Information
Inspection Location
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Name:
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Address:
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Select date
Consent to Inspection
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By signing below, I acknowledge that I have the authority to consent to an inspection at the above mentioned location. I hereby consent to an inspection conducted by Kaufman Fire Department personnel at the above mentioned location.
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Signature of Consent:
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Position:
Checklist
Inspection Items
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Address posted on front of residence, visible from the street, in a minimum of 4" numbers.
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Smoke detectors located in each bedroom and in corridors outside each bedroom.
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Smoke detectors located at each floor level of the residence.
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All electrical plugs and switch covers in place.
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GFCI outlet plug installed by all sinks or area where water is?
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All covers on breaker boxes, interior and exterior, are in place.
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Breakers must be labeled as to what they control and must be listed on the panel cover.
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Minimum of one window in each bedroom that is capable of being opened in an emergency.
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Exit doors are free from any double-keyed deadbolt locks.
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All gas outlets that are not connected to an appliance are capped off in an approved manner.
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All gas service lines are not copper.
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Is there CSST installed in the residence?
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Water heater location:
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Type of water heater:
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Water heater is vented through the roof.
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Water heater must be enclosed in closet.
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Combustion vent must be installed.
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Type of water heater:
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Water heater is vented through the roof.
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Water heater must be enclosed in closet.
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Combustion vent must be installed.
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Water heater minimum of 18 inches above floor level.
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Water heater pop-off valve is piped to the floor/drain.
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Does residence have central heating and air conditioning?
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All windows have intact, non-broken glass.
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Screens installed on all windows.
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Approved means of heating the residence.
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All electrical fixtures are intact.
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Ceiling and walls are intact, free of any holes.
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Residence is free from any signs of insects or rodents?
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Proof of extermination is provided.
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Central air units located outside have an electrical disconnect next to the unit.
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Residence is free of any exposed electrical wiring.
Sign Off
Inspection Information
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Date & Time of Inspection
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Inspector
- W. Ballard #959
- C. Vance #958
- K. McAfee #961
- W.Dennehy
- E.Brown # 951
- R.Davis# 952
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Inspection Status:
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Notes:
Tenant/Owner Information
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Phone Number:
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Email Address:
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Signature: