Request a consultation Name(required) Email(required) Address(required) Home phone Cellular phone(required) Jobsite Address(required) Job site visit appointment date & time Example 3/3/17 10:00am(required) II. TYPE OF JOB(required) Residential Commercial New Remodel III.RESIDENTIAL USE INFORMATION TRAFFIC(required) HIGH AVERAGE lOW RESIDENTIAL ANY SPECIAL OR UNIQUE USE RESIDENTIAL PROJECT ROOMS/AREAS SCOPE OF WORK(required) PROJECT BUDGET(required) IV. COMMERCIAL USE INFORMATION COMMERCIAL USE Retail store Restaurant Office Bar Other Traffic High Average Low High-rise Yes No Freight elevator Yes No Passenger elevator Yes No Hours of access Power access Maintenance Maintenance company Phone Proximity of parking Cost of parking V. INTERIOR Relative humidity in air-space: HVAC units operable Yes No If, no, date to be operating Type of heat: Radiant Baseboard Radiator Forced Air Eletric Gas Wood-burning stove heat ducts Overhead Under floor Insulated Yes No Humidity controls Yes No Thermostat setting: First Unit Air conditioning Yes No Large window/ sliding glass doors facing: East Yes No Large window/ sliding glass doors facing: South Yes No Large window/ sliding glass doors facing: West Yes No Drapes Yes No Tinted glass Yes No Double-glazed/storm windows Yes No KITCHEN: instant hot water Yes No Refrigerator Yes No Icemaker Yes No Food freezer Yes No Dishwasher Yes No Other MUD ROOM/LAUNDRY ROOM: Clothes dryer vented outside Yes No Plumbing leaks Ceiling stains Bathroom exhaust Yes No Heated exhaust Yes No Basement walls cracked Yes No Paint peeling Yes No Floor stained Yes No Damp Yes No Vented Yes No Rusty nails Yes No Sump pump Yes No Condensation on cold-water lines Yes No Musty smell Yes No Heated Yes No Air-conditioned Yes No Relative humidity VI. EXTERIOR building over Basement Crawl space Slab Relation of lot to neighbor Above Level Below Lot cut and fill Yes No Relation of lot to neighbor Above Level Below Lot drainage away from foundation: shaded lot Yes No Gutters/downspouts Yes No Directed away Yes No Roof overhang Yes No Foundation perimeter: waterproof Yes No Soil damp Yes No Window wells-dry Yes No Panterbox Yes No Shrubs/flowers Yes No Comments Yard established Yes No Recent Yes No Sprinkle/irrigation Yes No Excess watering Yes No Entry is: Step up Level Down Swimming pool Yes No Swimming pool In-ground Above-ground Distance from pool to foundation (feet) Drains in pool deck and/or patio Yes No Is street curb drain active Yes No CRAWL SPACE: Distance from soil to subfloor Condensation Yes No Musty Smell Yes No Concrete Slab Yes No Moisture barrier beneath concrete Yes No Dirt floor Yes No 6- or 8- mil black poly cover over dirt Yes No 15sf open vent per 1,000sf floor area Yes No Vents open Yes No Cross-ventilation Yes No Text Text VII. SUBFLOOR INFORMATION: existing wood type: 3/4- inch CDX plywood 5/8- inch CDX plywood 23/32- inch OSB underlayment grade solid board Other Renail Yes No Sand Yes No Damage Yes No Pet stains Yes No Rot Yes No Text Other subfloor repair Average moisture content in flooring Average moisture content in subfloor Average moisture content in sleepers Average moisture content in joists In areas or seasons of extreme moisture condition, check moisture content in: Adjacent baseboard Door trim Wood threshold Paint/finish lines exposed Yes No Trim pieces dislodged Yes No SLAB: Relate elevation of slab surface to exterior soil line +/- (inches) Slab tested for moisture before install Yes No What test Results New slab Date poured Existing slab Age Floating/grind slab Yes No Install/wood subfloor Yes No Moisture membrane Yes No Submit Δ Share this:TwitterFacebookLike this:Like Loading...
