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

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Revised 4/5/2019 Page 1 of 16 594b
STATE OF NEVADA
DEPTPARTMENT OF BUSINESS AND INDUSTRY
REAL ESTATE DIVISION
INSPECTOR OF STRUCTURES – INSPECTION LOG FOR CERTIFIED MASTER
NAC 645D.230 Requirements for certificate as certified master inspector. (NRS 645D.120)
1. An applicant for a certificate as a certified master inspector:
(a) Must furnish proof satisfactory to the Division that he has successfully completed:
(1) Not less than 60 hours of academic instruction in subjects related to structural inspections in courses approved by the Division;
(2) An examination approved by the Division; and
(3) At least 400 inspections for a fee, of which not less than 50 of the inspections must be of commercial structures or structures consisting of more than four
residential units.
(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 R177 01, 5 20 2002)
Please list the required 50 commercial inspections on pages 1-3 and the residential inspections on the subsequent pages.
NO.
INSPECTION
DATE
CLIENT’S LAST NAME
PROPERTY ADDRESS
CITY
ZIP
COMMERCIAL
OR RESIDENTIAL
TYPE: INDUSTRIAL, OFFICE
OR RETAIL & SQUARE FEET
1.
2.
3.
4.
5.
6.
7.
8.
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Revised 4/5/2019 Page 2 of 16 594b
NO.
INSPECTION
DATE
CLIENT’S LAST NAME
PROPERTY ADDRESS
CITY
ZIP
COMMERCIAL
OR RESIDENTIAL
TYPE: INDUSTRIAL, OFFICE
OR RETAIL & SQUARE FEET
14.
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Revised 4/5/2019 Page 3 of 16 594b
NO.
INSPECTION
DATE
CLIENT’S LAST NAME
PROPERTY ADDRESS
CITY
ZIP
COMMERCIAL
OR RESIDENTIAL
TYPE: INDUSTRIAL, OFFICE
OR RETAIL & SQUARE FEET
40.
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Revised 4/5/2019 Page 4 of 16 594b
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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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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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 16 594b
NO.
INSPECTION
DATE
CLIENT’S LAST NAME
PROPERTY ADDRESS
CITY
ZIP
COMMERCIAL
OR RESIDENTIAL
TYPE: INDUSTRIAL, OFFICE
OR RETAIL & SQUARE FEET
144.
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NO.
INSPECTION
DATE
CLIENT’S LAST NAME
PROPERTY ADDRESS
CITY
ZIP
COMMERCIAL
OR RESIDENTIAL
TYPE: INDUSTRIAL, OFFICE
OR RETAIL & SQUARE FEET
170.
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INSPECTION
DATE
CLIENT’S LAST NAME
PROPERTY ADDRESS
CITY
ZIP
COMMERCIAL
OR RESIDENTIAL
TYPE: INDUSTRIAL, OFFICE
OR RETAIL & SQUARE FEET
196.
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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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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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INSPECTION
DATE
CLIENT’S LAST NAME
PROPERTY ADDRESS
CITY
ZIP
COMMERCIAL
OR RESIDENTIAL
TYPE: INDUSTRIAL, OFFICE
OR RETAIL & SQUARE FEET
274.
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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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INSPECTION
DATE
CLIENT’S LAST NAME
PROPERTY ADDRESS
CITY
ZIP
COMMERCIAL
OR RESIDENTIAL
TYPE: INDUSTRIAL, OFFICE
OR RETAIL & SQUARE FEET
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INSPECTION
DATE
CLIENT’S LAST NAME
PROPERTY ADDRESS
CITY
ZIP
COMMERCIAL
OR RESIDENTIAL
TYPE: INDUSTRIAL, OFFICE
OR RETAIL & SQUARE FEET
358.
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Revised 4/5/2019 Page 16 of 16 594b
NO.
INSPECTION
DATE
CLIENT’S LAST NAME
PROPERTY ADDRESS
CITY
ZIP
COMMERCIAL
OR RESIDENTIAL
TYPE: INDUSTRIAL, OFFICE
OR RETAIL & SQUARE FEET
387.
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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 General Inspector)
(Print name of Certified General 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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