Fillable INSPECTOR OF STRUCTURES INSPECTION LOG FOR CERTIFIED GENERAL (Nevada Real Estate Division)

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INSPECTOR OF STRUCTURES INSPECTION LOG FOR CERTIFIED GENERAL (Nevada Real Estate Division)

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Revised 4/5/2019 Page 1 of 9 594a
STATE OF NEVADA
DEPTPARTMENT OF BUSINESS AND INDUSTRY
REAL ESTATE DIVISION
INSPECTOR OF STRUCTURES – INSPECTION LOG FOR CERTIFIED GENERAL
NAC 645D.220 Requirements for certificate as certified general inspector. (NRS 645D.120)
1. An applicant for a certificate as a certified general inspector:
(a) Must furnish proof satisfactory to the Division that he has successfully completed:
(1) Not less than 50 hours of academic instruction in subjects related to structural inspections in courses approved by the Division.
(2) An examination approved by the Division.
(3) At least 200 inspections for a fee, of which not less than 25 must be inspections of commercial structures.
(4) At least three inspections of commercial structures under the supervision of a certified master inspector. The inspections must be evaluated by the supervising
certified master inspector and recorded on a form provided by the Division.
(b) Must possess a high school diploma or its equivalent.
(c) Must demonstrate his ability to produce a complete and credible inspection report according to the standards and requirements set forth in NAC 645D.460 to
645D.580, inclusive.
2. An applicant must submit to the Division a log of the inspections he performed for a fee on a form supplied by the Division.
(Added to NAC by Real Estate Div. by R214 97, eff. 5 11 98; A by R214 97, 5 11 98, eff. 7 1 98; R214 97, 5 11 98, eff. 1 1 99; R177 01, 5 20 2002)
Please list the commercial inspections first and the residential inspections on the subsequent lines.
NO.
INSPECTION
DATE
CLIENT’S LAST NAME
PROPERTY ADDRESS
CITY
ZIP
COMMERCIAL
OR RESIDENTIAL
TYPE: INDUSTRIAL, OFFICE
OR RETAIL & SQUARE FEET
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Revised 4/5/2019 Page 2 of 9 594a
NO.
INSPECTION
DATE
CLIENT’S LAST NAME
PROPERTY ADDRESS
CITY
ZIP
COMMERCIAL
OR RESIDENTIAL
TYPE: INDUSTRIAL, OFFICE
OR RETAIL & SQUARE FEET
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Revised 4/5/2019 Page 3 of 9 594a
NO.
INSPECTION
DATE
CLIENT’S LAST NAME
PROPERTY ADDRESS
CITY
ZIP
COMMERCIAL
OR RESIDENTIAL
TYPE: INDUSTRIAL, OFFICE
OR RETAIL & SQUARE FEET
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Revised 4/5/2019 Page 4 of 9 594a
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INSPECTION
DATE
CLIENT’S LAST NAME
PROPERTY ADDRESS
CITY
ZIP
COMMERCIAL
OR RESIDENTIAL
TYPE: INDUSTRIAL, OFFICE
OR RETAIL & SQUARE FEET
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Revised 4/5/2019 Page 5 of 9 594a
NO.
INSPECTION
DATE
CLIENT’S LAST NAME
PROPERTY ADDRESS
CITY
ZIP
COMMERCIAL
OR RESIDENTIAL
TYPE: INDUSTRIAL, OFFICE
OR RETAIL & SQUARE FEET
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Revised 4/5/2019 Page 6 of 9 594a
NO.
INSPECTION
DATE
CLIENT’S LAST NAME
PROPERTY ADDRESS
CITY
ZIP
COMMERCIAL
OR RESIDENTIAL
TYPE: INDUSTRIAL, OFFICE
OR RETAIL & SQUARE FEET
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Revised 4/5/2019 Page 7 of 9 594a
NO.
INSPECTION
DATE
CLIENT’S LAST NAME
PROPERTY ADDRESS
CITY
ZIP
COMMERCIAL
OR RESIDENTIAL
TYPE: INDUSTRIAL, OFFICE
OR RETAIL & SQUARE FEET
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Revised 4/5/2019 Page 8 of 9 594a
NO.
INSPECTION
DATE
CLIENT’S LAST NAME
PROPERTY ADDRESS
CITY
ZIP
COMMERCIAL
OR RESIDENTIAL
TYPE: INDUSTRIAL, OFFICE
OR RETAIL & SQUARE FEET
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Revised 4/5/2019 Page 9 of 9 594a
NO.
INSPECTION
DATE
CLIENT’S LAST NAME
PROPERTY ADDRESS
CITY
ZIP
COMMERCIAL
OR RESIDENTIAL
TYPE: INDUSTRIAL, OFFICE
OR RETAIL & SQUARE FEET
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I hereby affirm the above listed inspections were performed by me. I declare under penalty of perjury under law of the State of Nevada that the
foregoing information is true and correct.
Executed on:
20
(Date)
(Signature of Certified Residential Inspector)
(Print name of Certified Residential Inspector)
(Address)
(City, State and ZIP)
(Office Phone Number)
(Cell Phone Number)
Email:
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Completed 28 December 2021

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