SITE - North Las Vegas, Nevada



For CNLV Staff ONLY.

Property Information

Property address: ____________________________________________________

Developer: ______________________________________________________________

Inspector Name:______________________________________________________________

Inspection Date:______________________________________________________________

Start time:______________________ End: ____________________

Electric on □ YES □ NO

Gas on □ YES □ NO

Water on □ YES □ NO

Weather:___________________________________________________________________

NOTES: _____________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

SITE

|Address: | | | | |

| | | | | |

| | | | |Deficiency Notes |

|Lot: |

|Size | | | | |

|Setbacks: Front- | | | | |

| Rear- | | | | |

| Side- | | | | |

| Side- | | | | |

|Landscaping: |

|Drainage / Grade | | | | |

|Trees & Shrubs | | | | |

|Ground Cover | | | | |

|Fences | | | | |

|Gates | | | | |

|Trash Storage | | | | |

|Retaining Walls | | | | |

|Steps | | | | |

|City Sidewalk | | | | |

|Access Walks | | | | |

| | | | | |

|Irrigation |yes |no | | |

|Present: | | | | |

|Front | | | | |

|Rear | | | | |

|Left Side | | | | |

|Right Side | | | | |

|Operational? | | | | |

| | | | | |

|Pool | | | | |

|Height | | | | |

|Width | | | | |

|Depth | | | | |

|Filled | | | | |

|Operational? | | | | |

|Pool equipment | | | | |

|Decking | | | | |

|Plumbing | | | | |

|Safety barrier | | | | |

| | | | | |

|Spa/Jacuzzi | | | | |

|Height | | | | |

|Width | | | | |

|Depth | | | | |

|Filled | | | | |

| | | | | |

|Storage Shed | | | |Set back: Rear_______ Side:_______ Separation:________ |

|size | | | | |

|roof material | | | | |

|siding material | | | | |

|foundation | | | | |

| | | | | |

EXTERIOR MAIN STRUCTURE

|Address: | | | | |

| | | | | |

| | | | |Deficiency Notes |

| | | | | |

|Porch/Stoop Location: |

|Foundation | | | | |

|Floor/Platform | | | | |

|Ceiling/Canopy | | | | |

|Hand/Guard Rails | | | | |

|Steps | | | | |

|Entry Location: |

|Door | | | | |

|Storm/Screen Door | | | | |

|Frame/Trim | | | | |

|Hardware | | | | |

|Threshold | | | | |

|Weather Stripping | | | | |

|Exterior Lighting | | | | |

|Entry Location: |

|Door | | | | |

|Storm/Screen Door | | | | |

|Frame/Trim | | | | |

|Hardware | | | | |

|Threshold | | | | |

|Weather Stripping | | | | |

|Exterior Lighting | | | | |

|Windows: |

|Glazing | | | | |

|Casings/Trim | | | | |

|Latches | | | | |

|Screens | | | | |

|Storms | | | | |

|Caulking/Painting | | | | |

|General: |

|Foundation | | | | |

|Wall Material | | | | |

|Roofing | | | | |

|Chimneys | | | | |

|Vents | | | | |

|Fascia/Soffits | | | | |

|Patio Door | | | | |

|Trim | | | | |

|Gutters | | | | |

|Downspouts | | | | |

|Splash-blocks | | | | |

|Patio Cover | | | | |

|permitted | | | | |

|permit number | | | | |

FOUNDATION

|Address: | | | | |

| | | | | |

| | | | |Deficiency Notes |

| | | | | |

|Foundation: |

|Foundation Walls | | | | |

|Plates & Rim Joist | | | | |

|Beams | | | | |

|Point Bearing Pad | | | | |

|Support Columns | | | | |

|Perimeter Ins. | | | | |

|Joist: |

|Condition | | | | |

|Span | | | | |

|Spacing | | | | |

|Size | | | | |

|Clear Space (6”) | | | | |

|General: |

|Floor | | | | |

|Vents | | | | |

|Chimneys | | | | |

Remarks:

Garage____ Carport____ Accessory Building____

|Address: | | | | |

| | | | | |

| | | | |Deficiency Notes |

| | | | | |

|Structure: |

|Foundation | | | | |

|Floor | | | | |

|Apron | | | | |

|Walls, interior | | | | |

|Joist | | | | |

|Rafters | | | | |

|Steps | | | | |

|Roof & Gutters: |

|Roofing | | | | |

|Fascia | | | | |

|Soffit | | | | |

|Misc. Trim | | | | |

|Gutters | | | | |

|Downspout | | | | |

|Splash-blocks | | | | |

|Pedestrian/Service Door: |

|Door | | | | |

|Storm/Scrn Door | | | | |

|Frame/Trim | | | | |

|Hardware | | | | |

|Threshold | | | | |

|Weather Strip | | | | |

|Stoop | | | | |

|Caulking & Paint | | | | |

|Exterior Lighting | | | | |

|Garage Door: |

|Door | | | | |

|Frame | | | | |

|Trim | | | | |

|Hardware | | | | |

|Windows | | | | |

|Weather Stripping | | | | |

|Caulking & Paint | | | | |

|Exterior Lighting | | | | |

|Mechanical: |

|Heating | | | | |

|Electrical | | | | |

Remarks:

Hall____ Common Area____

|Address: | | | | |

| | | | | |

| | | | |Deficiency Notes |

| | | | | |

|ROOM/DIMENSIONS: |

|Size | | | | |

|Walls | | | | |

|Ceiling | | | | |

|Ceiling Height | | | | |

|Entrances: |

|Doors | | | | |

|Jambs | | | | |

|Trim | | | | |

|Hardware | | | | |

|Windows: |

|Casing,Trim,Stools | | | | |

|Window Frames | | | | |

|Operation | | | | |

|Locks | | | | |

|Screens | | | | |

|Storms | | | | |

|Weather strip | | | | |

|Glazing | | | | |

|Light & Ventilation | | | | |

|Fire Escape | | | | |

|Painting: |

|Ceiling | | | | |

|Walls | | | | |

|Trim | | | | |

|Flooring: |

|Sub-Floor | | | | |

|Underlayment | | | | |

|Surface | | | | |

|Mechanical/Electrical: |

|Lighting | | | | |

|Switches | | | | |

|Outlets/GFI | | | | |

|Heating | | | | |

|Smoke Detector | | | | |

Remarks:

Kitchen

|Address: | | | | |

| | | | | |

| | | | |Deficiency Notes |

| | | | | |

|ROOM/DIMENSIONS: |

|Size | | | | |

|Walls | | | | |

|Soffits | | | | |

|Ceiling | | | | |

|Ceiling Height | | | | |

|Entrances: |

|Doors | | | | |

|Jambs | | | | |

|Trim | | | | |

|Hardware | | | | |

|Windows: |

|Casing,Trim,Stools | | | | |

|Window Frames/Casing/Trim | | | | |

|Operational? | | | | |

|Locks | | | | |

|Screens | | | | |

|Cabinets | | | | |

|Counter Tops | | | | |

|Misc: | | | | |

| | | | | |

| | | | | |

|Painting: |

|Ceiling | | | | |

|Walls | | | | |

|Trim | | | | |

|Flooring: |

|Sub-Floor | | | | |

|Underlayment | | | | |

|Surface | | | | |

|Appliances: |

|Range:Gas_Elec__ | | | | |

|Range Vent | | | | |

|Refrigerator | | | | |

|Dishwasher | | | | |

|Sink/ Faucets/Stops | | | | |

|Microwave | | | | |

|Disposal/Waste | | | | |

|Mechanical/Electrical: |

|Lighting | | | | |

|Switches | | | | |

|Outlets/GFI | | | | |

|Heating | | | | |

|Smoke Detector | | | | |

List Kitchen Remarks on Next Page (Continued)

Kitchen (Continued)

REMARKS: List any and all deficiencies through-out room:

_____________ Room

|Address: | | | | |

| | | | | |

| | | | |Deficiency Notes |

| | | | | |

|ROOM/DIMENSIONS: |

|Size | | | | |

|Walls | | | | |

|Ceiling | | | | |

|Ceiling Height | | | | |

|Entrances: |

|Doors | | | | |

|Jambs & Trim | | | | |

|Hardware | | | | |

|Windows: |

|Casing,Trim,Stools | | | | |

|Window Frames | | | | |

|Operation | | | | |

|Locks | | | | |

|Screens | | | | |

|Storms | | | | |

|Weather strip | | | | |

|Glazing | | | | |

|Light & Ventilation | | | | |

|Fire Escape | | | | |

|Painting: |

|Ceiling | | | | |

|Walls | | | | |

|Trim | | | | |

|Flooring: |

|Sub-Floor | | | | |

|Underlayment | | | | |

|Surface | | | | |

|Mechanical/Electrical: |

|Lighting | | | | |

|Switches | | | | |

|Outlets/GFI | | | | |

|Heating | | | | |

|Ventilation | | | | |

Remarks:

Stairs

|Address: | | | | |

| | | | | |

| | | | |Deficiency Notes |

| | | | | |

|ROOM/DIMENSIONS: |

|Size | | | | |

|Walls | | | | |

|Ceiling | | | | |

|Ceiling Height | | | | |

|Entrances: |

|Doors | | | | |

|Jambs & Trim | | | | |

|Hardware | | | | |

|Windows: |

|Casing,Trim,Stools | | | | |

|Window Frames | | | | |

|Operation | | | | |

|Locks | | | | |

|Screens | | | | |

|Storms | | | | |

|Weather strip | | | | |

|Glazing | | | | |

|Light & Ventilation | | | | |

|Fire Escape | | | | |

|Painting: |

|Ceiling | | | | |

|Walls | | | | |

|Trim | | | | |

|Stairs: |

|Treads | | | | |

|Risers | | | | |

|Width | | | | |

|Headroom | | | | |

|Handrail | | | | |

|Guardrail | | | | |

|Lighting | | | | |

Remarks:

Bathroom (______________)

|Address: | | | | |

| | | | | |

| | | | |Deficiency Notes |

| | | | | |

|ROOM/DIMENSIONS: |

|Size | | | | |

|Walls | | | | |

|Ceiling | | | | |

|Ceiling Height | | | | |

|Entrances: |

|Doors | | | | |

|Jambs & Trim | | | | |

|Hardware | | | | |

|Windows: |

|Casing,Trim,Stools | | | | |

|Window Frames | | | | |

|Operation | | | | |

|Locks | | | | |

|Screens | | | | |

|Storms | | | | |

|Weather strip | | | | |

|Glazing | | | | |

|Light & Ventilation | | | | |

|Fire Escape | | | | |

|Painting: |

|Ceiling | | | | |

|Walls | | | | |

|Trim | | | | |

|Flooring: |

|Sub-Floor | | | | |

|Underlayment | | | | |

|Surface | | | | |

|Cabinets: |

|Base | | | | |

|Walls | | | | |

|Tops | | | | |

|Linen Closet | | | | |

|Medicine Cabinet | | | | |

|Mechanical/Electrical: |

|Lighting | | | | |

|Switches | | | | |

|Outlets/GFI | | | | |

|Heating | | | | |

|Ventilation | | | | |

|Plumbing: |

|Water Closet | | | | |

|Lavatory | | | | |

Utilities

|Address: | | | | |

| | | | | |

| | | | |Deficiency Notes |

| | | | | |

|Heating: |

|Furnace(condition) | | | | |

|Fuel | | | | |

|Capacity | | | | |

|Controls | | | | |

|Venting | | | | |

|Ducting | | | | |

|Combustion Air | | | | |

|Capacity | | | | |

|Electrical: |

|Ground Clearance | | | | |

|Main Disconnect | | | | |

|Meter | | | | |

|Distribution Panel | | | | |

|# of Circuits | | | | |

|Wiring Type/Cond. | | | | |

|Plumbing: |

|Hot Water Heater (condition) | | | | |

|Venting | | | | |

|T&P Relief Valve | | | | |

|Waste Lines | | | | |

|Traps | | | | |

|Vents | | | | |

|Water Shut Off | | | | |

|Water Shut Off | | | | |

|Water Shut Off | | | | |

|Water Meter | | | | |

|Gas Meter | | | | |

|Gas Lines | | | | |

|Water Heater Protection | | | | |

|present | | | | |

|AC Unit | | | | |

|Condensor | | | | |

|Connections | | | | |

|Tonnage | | | | |

|Location | | | | |

Remarks:

Attic

|Address: | | | | |

| | | | | |

| | | | |Deficiency Notes |

| | | | | |

|Attic: |

|Entry | | | | |

|Roof Framing | | | | |

|Insulation | | | | |

|Vents | | | | |

|Chimneys | | | | |

Remarks:

SUMMARY OF MAJOR REPAIRS

|SITE: |

| | | | | |

| | | | | |

| | | | | |

| | | | | |

| | | | | |

| | | | | |

| | | | | |

|EXTERIOR: |

| | | | | |

| | | | | |

| | | | | |

| | | | | |

| | | | | |

| | | | | |

| | | | | |

|GARAGE/CARPORT/ACC. BLDG: |

| | | | | |

| | | | | |

| | | | | |

| | | | | |

| | | | | |

| | | | | |

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| | | | | |

| | | | | |

|KITCHEN: |

| | | | | |

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| | | | | |

|BEDROOM(S): |

| | | | | |

| | | | | |

| |

| | | | | |

| | | | | |

| | | | | |

| | | | | |

| | | | | |

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| | | | | |

|BATHROOM: |

| | | | | |

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|UTILITIES/HVAC: |

| | | | | |

| | | | | |

| | | | | |

| | | | | |

| | | | | |

| | | | | |

| | | | | |

| | | | | |

|FOUNDATION: |

| | | | | |

| | | | | |

Remarks/Additional Major repairs not covered:

|Water Heater Manufacture Dates by Serial Number |

|Manufacturers |Legends |

|Rheem |Disregard letters at beginning |

|Rudd |1st and 2nd numbers = month |

|Richmond (Menards) |3rd and 4th numbers = year |

|GE (Home Depot) |Example: RMNG1199D0743 = November 1999 |

|Bangard (W. W. Grangiers |Example: 0502F0655 May 2002 |

|A. O. Smith |First letter = factory |

|Minnerizer (For Minnegasco until about 2000) |2nd letter = month, A=Jan, M=Dec, etc., letter i is not |

| |used |

| |3rd and 4th digits = year |

| |Example: MD98-0048353-P38 = April 1998 |

|State |1st letter = month, A=Jan, M=Dec, etc., letter i is not |

|Kenmore |used |

|Reliance |2nd and 3rd digits = year |

|Maytag |Example: J01-128999 = September 2001 |

|Apollo | |

|American |1st and 2nd numbers = year |

|Craftmaster |3rd and 4th numbers = week |

|Whirlpool |Example: 040262311 = The week of January 5th, 2004 |

|Pro Line | |

|Envirotemp (Loews) | |

|Lochinvar |Same as Bradford White |

|Bradford White |1st letter = year, letters i, o, q, r, u, v not used |

| |2nd letter = month |

| |Example: TC1234567 = March 1999 |

| |A= |

| |1984 |

| | |

| |B= |

| |1985 |

| | |

| |C= |

| |1986 |

| | |

| |D= |

| |1987 |

| | |

| |E= |

| |1988 |

| | |

| |F= |

| |1989 |

| | |

| |G= |

| |1990 |

| | |

| |H= |

| |1991 |

| | |

| |J= |

| |1992 |

| | |

| |K= |

| |1993 |

| | |

| |L= |

| |1994 |

| | |

| |M= |

| |1995 |

| | |

| |N= |

| |1996 |

| | |

| |P= |

| |1997 |

| | |

| |S= |

| |1998 |

| | |

| |T= |

| |1999 |

| | |

| |W= |

| |2000 |

| | |

| |X= |

| |2001 |

| | |

| |Y= |

| |2002 |

| | |

| |Z= |

| |2003 |

| | |

| |A= |

| |2004 |

| | |

| |B= |

| |2005 |

| | |

| |C= |

| |2006 |

| | |

-----------------------

PRS Category 1

PRS Category 2

PRS Category 3

PRS Category 1

PRS Category 2

PRS Category 3

PRS Category 1

PRS Category 2

PRS Category 3

PRS Category 1

PRS Category 2

PRS Category 3

PRS Category 1

PRS Category 2

PRS Category 3

PRS Category 1

PRS Category 2

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5?OJ[?]QJ[?]PRS Category 3

PRS Category 1

PRS Category 2

PRS Category 3

PRS Category 1

PRS Category 2

PRS Category 3

PRS Category 1

PRS Category 2

PRS Category 3

PRS Category 1

PRS Category 2

PRS Category 3

PRS Category 1

PRS Category 2

PRS Category 3

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