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1. Please provide the address for the parcel being assessed. *
2. Please provide the name of the person requesting the assessment. *
3. Select all that apply to the person that requested the survey: *
Structure/Home Ignition Zone - Roofs & Gutters
4. Select the roofing material. *
5. Is the roofing material Class A? *
6. Upload photos of the roof. *
JPEG, PNG, WebP or HEIC, up to 20 MB each.
7. Is there a skylight? *
8. Does the skylight feature: (Select all that apply)
9. Are the roof and gutters clear of debris? *
10. Select the gutter material: *
11. Are the gutters covered with metal mesh vents that are at least a 1/16th an inch? *
12. Upload photos of the gutters. *
JPEG, PNG, WebP or HEIC, up to 20 MB each.
13. Select the eaves and soffit material: *
14. Are the soffits open or closed? *
15. Are the soffit and eave vents covered with metal mesh vents that are at least 1/16th an inch? *
16. Upload photos of the soffits and eaves. *
JPEG, PNG, WebP or HEIC, up to 20 MB each.
17. Is there a pergola attached to the roof? *
18. If so, is it built with non-combustible material, including fire-retardant treated wood?
19. Is there a solid-covered structure attached that has non-combustible roofing materials? *
20. General notes & observations *
21. Recommendations *
22. Upload any other photos related to this section.
JPEG, PNG, WebP or HEIC, up to 20 MB each.
Structure/Home Ignition Zone - Siding & Vents
23. Select the siding material: *
24. Is the material between the exterior wall and the ground base: (Select all that apply) *
25. Upload photos of the siding and base materials. *
JPEG, PNG, WebP or HEIC, up to 20 MB each.
26. Select the vents present: *
27. With the EXCEPTION of the dryer vents, are the remaining vents cover with metal mesh that is at least 1/16th of an inch thick? *
28. If applicable, select the siding material for an attached structure:
29. Do exterior windows have two panes of tempered glass? *
30. If shutters are present, select the material they are made of:
31. Upload photos of the windows. *
JPEG, PNG, WebP or HEIC, up to 20 MB each.
32. If applicable: Are all underfloor areas and projections enclosed or covered with noncombustible material?
33. General Notes & Observations *
34. Recommendations *
35. Upload any other photos related to this section.
JPEG, PNG, WebP or HEIC, up to 20 MB each.
Structure/Home Ignition Zone - Decks, Patios & Fences
36. If there is an attached deck or patio, select all of the building materials for design (including support, flooring, hand rails, stairs, etc.)
37. If a trex deck, select the class rating (if known):
38. Select all that apply to the patio or deck space:
39. Is there an overhang separate from the roof? *
40. If so, select the material:
41. If applicable, select all that apply to the space between the deck floor and the ground base:
42. If so, is it free of debris and/or combustible vegetation that is overgrown?
43. Is there metal mesh between the floor of the deck and the ground base?
44. Upload photos of the deck/patio area.
JPEG, PNG, WebP or HEIC, up to 20 MB each.
45. Do the exterior doors include: (select all that apply) *
46. General Notes & Observations *
47. Recommendations *
48. Upload any other photos related to this section.
JPEG, PNG, WebP or HEIC, up to 20 MB each.
Defensible Space - First 0-5 ft.
49. Select the following that apply to the first 5 ft. of the structure/home: *
50. What type of vegetation can be found within the first 5 ft. of the structure/home: (Select all that apply) *
51. If trees are present, has the understory been limbed and pruned to a minimum of 6 ft. for trees over 24 ft., or 1/3rd of the tree's height?
52. General Notes & Observations *
53. Recommendations *
54. Upload photos of the first 5 ft. *
JPEG, PNG, WebP or HEIC, up to 20 MB each.
Defensible Space - First 5-30 ft.
55. Select the following that apply to the first 5-30 ft. of the structure/home: *
56. What type of vegetation can be found within the first 5 ft. of the structure/home: (Select all that apply) *
57. If trees are present, has the understory been limbed and pruned to a minimum of 6 ft. for trees over 24 ft., or 1/3rd of the tree's height?
58. General Notes & Observations *
59. Recommendations *
60. Upload photos of the first 5-30 ft. *
JPEG, PNG, WebP or HEIC, up to 20 MB each.
Defensible Space - First 30+ ft.
61. Select the following that apply to the first 30+ ft. of the structure/home: *
62. What type of vegetation is within the first 30 ft.+ of the structure? (Select all that apply) *
63. If trees are present, has the understory been limbed and pruned to a minimum of 6 ft. for trees over 24 ft., or 1/3rd of the tree's height?