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Date:_�— 20 Customer Narnogr,,H(: ++L2L4J
Inspector f q11 7 c�0 S f.
� e Address tyZ coca
Bath Inspection rye 'FYid� N N1 SSk32
Parkins access for truck trailer yes ❑ no(explanation)
Garage/warm cutting area yes no(explanation)
Bathroom level 1st 2nd 3rd [ basement
Bath to be remodeled Is only bath in home yes no
Crawl space only below bath yes no (if yes(access point
Drain exposed
Vert s---,,,AAA no (if no,choose) drywall covered ❑ pi dwar
Access Panel to vahre yes 14 no
Water shut off location rwi(t .im hop(-
AFT
Condo yes no Maintenance/water shut off contact
Multifamily yes Xio Maintenance/watt r shut off contact
Shut off works yes ❑ no sticky currently lexica
Plumbing composition X_ copper pvc ppowcpvc pen
,
4-- lead H Ms
New Plumbing composition Pex 3(Shower) ❑ fM dub)
Existing plumbing has venting throstdi the rod Y" L no
Pre install drain function ❑ tlOw mood ❑ doesn't drain
Pre-install water pressure ❑ slow good ❑ no pressure
Flooring has in floor heat �� yes no
Floor framing wood concrete
❑ Spancrete steel
Floor integrity klaild soh ❑ rotted
floor covering ❑ vinyl El hardwood tiff ❑ Carpet laminate
Wall framing wood concrete steel
Will covenngs drywall NIle ❑ lath/plaster paneling
Left wall plumb L.__1 loan in ❑ leans out _` In
Right wall X plumb ❑ Mena in ❑ leans out In
Back wall K plumb ❑ Owns in ❑ leans out in
Floor left to right � level ❑ Mapes left ❑ slopes right In
Floor back to front X level ❑ slopes back ❑ slopes forward In
Ceiling left to right X level ❑ slopes left ❑ dells right " In •
Doorway acceedbOlty �, 11 q door 1 width _deer 2 with door 3 width
Hall accesslb" 12(.* width
Tight turns ❑ yes no
Obstructions ❑ yes U no (if yes, list below)
Siting and accessories: //__
Contract calls for pan site �� V
width O length Customer Signature
xobwgm�
Contract size meets customer's expectation yes no(explain below)
Customer Signaturr{
Actual size to install:
length(left to Right) Width(rront to back-viewed from threshold to sd wall)
Skirt Height(tub) Customef Signatur
Distance from skirt to center of toilet If paf@del
Distance from skirt to front of toilet if perpendicular
Currently finished-length(finish to finish •1') X width Initial
Adding/moving wall-1engthifinish to new stud wall•1/2') X width lnitlal
Already demoed-length(stud to stud) X width Initial
Accessory Color. 9) ON ORB Me Customer SignaturN�
tf differ from contract,please note reason wiry ---
Shower Door: 5((cta-yr,-
Glass: CLEAR RAIN OBSCURED
Swing doors Hinge side: _ _ _ Handle side: Inline location
*Will be or ed by the pan si nus 2' Customer Signature
California glass O" from ceiling height and no an 30' wide(36"glass is preferred tSw
enough room f and to minimize water outside of w ly avail lian 60' or longer)
Glass Glass (us ature_ __
ons.
Will cover current flooring yes no Custorer SignaturX
Trim needed to cover flooring 1/4 round 2" lattiq custom cut wall section
New drain location I left center custom
Customer Signi @ _ -
Custom drain location in "from Leh stud I Mn 141t stw "from back stud
Comer trim 2 _gtll
Herring bone qh
Wainscoting gtll
Wainscoting corners inside qty outside qty
lin"ling fan/light replacing existing new
Fan vent will vent to Customer Slgnaiwe _
Pics taken drain/plumbing shower from all angles H
current damages
access areas water shut offs parking
areas of concern breaker box
'Customer understands some baths based on extra accessories,options,complexity and unforeseen issues
may be scheduled for more than or could take longer than one day.
Customer Signature.
Inspector: —_ - Date
Special notes section;
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Sketch area W M bow �, 3-13/ E'X wq l
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30 /�-
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Livling
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Bathtub & Shower Measure Form
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Customer name:B►rr,Ma-b:y%t'yut"s Van p-da
Address:10941t -' nricSQr1 Si. A-W Inspe
Job•: 'd 03 8< (OgAW
Daft: ora..o
......... ... :.. .....�........... yx�` ...... :tom' DONT FORGET THE PICTURES!
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o Middle b c (rA k1hd0W
CT'I Bottom
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For length spealy fin shing measure to(tor example.drywaN or tile)
CEILING FAWLIGHT SIZE. Window tif t): Dryin tocatxon Tech notes. E
SKIRT HEIGHT 5 Z- LENGTH- ❑ CENTER ❑ Stud to Stud
TUB WIDTHZ' WIDTH: ❑ LEFT DrywaN to drywall
POYWal to front DEPTH: RIGHT ❑ Tide to bte
❑exNs"surround to front
O �Y Bath Labor Measure Assessment Form
Job Name gi r r 1 MLI e W r i HCIq tllstatlsr flame
gets Cfi4 11 Satw-sov% St N e
Cft t-AI►J 6SY3b� wan o —
vemv f,7e ass sr ea,**&*M board.drtnad tvaern/bacfzar E ac h
Demo • t e waPc lath and poster,concrete wa sy&tem/pKker Ia
bit oonctvW un MWU-Rwd elcs A need nvtp approval Each
*,,4d and "tail rahe/dra-nYwatw shuto"i Each
Mtatad WW'IP ww pwdbentM hao/MAlirbool [ac►+
Irts aP wa a r tub Alertrs Each
Wad prop kxbAw al di vwWWOWIiiambow Each
Instal rwo apk wan s,nten+ fach
www 3 wan yvao s smootfl fad+
Inttad)mall strstem hsel+mprequons Each
Witt"tall 2 weed trpstere with hensrlgbone know or ab Each
Fnq a enra*al Each
!!face aaal/caddie/foot pod Each
Instil brmch/cornw/tolarls/for"wd c trt Each
Wadi pob bw Each
Inetatf shower rot! E a L h
Irtdtad StarNM�/twrtle Each
Inst d U"dow-mchdes 1pdw*panel f acn
UIMd So"door W/i dww A return panel of weo anti* Each
Inttall'tEgawr►�t1�� [a<�
lrsltaEl#*ww head and all censer tme Eath
sn"a;auat/%&ft h. ad tort/trims
AAA tout or vywy to wghlwwttr WIN
Itwtwe of build wall/remow or bell drop WK4 Each
hest doa and trYtatsert to"tanit Irtto fW l Each
Us mom old and Mote/new vent famAgVK avail corrsed Each
Trip dwp 2S-50 howl Mop Ead+
Trp draw W 7S frons shop Each
dwp 75a hem Mop Each
theee wd be no watt wl ONVOW AN prkes fitted are non nsea4isllft Total invoice
Mir was not OVOOrb)dd 00 w r4gw wd and phobe wN not be pact of -
TN"ervolta we be paid 0*OR COW*Ak Mid pAKy low .
Irmwes wvM be uA04 t ed dtt* Slynature 0 flra Ntep4KtW
Wmas(es may not be M*M told for And privAm until a
ce+tlncate of completion has been ltrd by ft prstowar SedKont►acta Synswre of eompw""
Mdll WS Audterllatiolt