User

Stamp

�Recom

mended P

eriodic Hom

e Maintenance S

chedule

Interior W

inter Spring

Summ

er Fall Range hood – clean filters

�

��

�Laundry – check for leaking hoses, dryer vent problem

s, lint build up around dryer or exhaust

��

Craw

lspace – check for unusual odors, standing water, insulation falling dow

n, ductwork disconnected

�

�Attic – use a bright light, look for stains, m

old or mildew

, look for daylight around penetrations, disconnected vents �

�Grout – check/m

aintain all grout, seal twice a year or as otherw

ise directed on grout sealant �

��

�Caulking - check/m

aintain around tubs, shower enclosures, backsplash to counter joints, sinks, etc.

�

�Ceilings/W

alls - look for nail pops, cracks, and stains. Address any w

ater stains promptly, repair leaks.

Note any significant changes that m

ay indicate problems. Fill /repair/paint as needed.

�

�

Window

Sills/Trim

– check and caulk/paint as necessary �

�Safety E

quipment C

hecks - replace batteries and test all smoke &

carbon monoxide detectors. C

heck fire extinguishers Test all G

FCIs outlets/breakers and all A

FCIs breakers in panel (if equipped)

�

�

Window

s/Sliding D

oors – clean tracks and lubricate mechanism

s. Repair any locks or faulty counter balances.

�

�Doors – check w

eather stripping, caulk, door sweeps, stops, caulk and paint/stain

�

Cabinets – check adjust tighten all doors, hardw

are, hinges, catches �

�Air filters – C

hange/clean them during heating or cooling season, m

ore frequently if you have pets or allergies. every 60 days during heating/cooling

Heating system

s - Fan forced electric w

all heaters – vacuum and clean

�

- Oil furnaces and all boilers system

s, have professional check and repair annually

�-

Gas fan forced furnaces, have professional checks at 5 years, 10 years and then every year thereafter

** Make sure you have w

orking carbon monoxide detectors **

5, 10 and then annual checks

Exterior

Wash – vinyl siding, bricks, balconies

�

Siding – inspect, caulk, repair/paint/stain as required

�

�Decks – stain/paint as required. C

heck posts, beams, railings, pickets, stairs and handrails regularly. If there is any

significant movem

ent, rot, loose railings, etc., repair or replace at once. �

��

�

Balconies – If you have w

aterproof balconies, clean and inspect for any leaks, check drains �

�Gutters and D

ownspouts – clean, check m

ounts, drains, look for leaking end caps or joints repair as needed

��

Drains – check drains in drivew

ays, stairwells and yards frequently during rainy periods

�

��

Sprinkler system

s – assure they are not soaking the home or craw

lspace vents, etc

��

�Hose bibs – w

interize non frost free spouts, disconnect all hoses, �

Landscaping – keep all plants trimmed aw

ay from the building, keep m

ulch from getting closer then 3” from

siding

��

Other optional equipm

ent – If you have a septic, keep it pumped regularly. B

e sure to maintain w

ells, (periodic shocking and testing recommended.) If you have a

sump pum

p, test it yearly. Be sure to w

alk around your home in the rain and see how

the gutters, downspouts, splash-blocks &

drains are working. N

ever allow

water to puddle next to the hom

e or in contact with w

ood.

This form available at http://w

ww.northw

esthomeinspector.com

1

REPORT SUMMARY NOTE: This reporting system uses links within this report and on the internet. Click on any red or blue text and you will directed to more information.

This sheet is a summary only and the customer should read the entire report

2

Summary Continued NOTE: This reporting system uses links within this report and on the internet. Click on any bold text and you will directed to more information on that topic.

3

4

Client Name - Phone - E-mail Contract Agent Name - Phone - E-mail

Current Address Office

Client agrees to release reports to Seller / Buyer / Agent

How did you hear about us?

Yes No Agent Present:

Issues considered in hiring us today

Yes No

Internet Craigslist Google Other

Referral Agent Friend

Referral Name

Price Website Thermal Imaging On-Site Reports

Online Reports Recommendation

Experience Availability Other

1) This inspection applies to the property located at :This document represents a binding legal agreement between and Client (name listed above).

The fee is (cash or check) credit cards and electronic payments add 3% surcharge. All payments are due at the time of inspection. This is based on a single visit to the property. If additional visits are required, additional fees may be charged. This service is a non-destructive, visual inspection only, conforming to accepted industry standards. Readily accessible areas, components and systems are examined to determine if at the time of inspection they are performing their intended functions. The inspector cannot report on latent or concealed conditions that are not apparent at the time of the inspection.

2) These items are excluded but not limited to:Code compliance, geological/soil investigation, engineering design/diagnosis, radon, formaldehyde, lead paint, asbestos,toxic or flammable materials, molds, fungi, other environmental hazards; pest infestation; underground storage tanks, pools, spas, hot tubs, steam baths, saunas, solar heating systems, property boundaries, easements or right of ways, recalls, play/recreational equipment or facilities, wells or springs, condominium or co-op common areas, home/appliance warranties, household appliances, humidifiers, water softener; central vacuum systems, wallpaper, paint, window treatments,security systems, fire sprinkler systems, antennae, lightning arrestors, any landscaping items, watering systems,or any low voltage system including but not limited to lighting, telephone, networking systems, intercoms, entertainment/TV systems, door bells, or Exterior Insulation and Finish Systems (EIFS). Any comments on the above items are for informational purposes only and not covered by this agreement.

3) This inspection includes the furnace. Internal components cannot be completely examined without disassembly. Wherefacility exists to examine the heat exchanger only a portion is visible. We will attempt to evaluate its condition but most of the heat exchanger is not visible. Sealed heat exchangers can not be examined. This inspection is not intended to determine whether the property meets insurance coverage or mortgage eligibility requirements. The client understands theinspector is not an insurer or guarantor against defects in the structure, items,components or systems inspected. Inspector makes no warranty, express or implied, as to the fitness for use, condition, performance or adequacy of any inspected structure, item, component, or system.

4) No liability or responsibility will be assumed by the inspector for replacing or repairing any deficiencies or defectsincluding property damage or bodily injury. In all cases the liability is exclusively limited to the client and for cost of the inspection only unless otherwise determined by the State of WA. If repairs or replacement are performed without giving the inspector 72 hour notice, the inspector will have no liability to the client. Client agrees to notify the inspector at least 72 hours prior to any work performed to correct items not reported. Liability is limited to those cases where there has been a complete failure to follow industry standards. There is a one (1) year limitation from the date of the inspection for any legal action or forever waived and barred.

5

Contract Page 2 5) If client is married, this obligation is a spousal obligation incurred in the interest of the clients

6) This inspection does not constitute a warranty, insurance or guarantee of any kind or does it substitute for anydisclosure by the seller required by law. It is agreed the client will carefully review the the sellers disclosure statements, and ask them about any items in question. In any case the inspector will not be liable for items on the disclosure statement. Any oral statements made by the inspector prior to issuance of the written report are not binding.

7) Disclosure of this report is limited to parties mutually agreed to by the inspector and the client. It may not be distributedwithout mutual consent. In no case will the inspector be liable for any party except the client. It is agreed that any legal fees, damages or costs incurred by the inspector for improper distribution of this report are the responsibility of the client.

8) This AGREEMENT shall be amended only by written agreement signed by both parties. It is further agreed that eachparty signing below warrants and represents they have the full authority and capacity to execute this agreement on behalf of the client. Client has read this entire AGREEMENT and accepts and understands this AGREEMENT as hereby acknowledged. This AGREEMENT shall be construed and enforced in accordance with the laws of the State of Washington.

9) Additional terms and conditions:

Date Time Client Signature Inspectors Signature

6

Jesse Weaver

Contents1) SUMMARY 2) CONTRACT 3) REPORT CONTENTS/BUILDING DATA 5) WALKS/DRIVES/PORCHES

EXTERIOR PAVED SURFACES, DECKS, HOSE BIBS, LANDSCAPING, RETAINING WALLS 7) CHIMNEY/SIDING/WINDOWS

EXTERIOR STRUCTURAL ITEMS, GUTTERS, SOFFITS, CAULKING 9) EXTERIOR DOORS/ELECTRICAL SERVICE/GARAGE

EXTERIOR A/C 11) ROOF

COVERING AND CONDITION, FLASHING, VALLEYS, PENETRATIONS 13) KITCHEN

HEAT, APPLIANCES, ELECTRICAL, PLUMBING, LAUNDRY 15) BATHROOMS

HEAT, FIXTURES, PLUMBING, ELECTRICAL 17) OTHER ROOMS

HEAT, ELECTRICAL, CEILING FANS, WALL/CEILING CONDITIONS, WINDOWS 19) FIREPLACE/STAIRS/GLASS/ATTIC

FIREPLACE INFO, WINDOWS, SECURITY BARS, FIRE EQUIPMENT, STAIRS, ATTIC 21) BASEMENT AND SUPPORTING STRUCTURE

MATERIALS USED, ANCHORS, FRAMING, INSULATION, DRAINAGE 23) CRAWL SPACE AND SUPPORTING STRUCTURE

MATERIALS USED, ANCHORS, FRAMING, INSULATION, DRAINAGE VENTILATION, SLABS 25) PLUMBING

MATERIALS USED, SUPPLY, DWV SYSTEMS, WATER HEATERS, WELLS, SANITARY PUMPS 27) HEATING SYSTEM

FUEL SHUTOFF, SYSTEM DESCRIPTION, OPERATION, FILTERS, BOILER SYSTEMS 29) INTERIOR A/C

OPERATION, SYSTEM DESCRIPTION, FUEL, LINE CONDITIONS 30) ELECTRICAL SYSTEM

MAIN AND BRANCH WIRE DESCRIPTION, PANEL TYPE AND RATING, TESTED VOLTAGE

BUILDING AND WEATHER INFORMATION Approx Age Style

General Appearance

Street Entrance Faces North South

East West

State of Occupancy Vacant Occupied

Ground Cover

Temp

Dry Damp

Wet Snow

Weather Conditions Rain Snow Dry

7

8

WALKS/DRIVES/PORCHES

2. Walks

1. Driveway

Satisfactory MarginalPoor

ConcreteAsphaltOther

GravelBrick/Pavers

Public walk needs repair

5. Patio (On Grade)

3. Porch/Stoop

Sloped to home CracksLandscaping/root damage

6. Deck (Ground Level)

Natural woodPressure treatedPainted/stained

Wood Metal

CracksSettling

Uneven stepsImprove Railing

RailingMetal bracketsMissing proper bolts Sway bracing

Railing

Wood/soil contact Moisture or insect damage Paint/stain neededSupport/attachment

Satisfactory MarginalPoor

HazardNone

ConcreteWood Not visible

Brick/Pavers

7. Balcony (Upper Floor Deck)Satisfactory Marginal

Poor Hazard

Satisfactory MarginalPoor Trip Hazard

Satisfactory Marginal

PoorTrip Hazard

Satisfactory Marginal

PoorSafety Hazard

4. Steps

Wood Concrete

Concrete Stone

10. Landscaping Affecting Building

NorthSouth

EastWest

Additional backfillTrim trees/bushes

Wood/soil contact

Wood/soil contact

Negative grade Wood/soil contact Yard drains not tested

Satisfactory Marginal

9. Retaining Walls

8. Hose BibsWorking Freeze free Anti siphon Not testedNoYes

Poor

Wood

None

Railing DeckingSupport

Material Problems - Recommend - Improve

Satisfactory MarginalPoor Trip Hazard

ConcreteAsphalt Gravel

Brick/pavers

Trip Hazard

Sloped to home CracksFill / seal

Landscaping/root damageMaterial Problems

Satisfactory MarginalPoor Trip Hazard

ConcreteFlagstoneOther

GravelBrick/pavers

Sloped to home CracksLandscaping/root damage

Material

Decking/railing Recommend/Improve

Recommend/Improve

Recommend/Improve

Recommend/Improve

Support

Material

Material

Material

Improper Drainage

Problems

Winterize

Critical drain - keep clear

9

10

CHIMNEY/SIDING/WINDOWS11. Chimney

NoneRoofDroneGround

Loc.#1Loc.#2Loc.#3

Viewed fromBrick/blockStoneFramedMetal

Cracks Creosote Flashing Cap Damage Moisture Issues

RustHoles in metal

Loose mortarLoose brickFlaking

Cracks/splits

Spark arrestor/cap Sweep flue Flashing repairs Cricket needed Brick/mortar repairs

Chase Problems

Problems

Problems

Problems Extension needed

RecommendTileMetal

UnlinedNot visible

Flue

12. Gutters and Downspouts

None

Satisfactory Galv/Alum Wood Vinyl Built in roof

Leaking Ponding Holes in runs Stains

Need cleaning

Mount(s) failingRusting

MarginalPoor

NorthSouthEastWest

13. Siding

Recommend paint/stain/caulk

Satisfactory Marginal

14. Windows

Poor

Recommend paint/stain/caulk

Satisfactory MarginalPoor

Recommend paint/stain/caulk

Satisfactory MarginalPoor

WindowsDoors Sills

Utilities/other holesTrimSiding

Wood decayBroken panesFailed seal(s)Missing caulk/putty

Metal

Metal

Wood Brick/StoneVinyl

T111

LP/composite HolesWater damage

Wood/soil contactGaps at cornersLoose/missing

Landscaping too close to structure

Cracks/splitsHolesWater damage

Wood/soil contactGaps at cornersLoose/missing

Landscaping too close to structure

Wood Aluminum

VinylMetal Clad

Problems

Additional caulking recommended

15. Fascia/Soffit/TrimWood

Other composite

VinylMetal clad

16. CaulkingSatisfactory MarginalPoor

Slate

EIFS*Stucco

Fiber-cement

Asphalt

11

12

DOORS/GARAGE/ELECTRICAL SERVICE17. Construction

Not visible Wood/metal framing

WoodMetalComposite

Glass

Masonry Log

Material

Exterior Outlets Tested19. Exterior Electrical Service

OverheadLow<3' from balcony or deck

Underground

18. Exterior Doors 1 - Front, 2 - Back, 3 - Slider/French 4 - Other

Satisfactory Condition

MarginalPoor

Satisfactory Weatherstriping

MarginalPoor

Satisfactory Needs Service Waterproof cover recommended

wire/power cords exposedTrim trees/landscaping

Yes No GFCI protectionReverse polarity Open ground

Unit #1BrandModelSerial

YesShutoff NoYesLevel No

Automatic Opener:

Roofing:

Gutters:Siding:

Flooring:

Burners 18" above floor:

OperableOperable

NoOperable Yes Pressure reverse YesPhoto eyes Yes No

No Dedicated outletYes NoYes No

Yes No

Amps Approx Age Unit #2

BrandModelSerial

YesShutoff NoYesLevel No

Amps Approx Age

Yes NoYes NoYes NoYes No

Safety hazard

YesN/A No

Safety hazard

Safety hazard

20.Exterior A/C Condenser/Heat Pump ComponentsSatisfactory MarginalPoor

Satisfactory Marginal Poor

Satisfactory Marginal Poor

Satisfactory Marginal Poor

Satisfactory Marginal Poor

Satisfactory Marginal Poor

Typical cracks Large settling cracksConcrete

Overhead door:

Satisfactory Inoperable

Service door:Elevated Floor level

Safety hazard Repairs neededother NonerottedNot visibleSill plates:

Electricity:

Firedoor:

S h e e t r o c k / f i r e w a l l :

Metal Wood Composite

Gravel Asphalt Dirt

Satisfactory Marginal Poor None Recommend downspout extension

R-22 (defunct)

21. Garage/CarportAttached Detached

Same as house

Same as house Wood Vinyl Metal Stucco MasonrySlate Fiberboard

Type Approx Age Approx layers

1 Car 2 Car 3 Car

Yes No GFCI GFCI working Yes No Reverse polarity/open ground Yes NoHandyman wiring Yes No Extension cord wiring Yes No

Non fire doorunable to verifyAuto closureBetween living area and garage

Needs repairNeeds repair

Yes No

Satisfactory NoneN/A

DamagedIncomplete Yes No

No firetape

Congested personal belongings

Yes No

Yes No

13

14

ROOF22. Roof Visibility

25. Roofing Materials and Conditions

All None

Roof #1

Conditions

Materials Conditions

Conditions

Apparent Condition at the Time of Inspection Conditions reported reflects visible conditions only

Limited by

Type # Layers Approx Age

23. Inspected FromRoof

Steep Roof PitchMedium

Low Flat

Ladder Ground Binoculars

24. Roof Style

GableHip Mansard

ShedOther

30. Other Roof Penetrations

None Powered Ridge

Gable Soffit

Eaves Roof

Turbine

Galv/AlumLeadCopper

RubberAsphalt

None Visible

Tar patch(es)

Exposed FeltCuppingNail popping Ponding

BurningMissing tabs/tiles

Satisfactory Marginal

26. Flashing

Poor

Poor

Satisfactory Marginal

Pulled away from chimney/roof

Materials

Galv/AlumLeadCopper

RubberAsphalt

Pre-manufacturedBuilt on site

LeakingImproper flashingBroken Seal

RustedLoose

Missing

None Visible Poor

Satisfactory Marginal

Poor

Satisfactory Marginal

PoorSatisfactory Marginal

PoorSatisfactory Marginal None noted

PowerGas

PlumbingHVAC

Exhaust Fans

27. Valleys

28. Skylights

29. Roofing System Vents

Rusted Not visible recommend cleaningRecommend SealingHoles

Holes

Roof #2 Type # Layers Approx AgeRoof #3 Type # Layers Approx Age

%

Granule lossHoles/TearsExposed nails/seal w/tar

CurlingMoss BuildupShrinkage

15

16

KITCHEN31. General Condition

Yes No

Satisfactory MarginalPoor

Cracks

Fresh paintStains

Cracks

Fresh paintStains

SlopingSqueaking

32. Heat Source

YesDisposal:

NoYesDishwasher: Operational

OperationalOperationalOperationalOperationalOperationalOperationalOperational

No

YesOutlets present: No

YesLaundry sink: No

YesHeat source: No

WallDryer vented:Electrical:

Ceiling Floor Proper vent to outside

YesRoom vented No

Washer DryerWater heater Furnace

Not visible

YesGFCI present:Open ground/reverse polarity

NoYes No

Yes NoYes No

OperationalOperational

Yes NoYes No

No air gap Vents to kitchen

Yes NoYes NoYes NoYes No TempsYes NoYes No

YesExhaust fan:

NoYesOven: NoYesRange: NoYes

Trash Compactor:No

YesRefrigerator:

NoYes No

33. Appliances

34. Electrical

36. Laundry/Utility Room

35. PlumbingSatisfactory Drainage

Walls Satisfactory MarginalPoor

Ceilings Satisfactory MarginalPoor

Floors Satisfactory MarginalPoor

DelaminatingStains

Countertops Satisfactory MarginalPoor

RecommendRepair or Replace

Cabinets

Location

YesNo

Fresh/WetCabinet view obstructed

Waterstains in cabinet

Yes No

Yes No

Leaks

LocationYesLeaks

Yes No Yes NoShutoff present Yes NoFlex lines ≤ 6'

PoorSatisfactory Water Pressure Poor

Open ground/reverse polarity Yes NoSafety hazard

Safety hazard

YesGFCI present:

Appliances:

Gas Present:No Operational Yes

Safety hazardSafety hazard

17

18

BATHROOMS37. Bath

19

20

38. Rooms 1-5

21

38. Rooms 6-10

22

38. Rooms 11-15

23

24

ATTIC/FIREPLACE/STAIR/GLASS

40. Interior Windows/Glass

41. Security Bars

InoperableGlazing compound needed Single pane glass Moisture stains/leaks Cracked glass

Evidence of blown thermal sealsBroken counter-balance/springs Representative number of windows operated Broken or missing hardware

Satisfactory MarginalPoor

Satisfactory MarginalPoor

Satisfactory MarginalPoor

Satisfactory MarginalPoor

Yes No Not tested

WoodGasPellet

Insert

Test release mechanism before occupying

39. FireplaceYes

43. Stairs (upper floors)

42. Fire Safety Equipment

NoBuilt-in blower OperatesDamper workingDamper broken/missingOpen masonry joints /damaged prefab panels

Yes No

44. Attic

Yes Yes NoSprinkler systemFire extinguisher Yes No

Heat detectors Yes NoSmoke detectors CO detectors Yes No

Proper lighting Yes No

Satisfactory Yes No

Location #1Location #2Location #3

Recommend service and examinationHearth

Mantle loose

Handrail

Stairs PulldownScuttleholeKneewallNo access

Access

Stick FrameMetal

Collar tiesKnee walls

Trusses

Moisture damageDelaminatedRot

Condensation/leaksStains

AtticOutsideNot visible

Not visible

Fans exhaust toYes NoSee commentsSee comments

SatisfactoryNeeds repair

Chimney Chase

Knob and tube

Open junction box(s)Handyman wiring

Electrical

Structural problems

Roof framingPlywoodOSB1x wood

Roof sheeting

Moisture issues

Access hole Inside attic

Inspected from PresentNot testedAutomatic

Power vent fans

Adequate

Recommend additional venting

SoffitGable

RoofRidge

VentilationCompletePartialNone

FlooringBattsLoose fill

RaftersNot visible

Not visible

Not visible

Satisfactory MarginalPoorNot visible

WallsFloors

Average depth

Insulation

Installed in

Satisfactory MarginalPoor

Uneven rise/runLow headspace

Bouncy/weak stringers or framing

Tread/risersSatisfactory Poor

Framing

Fuel

Safety Hazard

No

25

26

BASEMENT AND SUPPORTING STRUCTURE

47. Basement/Stairs

46. Basement/Foundation

48. Foundation Anchors

50. Basement Drainage

Posts and Beams

Joist/Trusses Type

Wood Concrete

MetalNot visible

Joist Trusses

2x6 2x8

2x10 2X12

TJI-Joist

Material

Dimension

Satisfactory

**Note: see comments on bottom of page

Marginal

Have evaluatedMonitor

MaterialWalls

Floors

ConcreteConcrete block

Material

Indication of moisture

Brick Field stone

North West South East

Typical crackingExcessive cracking

ConcreteDirt

Not visible

Not visible

NoYesFreshOld stains

Sump pump

Not visible

Working

Significant rust/rotSatisfactory Marginal Have evaluated

Sub floorStains/minor damage

Significant rust/rotSatisfactory Marginal Have EvaluatedStains/minor damage

Satisfactory Marginal Have evaluatedStains/minor damage

Not workingNot tested

NoYes WorkingNot working

Efflorescence

Not tested

Floor drains present

Anchor bolts Have evaluatedSeismic anchors None visible

45. Sub-Structural ElementsBasement/foundation Crawl space SlabOther

None visible

49. Sub Structural Framing

Yes No Yes No

Satisfactory MarginalPoor

Poor

SatisfactoryMarginal Not visible

Poor

Ceilings

SatisfactoryMarginal Covered

Poor Insulation

SatisfactoryPoor Covered

None RigidBatts

Walls Vapor barrierFloorsCeiling

Satisfactory MarginalPoor Proper lighting Yes No

Handrail

Not visible

Covered wallsMovement apparentHorizontal cracksVertical cracksStep cracks

Satisfactory MarginalPoor

Uneven rise/runLow headspace

Bouncy/weak stringers or framing

Tread/risersSatisfactory Poor

Framing

Cracks

Safety Hazard

Delaminated Rot

27

28

51. Crawl Space Notes

53. Drainage

54. Ventilation

Congested personal belongings Animal droppingsNo representation is made for areas not visible

Walls Ceiling

Vapor barrier

ClearBlack

Indication of excessive moisture

NoYes

Wall vents None visible Recommend additional ventsPowered Tested

FreshOld Stains

Sump pump

Poor Not visible

WorkingNot workingNot Tested

NoYes WorkingNot working

Efflorescence

Not Tested

Drain(s) present

Yes No

YesNo

Incomplete Not visible

YesNo

Yes No

CRAWL SPACE AND SUPPORTING STRUCTUREFull

Access

Inspected FromPercent of crawl space inspected

Limited byExterior InteriorIn basement

Access panelInside crawl space

No AccessDebris Standing waterAccess Ducts/pipes

Partial basement/crawl space

Posts and Beams

Joist/Trusses Type

Wood Concrete

MetalNot visible

Joist Trusses

2x6 2x8

2x10 2X12

TJI-Joist

Material

Dimension

Not visibleSignificant rust/rotSatisfactory Marginal Have evaluated

Sub floorStains/minor damage

Significant rust/rotSatisfactory Marginal Have evaluatedStains/minor damage

Satisfactory Marginal Have evaluatedNot Visible

55. Sub Structural Framing

Delaminated Rot

%

52. Crawl Space/Foundation

Satisfactory

**Note: see comments on bottom of page

Marginal

Have evaluatedMonitor

MaterialWalls

Floors Material

Concrete Concrete block Post & pierSkirting

North West South East

Typical crackingExcessive cracking

ConcreteDirt

Not visible

Not visiblePoor

SatisfactoryMarginal Not visible

Poor

Ceilings

SatisfactoryMarginal Covered

Poor Insulation

SatisfactoryMarginal

Covered wallsMovement apparentHorizontal cracksVertical cracksStep cracks

Cracks

56. SlabTypical cracksExcessive cracks

Not visible Signs of settlementAnchors not visibleNo anchors

29

30

PLUMBING57. Water Supply/Drain/Vent Systems

Yes No

Not visibleCopper

GalvanizedExterior supply

CopperPolybutylene

Safety hazard

Safety HazardWater shutoff location

Interior supplyCast IronPlasticPlastic

Not visibleCopper

GalvanizedGalvanizedPlastic

Drain/vent

None visible

Lead plumbing (other then soldered joints)Current leak Corroded Broken/missing valvesOld leaks Dissimilar metals

Cross connect/contamination problems

Water pressure

Well Pump

Where

DrainageSatisfactory Marginal LowSatisfactory Marginal Slow

Submersible Pressure GaugeIn basementPump house Well pit

Working ReadingNot working

Shared well

** See notes on page 24

None visible58. Sanitary Pump

Brand Name:Serial #Model #Gallons Approx. age

59. Hot Water Heater #1

Sealed Crock

GasFuel

Heat pump Electric

Yes NoVented

Relief valve

Earthquake straps

On demand heater Visible exhaust rollout Rusted

On demand heater Visible exhaust rollout Rusted

Improper pitch Proper extension tube

Safety hazard

Brand Name:Serial #Model #

Approx. age

60. Hot Water Heater #2

GasFuel

Heat pump Electric

Relief valve

Yes NoEarthquake straps NoImproper pitch Yes

Yes No

Yes NoNoYes

Yes No

Proper extension tube

Yes NoCheck valve

SatisfactoryRepair/evaluate

Vent problems

Vent problems

Gallons

31

PEX

32

HEATING SYSTEM61. Fuel Shutoff

Shutoff locationYes No N/A

62. Heating System

Forced air

Fuel

Boiler systems

63. Fan Forced Air Furnace

Cadet /Fan Forced wall units Electric convection panelsRadiant floors/ceiling

Electric baseboards Woodburning stove

Safety Hazard

Earthquake shutoff

Brand Name:Serial #Model #Approx. age

Brand Name:Serial #Model #Approx. age

Cold air Warm air

Brand Name:Serial #Model #Approx. age

Gas #1 #2OilElectric

Fuel64. Boiler Systems

GasOilElectric

CentralDuctlessTested

Service needed

Belt Direct drive Gravity

Air circulation system

PumpGravityMultiple zones

Circulation system Pressure/temp Gauge Relief valve

TypeMetal ductworkFlexible/insulated ductsCold air returns present

Heat distribution

Fired from thermostatYes No

Yes No

Yes NoMissingNot tested

Yes NoMissing

Proper extension Yes No

Operation

Normal operation

Safety hazard

Fired from thermostat

Yes No

Operation

Normal operation

Temperature

Heat pumpMetalPVC

Improper pitchRusted

Flue

MetalPVC

Repairs neededRusted

Flue

ReplaceCleanMissing

PaperElectrostatic

Air filters

Visual with mirrorHVAC tech to serviceNot accessible, not inspected

**view of heat exchanger is very limited.

RustedFlame distortion

Heat exchanger inspection

Central unitWall furnaceFloor furnace

Ceiling furnace

33

34

INTERIOR AC COMPONENTS

ELECTRICAL SYSTEM

65. Cooling SystemFuel

Approx. ageCold air Warm air

GasElectric

Type

Runs from thermostat

Not tested

Not tested/ below 65°F

YesRecommend HVAC tech evaluate

No

Operation

66. Main Panel

FusesNone

Operates

BreakersConduit

BX cableNM cable

Knob and tube

Aluminum Copper clad aluminum Unable to determineCopperAluminum Copper clad aluminum Unable to determineCopper

Normal operationNot testedYes

Recommend serviceNo

Yes NoGFCI present Yes NoOperates Yes NoAFCI present Yes No

Appears grounded Yes No

Multiple Tapping YesBreakerMain disconnect

Not Evaluated

No

Undersized branch wiresFederal Pacific /Zinsco panel Licensed professional to evaluate

Normal operation

Temperature

Air cooledWater cooledEvaporative coolerHeat pump

Wall/window units(s)

Main wireBranch wireSafety shutoff Wire Type/Style

Refrigerant lines

LeakInsulation missingDamaged

Satisfactory

Missing Knockout(s)

Loc/Brand Rated amps Rated volts Tested Volts

Missing covers Open J boxes

Multiple Tapping Yes NoUndersized branch wires None Noted

FusesBreakers

ConduitBX cableNM cable

Knob & tubeSafety shutoff Wire Type/Style

67. Sub Panels and Fixtures

Aluminum Copper clad aluminum Unable to determineCopperBranch wire

Loc/Brand Rated amps Rated voltsLoc/Brand Rated amps Rated voltsLoc/Brand Rated amps Rated volts

A representative numberof receptacles, lighting fix-tures, and switches weretested and found to be

SatisfactoryMarginalRecommend Licensed Professional Evaluate

Ungrounded outlets GFCI protection missingReversed polarity

Safety hazard(s)

Tested voltsTested voltsTested volts

35

Homeowners Information

Great Publications from the Experts on the Following Topics:

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Member

ICN_______________________WSDA INSPECTION CONTROL NUMBER

**This report is not valid without the above number**

Inspection Date:____________ File No:________________ Time: ________ Visit: #____

Inspection Firm: ____________________________________________________

Address: _______________________________________

Phone:______________ E-mail:____________________________

Structural Pest Inspector:___________________________ WSDA License # ______________

Structure Inspected:____________________________________________________________________________________________

Client Name:

NOTE: ONLY THE ABOVE NAMED CLIENT IS ENTITLED TO RELY ON THE CONTENTS OF THIS REPORT. In accordance with the provisions of the Revised Code of Washington (RCW) 15.58.450, this report relates to a single sale, transfer, exchange, or refinance

and is not transferable to and may not be relied upon by parties involved in any subsequent sale, transfer, exchange, or refinance of the same property.

COMPLETE WOOD DESTROYING ORGANISM INSPECTION REPORT

SUMMARY OF FINDINGS YES NO*

VISIBLE EVIDENCE OF ACTIVE WOOD DESTROYING INSECTS VISIBLE EVIDENCE OF ACTIVE WOOD DECAY FUNGI VISIBLE EVIDENCE OF DAMAGE BY WOOD DESTROYING ORGANISMS VISIBLE EVIDENCE OF CONDITIONS CONDUCIVE TO WOOD DESTROYING ORGANISMS

*VISIBLE EVIDENCE OF INACTIVE; Carpenter Ants, Subterranean Termites, Anobiid Beetles, Moisture Ants, Dampwood Termites,Other Wood Boring Beetles, or past Water Events, remain(s). Neither the inspector nor the inspection firm shall be liable for any corrective actions

required by future inspections as a consequence of this evidence. See the FINDINGS and DIAGRAM page(s) of, This report, Previous report(s) bearing the same ICN, for details

COMMENTS:

Rev: 12/03 WSPCA PAGE 1 of _____ pages38

WOOD DESTROYING ORGANISM INSPECTION STANDARDS of theWASHINGTON STATE PEST CONTROL ASSOCIATION

COMPLETE WOOD DESTROYING ORGANISM (WDO) INSPECTION REPORT. This report is prepared from an i nspection conducted by a Washington State Department of Agriculture licensed Structural Pest Inspector in accordance with Washington Administrative Code 16-228-2005 t hrough 16- 228-2045. Opinions cont ained herein are based on conditions visible and evident at the t ime of t he inspection. This report does not warrant, represent, or guarantee that the structure reported on is free from evidence of WDOs, their damage, or conditions conducive to WDOs, nor does it represent or guarantee that the total damage, infestation, or infection is limited to that disclosed in this report. II. INSPECTION PROCEDURESThe inspector shall make a thorough inspection, using accepted methods and practices, of the subject structure to render an opinion on the presence of or damage from WDOs as well as conditions conducive to such WDOs. AREAS INSPECTED shall include: structural exte rior (accessible both visibly and physically to an inspector at ground level); accessible structure interior; accessible sub structural crawl space(s); garages, ca rports, and decks which are attached to the structure. Deck inspection shall include; railings, wooden steps, and accessible wooden surface materials, as well as, deck substructures which are accessible (those with at least a 5’ soil to joist clearance or elevated decks which can be suitably reached using a 6’ step ladder). WOOD DESTROYING ORGANISMS shall include: subterranean termites, dampwood termites, carpenter ants, moisture ants, wood boring beetles of the family Anobiidae, and wood decay fungus (rot). The inspector will not assume any responsibility for WDOs that were not detected during their dormant season. When evidence of moisture ants, dampwood termites, wood infesting anobiids, or wood decay fungi is detected during a complete WDO inspection, the inspector must identify and report the condition(s) conducive to such infestations. It must be stated in the report that such infestations may be eliminated by removal of all infested wood and cor rection of any contributing conducive conditions. CONDUCIVE CONDITIONS, as determined by the inspector, shall include, but not be limited to: inadequate clearance, earth to wood contact, conducive debris in the crawl space , inadequate ventilation, excessive moisture, vegetation contact with the structure, bare ground in the crawl space, existing or seasonal standing water in the crawl space, failed caulking or grout in water splash areas, and/or restricted or non-functioning gutter systems. III. LIMITATIONS OF INSPECTIONS.The inspecting firm shall not be held responsible by any party for any condition or consequence of WDOs, which is beyond the scope of this inspection. The scope, defined in section II. INSPECTION PROCEDURES is limited as follows; (a) INACCESSIBLE AREAS: Certain areas of a structure, which are inaccessible by their nature, may be subject to infestation by WDOs yet cannot be inspected without excavation or unless physical obstructions are removed. Such areas include, but are not limited to: wall voids, spaces between floors; substructures concealed by sub-floor insulation or those with inadequate clearance; f loors beneath coverings; sleeper f loors; are as concealed by f urniture, appliances, and/or per sonal possessions; and deck substructures with less than 5’ clearance. (b) ROOF SYSTEMS AND ATTIC AREAS: Roof systems, roof cove ring, and attic are as are excluded fro m this report. This report may note, at the discretion of the inspector, visual evidence of infestation and/or infections of WDOs in the portions of the eaves that are visible and accessible from the ground. No opinion is rendered nor guarantee implied concerning the watertight integrity, the condition, or future life of the roof system. Any comment(s) made regarding an obvious condition of ( a) component(s) of the roof system or attic space(s) shall not imply an extension to the scope of this inspection. If a more qualified opinion is desired, the services of a licensed roof system professional should be obtained. (c) SHEDS AND OUTBUILDINGS: Sheds, garages, car ports, decks, or other structures, which are not attached to the main structure by r oof system or foundatio n, are excluded from this report unless specifically requested and noted. The inspecting firm reserves the right to charge additionally to inspect any unattached structures. (d) CLIMATIC LIMITATIONS: In certain geographical areas of Washington State where wet climate is common and due to their construction and materials, structures may be subject to conditions from normal weathering. Such conditions as cracking, checking, and/or warpage on doors, window casings, siding, and non-supporting wooden members shall not be reported on inspection reports except at the discretion of the inspector. Inspectors ar e not required to report on any wood- destroying organism infestation, infection, or other condition that might be subject to seasonal constraints or environmental conditions if evidence of those constraints or conditions is not visible at the time of the inspection. (e) MOLD: Molds, mildews, and other fungal growth (except wood decay fungi) shall be reported on only to the extent that they indicate an excessive moisture condition which may be conducive to WDOs. The inspector is n ot liable or responsible for determining the type of mold, mildew, or other fungi present, nor shall the inspect or be liable or responsib le for determining the possible health hazards associated with the presence of molds, mildews, or other fungi. This report is not, nor shall the inspector perform a mold inspection or investigation. If a more qualified opinion is desired, the services of a toxicologist or certified industrial hygienist should be obtained. (f) STR UCTURAL ASSESSM ENT: W hile it may be possible for the inspector to note damaged materials, neither the inspector nor the inspection firm is liable or responsible in any way to determine the structural integrity of any building materials. If a more qualified opinion is desired, the services of a licensed, qualified contractor or structural engineer should be obtained. (g) REMAINING EVIDENCE: In certain situations, it may not be practical to eliminate all evidence of previous WDO activity (e.g., carpenter ant frass, insect parts, or subterranean termite scaling), or evidence of conducive conditions, (e.g. water staining). Although noted, this evidence may remain after corrections have been made or if it is the inspector’s opinion that evidence is f rom inacti ve WD Os and no corrections ar e r ecommended. Neither the inspector nor th e inspecting firm shall be li able or responsible for any corrective action required by future inspections in regards to this remaining evidence. IV. REPORTS The inspecting firm shall not issue any complete wood destroying organism inspection report unless a Washington State Department of Agriculture licensedstructural pest inspector from that firm has made a careful and thorough inspection of the structure in conformance with and subject to the limitations within these standards. Reports shall include a diagra m and a description of the f indings to hel p identify locations of the f indings as well as inacces sible areas n ot identified in III (a ) of these standards. V. WORK RECOMMENDATIONS AND TREATMENTS (a) NO WARRANTIES OF CORRECTIVE WORK: Neither the inspector nor the inspecting firm will evaluate or warrant the quality of workmanship, the compliance with any applicable building codes, nor the suitability for use of any re pairs, corrections, or treatments recommended within this report. Compliance with Washington State pesticide application laws and appli cable building codes (current revisions) is the re sponsibility of the property owner and th ose per forming the wor k. I t is str ongly recommended that those parties performing any corrections or treatments be licensed, bonded, and qualified professionals providing warranted services. (b) C ONDITIONS REVEALED DURING THE PE RFORMANCE OF RECOMMENDATIONS: Should any WDO, damage, or conducive condition be revealed during the performance of any recommendations, whether performed by the owner , the pu rchaser, a contr actor, or any other party in interest, the inspecting firm must be notified of such, and be given a reasonable opportunity for re-inspecting and determining the need for any additional corrective measures before such conditions are covered. The owner, the purchaser, or any other person performing the work shall be responsible for notifying the inspector . Nothing contained herein shall prevent the inspecting firm from assessing additional charges for each additional inspection.

NOTE: The Washington State Pest Control Association (WSPCA), as a service to inspection firms, has developed this form and these Standards of Practice. By doing so, the WSPCA does not certify that the inspecting firm is a member of the WSPCA or that the inspector is qualified to perform the inspection. The WSPCA shall not be a party to any claim or action by the buyer, seller, or other interested party against the inspection firm solely by reason of making this report form and these Standards of Practice available for use.

Rev: 12/03 WSPCA © 2003 PAGE 2 of ____ pages 39

FILE NO. ______________

FINDINGS

Address of Structure Inspected ____________________________________________________________________________________

NOTE: The owner(s) and/or persons performing any work relative to these findings must ensure that all construction work performed meets the standards of good construction practices and materials as provided for in any and all applicable building codes (current revisions). Pest control measures must be performed by Washington State licensed applicators in conformance with all federal, state, and local laws. Nothing contained herein shall prevent the inspecting firm from assessing charges for each additional inspection.

Rev: 12/03 WSPCA PAGE 3 of ______ pages 40

Important information about the attached

Complete Wood Destroying Organism Inspection Report.

Beginning January 1, 2004 the Washington State Pes t Control Association has adopted a new format for the Complete Wood Destroying Organism Inspection Report. This new format was prompted, in part, by recent changes to Washington State Laws and Rules that pertain to Structural Pest Inspections, (RCW 15.58. 450 and WAC 16-228-2005 through 16-228-2045) , and by changes in market expectations. These changes were a cooperative effort involving members of all affected industries; inspectors, real estate professionals, and lenders. This new inspection report format is easier to understand, easier to enforce, and provides better protection for the consumer.

Washington State laws and rules do not recognize any difference between a “Preliminary Report” and a “Final Report”. Therefore, this reporting format has been eliminated. There will only be one report: the Complete Wood Destroying Organism Inspection Report. If you have questions regarding these changes, contact the Washington State Pest Control Association (1-800-253-3836).

For your protection you are enc ouraged to have all fi ndings corr ected by licensed a nd bonded contractors and to obtai n and keep copies of all repair receipts. You may also elect to obtain a report with “NO” findings. A report with “NO” findings does not indicate that the inspector is approving of any work done to eliminate previously reported findings. It only indicates that there are no findings at the time of the inspection. It must also be understood that remaining evidence may exist after all repairs and corrections have been made. This evidence, while required to be reported, may be inconsequential.

The attached Washington State Pest Control Association Complete Wood Destroying Organism Inspection Report Form has been reviewed by the Washington State De partment of Agricult ure. The Department agrees that with an accurate inspection and when filled out properly this form can meet the Wood Destroying Organism Inspection Reporting Criteria found in WAC 16-228-2005 through 16-228-2045.

41

DIAGRAM FILE NO.______________

AB - Anobiid Beetles CA - Carpenter Ants

RF - Rot Fungus

MA - Moisture Ants

OB - Other wood infesting beetles

ST - Subterranean Termites

DT - Dampwood Termites

BG - Bare GroundCD - Conducive DebrisDS - Downspout RepairsEW - Earth to Wood ContactEM - Excessive MoistureFC - Failed CaulkingIC - Inadequate ClearanceRG - Restricted Gutters VC - Vegetation Contact

LC - Landscape Clearance

PL - Plumbing Leak

SB - Missing Splash Block

CSA - Crawl Space Access

SW - Standing Water

RE - Remaining Evidence

SP - Sill Plate

RJ - Rim Joist

SC - Support ColumnSF - Sub-Floor

IA - Inaccessible Area

FV - Foundation Vent

WDO’s

IV - Inadequate Ventilation

CONDUCIVE CONDITIONS OTHER ELEMENTS Diagram Legend

42

C0495

Mail Samples to:WSU Puyallup R.E.C.Plant & Insect Diagnostic Lab7612 Pioneer Way EastPuyallup, WA 98371-4998

Clientís name Phone (daytime)

Address County

City State Zip County Agent

Email Master Gardener Clinic

Commercial Applicator/Fieldperson:

1. Where found (kitchen, etc.)

Date collected

2. Samples collected from home inspection, address

3. Area affected

4. Percentage of area/plants affected

5. Pest is a:

6. Damage is:

7. Plant parts attacked:

buds

8. Has control been attempted? If you used a chemical, please indicate product name, rate, and date of application.

9. Observations/comments. (By clients, agent, applicator)

*IF THIS FORM IS NOT FILLED OUT COMPLETELY, RESPONSE WILL BE DELAYED

DIAGNOSIS: ( DO NOT WRITE IN THIS SPACE - FOR OFFICIAL CLINIC USE ONLY)

Diagnosed by: Date reply:

Date sent

Date received

PC#

Fee WSPCA

*INSECT DIAGNOSIS REQUEST

nuisance

extreme

leaves

flowers

causing damage

serious

stems

Irg. branches

or a curiosity

moderate

roots

trunk

light

terminals

fruit

WA

info@northwesthomeinspector.com

(PLEASE DO NOT MAIL RESULTS TO THIS ADDRESS)

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