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Terms of Use - Matrix Deluxe Parallel Inspection Forms

FOR EDUCATIONAL USE ONLY. By downloading and/or printing this document you agree to the following terms of use: This Matrix Deluxe Parallel Inspection Report Form document is provided for qualified educational use only. Copies of this document may be printed for use by students of home inspection in performing a mock-inspection in an educational setting, a non-fee paid practice inspection, or a parallel (or ride-along) inspection. This document may not be used in whole or part for any fee-paid inspection. Use of this document for a fee-paid inspection and unauthorized duplication are strictly prohibited by copyright law. This document must be distributed in whole, with this page included. For the most recent version of this document visit http://www.home-inspect.com/parallel/

Ordering Information

The Matrix Deluxe Inspection Reporting System is the world’s most popular professional home inspection reporting system. Matrix report forms are available in letter and legal size 4-part NCR forms, available with standard contracts, custom contracts, state and association specific contracts, popular home inspector associations’ standards of practice, and additional specialty pages, from Kaplan Professional Schools’ Inspection Training Associates. Quantity discounts are available.

To order call 1-888-323-9235 or visit http://www.inspectionreport.com.

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NOTICE: This report contains technical information. If you were not present during this inspection please call the office to arrange for a verbal consultation with your inspector. If you choose not to consult with the inspector, this inspection company cannot be held liable for your understanding or misunderstanding of this report's contents.

The "Matrix" Report lists the systems and components inspected by this company. Items not found in this report are considered beyond the scope of this inspection, and should not be considered inspected at this time.

When "APPEARS SERVICEABLE" is checked it means that we did not observe conditions that would lead us to believe problems existed with this system or component. The item is capable of being used. Some serviceable items may, however, show wear and tear. Other conditions are checked, if applicable, in the body of the report.

Buyer Buyer's agentSeller's agentSeller

INSPECTION DATE: START TIME: FINISH TIME: INSPECTOR:

PRESENT DURING THE INSPECTION:

PROPERTY INFORMATION:

PAGES INCLUDED ARE:

Approximate age of building: Stated by:

Single family

Townhome

Occupied

Duplex Triplex Fourplex

Vacant

Additions or Alterations: NOTICE: It is always wise to check with the building department for permit information, especially if additions or alterations are noted.

Approximate age of roof: Stated by: Unknown

Residential Units

Condominium

Unknown

HOUSE FACES: N S E W

Commercial

Industrial

Partial furnishings

WEATHER CONDITIONS: Dry TEMP _____ FRain today / Recently Snow today / Recently

NOTICE: AN ABRIDGED VERSION OF THIS KEY IS PRINTED AT THE TOP OF EACH PAGE

If you do not understand how to read this report please contact our office

Page 1/2Page 3

CONTRACTKEY

Page 4 GROUNDSEXTERIORPage 5

Page 6 FOUNDATION

Page 7Page 8

ROOFPLUMBINGHEATING 1 Page 9

Page 10 HEATING 2 & A/CPage 11 ELECTRICAL

Page 12 INTERIOR 1INTERIOR 2Page 13

Page 14Page 15

GARAGEKITCHEN

Page 16 BATHROOM

Please read the special "NOTICES" in each section of the report for further information concerning the limitations of this inspection.

Optional Pages:

POOL/SPAPERMIT REVIEW

GENERAL NOTESSTANDARDS

REPORT OVERVIEW

Recommend further review by a qualified licensed structural engineer/geotechnical engineer.

Recommend further review and repairs as needed by a qualified licensed contractor or specialtytradesman dealing with that item or system.

Recommend further review for the presence of any wood destroying pests or organisms by a qualified Pest Inspector.

Upgrades are recommended for safety enhancement. This building may have been builtbefore the era of current safety standards.

Items that have an (*) Asterisk next to them: This item or component warrants additional attention, repair or monitoring.

Items that have a ( ) Circled Number next to them:The Circled Numbers are defined as follows:

*

55

1997 - 2004 I.T.A. REPRODUCTION OR UTILIZATION OF THIS REPORT WITHOUT WRITTEN AUTHORIZATION BY I.T.A. IS NOT PERMITTED.copyright 3

yl Ke

S m oby

PAGE 3KEY TO THE MATRIX INSPECTION REPORT

This item is a safety hazard - correction is needed.

Significantly deficient systems or components will be identified as: Not functional / unsafe / worn / near end of lifespan. The reason an item is “significantly deficient” will be checked within the body of the report. Review these findings and takerecommended actions before close of the transaction. Please read the entire report for all items checked.

0X2HFX0301

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N/AN/A1 Driveway1 Driveway

Surface raised / settled / trip hazards*qqqqCommon cracksEvidence of deterioration / poor drainage*

Major cracks*No cracks found

Appears serviceable

GRAVEL

Not functional / Unsafe / Worn / Near end of lifespan* Not fully visible:qq qq

qqqq

qqqq qqqqCOMMENTS:

Eroded Asphalt* Maintenance / sealant needed*

ASPHALT CONCRETE

qqMajor cracks*Common cracksqq qqqq qq

COMMENTS:

PAVER / TILE

Appear serviceable qqNo cracks found

qq

CONCRETE BRICK GRAVELN/AN/A2 Sidewalks2 Sidewalks

N/AN/A

qqqqqq qqqqCOMMENTS:

Common cracks Major cracksNo cracks found

LOCATION(S):

qq

CONCRETE / BLOCK / STUCCO / WOOD

Moisture penetration / No drainage openings*

N/AN/A3 Retaining Walls3 Retaining Walls

CONCRETE / BRICK / PAVER TILE / BLOCK

COMMENTS:

Appear serviceable

4 Patio4 Patio

N/AN/A

N/AN/A

qqqqqq

A B

Appears serviceable

Appears serviceable qqqq qq

qq

qq

qq

qq

qq

qq

qq qq

qqqq

COMMENTS:

Moisture / damage at: base of posts / roof / structure

OPEN DESIGN / COVERED ROOF (REFER TO ROOF PAGE*)

Unsecure / improper attachment to house*Wood appears overspanned / sagging / damaged

Lacks: metal straps / bolts / nails*

COMMENTS:

WOOD CONCRETE

Earth-to-wood contact

Earth contact

Piers / posts need straps / footings

qqqq qqUnable to determine active leakage* Evidence of poor drainage*

Deck on grade - unable to inspect*Deck appears unsound

WATERPROOF COATING

Uneven step(s) at porch / deck*Porch / steps settled away from house*

LOCATION:

Flashing not visible / improper qq Flashing missing at house

C D

5 Cover5 CoverDECKPATIOPORCH

DECKPATIOPORCH

6 Decks/Porch6 Decks/Porch

qqqq qq

qqqqqqqq

qqqq

qqqq qq

Appear serviceable

COMMENTS:

Loose / missing blocks* Moisture damage*Common cracks Major cracks

Broken / loose / missing boards*Loose / rotted posts*

Gate / latch needs adjustment / repair / replacement*Fence at pool / spa area is: missing / too low / climbable*

FENCES NOT INSPECTED WOOD / CHAINLINK / WROUGHT IRON / MASONRY

Self closing device / latch is: missing / not working* (at pool/spa)

N/AN/A7 Fences & Gates7 Fences & Gates

**

55

Railing too wide / missing*qqqqqq Railings are serviceable____n/a Railing damaged / loose / too low* 55

55

1997 - 2004 I.T.A. REPRODUCTION OR UTILIZATION OF THIS REPORT WITHOUT WRITTEN AUTHORIZATION BY I.T.A. IS NOT PERMITTEDcopyright

Not functional / Unsafe / Worn / Near end of lifespan* Not fully visible:qqSurface raised / settled / trip hazards*

Evidence of poor drainage*qq Concrete is above foundation / siding / stucco*

Not functional / Unsafe / Worn / Displacement / Near end of lifespan* Not fully visible*qq

LOCATION(S):

qqMajor cracks*Common cracksqq qqqq qq

Appear serviceable qqNo cracks found

qq

Not functional / Unsafe / Worn / Near end of lifespan* Not fully visible:qqSurface raised / settled / trip hazards*

Evidence of poor drainage*qq Concrete is above foundation / siding / stucco*

LOCATION(S):

qq Not functional / Unsafe / Worn / Near end of lifespan* Not fully visible:qq

qq

Screens / panels damaged / torn / missing*

Cracks / Moisture stains / damageNot functional / Unsafe / Worn / Near end of lifespan* Not fully visible:

qq Not fully visible:

Rust / Leaning*

Not functional / Unsafe / Worn / Near end of lifespan*

0X2HFX0401 4

This item warrants attention/repair or monitoring

Recommend evaluation by a structural/geo-technical engineerRecommend evaluation and repairs by a licensed contractorRefer to qualified termite report for further information

Upgrades are recommended for safety enhancementKEY:KEY:

55

GROUNDSPAGE 4This item is a safety hazard - correction is needed

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EXTERIOR

COMMENTS:

COMMENTS:

Railing loose / improper / too low / none installedq

COMMENTS:

q

q

qq

Appear serviceable

Railings serviceableMoisture stains / damage / earth contact* Uneven rise/run on steps/loose steps

8 Exterior Stairs8 Exterior Stairs N/A

qq

Openings in rails too largeImproper / no landing

LOCATION(S): A B C

COMMENTS:

9 Exterior Walls9 Exterior Walls N/A

q Nailing defects*

Notice: Wall insulation type and value is not verified* UFFI insulation or hazards are not identified* Conditions inside the wall cannot be judged* Lead paint testing is not performed*

COMMENTS:

Eaves, soffits, fascia & trim appear serviceableqqq

q Flashings / Trim: damaged / loose / cracks / missing / not visible at: eaves / soffits / facia / corner / window / wall trim

WOOD / METAL / VINYL / BRICK / CONCRETE / MASONRY

Caulking / paint / finish needed*Moisture stains / damage at: eaves / soffits / facia / corner / window / wall trim

N/A10 Trim10 Trim

N/A11 Chimney(s)11 Chimney(s)

q

COMMENTS:

q

BRICK / BLOCK / CONCRETE

LOCATION(S)

METAL FLUE / WOOD FRAME: STUCCO / SIDING

Damage / deterioration / defect * Chimney: A B C D

A B C D

q

qq

qq

Adjust spray away from structures, fences, sidewalks, etc .*q

Appear serviceable

Not inspected*

Valve / head / line: Leaks / missing / not functioning* Anti-siphon valves needed*Areas of inadequate spray coverage / adjust heads*q

qAutomatic timers not tested* Control box location:N/A12 Sprinklers12 Sprinklers

Notice: Underground pipes cannot be judged for breaks or possible root intrusions. Association-maintained systems are not tested. Grove systems are not tested.*

N/A

q

q Frost type: yes / no*

q q

Winterized - not tested*

Appear serviceable Leaks

q Anti-siphon valves: yes / no*

q Missing / broken handle(s)*

13 Hose Faucets13 Hose Faucets

qqq qq

q

q

FULL PARTIAL NONE INSTALLED

Drains blocked*Add gutters & downspouts / splashblocks for drainage*

Debris filled*

No secondary drain(s) on roof

Route downspouts away from building*Gutters / downspouts: Loose / damaged / disconnected / rusted / corroded / leak*

q Subsurface drains not tested

N/A14 Gutters & Downspouts14 Gutters & Downspouts

Appear serviceable

Notice: Gutters and subsurface drains are not water tested for leakage or blockage.* Regular maintenance of drainage systems is required to avoid water problems at the roof and foundation.*

COMMENTS:

*

This item is a safety hazard - correction is needed



Upgrades are recommended for safety enhancementKEY:

5

55

copyright 50X2HFX05011997 - 2004 I.T.A. REPRODUCTION OR UTILIZATION OF THIS REPORT WITHOUT WRITTEN AUTHORIZATION BY I.T.A. IS NOT PERMITTED

qCommon cracksq

qq qqq

q

Appears serviceableNo cracks found Major cracks Soil contact*Cracks / openings need repair

Damaged / cracked bricks / mortar / siding / paint / finish / caulking*

qqq

qq

q

qq

qAppears serviceable

Cracks or separations / sealing needed at wall / roof*

Spark screen present

Cracks in chimney cap*

Spark screen: Missing / improper / not visible*Chimney / brick / mortar is: cracked / deteriorated / leaning* Settlement

Raincap / screen recommended*Flashing is improper / not visible*

Unlined flue

Not functional / Unsafe / Worn / Near end of lifespan* Not fully visible:q q

WOOD / METAL / CONCRETE / WATERPROOF COATING


Not functional / Unsafe / Worn / Near end of lifespan* Not fully visibleq q

Notice: The interior of the flue was not inspected at this time. We recommend that you retain a qualified chimney sweep to clean and evaluate the flue*


q Ash dump / door is: Rusted / corroded / damaged / missing*


q

qqNot inspected*

q WOOD FRAME / MASONRY / BRICK / LOG / POST & BEAM qWALL COVERING:

STRUCTURE:

( )see noteopposite pageWOOD / VINYL / METAL / FIBROUS SIDING / STUCCO / VENEER / EIFS*

Moisture stains / damage*

Some inoperative / corroded


Roof / gutters not draining properly*

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16 Slab-on-grade 17 Crawl space 18 Basement16 Slab-on-grade 17 Crawl space 18 Basement N/AN/A

Notice: All slabs experience some degree of cracking due to shrinkage in the drying process. In most instances floor coverings prevent recognition of cracks or settlement in all but the most severe cases. The inspector will, at additional cost, reinspect, provided the client removes floor covering and releases the inspector from damage caused by this process. Floor coverings are not removed during this inspection.*

q

qqqq

qq

q

qDrainage of site/ slope of soil at foundation is proper based upon visual observation

Plants / trees touch house / roof*

Surface drains noted, not tested--underground pipes cannot be judged *

Earth-to-wood contact visible

Signs of poor drainage / erosion*

LEVEL SITE BANKSSLOPE MINOR / MODERATE / STEEP / STAIRSTEPPED

Improper soil slope toward foundation* Soil / pavement is high at foundation*Trees planted close to structure*

COMMENTS:

Notice: This inspection does not include geological conditions or site stability information. For information concerning these conditions, a geologist or soils engineer should be consulted.

15 Grading15 Grading

Notice: The inspector does not determine the effectiveness of any system installed to control or remove suspected hazardous substances * No engineering is performed during this inspection*

COMMENTS:

*



55

copyright 6

N/AN/A

PAGE 6 FOUNDATION

Slab not visible due to carpet and floor covering--recommend further evaluation by removal of floor covering due to:qq

qq

Slab visible / not visible due to carpet and floor covering--no readily visible problem noted today

Cracks found* Uneven areas in flooring* Unusual cracks found on interior / exterior walls

q

q

q

q

q

q

Foundations:

No cracks found

Visible

Common cracks / deterioration*

Partially Visible*

Major cracks / deterioration / bulges / movement

Not visible at*

Further evaluation needed

BASEMENT STAIRS__N/A

qqq

qq

qq

Entered crawl space No access*Door / cover: OK

Viewed from access opening only*Crawlspace / basement not inspected due to:*Damaged / missing*Partial access*

FOUNDATIONS: POURED CONCRETE / MASONRY BLOCK / BRICK / STONE / PIERS / WOOD / NOT VISIBLE

q

q

q q

qAppear serviceable


No moisture present Excessive moisture / damage Moisture / stains / damage*

q

INSULATION: ___” Fiberglass / Mineral wool / Cellulose / Vermiculite / Foam /_________

VAPOR RETARDER___N/A qq q qNone / not visible / loose / installed incorrectly*

Loose / installed incorrectly*Not installed* Not visible*

q qqq Anchor bolts installed No anchor bolts / shear panels Bolts not visible*Shear installed

WOOD FRAME:

q

COMMENTS:

qq q


Broken / cut / sagging framing Moisture stains / damage

CONVENTIONAL WOOD FRAMING

Engineer recommended

Damaged / missing / unsecured piers / posts / beams Earth-to-wood contact

NONE

q

q

Debris under house*q Missing framing strap(s) / block(s)

TRUSS

q Unable to inspect: walls / frame / floor due to: furniture / cabinetry / stored items / paneling / tile / floor coverings*

qqRailing serviceable Railings loose / improper / missing / rails too wideqServiceable

qCeiling is low / hazard*Stairs too steepq

q Uneven rise / run / loose step(s)*

q qConcrete floors: improperly sloped* / cracked* / deteriorated* / settled Evidence of moisture / water present*

qqq Sump pump needed*Pump not tested*Not functional*SUMP PUMP___N/A

VENTILATION___N/A q q qServiceable Vents blocked / needed Vent screen(s) damaged / missing*

0X2HFX06011997 - 2004 I.T.A. REPRODUCTION OR UTILIZATION OF THIS REPORT WITHOUT WRITTEN AUTHORIZATION BY I.T.A. IS NOT PERMITTED

Not fully visible*

Overgrown landscaping*q

COLUMNS: CONCRETE / STEEL / WOOD / MASONRY BLOCK / BRICK / NOT VISIBLE NONE

q

Exposed footing* q

q Probing where deterioration is suspected revealed: moisture / pests / rot

COMMENTS:

qq Joists / beams / posts / columns appear: overspanned / bearing poorly / twisting / overnotched / cracked / rotted

FLOOR CONSTRUCTION: JOISTS TRUSSES CONCRETE NOT VISIBLE

q

Not fully visible*

Installed

qServiceable




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Pitch appears insufficient

Evidence of prior patching / repairsqq

qq

q

qqq

qqq

q

Hip

Not fully visible due to: height weather snow type debrisViewed from ladder / ground / with binoculars (These inspections are limited)*Walked

Mansard / ShedFlat/ low slopeRoof style: Gable

ASPHALT / COMPOSITION SHINGLE

q

q

q

q

qq

How Inspected:

WOOD SHAKE WOOD SHINGLE # OF LAYERS

General condition favorable with signs of weathering and aging--regular maintenance and inspection advised.*

qq

q

q

qq

Appears serviceable / within useful lifeTypical maintenance recommended. This usually consists of repair/replacement of damaged/missing ridge and other shakes/shingles.This maintenance should help ensure the water tightness of the building and be performed on a regular basis.*

Few/many damaged or missing shakes/shingles needing repair/replacementWeathering / aging* Burnt through Cracking*

Moisture damaged / moss coveredHoles / openings / exposed / deteriorated membrane

Exposed / lifted / missing fastenersRoof material appears to be improperly installedRoof appears to be nearing / at end of useful life


1919

Roof Notes Roof Notes

COMMENTS:

Notice: The report is an opinion of the general quality and condition of the roofing.* The inspector cannot, and does not, offer an opinion or warrantyas to whether the roof has leaked in the past, leaks now, or may be subject to future leakage. This report is issued in consideration of the foregoing disclaimer.*

q

Flashings appear serviceable

qqq

q

qq q

q

q

q

q

Separation(s) / improper flashing at:Vent caps appear serviceable Damaged flashing*Skylight(s) appear serviceable

Roof / wall / edge / skylight / chimney / vent pipes*

Improper / no visible flashing at:Needs repair*

Cracked / damaged / defects

Missing caps* Rusty flashing*

Non professional skylight

22 Exposed Flashings22 Exposed Flashings

Notice: Roofs of this material are not walked to avoid causing damage. Not all tiles/slates/panels are checked for attachment.* Inspection is limited.*

qq

q qq

q qqq

q

q

qq Typical maintenance recommended.

aggregate material. Repair of open seams, cracks in flashings, deteriorated roof coverings, etc.*

Excessive damage / deterioration

Evidence of ponding / poor drainageRoof appears to be nearing / at end of useful life

q NOTICE: Roof is part of Home Owners' Association: Not inspected at this time.

Roof material appears to be improperly installedDeteriorated surface Open seams Moss covered*

Exposed fastenersEvidence of prior patching / repairs

Bare areas exposed to the sun

21 21

COMMENTS:

COMMENTS:

FIBERGLASS PANELCLAY / CONCRETE / FIBROUS TILELocation:

Location:

Location:

20 20

COMMENTS:

*





55

0X2HFX07011997 - 2004 I.T.A. REPRODUCTION OR UTILIZATION OF THIS REPORT WITHOUT WRITTEN AUTHORIZATION BY I.T.A. IS NOT PERMITTEDcopyright 7

N/A

N/A

N/A

N/A

ROOFPAGE 7

SLATE / METAL

q

qq

qq

q

qq

q

Cracked / broken / separated / holesLoose / displaced / damaged / missing: field / ridge / edge

Insufficient pitchPrior repairs

Dented / rusted / deteriorated paint

BUILT-UP ROOF: ROCK / CAP SHEET SINGLE-PLY / MODIFIED BITUMEN / FOAM ROLL COMPOSITION

Notice: Determining the presence of asbestos or other hazardous materials is beyond the scope of this inspection* Roofs, skylights and flashings are not water tested for leaks*Notice: Tenting a home for fumigation may cause damage to roofs -- recommend reinspection for damage after tenting is completed*

q Not fully visible*

qq Appears serviceable / within useful life Not functional / Unsafe / Worn / Near end of lifespan* q Not fully visible*Exposed / lifted / missing fasteners

Loose / displaced / damaged / missing: field / ridge / edge q

Roof material appears to be improperly installedHoles / openings / exposed / deteriorated membrane

qAppears serviceable / within useful life Not functional / Unsafe / Worn / Near end of lifespan* q Not fully visible*

Moss covered*

Moss covered*


Blistering / cracking / alligatoring*

This usually consists of covering exposed/bare area with additional coating /

q Mastic covered*

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N/A

N/A

27 Water Heater(s)27 Water Heater(s)

26 Fuel System26 Fuel System

N/A

COMMENTS:

23 Main Line23 Main Line

COMMENTS:

Notice: Estimate of remaining life is not part of this inspection. Solar systems are not part of this inspection. Hot water recirculating pumps/systems are not part of this inspection.*

COMMENTS:

N/A24 Supply Lines24 Supply Lines

COMMENTS:

N/A25 Waste Lines25 Waste Lines

*



55

copyright 8

Notice: Underground pipes or pipes inside walls cannot be judged for sizing, leaks or corrosion.* Water quality testing or testing for hazards such as lead is not part of this inspection.*Notice: Be advised that some "Polybutylene" plastic piping systems have experienced documented problems. Contact the manufacturer or an expert for further information and evaluations.*

Notice: Be advised that some "ABS" plastic piping systems have experienced documented problems. Contact the manufacturer or plumbing expert for further information and evaluations.*Notice: City sewer service, septic systems and all underground pipes are not a part of this inspection. Future drainage performance is also not determined.*

qq

Excessive corrosion on valve Copper not protected from concrete*qMain valve location:

qq

qq

q q q q

q

Appears serviceableNot located*

Water softener installed - (water condition/quality is not tested*)

Operational Not operational Valve not tested*Valve / handle: broken/ missing / leaks*

Leaks at water conditioner

(see "Notice" below) (see "Notice" below)COPPER / GALVANIZED / PLASTIC / LEAD

Above 80psi-- adjustment / repair / install regulatorSIZE: PRESSURE: PSI @ AM / PM

qq

Noise in pipesq

qq

q qqq

qq

qModerate rust / corrosionMinor corrosion*

Copper / galvanized contact

Minor flow restriction*

Exposed lines not insulated*

Moderate loss of water flow*

Leaks

Pipes lack support

Major loss of water flow when using multiple fixtures

Cross connection(s) present

Major rust / corrosion

qq Open waste / sewer line

qq

q Moderate / major rust / corrosion

qq

CAST IRON / GALVANIZED / COPPER / LEAD / PLASTIC

q qPipes lack proper support Leaks

(see "Notice" below)

Minor corrosion*Insufficient fall for adequate drainage

Plumbing vents/traps appear serviceable (however all vents/traps are not fully visible) Vent missing / terminates improperly

Improper / no visible trap / vent

Fuel system is not on for inspection - suggest utilities company light and test appliances*

qSHUT VALVE LOCATION: GAS METER / OIL TANK / LPG TANK

Notice: Underground piping & fuel tanks cannot be judged. Pipes inside walls or pipes concealed from view cannot be judged and the inspector does not perform tests for gas leaks or pipe sizing.*

COMMENTS:

No T P R valve installedqWater shutoff valve installed (no test)q

T P R pipe: missing / short / threaded / capped / reduced / unsafe terminationqT P R pipe: improper type / reduced

qP R valve on piping system onlyq

q qq

Appears serviceable

T P R valve installed on tank(s)

Rust flakes in burner chamber* Burner flame appears improperValve missing / broken / leaks Rust/corrosion on pipes / valve / tank*

q

q

q

Heater leaks: water / gas / oilq

Air supply blocked / none provided

q

Pipe damaged / disconnected

qq

qq

q

qq

Gas heater flame in garage is not 18" above floorVent flue backdrafting noted

Recommend protecting heater from physical damage*Missing a catch pan with an exterior routed drain line*

Vent rise / angle is improper Elbows of 90 / multiple 60 degrees

Enclosure / door missing / damaged*

Straps needed*

Improper / loose / missing ventNo gas line drip leg*

Insufficient clearance to combustible material

Improper firewall

Blanket damaged / loose* Blanket needed*qq Improper straps*

Vent flue piping is serviceable ___N/ACombustion air is available ___N/A

Thermal blanket serviceable___N/A

Seismic straps serviceable___N/A

qqqq

qqq

qqq

q

qLeak / Improper piping at:

qq

qqq No shutoff valve at:

Pipes not corrosion proofed* / not protected in ground* / concrete*Copper / plastic pipe Pipe is not 6" above ground

Pipe is corroded / under strain

Unions / bushings at:

qq Pipes lack proper support

PLUMBINGPAGE 8This item is a safety hazard - correction is needed



CANNOT DETERMINE


(see "Notice" below) (see "Notice" below)COPPER / GALVANIZED / PLASTIC / LEAD CANNOT DETERMINE

q Appear serviceable Not functional / Unsafe / Worn / Near end of lifespan* Not fully visible:q q

q Evidence of prior repairs*

CANNOT DETERMINE

q Appear serviceable Not functional / Unsafe / Worn / Near end of lifespan* Not fully visible:q q

q Appears serviceable Not functional / Unsafe / Worn / Near end of lifespan* Not fully visible:q q

GAS / PROPANE ELECTRIC / SOLAR

LOCATION UNIT A: UNIT B:

OIL GALLONS: #A #B #C

q Pilot / sytem off--could not inspect*

UNIT C:

Not functional / Unsafe / Worn / Near end of lifespan*q

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28 Description28 Description

32 Burners32 Burners

COMMENTS:

3131 Combustion Air Combustion Air

COMMENTS:

Notice: Inspector does not light pilots. If pilots are "OFF", a full inspection is not possible. It is suggested that heating systems be activated and fully inspected PRIOR TO CLOSE OF TRANSACTION.*

30 Venting30 Venting

COMMENTS:

Notice: If a fuel burning heater / furnace is located in a bedroom, we recommend evaluation by a qualified heating contractor for safety and air volume requirements.*

29 Condition29 Condition

COMMENTS:

COMMENTS:

33 33 Distribution Distribution

Notice: Asbestos materials have been commonly used in heating systems.* Determining the presence of asbestos can ONLY be performed by laboratory testing and is beyond the scope of this inspection.*

**



N/AN/A

N/AN/A

N/AN/A

N/AN/A

N/AN/A

N/AN/A

copyright 9

HEATINGPAGE 9

Unit: A B CUnit: A B C

Unit: A B C


Closed system / unable to inspect*

qq

q

q

q

qBurner flame appears typicalRust flakes / oil stains in burn chamber Soot / charring in burn chamber

Damaged chamber / refractory

Unusual flame pattern

Notice: The Inspector is not equipped to thoroughly inspect heat exchangers for evidence of cracks or holes, as this can only be done by dismantling the unit or other technical procedures.* This is beyond the scope of this inspection.* Some furnaces are designed in such a way that inspection is almost impossible.* Safety devices are not tested by this company.*

Notice: It is suggested that all homes with fuel burning heating systems have a carbon monoxide detector installed for added safety.*

Unit B ______________

qq

q

Oilqq

qCoal / wood

PropaneElectricNatural gas

Fuel Type:

qq

q

Oilqq

qCoal / wood


Radiant Radiantqq

qqq

qqq

qqq

qqq

qFloor / wall / gravity

Heating Type:

Heat PumpRadiant

Forced air Boiler / steam

Heat PumpFloor/ wall/ gravForced air Boiler / steam

qq

q

qq

q

Oilqq

qCoal / wood


Location A Location C

n/a Unit C ______________ n/a

Location B

Approximate BTU's

Heat PumpFloor/ wall/ gravForced air Boiler / steam

Unit A ______________ n/a

Unit: A B CUnit: A B CUnit: A B C

Unit: A B CPilot not on / utilities off / electric ignition malfunction - could not inspect*

Did not respond to normal controls q

q

qqSystem(s) appear serviceable

Unit: A B C


Unit: A B C Unit: A B CUnit: A B C

Low air volume

qZone valve did not operateq

Not fully visible*Damaged / missing register(s)*

q

q

qq q q q

qqAppears serviceable

DUCTS/REGISTERS PIPES/CONVECTORS PIPES/RADIATORS ELECTRIC/BASEBOARD

q

Circulating pump - leaks / noisy / inoperativeRadiator / convector / fitting: Leaks / corroded / rusted / cold / damaged / inoperative

q Insulation damaged / missing*

Unit: A B C

Unit: A B C

Unit: A B C

Unit: A B C

Unit: A B C

Unit: A B C Unit: A B C

Unit: A B C

Unit: A B C

Unable to fully inspect vent pipe*

q

Appears serviceable

q

qqqq

q

q

q

q

Backventing

Vent lacks clearance from combustible

Improper materials used for vent pipe

Vent terminates near window / opening

Soot / rust on vent pipe / chamber

Improper vent rise / elbow angle

Defective barometric / vent damper / induced draft fan

Damage / deterioration / defects*

Unit: A B C

Unit: A B C

Unit: A B CUnit: A B CUnit: A B C

Unit: A B C

qqq

q

Appears serviceable

q

q

Air supply blocked*

Combustion and return air sources are too close or mixingRecommend sealing platform at heater base / holes in platform*

No / inadequate air supply





Fuel Type:

Heating Type:

Fuel Type:

Heating Type:

Not functional / Unsafe / Worn / Near end of lifespan / Damage / Deterioration / Defects*


Ducts: Damaged / crushed / disconnected / holes / openings / leak

q Unit: A B CSystem does not appear to have been serviced per manufacturer’s instructions, within the last year*

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LOCATION(S): UNIT A

LOCATION(S): UNIT A

q One speed fan only*Air temp below 65 Fahrenheit: Unable to test system(s)* (operation could cause damage)

q

q

qq

q

POWER:

CONDENSATE: ____N/A

REFRIGERANT LINES: __N/A

120 VOLT

120 VOLT

q

qq q

q

q

q

q

q

240 VOLT

240 VOLT

Not level / makes unusual noise

Unit makes an unusual noise

Condenser coil: damaged / poor air circulation

Pads are damaged*

ELECTRICAL DISCONNECT PRESENT

HEAT PUMP - AIR / GROUND / WATER SOURCE

UNIT B

UNIT B

UNIT: A B C

UNIT C

GAS*(NOT INSPECTED)

Unable to inspect / test*

Temperature differential is incorrect

Ice on lines / unit

Unit: rusted / corroded / leaks*

Recommend system service*

Float valve / pump not functioning*

Unit is not level* Flashing is missing / improper*

Leaking noted*

No electrical disconnect provided:

No electrical disconnect provided at unit

Grounding: Improper / not provided

Proper grounding not provided at unit

Improper / deteriorated / no conduit / roof flashing

Condensate line installed Line not fully visible*

Box / conduit: Improper / loose / missing:*

Junction box / cover: loose / missing / improper*

Line(s) appear damagedLeaks at: Evaporator / condensorLines not fully visible*

Insulation installed on-lines

q

q

q

q

qqq

q

qq q

q

q

35 Air Filters35 Air Filters

Notice: Electronic air cleaners, humidifiers and de-humidifiers are beyond the scope of this inspection.* Have these systems evaluated by a qualifed individual.*

36 Heating Notes36 Heating Notes

COMMENTS:

COMMENTS:

Notice: Asbestos materials have been commonly used in heating systems.* Determining the presence of asbestos can ONLY be performed by laboratory testing and is beyond the scope of this inspection.*Notice: Verification of the location or condition of underground fuel storage tanks is not part of this inspection.* Environmental risks, if any, are also not included.*

COMMENTS:

Notice: Thermostats are not checked for calibration or timed functions.* Adequacy, efficiency or even heat distribution of the system through the house is not part of this inspection.*

34 Normal Controls34 Normal Controls

37 Evaporative Cooler37 Evaporative Cooler

COMMENTS:

38 Air Conditioning38 Air Conditioning

COMMENTS:

**



55

Unit: A B C

qq

qq

Appear serviceable Missing / wrong size / unable to inspect*

No hold-down*Suggest cleaning / changing filter*

qq

Leakage at boiler / pipe fittingsUndercut doors off carpet / floor*

q

q

qq

q

qq

Suggest cleaning & servicing blower / motor / pilot / vent system / burners / boiler / pump

Heater makes unusual noise during operation, further evaluation neededLow / high - pressure / temperature

Recommend complete system evaluation

Fuel leak

Unable to locate heat in all rooms*

Unit: A B C

Unit: A B C

Unit: A B CUnit: A B CSwitch is missing / broken*qControls / gauges need repair / replacementq

q

q

q

q

q

q

Appears serviceable

Thermostat broken / loose / poor location*

Leaks / corrosion at:


Unable to inspect / utilities off*

Expansion tank - rusted / leaks / water logged

N/AN/A

N/AN/A

N/AN/A

N/AN/A

N/AN/A

copyright

HEAT 2 / COOLINGPAGE 10This item is a safety hazard - correction is needed


1997 - 2004 I.T.A. REPRODUCTION OR UTILIZATION OF THIS REPORT WITHOUT WRITTEN AUTHORIZATION BY I.T.A. IS NOT PERMITTED

Unit: A B C

Unit: A B C

Unit: A B C

Unit: A B C

q Condensate lines: blocked / leak / disconnected / subject to freezing*

SPLIT SYSTEM / PACKAGE UNIT / WALL / WINDOW UNIT

Air leaks at: furnace / plenum*

q Appears serviceable Not functional / Unsafe / Worn / Near end of lifespan* Not fully visible:q q

q Appears serviceable Not functional / Unsafe / Worn / Near end of lifespan*q

UNIT: A B C

UNIT: A B C

UNIT: A B C

UNIT: A B C

UNIT: A B CUNIT: A B C

UNIT: A B C

UNIT: A B C UNIT: A B C

Termination location: Poor / not found*q

q Condensate lines: blocked / leak / disconnected / subject to freezing / no trap* Termination location: Poor / not found*q

q Heat pump auxiliary heat not functional UNIT: A B C

DATA PLATE:

Insulation damaged / missing* UNIT: A B C

Notice: The inspector does not perform pressure tests on coolant systems; therefore no representation is made regarding coolant charge or line integrity.Notice: Subjective judgment of system capacity is not part of the inspection. Window or portable units are not inspected.

100X2HFX1001

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39 Service39 Service

q Sample of fixtures, switches and outlets tested appear serviceable q Furnishings prevent testing of all outlets and switches*

COMMENTS:

COMMENTS:

43 Panel Notes43 Panel Notes

44 Wiring Notes44 Wiring Notes

COMMENTS:

42 Sub-panels42 Sub-panels

COPPERSERVICE WIRE:

BRANCH WIRE: COPPER

ALUMINUM

ALUMINUM

CANNOT DETERMINE

CANNOT DETERMINE

40 Main Panel40 Main Panel

41 Conductors41 Conductors

COMMENTS:

Notice: Six or fewer breakers usually do not require a main breaker, however this may indicate light electrical capacity.*Notice: If the service amperage is less than 100, upgrade may be needed to operate larger electrical appliances.*

*



55

11copyright

ELECTRICALPAGE 11

N/AN/A

N/AN/A

N/AN/A

N/AN/A

N/AN/A

N/AN/A

q

qq

q

AMPS

Appears serviceable qq

OVERHEAD

120V*

Loose / damaged connections / flashing at roof / mast

UNDERGROUND

240V / 120V

NUMBER OF CONDUCTORS

AMPS NOT DETERMINED

Wires: Frayed / improper splices / tap on main wiresConductors too close to ground / drive / roof / pool Wires touch trees* Contact utility company*

q No drip loop on service wires

q

Panel ratingLOCATION: Not verified

q

q

q Appears serviceable

Power is off at main / no inspection performed - Recommend further evaluation*#A-

Not accessible*

q

q qMain disconnect inspected at: More than six breakers with no main disconnectGround presentq qq Ground clamp / system not visible*Ground loose / disconnected at:

LOCATION: #B #C #D

Fused neutral wire(s) at panel #q

q

q

qq

q

qqqq

qq

q

qqq

Appear(s) serviceable

Two wires on one non-rated breaker at panel #Overfusing (fuse / breaker size too large for wire) panel # Direct tap - wires not protected by fuse/breaker at panel #Aluminum wiring noted at the general 120 volt circuits

Electrical system appears outdated by today's standardsBreakers / fuses: damaged / inoperable / not labeled at panel #* Opening(s) / missing deadfront cover(s) at panel #*

Missing 240 volt - handle tie(s) at panel #Unprotected opening(s) in panel #Antioxidant not visible on aluminum wire connections*Panel bond is not provided for safety at panel #

Breaker is off at panel #* Have reason verified*

Neutral and ground wires connected at sub-panel #Scorching / melting / rust / corrosion at panel #

q

q

Improper wiring at panel #

Panel # ______ is locked / inaccessible - could not inspect* Further evaluation is needed*

(Aluminum connections should be checked by a licensed electrician, familiar with aluminum wire.)

q Missing bushing / clamp on wire(s) at panel #

Doorbell worked / noneq

q

q

qq

Reverse polarity at:

Open Neutral at:

Not exterior rated wire / box / cover at:

qCrawlspaceq

qq

q

q

q qq qq Garage / atticCrawlspace

Kitchen / exteriorq

q

qKitchen / exterior q Crawlspaceqq Garage / attic

qq

q

qq

q

qqq

qq

qqq Garage / atticBasementBasement

BasementKitchen / exterior

'GFCI', (a safety device for outlets near water) recommended at:

Three prong outlets did not test properly grounded at:Polarity and grounding of outlets within six feet of plumbing fixtures, in the garage and on the exterior appear serviceable

Evidence of overheating / arcing at:

Extension cord used as wiring at:

Outlet not operational at:Loose / damaged / miswired: outlets / switches at:

Improper wiring at:

Exposed wiring needs protection at:

Exposed splices at:

Fixture is unsafe / corroded / missing / damaged*

Box cover missing at:*

Not operational

'GFCI'(s) responded to test 'GFCI' not operational at:

Light / fan not operational / ungrounded at:*Missing / damaged cover plates*




BREAKERS / FUSES

Defects / Deterioration / Unsafe / Near end of lifespan*

OVERCURRENT PROTECTION DEVICES INSPECTED

WIRING METHODS: NON-METALLIC CABLE METAL / PLASTIC CONDUIT KNOB AND TUBE

q Defects / Not functional / Unsafe / Near end of lifespan*

Defects / Deterioration / Unsafe / Near end of lifespan*

#B #C #D#A

Exterior / Garage / Bathrooms / Kitchen / Basement / Wetbar

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COMMENTS:

qq qq qqHardware operational Not operational* Damaged door jamb*

qqqq

qqAppear serviceable Damage / deterioration / defects*Weather stripping is serviceable Damaged* No weather stripping*

qq45 Doors (Entry)45 Doors (Entry)

Notice: Determining condition of all thermopane windows is not possible due to temperature, weather and lighting variations. Check with owner for further information.

COMMENTS:

COMMENTS:

qq

qqqq

qqqq

qqUnable to determine if glass is tempered*

qq

qq

qqqq

Exterior doors appear serviceable Door is damaged / in need of adjustment / difficult to operate*Tempered glassLatching hardware is operationalTracks serviceable

Not temperedNot operational*

Deteriorated* Screen doors not checked* Few / many damaged / missing screens*

SLIDING GLASS FRENCH

qq

47 Doors (Ext.)47 Doors (Ext.)

qqqq

qqqqqqDoors appear serviceable

Hardware is operationalNeed adjustment / damage / defect*Not operational / missing / loose*Door(s) rub / stick / won't latch / damaged jamb*Several frames are not square - may indicate movement

COMMENTS:

46 Doors (Int.)46 Doors (Int.)

Notice: The condition of walls behind wallpaper, paneling and furnishings cannot be judged.

No cracks found qqqqqq qqqq qqqqqq

qqGeneral condition appears serviceable

General condition appears serviceable

Common cracksFurnishings prevent full inspection - do a careful check on your final walkthrough*

Needs repair*Major cracks

Moist / dry - stains / damage*Holes / openings / exposed frame*Nail pops*

DRYWALL PLASTER PANELING WALLPAPER49 Interior Walls49 Interior Walls

Loose / cracked / broken glass*

Stains / damage*

qq

qqqq

qq qq

qqqqqq

qq

qq

qq Few / many damaged / missing*

Difficult to operate / slide*

LOUVER

Sample tested appear serviceableBroken sash cords*Caulking / glazing deteriorated*Screens not checked

Dual-glaze foggedNon-operational:*

Not safety glassSecurity bars non-openable / not tested*

ALUMINUM

SLIDING

WOOD

CASEMENT

VINYL / METAL

DOUBLE HUNG

DUAL PANE SECURITY BARS48 Windows48 Windows

qq

qqNo cracks foundqqqq

qqqqqq

qqqq

qqqq

PLASTER

Recommend evaluation by engineer

DRYWALL WOOD /BEAM

Stains* Common cracks

Damaged*Moist* Dry* Unable to determine*

Ceiling height appears low*

Major cracks*

ACOUSTIC SPRAY CEILING TILE50 Ceilings50 Ceilings

Notice: Determining whether acoustic sprayed ceilings contain asbestos is beyond the scope of this inspection. For information contact the American Lung Association or asbestos specialist.

qq qq

qqqq

General condition appears serviceable qqqq

qq

Damage / deterioration*Cracked tiles at:*

Furnishings prevent full inspection - do a careful check on your final walkthrough*

CARPET VINYL WOOD TILE

Uneven area in floor*Wood / vinyl / tile / carpet damaged at:*

51 Floors51 Floors

COMMENTS:

COMMENTS:

Notice: Determining odors or stains is not included!* Floor covering damage / stains may be hidden by furniture.* The condition of wood flooring below carpets is not inspected.*

COMMENTS:

12copyright

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N/AN/A

**


Upgrades are recommended for safety enhancement55KEY:KEY:

INTERIORPAGE 12This item is a safety hazard - correction is needed



SINGLE HUNG

qq Won’t lock / open / close*

qq Recommend review by engineer

qq

qq

qq

55

Loose carpet / floor squeaks noted*

55

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qqqq qqTest button responds Did not respond to test button* Suggest additional detectors in appropriate locations

COMMENTS:

qq qqqqqq None found*Indicator light on Couldn't test / no test button*Not tested*54 Smoke Detector54 Smoke Detector

55 Laundry55 Laundry

COMMENTS:

Notice: Washing machines and dryers are not tested or moved during this inspection -- condition of walls or flooring under cannot be judged. The inspector does not test washing machine drains or supply valves. Water supply valves if turned may be subject to leaking.

56 Attic56 Attic FULL PARTIALFULL PARTIAL

COMMENTS:

Notice: Determining the presence of asbestos or other hazardous materials is beyond the scope of this inspection.*Notice: Tenting a home for fumigation may cause damage to roofs -- recommend reinspection for damage after tenting is completed.*

COMMENTS:

Ceiling fan(s) is (are) operational qqqq

qq Central vacuum is not operational

qqqq

qq

Intercom system not part of this inspection*Fan is non-operational / vibrates / wobbles / improperly supported

Central vacuum is operational

Security system is not part of this inspection*qq Interior stairs appear serviceable qqqq qqqq

qq Stairway is too narrow / steep

qq Faucet is not operationalqq Wet bar faucet appears serviceable

qqCOMMENTS:

qq

qq qq

qqqq qqCounter appears serviceable

Plumbing under sink serviceable LeaksDamage / deterioration to counter / cabinet*

Faucet leaks Cold water only

Improper piping

Stair handrail appears serviceable Railing is loose / improper / missing* Openings in rails are too wideUneven rise / run on steps

53 Interior Features53 Interior Features

Notice: Recommend installing safety spacer on damper when gas logs are present. * Wood and ashes are not moved for inspection. Recommend clearing debris and further evaluation.*

52 Fireplace(s)52 Fireplace(s)**



55

13copyright

INTERIOR 2PAGE 13

N/AN/A

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N/AN/A

N/AN/AxRAFTER FRAMINGTRUSS

q

q qqq

q qqq

qqq

qq

qq

qqq

Approximate depth:________ inchesPoor coverage*

Not tested*

Air/vapor retarder present ___N/A Air/vapor retarder not present*

Compressed* Wrong side up*Not operational*

No insulation*______________________ type insulation

Air/vapor retarder not visible*

Appears serviceable

How Inspected:

Screens damaged / missing / blocked / loose*

TRUSS

ROOF FRAME:

CEILING FRAME:

q

Vents provided Ventilation: None / poor / blocked / minimal*

Insulation covers Knob & Tube wiring / lights / vents

Power ventilator operational___N/A

Entered Access blocked / small / none* Inspection limited to view from access*

x

q qq

qqqNo stains visible Unable to determine active leakage*

Vent pipe disconnected / terminatesSmall stains*

q Framing / truss(es) / sheathing: Sagging / broken / altered / cut / damaged / appears undersizedModerate / major stains / damage

JOIST FRAMING

qq

qqqq

qq qq

qqqq

qq

qqqqqq

qqqq

qq

qq

qqqq

qq

qq

qqqq

qq

qq

qq qqqq

qq

Piping (water & waste) serviceableElectrical outlet grounded (120 volt)240 volt outlet operational___N/AGas piping appears serviceable___N/ADryer venting provided

Laundry sink serviceable___N/APlumbing below sink serviceable

Faucet operational

Unable to view / not tested* Damage / deterioration / defects*Ungrounded*

Inoperative*No gas provided

Dryer venting not provided*

Leaks

Faucet leaks

Not operational / miswiredNo 240 outlet Not viewed / tested*Unable to view*

Unable to test*

No / improper gas valve / lineDryer vents into attic / crawlspace*

Corrosion / deterioration*

Corrosion / deterioration*

Damage / deterioration to sink*Improper pipingSink is loose / slow draining*

GARAGE BASEMENT SERVICE AREA

UNIT A B CUNIT A B C


UNIT A B C UNIT A B C

UNIT A B C

UNIT A B Cqqq

q

qqq

q qq


Blower inoperative

Gas is inoperative

Improper gas piping

Deteriorated mortar*

Fans / blowers operated___N/A

Cracked / loose bricks

Gas valve in firebox

Gas operational___N/ACombustibles closeGas capped - no test*

Flue needs cleaning

LOCATION(S)

MASONRY

A ______________ B _____________ C ___________________

PREFABRICATED FREESTANDING WOOD STOVE

qq

qUNIT A B CUNIT A B C

qDamper operational Missing / non-operational* Damper spacer needed




INSERT

q

Not functional / Unsafe / Worn / Near end of lifespan*q

qq Icemaker not on

Doors broken / inoperative*

(Have checked by removal*)

qq

qq Hot/cold reversed


ACCESS LOCATION

Missing wind resistant straps


UNIT A B C

UNIT A B C


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COMMENTS:

COMMENTS:

57 Floor57 Floor

58 Walls/Ceiling58 Walls/Ceiling

COMMENTS:

59 Ventilation59 Ventilation

Notice: Determining the rating of firewalls is beyond the scope of this inspection.* Framing, wiring and piping covered with drywall cannot be inspected.

COMMENTS:

COMMENTS:

60 Door To Living Space60 Door To Living Space

61 Exterior Door61 Exterior Door

COMMENTS:

COMMENTS:

62 Vehicle Door62 Vehicle Door

63 Automatic Opener63 Automatic Opener

qq65 Comments65 Comments Occupants' belongings block view of entire garage - unable to fully inspect*

COMMENTS:

64 Electrical64 Electrical

**



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copyright 14

GARAGEPAGE 14

qq

Appears serviceable

Not fully visible*

Floor raised / settled*qq Common cracksqq

qq qqqqqqqqAppears serviceable

Poor drainage*No cracks found Major cracksDamage / deterioration / defects*

qqqq qq Window / screens: damaged / inoperative*Appears serviceable Blocked / none*

ATTACHEDGARAGE / CARPORT CARPORTDETACHED

qq qq

qq qqqq

qq

Appears serviceable

Lock inoperative*

Damaged / delaminated*

Jamb / threshold: damaged*

Needs adjustment*

Not tested / blocked / locked / rubs jamb*

Opener / auto-reverse was not tested*qqqq

qq

qq

qqqq

qqqq

Appears serviceable-

Unit needs adjustment / lubrication*

Automatic reverse operated

Non-operational*

Unit is disconnected*

# of units____

Automatic reverse not functional

Unit needs securing*

qqqq

qqqq

qqqq

qq

qq

qqqqqqqq

qq

qq

Appears serviceable

Outlets serviceable

Improper wiringOpen splices

Not fully visible

Exposed wiring subject to damage*Junction boxes missing covers*Open ground /

Extension cords used as permanent wiring'GFCI' recommended / defective

Loose / damaged outlet / cover*Improper light fixture wiringReverse polarity

Some outlet(s) are inaccessible* Outlet(s) not functional

Glass / pet door installed in fire doorqqqq

HOLLOW CORE (NON-FIRE RESISTIVE)*RATED DOOR

qq qqqq

Appears serviceableSelf closer operational___N/A Closer non-operational / missing / needs adjustment*

Does not latch / seal / enters bedroom*Door lacks threshold / weatherstrip*

SOLID

qqqq

qqqq

qq

qq

qqqq

qqqq

ROLL UP


qq Damage / deterioration / defects*

Appears serviceable

TILT-UP SLIDING SWINGING

Tension rods loose*Safety springs installedVehicle door(s) are locked - could not test*

Door warped*Not safety type springs*

Door needs adjustment / balancing*Broken springs / safety wire

Hinges loose / damaged*

Rollers / tracks damaged




qq Not fully visible* qq Possible flammable material on floor

qq Wall / ceiling / attic access cover / ladder does not appear fire rated

qqqq Moisture stains / damage on: ceiling / wall / floor / post* qq Holes / damage / missing covering*

qq Framing: Sagging / bowed / damaged / altered Exterior walls / soffit / facia / trim: damaged / deteriorated

qqDamage / deterioration* qq

qq Door / jambs: Moisture stained / damaged*

qq Electronic sensor: none / not functional*

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Notice: Self- and/or continuous cleaning operations, clocks, timing devices, lights and thermostat accuracy are not tested during this inspection.* Appliances are not moved.*

66 Kitchen Sink(s)66 Kitchen Sink(s)

COMMENTS:

COMMENTS:

70 Dishwasher70 Dishwasher

Notice: Refrigerators, freezers and built-in ice makers are not part of this inspection.*

Notice: Determining adequacy of washing and drying functions of dishwashers is not part of this inspection.*

71 Special Features71 Special Features

COMMENTS:

69 Range/Cooktop69 Range/Cooktop

COMMENTS:

68 Disposal68 Disposal

COMMENTS:

qq qqqq Counters, Cabinets, Floor and Lights appear in serviceable condition

Doors / drawers / counters: Minor / moderate / heavy wear / cracks / damage* Missing grout / caulking / handles*

COMMENTS:

67 Kitchen (general)67 Kitchen (general)

**



55

15copyright

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KITCHENPAGE 15

qq

qq

qq

qq

qq

qqqqqq

qq

qqqq

qqqq

qq

qq

Sink(s) appear(s) serviceable

Faucet serviceable

Plumbing under sink serviceable

Recommend sealing at sink to counter connection*Minor wear

Pipes are rusted / corroded / leaking*

Dishes block access to sink, could not inspect*

Heavy wear / chipped*

Spray wand defective/leaks*Non-operational / defective

Slow draining*

Faucet leaks / drips / is corroded*

Improper pipingRestricted view below sink*Moisture stains / damage below sink*

qq

qq

qqqqqq qq qq

qq qqqq

qqBlades appear to be frozen/ missing Splash guard damaged / missing*Interior corroded*

Wiring serviceableSwitch is in a hazardous location Exposed wire splices Missing junction box cover(s)*

Unit makes unusual noise*Improper wiring noted Loose / missing wire clamp at disposal*

Dishes block access to sink and disposal, could not inspect*

qqqq

qq

qqqq

qq

qqqq

qq

qq

qqqq

qqqq

qqqq

qq qq

qqqq

qq# OF OVENS

Free standing oven - not tested*

Separate cooktop serviceable___N/A

Oven door(s) appear(s) serviceable

Door(s) gasket(s) appear(s) serviceable

Gas shutoff valve installed___N/A

Upper / lower - right / left - front / rear: element / burner not functional*

Fan / hood operational

Ranges/ cooktops not inspected*

Burner did not operate Element did not operate

Cracked glassDoor does not close properly*Damage noted*

Not applicable

Gas valve is not visible* Fan / hood did not operate

GAS ELECTRIC COMBINATION ELEC. IGNITION

No inspection (power / gas off)*

Damaged gasket*

Gas shutoff valve not providedFilter missing / blocked / dirty*

qqqq

qq

qqqqqq

qqqqWasher arm appears frozen

Condition (door, liner, racks) serviceable qq

Leaking noted at air gap device*No / improper air gap provided*Leaking noted at drain lines*qq qq

qq

qqqq qq

qqqq

qqDRAIN LINE INSTALLATION:

Door won't close / open properly*Door seals appear serviceable

Soap dish inoperative*

Drain line is improperly installedAir gap device

Deteriorated*

Unit is not secured to cabinets*

The dishwasher is not part of this inspection* No test (power / water off)*

Hi-loop method

Leaking

Rust / damage at:*

qqqqqq

qqqq

qq

qq

qqqq

qq

Microwave not inspected*

Compactor not inspected* / no keyTrash compactor appears serviceable

Water purifier installed - not inspected* Instant hot water maker installed - not inspected*Microwave appears serviceable

Non-operational

Non-operational

Special features not inspected*

Other features / appliances present but not inspected include:*



0X2HF15011997 - 2004 I.T.A. REPRODUCTION OR UTILIZATION OF THIS REPORT WITHOUT WRITTEN AUTHORIZATION BY I.T.A. IS NOT PERMITTED

qq Hot & cold water reversed*

qq No hot water*

Appear serviceable Not functional / Unsafe / Worn / Near end of lifespan* Not fully visible*q q

Appear serviceable Not functional / Unsafe / Worn / Near end of lifespan*q q

qq

q Not fully visible*

No inspection (power off)*q

Heavy corrosion / wear*

qq None provided

qq Clock appears non functional*

Appear serviceable Not functional / Unsafe / Worn / Near end of lifespan* Not fully visible:q qre

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q q

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q

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qq qqq q

q q

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q qq

Appears serviceable

q

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q q

q

q qqq

q

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qqq q

Damage / deterioration to shower walls*Grout / caulking needed at shower walls*Moisture damage to wall / floor Slow draining at shower*Water valve(s) / shower head: Leaks / dripsHot & cold water reversed*

Glass does not appear to be tempered*

Caulking needed at doors / enclosure*

Enclosure appears serviceable

Cracked / broken / missing / loose tile(s)*

Not applicable to this bathroom

Caulking needed at floor*Shower floor needs grout / caulking*Low water volume at showerShower diverter non functionalCorroded / damaged shower fixtures*

Unable to determine if glass is tempered*Doors difficult to operate / does not seal*

q

qq

q

qq

Not applicable to this bathroom

qq q q qq q q qq q q qq q q q

qq q

q

qq

q qqq q

q

Appears serviceable

qq qq qq

q

qq

q qqq q

q

q qq

Sink cracked / damaged*

Sink faucet leaks*Low water volume *

Faucet appears serviceable

Drain appears serviceableSlow draining*Rust / corroded drain line

Leaking drain line *

Counter & Cabinet appear serviceableDamage / deterioration to counter*Grout / caulking needed at counter*

Corrosion / damage underside of sink*

Corrosion / damage at sink faucet / fixtures*

Corrosion on supply valves below sink*Leaks on supply valves below sink*

Drain stopper non-functional / missing*Improper drain trap

Restricted view below sink*

Damage / deterioration to cabinet*Not applicable to this bathroom

Moisture stains / damage below sink*

qq

q

qq

q

q

q

qq

q

q

qq

qq

q

q

qq

qq

q

q

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qq

q

q

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q q q q

q q q q

q q q qq q q qq q q q

q q q q

qq

Notice: Determining whether shower pans are watertight is beyond the scope of this inspection. * Saunas, steam baths and instant water heating devices are not inspected. *

COMMENTS:

72 Toilet72 Toilet

COMMENTS:

COMMENTS:

75 Bathtub75 Bathtub

76 Shower76 Shower

COMMENTS:

COMMENTS:

73 Sink73 Sink

74 Vent/Heat74 Vent/Heat

**



55

N/AN/A

N/AN/A

N/AN/A

N/AN/A

N/AN/A

copyright 16

BATHROOMPAGE 16

LOCATION: Bath A Bath B Bath C Bath D

A B C


q

q

q

qq qqq q

q q

q

q

q

qq

q

qq qqqq

qq

q q

qToilet loose at floor*Recommend new wax seal / caulking at base*Water runs continually in tank *Does not flush properly *

A B C

Loose / leaking toilet tank *Corrosion / leaking supply line*

Cracked tank / cover / bowl / base *Rust / foreign material in toilet / tank *Moisture / stains around toilet

D

q

q

q

q

qq

qq

q

q

D

qqq

q qqq


qqq

q qq

q qqqq

qExhaust fan did not operate*Window is broken / non operational*

No / inadequate ventilation / heat*Exhaust fan makes an unusual noise*Recommend installing exhaust fan* q

qq

q qq

qq

qq

qq

qq qAppears serviceable

q

q

qq

q q

qq

q qq

q

q

q

qDamage / deterioration to tub*

Hot & cold water reversed

Slow draining at bathtub*

Faucet appears serviceable

Drain appears serviceable

Moisture damaged wall / floor

Constant dripping / low water volume

Whirlpool not functional / not tested*Whirlpool jets/pipes/motor need cleaning / not visible*

Drain stopper not operational / missing*Grout / caulking needed tub to wall / floor*

qq qqNot applicable to this bathroom q

qq

qq

qq

qq

q q q q

q q q qq q q qq q q qFaucet / fixture: Leaks / corroded / damaged*

Hot & cold water reversed* qq q q




Broken glass / enclosure*Corroded / damaged door / enclosure*

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1995-2004 I.T.A. REPRODUCTION OR UTILIZATION OF THIS REPORT WITHOUT WRITTEN AUTHORIZATION BY I.T.A. IS NOT PERMITTEDcopyright R/O

REPORT OVERVIEWPAGE R/OqThe report overview page is provided as a courtesy for quicker access to the information within the

inspection report. It is not intended as a substitute for reading the inspection report. Items checked below will be discussed further on the corresponding page.

1 DRIVEWAY

2 SIDEWALKS

3 RETAINING WALLS

4 PATIO

PAGE 4 GROUNDS

PAGE 7 ROOF

PAGE 5 EXTERIOR

q

q

q

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q

q

q

q

q

q

q

q

q

q

q

q

q

q

q

q

q

q

q

q

q

11 CHIMNEY(S)

EXTERIOR STAIRS

6 DECKS / PORCHES

5 DECK / PATIO / PORCH COVER

7 FENCES & GATES

EXTERIOR WALLS

SPRINKLERS12

HOSE FAUCETS13

GUTTERS & DOWNSPOUTS14

10

9

8

TRIM

PAGE 6 FOUNDATIONq

qq

q

21 BUILT-UP ROCK

21 BUILT-UP CAP SHEET

20 FIBROUS TILE

20 SLATE / METAL

21 SINGLE-PLY / FOAM

21 ROLL COMPOSITION

22 EXPOSED FLASHINGS

20 CLAY TILE

20 CONCRETE TILE

19 ASPHALT SHINGLE

16 SLAB ON GRADE

17 CRAWLSPACE

15 GRADING

BASEMENT18

19 WOOD SHAKE

19 WOOD SHINGLE

qqq

q

qq

q

PAGE 12 INTERIOR 1

48 WINDOWS

50 CEILINGS

51 FLOORS

49 INTERIOR WALLS

47 DOORS (Exterior)

46 DOORS (Interior)

45 DOORS (Entry)

PAGE 8 PLUMBING Review the sectionsof the report checked

on this page, in additionto the entire report!

q

q

qq

q23 MAIN LINE

24 SUPPLY LINES

25 WASTE LINES

26 FUEL SYSTEM

27 WATER HEATER(S)

PAGE 9 HEATINGq

q

q

q

q

q

q

qqq

qq

qqqqq

q

qq

q

PAGE 10 HEAT2 / COOLING

PAGE 11 ELECTRICAL

28 RADIANT

28 HEAT PUMP

28 FLOOR / WALL / GRAVITY

28 FORCED AIR

28 BOILER / STEAM

32 BURNERS

33 DISTRIBUTION

30 VENTING

31 COMBUSTION AIR

29 CONDITION

43 PANEL NOTES

44 WIRING NOTES

42 SUB-PANEL(S)

41 CONDUCTORS

40 MAIN PANEL

39 SERVICE

34 NORMAL CONTROLS

35 AIR FILTERS

36 HEATING NOTES

37 EVAPORATIVE COOLER

38 AIR CONDITIONING

qq

qqq

PAGE 13 INTERIOR 2

53 INTERIOR FEATURES

52 FIREPLACE(S)

54 SMOKE DETECTOR

55 LAUNDRY

56 ATTIC

PAGE 14 GARAGE

PAGE 15 KITCHEN

PAGE 16 BATHROOM(S)

PAGE

PAGE

q

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qq

q

57 FLOOR

60 DOOR TO LIVING SPACE

61 EXTERIOR DOOR

62 VEHICLE DOOR

63 AUTOMATIC OPENER

59 VENTILATION

58 WALLS / CEILING

64 ELECTRICAL

65 COMMENTS

69 RANGE / COOKTOP

70 DISHWASHER

71 SPECIAL FEATURES

68 DISPOSAL

66 KITCHEN SINK(S)

67 KITCHEN (GENERAL)

75 BATHTUB

74 VENT/HEAT

73 SINK

72 TOILET

76 SHOWER

0X2HFX2001

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81 Pool Type82 General82 General

1/22012000 I.T.A. REPRODUCTION OR UTILIZATION OF THIS REPORT WITHOUT WRITTEN AUTHORIZATION BY I.T.A. IS NOT PERMITTEDcopyright G/N

GENERAL NOTESPAGE G / N

WEST

NORTH



55This item is a safety hazard - correction is needed

This item warrants attention/repair or monitoring**

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Private WellPrivate Well N/A

Well TypeWell Type N/A

N/AWell PitsWell Pits

N/AWater Supply EquipmentWater Supply Equipment

N/APump TypePump Type

N/A

COMMENTS:

Pressure TankPressure Tank

Flow TestsFlow Tests N/A

COMMENTS:

copyright WELL2000-2004 I.T.A. REPRODUCTION OR UTILIZATION OF THIS REPORT WITHOUT WRITTEN AUTHORIZATION BY I.T.A. IS NOT PERMITTED

PAGE Well PRIVATE WATERSUPPLY

Supply quantity & flow availableq

Information Source: Seller \ Agent \ Other:

Unused well not properly abandoned \ sealed \ capped. Environmental \ health issue.*Well DOES NOT appear to be located on the property*Well located close to septic system, possible local sanitary code issue*

LOCATION: qqqqq

Not Identified

Reported \ observed at:

Notice: Well is reported to be shared with neighbors. RECOMMEND review with attorney.*q

COMMENTS:


LOCATION: q

q

Not Identified


No visible problems noted todayqCOMMENTS:

Reduced flow noted at:*q

ONE-LINE JET PUMP (BOOSTER PUMP ON MUNICIPAL)

SUBMERSIBLE PUMP SUBMERSIBLE HEAVY DUTY PUMP RELAY AT: HP:

TWO-LINE JET PUMP (DEEP WELL)

COMMENTS:

Notice: Testing water quality or testing for conditions such as lead or contaminants in water is not part of this inspection.

qq Unsafe \ missing cover \ access door* Prone to flooding of equipment - may be unsanitary or unsafe*

Exposed electrical wiring/components - may be unsafe Risk of freezing*q q

No visible problems noted todayq q Damage \ defects*

COMMENTS:

q

q

q Construction \ addition over tank*

Not Visible

Damage* \ Defects*: reported \ observed:

CONVENTIONAL STEEL CAPTIVE-AIR

qq Missing relief valve Noisy pump, may be near end of lifePrivate water equipment not isolated from community / public supply piping*qShort-cycling: lost air charge \ control problemq

LEAKS:

Shutoff valve missing \ inoperative \ inaccessibleqqRust, tank may be near end of life*q

q Missing \ loose pressure control switch cover \ wiring* Damaged \ missing air volume control*q

Notice: Water quantity may vary seasonally or as ground water conditions change, or simply as the well ages. Basic or extended inspection of actual or estimated well flow and capacity indicate

conditions at the time of the inspection and are not a prediction of future well capacity or function.

q None Visible q Observed at: Shutoff valve \ piping \ fittingPressure Tankq q Pump q On the controls q Other

q qq Casing visible above ground Casing visible in well pit No casing visible*

DRILLED WELL/STEEL CASING NOT IDENTIFIED

Cap loose \ damaged \ missing* Cap not watertight - prone to flooding*q qConduit missing \ damaged \ exposed wires at well casingqLimited capacity, extra risk of contamination.*

Missing lightning protection system*q

DUG WELL/SPRING HOUSE

q

No visible problems noted todayq

COMMENTS:

Notice: Other damage such as collapsed well, cracked casing, and leaks at buried plumbing connection cannot be inspected/verified without excavation. Such measures are not part of this inspection.

0X2HFX2401

**





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N/AN/A

N/AN/A

N/AN/A

**

0X2HFX21011995-2004 I.T.A. REPRODUCTION OR UTILIZATION OF THIS REPORT WITHOUT WRITTEN AUTHORIZATION BY I.T.A. IS NOT PERMITTEDcopyright

Tank Last Pumped:



Separate Drywell \ Drain for Washer \ Other:

Septic design available? Number of bedrooms septic system designed for? Yes No

WARNING: If the property has been vacant more than a week or the system has been only minimally used, additional levels of testingand inspection are necessary to determine system condition* Prediction of future operating conditions are not part of this inspection*

System Age:

LOCATION:

qq

qqqq

qq

qqqq

qq

qq

qqqq qq

qq

BASIC INFORMATION

TREATMENT TANK INFORMATION

Currently Occupied: Yes \ No Vacant since:

Not Identified

UnknownUnknown

Unknown

Unknown

SYSTEM WAS NOT INSPECTED BECAUSE:

PAGE SEPTIC 1 PRIVATE SEWAGEDISPOSAL SYSTEM



System's approximate distance from house:System's appears less than 50' from well \ stream*Well \ Stream \ is \ is not on site

Well \ Stream water quality should be tested*

CONDITION:

TYPE:

CAPACITY:

COVER:

qq

qqqqqq

qq

qq

qq

qq

qq

qq

qq

qqqqqq

qq

COMMENTS:

COMMENTS:

Less than 5' from property line*

Construction \ addition over tank*Not VisibleAppears serviceable

Not Identified

Not Identified

Not Visible

Gallons


Damage* \ Defects*: reported \ observed:

Damage \ Defects: reported \ observed:


Information Source: Seller \ Agent \ Other:CONCRETE

CONCRETE

PUMP-MOUND

SEPTIC TANK

STEEL

STEEL

AEROBIC TANK GREASE TRAP OTHER:

PUMPING EQUIPMENT PUMP-EJECTOR NOT VISIBLE

Notice: Septic systems are basically a "buried" installation which is hidden from normal visual inspection. Many possible problems may not show at the time of inspection.

Information Source: Seller \ Agent \ Other:qqqq qqqqqq qq qq

COMMENTS:

Reported \ observed at:Appears operationalPump makes unusual noise*Damage \ defects*

Improper wiring No body ground on pump* Hazardous condition noted at*

Pump leaks water \ oil*qq

SEPTIC 1

**





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PAGE SEPTIC 2 PRIVATE SEWAGEDISPOSAL SYSTEM

N/AN/A

N/AN/A

Parking \ Driveway \ Patio \ Trees \ Shrubs \ Construction \ Additions \ ____________ over drainfield*

LOCATION:

TYPE:

qq

qq

qq

ABSORPTION SYSTEM

COMMENTS:

Not Identified

Not Identified

Indications of previous failure: Odors* \ Seepage* \ Lush vegetation*

Indications of Gray Water discharge to: Surface* \ Stream* \ Storm drain*

Information Source: Seller \ Agent \ Other:CESSPOOL Capacity: _________

SEEPAGE BED\PIT TRENCH SYSTEM ELEVATED MOUND\SAND OTHER:

qq

qq

Information Source: Seller \ Agent \ Other:qq Reported \ observed at:Appears serviceableqq

No visual evidence of system failure. Functional drain flow was observed inside the structure at various fixtures .

Evidence of failure \ improper operation was observed* Recommend having system pumped and evaluated

System backup (system backs up into house)

Maintenance failure (fields damaged by solids flowing from tank\tree roots)

Mechanical damage (driving over leach fields, damage piping\trenches)

Groundwater drainage flowing onto\into\flooding absorption area

System blockage (system backs up and leaks at tank or distribution box)

Hydraulic overload (excess water in absorption area, effluent observed at surface)(fields may be undersized, improperly installed, located, damaged, unbalanced)

System drainage was not stopped and there was no water breakout at the surface in the yard in the reported septic area.It is still possible that the septic tank or drain field needs maintenance, as key system components are buried.

We did not detect odors nor see effluent.NOTICE:

qq

qq

qq qq

qq

qq

qq

qq

qq

qq

COMMENTS:

Mound slope: Improper* \ insufficient soil layer* \ on flood plain*

SYSTEM OPERATION

Notice: Periodic pumping is recommended to prevent costly damage to the absorption system. Pumping frequency depends on system usage, tank size, and other factors.

copyright SEPTIC 21995-2004 I.T.A. REPRODUCTION OR UTILIZATION OF THIS REPORT WITHOUT WRITTEN AUTHORIZATION BY I.T.A. IS NOT PERMITTED

**





0X2HFX2201

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copyright 2003

The following terms and conditions are hereby incorporated in and made a part of that certain Standard Inspection Agreement of even date herewith. I/We (Client) hereby request the additional inspection services as set forth below. Client understands that these services are beyond the scope of the standard inspection and as such agrees to all the following terms, conditions, limitations and exclusions.

4. Chemical and water treatment systems, including the chemical conditions of the water in the pool/spa

5. Sizing, adequacy and projections of life expectancy or future performance of any equipment, system, structure or component6. Determining compliance with installation guidelines,

manufacturer's specifications, building codes, ordinances,regulations, covenants, or other restrictions, including, localinterpretations thereof

7. All other Limitations, Exceptions and Exclusions as set forth in theStandard Inspection Agreement

I have read and agree to the Limitations, Exceptions & Exclusions:

Initial _______________ Initial _______________

_1._

_

_1._1._1._

_1._

SCOPE OF THE POOL AND/OR SPA INSPECTION

Inspector is a home inspection generalist and is not acting as an expert in any specific craft or trade. The inspector may make recommendations for further evaluation by an individual who is an expert or specialist in one or more specific components or systems. It is Client's duty and obligation to exercise reasonable care to protect himself or herself regarding the condition of the dwelling, including those facts that are known to or within the diligent attention and observation of Client.

In the event of a conflict between the terms and conditions of this Addendum and the Standard Inspection Agreement, the terms and conditions of this Addendum shall prevail.

HE/SHE AGREES TO INDEMNIFY, DEFEND AND HOLD INSPECTOR HARMLESS FROM ANY THIRD PARTY CLAIMS ARISING OUT OF CLIENT'S UNAUTHORIZED DISTRIBUTION OF THE INSPECTION REPORT.

Client acknowledges that they have read and understood all the terms, conditions and limitations of this contract addendum and voluntarily agrees to be bound thereby and agrees to pay the additional fee listed below.

_____________________ _____________________ _________ Print Name Signature Date

_____________________ _____________________ _________ Print Name Signature Date

The inspection to be performed for Client is a non-invasive physical examination, performed for the additional fee set forth below, designed to identify material defects in the following systems and components of the swimming pool and/or spa of the subject primary dwelling as they exist at the time of the inspection. The inspection shall be limited to those specific systems and components that are present and visually accessible.

1. Mechanical systems including pumps, motors, heaters, filtration components

2. Exposed piping, lighting and electrical3. Exposed decking and coping surrounding the pool/spa 4. Remote control devices, if any5. Barrier fencing, installed door alarms and gates

The inspection report shall describe and identify the inspected systems and components of the pool/spa and shall identify material defects in those systems and components observed during the inspection. Client agrees to read the entire inspection report when it is received and shall promptly call the Inspector with any questions or concerns Client may have regarding the inspection report or the inspection.

Inspector's agreement to increase the scope of this inspection as set forth in this Addendum shall not be deemed a waiver or an increase of any legal or contractual duty or obligation of the Inspector, nor shall Inspector's actions be deemed to waive, cancel, or modify the applicable Standards of Practice.

I have read and agree to the Scope of the Pool and/or Spa Inspection:

Initial _______________

_1._

____

Initial _______________

LIMITATIONS, EXCEPTIONS AND EXCLUSIONSExcluded from the pool/spa inspection is any system, structure, or component of the pool and/or spa which is inaccessible, concealed from view, or cannot be inspected due to circumstances beyond the control of Inspector, or which Client has agreed is not to be inspected. Unless specifically agreed otherwise between the Inspector and Client, the following are excluded from the inspection:

1. Pool body and decorative components such as tile, paint, and special coatings

2. All underground piping and electrical3. Leak detection of non-visible plumbing

_1._

__

POOL: $

SPA: $

POOL AND SPA: $

Inspection Fees

Report #:Client

Address

Page 1 of 1Pool and/or Spa Inspection Agreement Addendum

THIS IS INTENDED TO BE A LEGALLY BINDING CONTRACT ADDENDUM . . . PLEASE READ CAREFULLY

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PLASTER / GUNITE UNABLE TO DETERMINEFIBERGLASSVINYL

ABOVE GROUND BELOW GROUND

Notice: Pool and spa bodies are beyond the scope of this inspection.* The information regarding the type of pool/spa is given as a courtesy only.

77 Body Type77 Body Type

COMMENTS:

80 Pumps80 Pumps

79 Filter79 Filter

COMMENTS:

81 Blowers81 Blowers

COMMENTS:

82 Electrical82 Electrical

COMMENTS:

COMMENTS:

78 Heater78 Heater

0X2HFX18012000-2004 I.T.A. REPRODUCTION OR UTILIZATION OF THIS REPORT WITHOUT WRITTEN AUTHORIZATION BY I.T.A. IS NOT PERMITTEDcopyright P/S1

N/AN/A

N/AN/A

N/AN/A

N/AN/A

N/AN/A

N/AN/A

EQUIPMENTPOOL/SPAPAGE P/S1

qq

Appears serviceable

qqqq

qqqq

Inoperative

GAS SOLAR PANELS (not tested)ELECTRIC

qqqqqq

qq

qqInoperative Delayed response Unable to determine operation*Pressure limit switch appears operational

Venting appears serviceable Obstructed*Improper vent location / clearance

Burners serviceable Not all burners are operatingCorrosion / deterioration / rust noted in burner areaDebris in / on vent*

May not be adequate for pool heating*

qq qqImproper material used in gas line

Pilot is not lit*

Gas shut-off not provided

Gas/ breakers off*qqqqqq

Unable to determine operation*

qqqq

qq

qq

qq

qqqqqq

qq

qq

Pump is rusted / did not operate



PUMPS INSTALLED:

qq

qq

qq

qq

qq

Leaking pump

Leaking pump

Excessive noise

Excessive noise

Excessive noiseqqqq Leaking pumpJet pump operated when testedqq

qq

qq

qq

qq

qq

No / loose body bond



Pump has loose / no attachment*



Body bond present

Body bond present

Body bond present

qq

qq

Circulation pump operated when tested

Sweep pump operated when tested

CIRCULATION POOL SWEEPSPA JETS

AIR BUBBLER

qq

Not tested due to:*

Blower did not operate Makes unusual noiseBlower operated when tested

SUPPLEMENTAL TO JET PUMP qq

qq qq

No wire protector*

Remote switches appear operational

qqqq

RIGID CONDUIT NM CABLE (ROMEX)LIQUID TITE FLEXWIRING:

Rusted / damaged timer box / cover / conduit

Rusted / damaged timer box / cover / conduit

qq

qq

qqInoperative Unable to determine operation*qq

Circulation pump timer appears operational

Sweep pump timer appears operational

No wire protector*

Timers: equipment On / Off at time of inspection

qqInoperative Unable to determine operation*qq

Power is off - could not verify operation*

GFCI responded to test button

qqqqqq

Inoperative Unable to determine operation*GFCI responded to test button

qqqq qq

qqqq

Inoperative

Improper wiring noted Improper / deteriorated conduit

Unable to determine operation*Pool lights operated when tested

Wiring appears serviceable

Inoperative Unable to determine operation*Spa light operated when tested

MAIN PANELBREAKER LOCATION: AT EQUIPMENT

qq None

qqqqqq

qq

qq

Inoperative

Inoperative

qq Unable to determine operation*

qq Unable to determine operation*

qq

qq

qq

qq

qqqq

qq

Pressure gauge appears serviceable: qqqqqq None provided*

None provided*Broken glass*Inoperative*Leaking*Inoperative*

qqqq qq

CARTRIDGE FILTER

qqqqBleeder valve appears serviceable:

SAND FILTER DIATOMACEOUS EARTH FILTER(Notice: Backflush mechanisms are not tested on any filter system*)




This item warrants attention/repair or monitoring**

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81 Pool Type

COMMENTS:

Notice: All underground piping is beyond the scope of this inspection.* Pressure tests are not performed during this inspection.*

83 General83 General

NotesNotes

2000-2004 I.T.A. REPRODUCTION OR UTILIZATION OF THIS REPORT WITHOUT WRITTEN AUTHORIZATION BY I.T.A. IS NOT PERMITTEDcopyright

N/AN/A

N/AN/A

EQUIPMENTPOOL/SPAPAGE P/S2

P/S2

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Surrounding deck / concrete appears serviceable

Pool is cloudy / bottom not visible

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Lifting / settling* Cracked / missing*

Damaged / loose diving board /slide

Doors from house to pool are not safety protected*Fence type allows for climbing*

Recommend complete evaluation / service of equipment

Coping appears serviceable

Diving board / slide is not part of this inspection*

NO* (CAUTION)

YES NO / IMPROPER

Caulking missing / deteriorated*Common cracks

Pool / spa water fill valve is inoperative Pool / spa water fill valve needs anti-siphon device

Pool / spa needs complete evaluation

Major cracks Poor drainage*qq

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FENCING ENCLOSING POOL / SPA:

YES INOPERATIVE*

APPEARS LOW*

SELF-CLOSING/ LATCHING GATES / DOORS:

0X2HFX1901

**





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CONCEALED AREAS

BUILDING CODE VIOLATIONS

ZONING ORDINANCE VIOLATIONS

BUILDING VALUE APPRAISAL

GEOLOGICAL STABILITY

COST ESTIMATES

STRUCTURAL STABILITY OR ENGINEERING ANALYSIS

POOL/SPA BODIES

SAUNAS/STEAMBATHS

RADIO CONTROLLED DEVICES

If areas of the home are inaccessible or concealed from the inspector’s view, then an inspection of that area did not take place. 1) request that any information about any hidden problems be revealed to you about these inaccessible or hidden areas from the seller prior to closing the transaction 2) return to the property prior to closing the transaction and perform a walk-through inspection of your own after the owner's belongings have been removed 3) if your inspection or information reveals hidden damage or concerns contact a qualified specialist or your inspector for a return visit.

If you are concerned about code violations or building permit information you should:1) Contract with this company to research permit information available at the appropriate building and safety office.2) If you have additional concerns with regard to code violations you may contract for a code compliance survey of the property. A typical home inspection is not such a service.

If you have additional concerns with regard to zoning violations you may contact the zoning department of your local building and safety office.

For a property value appraisal contact your bank, lender or real estate agent for referral to a licensed/qualified real estate appraiser.

Soil condition or stability is not determined during this home inspection. Should you decide to obtain a geological report of the site conditions you might contact a geological inspection firm through your real estate agent or a non profit association of geotechnical engineers for referral.

Should the inspection reveal systems or components within the building which warrant repairs: 1) contact two or more qualified repairpersons to evaluate the items and provide you with written repair proposals 2) verify that the repair proposals are complete and address any items that may be hidden by walls, floors, carpet, etc. 3) verify that the repairperson is licensed and carries appropriate insurance if the repair job is performed 4) ask for all receipts and warranties provided by the repair person.

This inspection does not include evaluation of pool or spa bodies below the water line of the pool. For further assistance and inspection we recommend contacting a licensed pool contractor or ask the seller if you may discuss the pool or spa with the maintenance company (if any) that the seller has used to clean and service the pool or spa.

For operating and maintenance information about saunas or steam baths contact the seller or installer. Additional information may be obtained by contacting a licensed contractor specializing in these systems.

Engineering analysis of a building's structure is performed only by a licensed structural engineer with the use of measurements, calculations or other scientific evaluation. Engineering is beyond the scope of a typical home inspection. To receive an inspection and report on the structure by an engineer ask your real estate agent or a non profit association of structural engineers for referral.

Numerous devices in homes that are operated with remote controls are not within the scope of this inspection. For information about these devices we first suggest that you obtain a list of all the remote controls from the seller. (The operation of the overhead garage door automatic opener will be tested using the permanent control button provided in the house or garage.) Many radio controlled devices have changeable codes which you may want to consider altering for your use or safety. You may contact the installer or manufacturer for additional information and evaluation.

PAGE HELP-1 HELP, WHEN IT'S OUTSIDE THE SCOPE

0X2HFX41011995-2004 I.T.A. REPRODUCTION OR UTILIZATION OF THIS REPORT WITHOUT WRITTEN AUTHORIZATION BY I.T.A. WILL RESULT IN PROSECUTION.copyright HELP-1

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WATER SOFTENER

SOLAR SYSTEMS

REFRIGERATOR / PERSONAL PROPERTY

SEWER BLOCKAGE

SMOKE DETECTORS

FURNACES & AIR CONDITIONERS

ALARM SYSTEMS

UNDERGROUND DRAINS

SEPTIC SYSTEMS

COVERED CONCRETE SLABS

If a water softener system is installed in the home it will be evaluated for leaks only. You should find out from the seller whether the system is rented from a commercial company or if it is owned by the seller. If rented, find out which company provides the service and what fees are required. If owned, request that the seller provide information on operation and maintenance.

Most refrigerators typically move with the owners from one house to another as does personal property. Additionally, free standing appliances often are removed. It is recommended that you receive a list from the seller of all the items that will convey with the property. If you are concerned about the operation or condition of any item listed and not covered in the inspection report then an independent evaluation of that item should be ordered by you.

Specific requirements governing the installation of smoke detectors can be obtained from the local Department of Building and Safety with regard to the type and placement within the home. Our inspection of the smoke detector in this home was only to verify presence and response to the detectors test button.

Solar systems are not evaluated for efficiency, operation or correct installation during this inspection. The visible equipment and piping will be inspected for leaks. Many factors need to be considered with regard to solar systems such as but not limited to: placement, attachment and orientation to the sun. Complete evaluation should be performed by a licensed contractor who specializes in solar systems.

Check with the seller for information and the history of the house sewer system. Having a drain service company service the main line to be sure it is open and flowing is good advice also.

Servicing of these two major systems is often overlooked and when neglected can damage the components. Placing the furnace and air conditioner on a service contract with a reputable licensed heating/air conditioning contractor is strongly recommended. Seasonal service is critical for proper performance.

Underground drain lines are not filled and tested during this inspection. Underground drains can become blocked at anytime without prior symptoms. Check with the seller for information regarding the operation of the drainage system.

The private waste disposal system for this home has undergone a cursory evaluation only (if it was noted as included in the inspection report as listed on the Key page 2) during this inspection. For a complete "septic certification" you should contact a reputable septic company to uncover, pump and certify the system.

When an alarm system is installed in a home you should gather the following information: 1) how to activate and disarm the system, 2) exactly what sections of the home is protected and by what methods, 3) what company (if any) provides service for the system and terms of that service and 4) whether or not the system operates correctly (an inspection and test can be performed by the alarm company). This system is not part of this home inspection.

It is virtually impossible to determine the condition of a concrete slab floor that is covered with floor coverings. Nearly all concrete will have cracks of some type. The house however is not supported by the slab, it rests on the foundation and footings. Sometimes severe movement or cracks are apparent and if visible will be reported. For a complete slab evaluation the floor coverings will need to be removed and a reinspection for an additional fee be performed.

PAGE HELP-2 HELP, WHEN IT'S OUTSIDE THE SCOPE

copyright HELP-20X2HFX41011995-2004 I.T.A. REPRODUCTION OR UTILIZATION OF THIS REPORT WITHOUT WRITTEN AUTHORIZATION BY I.T.A. WILL RESULT IN PROSECUTION.

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SUBJECT PROPERTY ADDRESS:

Our research determined that the Building Department in this jurisdictionhad NO PERMIT RECORDS ON FILE for the above property.

INSPECTOR: DATE OF INSPECTOR'S VISIT:

PHONE:

SPECIAL INSTRUCTIONS:

INSPECTION VERIFIED THE FOLLOWING ON SITE: PERMIT(S) VERIFY THE FOLLOWING:

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COMMENTS:

BASIC INFORMATION

PERMIT RECORDS RESEARCH

City is mailing information

OTHER:

Information collected at Building Department

Finaled Permit Found

Date:

No verification of connection to public sewer (check with owner or Public Works Department for information on private waste systems)

Addition # 1 Type:

Addition # 2 Type:

Addition # 3 Type:

Permit not on file

Alteration #1:

Alteration #2:

Work indicated at:

Pool \ Spa:

Work indicated at:

Main structure date:

Apprx Sq. Ft.

Apprx Sq. Ft.

Apprx Sq. Ft.

A permit was issued but final approval was not indicated in records for:

A permit was issued but final approval was not indicated in records for:

Additional buildings:

CLIENT(S):

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PERMIT INFORMATION PROVIDED TO CLIENT ON SITE PERMIT INFORMATION MAILED TO CLIENT

Further information is needed with regard to a lack of permits.

Check with property owner for information or additional permits not on file in municipal records.

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CLIENT FOLLOW-UP

COMMENTS:

0418011995-01 I.T.A. REPRODUCTION OR UTILIZATION OF THIS REPORT WITHOUT WRITTEN AUTHORIZATION BY I.T.A. IS NOT PERMITTEDcopyright PV

PAGE PV PERMIT RESEARCHPERMIT RESEARCH

NOTICE: Building permit information is obtained for the subject property as available in the records of the Building and Safety Departments of the appropriate municipalities.

Date:

Date:

Date:

Date:

Date:

Date:

Date:

Date:

Date:

Apprx Sq. Ft.

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0X2HFX2901

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01/01/022002 I.T.A. REPRODUCTION OR UTILIZATION OF THIS REPORT WITHOUT WRITTEN AUTHORIZATION BY I.T.A. IS NOT PERMITTEDcopyright C/G1

COST GUIDEPAGE C/G1The Cost ranges below are derived from nationally used repair cost guides and are designed for budget purposes only. The costs reflect prices in typical metropolitan areas. Your inspector recommends that you always consult a licensed qualified contractor for repair options and costs for major items as repair costs can vary widely dependant upon quality of materials used and economic conditions. This consultation should occur prior to settlement of the transaction.

Price ranges for common repairs/replacements in the home

Electric service upgrade to 200 Amps $900 to $1,300

Install separate circuit for clothes dryer or air conditioner $150 to $250

Add GFCI protection to receptacle $40 to $100 each

Upgrade interior wiring (old knob and tube) $1.25 to $3.00 square foot of living area+ repairs for any unusual conditions

Correct double tap in panelbox $75 to $250

Correct exposed wiring in garage/closet $100 to $300

Correct ungrounded receptacle $50 to $100 each

Service heating or cooling system $75 to $200

Install new gas furnace $1,500 to $3,000

Install new hot water boiler $2,500 to $4,000

Install new air conditioning or heat pump compressor $1,300 to $1,800

Install new heat pump or air conditioning complete $3000 to $5,000

Replace old window with new vinyl replacement $300 to $600 each

Install storm windows $80 to $150 each

Install sliding glass door $1,000 to $1,900 each

Replace main entry door $800 to $1,500 each

Sealcoat driveway .15 to .30 square foot

Replace humidifier $300 to $800

Install electronic air filter $500 to $1,000

Clean indoor coil in A/C or heat pump $100 to $350

Install new electric water heater (50 gallon) $400 to $700

Install new gas water heater (50 gallon) $350 to $600

Replace laundry sink $200 to $400

Replace shower pan, includes patch and replace tile $900 to $1,500

Replace galvanized water pipes with copper tubing or plastic (average) $2,000 to $4,000

Install new main water valve $150 to $200

Install water pressure regulator $200 to $300

Remove & Re-set toilet, install new wax seal $150 to $300

Snake plumbing drain $150 to $300

Notice: Obtain two or three estimates from reputable contractors - actual costs may vary.

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01/01/022002 I.T.A. REPRODUCTION OR UTILIZATION OF THIS REPORT WITHOUT WRITTEN AUTHORIZATION BY I.T.A. IS NOT PERMITTEDcopyright C/G2

COST GUIDEPAGE C/G2The Cost ranges below are derived from nationally used repair cost guides and are designed for budget purposes only. The costs reflect prices in typical metropolitan areas. Your inspector recommends that you always consult a licensed qualified contractor for repair options and costs for major items as repair costs can vary widely dependant upon quality of materials used and economic conditions. This consultation should occur prior to settlement of the transaction.

Price ranges for common repairs/replacements in the home

Install drain inside basement with sump pump eliminating to exterior $2,000 to $5000

Install weep holes in masonry retaining wall $75 to $100 each

Rake and point mortar joints in brick wall $3.00 to $6.00 per square foot

Remove and replace concrete flatwork (sidewalk, patio) $5.00 to $10.00 per square foot

Underpin concrete foundation $200 to $400 per lineal foot, minimum $2,500

Replace concrete foundation $250 to $500 per lineal foot

Correct settled concrete patio by pressure grouting $1,000 to $2,000

Patch damaged stucco $200 to $300 per location

Asbestos removal or encapsulation on pipes or ducts for heating unit replacement $800 to $3,000

Install attic fan $200 to $400

Replace kitchen cooktop $500 to $1,200

Replace kitchen wall oven $500 to $2,000

Replace garbage disposal $150 to $450

Replace dishwasher $700 to $1,500

Install kitchen vent hood $200 to $500

Install bathroom exhaust fan to exterior $150 to $300

Install garage door operator $300 to $600 each

Remodel kitchen $8,000 to $15,000

Remodel bathroom $5,000 to $12,000

Renovate old house, interior $50 to $90 per square foot

Finish basement $10,000 to $30,000

Clean chimney $150 to $300

Install liner in unlined masonry chimney $800 to $2,000

Install insulation in crawl space or attic $.75 to $1.75 per square foot

Install insulation in sidewalls by drilling and plugging holes $3.00 to $5.00 per square foot

Replace gutters $3.00 to $5.00 per lineal foot

Sand and refinish hardwood floor $1.50 to $3.00 per square foot

Replace carpet $2.00 to $10.00 per square foot

Install vinyl floor $5.00 to $15.00 per square foot

Install new composition shingles over existing roof $1.25 to $3.00 per square foot

Tear off existing roof and install new composition shingles $1.75 to $4.00 per square foot

Install new 3-ply built-up roof $1.50 to $4.00 per square foot

Roof repair (replace shingles/tiles, repair flashing) $200 to $350 per location

Wood shingle roof maintenance (tune-up) typical $1,000 to $2,000

Notice: Obtain two or three estimates from reputable contractors - actual costs may vary.

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Matrix Deluxe Full - NACHI · Matrix report forms are available in letter and legal size 4-part NCR...

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Transcript of Matrix Deluxe Full - NACHI · Matrix report forms are available in letter and legal size 4-part NCR...