Title Page
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Name of Homeowner/Building Owner
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Address
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Contact Details
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Company Name of Flooring Contractor
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Registered Address
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Contact Details
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Name of Floor Inspector
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Conducted on
Floor Inspection
CONCERNS
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Condition of Existing Floor
- General Throughout
- Stabilized
- Localized
- Progressing
- Improving
- Other
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Specify
FLOORING
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Manufacturer
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Species
- Factory Finished
- Unfinished
- Solid
- Engineered
- Strip
- Plank
- Parquet
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Width
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Flooring thickness
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Total Sqft Material Installed
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% of Floor Affected
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Approved Over Radiant Heat
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Approved Below Grade
EXTERIOR EVALUATION
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Home Faces
- North
- South
- East
- West
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Relation of Lot to Street
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Relation of Lot to Neighbors
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Lot Drainage Away from Foundation
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Slope Angle Measurement
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Gutters/Downspouts
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Roof Overhang
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Soil Damp at Foundation
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Wet Window-wells
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Signs of Moisture
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Shrubs/Flowers/Planter Boxes at Foundation
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Sprinklers/Irrigation
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Established Landscape
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Water Source/Swimming Pool Nearby
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Proximity to Structure
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Visible Cracks in Foundation
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Visible Exterior Damage
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Building is over:
SUBFLOOR EVALUATION
Concrete Slab Evaluation:
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Relation of Slab Surface to Exterior Soil Line (inches)
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Normal Weight Concrete (min 3000 psi):
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Light Weight Gypsum Concrete:
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Pre-Tension/Post-Tension Slab:
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Moisture Retarder used Below Slab:
Wood Subfloor Evaluation:
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Type of Wood Subfloor:
- 19/32” PS-1 CDX Plywood
- 19/32” PS-2 CDX OSB
- 23/32” PS-1 CDX Plywood
- 23/32” PS-2 CDX OSB
- 7/8” Plywood or OSB
- 1” x 6” Solid Board
- Particle Board
- Other
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Specify Other Type of Wood Subfloor
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Joist Spacing
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Joist Type
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Visible Rot
BELOW FLOORING SYSTEM EVALUATION
Crawl Space Evaluation
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Crawl Space
- Open-Air
- Wall-Vented
- Enclosed
- Ground is Dirt, Concrete, Gravel, Other
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Condensation Present
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Standing Water Present
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Alkali/Discoloration on Foundation Walls
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Vapor Retarder Present
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Seams Overlapped (inches)
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Seams Sealed
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Method of Sealing
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Plastic Taped up Foundation Walls
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Percent of Ground Covered (%)
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Insulation between Joists
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Insulation on Foundation Walls
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Vents Present
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Number of Vents
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Open/Closed
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Humidistat Installed
Basement Evaluation
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Basement
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Date Completed
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Walk Out
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Specify Side(s) below ground level
- North
- South
- East
- West
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Wall Cracks Present
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Location
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Sump Pump
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Operating
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HVAC Vents Open to Basement
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Signs of Moisture Damage
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Peeling Paint
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Floor Stains
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Rusty Nails
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Gapped Trim or Moldings
COMPLETION
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Additional Comments
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Name & Signature of Floor Inspector