QC INSPECTION

• Applicant Name:

• Applicant Address:
  Address

• APP ID:

• Inspector

  Select David Palomo Joel Palomo Timothy Palacios Rodrigo Becerril Joel Juarez Leonardo Sanchez Colby Solomon

  • David Palomo
  • Joel Palomo
  • Timothy Palacios
  • Rodrigo Becerril
  • Joel Juarez
  • Leonardo Sanchez
  • Colby Solomon
• Location
  Address

• Date and Time

  Date

• WHEN: Within 25 days of date of award.

• 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.

• ITEMS NEEDED FOR INSPECTION: Blue flags, green flags, and camera.

Questions

• Has septic/drain field location been marked with green flag? 📸📸

  Yes

  No

  N/A

• Has well/water meter location been marked with blue flag? 📸📸

  Yes

  No

  N/A

• Has well/water meter location been marked with blue flag? 📸📸

  Yes

  No

  N/A

• Has pod location been marked with pink flags? 📸📸

  Yes

  No

  N/A

• Has home location been marked with white flags? 📸📸

  Yes

  No

  N/A

• Has septic tank been uncovered? 📸📸

  Yes

  No

  N/A

• Has water connection been stubbed up and flagged with blue flag? 📸📸

  Yes

  No

  N/A

• If well, turn water on, verify well is working properly. Is there issues? (Note isses under notes below.) 📸📸

  Yes

  No

  N/A

• If city water, is water flowing to the home? (Note isses under notes below.) 📸📸

  Yes

  No

  N/A

• Are there any damages to the culvert, driveway, concrete pads? 📸📸

  Yes

  No

  N/A

• Are there any obstructions preventing delivery of the MHU (fences, concrete, debris, trees, powerlines…etc)? 📸📸

  Yes

  No

  N/A

• Has the home been removed? 📸📸

  Yes

  No

  N/A

• Is power currently connected to the damaged dweling underground or overhead? (circle one) 📸📸

  Overhead

  Underground

• Has LOTO Viability Form been completed in power app?

  Yes

  No

  N/A

• Self(applicant) Move? 📸📸

  Yes

  No

  N/A

• GC (TCG) move? 📸📸

  Yes

  No

  N/A

• Self (applicant) packing? 📸📸

  Yes

  No

  N/A

• GC (TCG) packing? 📸📸

  Yes

  No

  N/A

• Is a change order needed? (Submit change order form separately with "change order" in subject line) 📸📸

  Yes

  No

  N/A

• Number of rooms

• List Rooms to pack/move:

• Number of pods:

Personal Property

• Is there personal property inside of the damaged dwelling at the time of the ISV?

  Yes

  No

  N/A

• If ‘YES’, then confirm with the homeowner whether 1-4 below are true or false

• The applicant has abandoned their personal property inside of the damaged dwelling. 📸

  Yes

  No

  N/A

• The applicant does not want their personal property moved from the damaged dwelling and into storage containers.

  Yes

  No

  N/A

• The Applicant requires assistance with removal and disposal of their Personal Property.

  Yes

  No

  N/A

• The Applicant requires a GC Pack / GC Move. (If 1-3 above are answered 'TRUE' then 4 below must also be 'TRUE')

  Yes

  No

  N/A

• Photos documenting ALL of the applicant's abandoned personal property is included in the ISV report.📸

  Yes

  No

  N/A

Notes

• Notes:

undefined

• Yes

  No

  N/A

Signature:

• Add signature

  Sign

• Date:

  Date