2305.2.5. of service.
Fail 2305.2-Equipment maintenance and inspection.
Motor fuel-dispensing facility equipment shall be maintained Location:Fuel pump 5
in proper working order at all times in accordance with Comments:Necessary repairs shall be made to 88 Octane pump out
Sections 2305.2.1 through 2305.2.5. of service.
Fire Service Features
St' Cad. Description
Fail 509.2-Equipment access.
Approved access shall be provided and maintained for all fire Location:Electric room near CarWash
protection system equipment to permit immediate safe Comments:Remove obstructions within 36"of electric panels and
operation and maintenance of such equipment.Storage,trash maintain clear ready access to panels at all times
and other materials or objects shall not be placed or kept in
such a manner that would prevent such equipment from
being readily accessible.
GENERATED ON 9/22/2G, 1,3;33 AN 2 OF 6
Electrical Safety
Status Code Description
Fall 603.2.2-Unapproved conditlonsOpen electrical terminations.
Ox Open junction boxes and open-wiring splices shall be Location:Near main exit-Behind"Frozen Treats"freezer
prohibited.Approved covers shall be provided for all switch Comments:Replace missing outlet cover
and electrical outlet boxes.
Fail 603.4-Working space and clearancesclearance.
0 A working space of not Working space around electrical Location:Back storage
equipment shall be provided in accordance with Section Comments:Remove all storage from within 36"of electric panels.
110.26 of NFPA 70 for electrical equipment rated 1,000 volts or Suggest marking floor where storage is prohibited.
less,and Section 110.33 of NFPA 70 for electrical equipment
rated over 1,000 volts.The minimum required working space
shall be not less than 30 inches(762 mm)in width,36 inches
(914 mm)in depth and 78 inches(1981 mm)in height shall be
providedin front of electrical service equipment.Where the
electrical service equipment is wider than 30 inches(762
mm),the minimum 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 that
provide a minimum clear opening of 22 inches(559 mm)by 30
inches(762 mm).
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GENERATED ON 9/22/26, 10:39 AM 3 OF 6
•
Portable Fire Extingusihers
Status Code Description
Fail 906.2-General requirements.
Ox Portable fire extinguishers shall be selected,Installed and Location:Front vestibule
maintained in accordance with this section and NFPA 10. Comments:Provide annual service to extinguisher,currently past
Exceptions:1.The distance of travel to reach an extinguisher due for service
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.
Fail 906.2-General requirements.
Portable fire extinguishers shall be selected,installed and Location:Kitchen
maintained in accordance with this section and NFPA 10. Comments:Class K extinguisher service tag missing date of service
Exceptions:1.The distance of travel to reach an extinguisher markings.
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.
GENERATED ON 0/22/26, 10;38 AM 4 OF 6
Fail 906.6.Unobstructed and unobscured,
O Portable fire extinguishers shall not be obstructed or Location:Sack storage area
obscured from view.In rooms or areas in which visual Comments:Remove obstructions to extinguisher or relocate
obstruction cannot be completely avoided,means shall be extinguisher to an approved conspicuous location.
provided to indicate the locations of extinguishers.
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GENERATED ON 9/22/28, 10:38 AM 5 OF 6
rg Statement of Fees
FEE
Invoice Date Inspection Fee Date Paid Amount Paid
N/A 880.00
Invoice Number Check Number Transaction Number
NIA N/A N/A
GENERATED ON 9/22/26, 10:38 AM 6 OF 6