Title Page
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Applicant Name:
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Applicant Address:
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APP ID:
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Inspector
- David Palomo
- Joel Palomo
- Timothy Palacios
- Rodrigo Becerril
- Joel Juarez
- Leonardo Sanchez
- Colby Solomon
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Location
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Date and Time
INSTRUCTIONS
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WHEN: Within 25 days of date of award.
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PHOTOS: All Photos should be taken with a Timestamp Camera, and must include the Date, Time, Address of Property, and Lat & Long. Once all photos are taken, the inspector must download the photos to one PDF, and while on site, must email the file to 166_NCORR_OP@timberlinecg.com, and upload to the TCG Field App. Before leaving the site, inspectors must call Kiara Catro to get approval to leave.
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ITEMS NEEDED FOR INSPECTION: Blue flags, green flags, and camera.
Questions
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Has septic/drain field location been marked with green flag? ๐ธ๐ธ
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Has well/water meter location been marked with blue flag? ๐ธ๐ธ
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Has well/water meter location been marked with blue flag? ๐ธ๐ธ
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Has pod location been marked with pink flags? ๐ธ๐ธ
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Has home location been marked with white flags? ๐ธ๐ธ
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Has septic tank been uncovered? ๐ธ๐ธ
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Has water connection been stubbed up and flagged with blue flag? ๐ธ๐ธ
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If well, turn water on, verify well is working properly. Is there issues? (Note isses under notes below.) ๐ธ๐ธ
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If city water, is water flowing to the home? (Note isses under notes below.) ๐ธ๐ธ
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Are there any damages to the culvert, driveway, concrete pads? ๐ธ๐ธ
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Are there any obstructions preventing delivery of the MHU (fences, concrete, debris, trees, powerlinesโฆetc)? ๐ธ๐ธ
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Has the home been removed? ๐ธ๐ธ
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Is power currently connected to the damaged dweling underground or overhead? (circle one) ๐ธ๐ธ
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Has LOTO Viability Form been completed in power app?
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Self(applicant) Move? ๐ธ๐ธ
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GC (TCG) move? ๐ธ๐ธ
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Self (applicant) packing? ๐ธ๐ธ
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GC (TCG) packing? ๐ธ๐ธ
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Is a change order needed? (Submit change order form separately with "change order" in subject line) ๐ธ๐ธ
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Number of rooms
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List Rooms to pack/move:
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Number of pods:
Personal Property
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Is there personal property inside of the damaged dwelling at the time of the ISV?
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If โYESโ, then confirm with the homeowner whether 1-4 below are true or false
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The applicant has abandoned their personal property inside of the damaged dwelling. ๐ธ
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The applicant does not want their personal property moved from the damaged dwelling and into storage containers.
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The Applicant requires assistance with removal and disposal of their Personal Property.
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The Applicant requires a GC Pack / GC Move. (If 1-3 above are answered 'TRUE' then 4 below must also be 'TRUE')
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Photos documenting ALL of the applicant's abandoned personal property is included in the ISV report.๐ธ
Notes
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Notes:
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Signature:
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Add signature
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Date: