Form WPI-1 PDF Details

In the realm of ensuring compliance with windstorm insurance requirements in Texas, the Application for Certificate of Compliance, known as Form WPI-1, emerges as a pivotal document, administered by the Texas Department of Insurance (TDI). This form serves as a gateway for property owners, builders, engineers, and contractors to verify that a particular structure adheres to the stringent standards for windstorm resistance mandated by the state. It solicits detailed information about the property, including its precise location, ownership, and the specific characteristics of the building in question. Additionally, it outlines various types of inspections that can be requested, ranging from evaluations of entire buildings to more focused assessments, such as windborne debris protection for exterior openings. The process delineated by Form WPI-1 is not just a bureaucratic necessity; it is a critical step in safeguarding property and human life against the devastating potential of windstorms. By facilitating a structured pathway for obtaining a Certificate of Compliance, the form encapsulates a broader commitment to resilience and safety within communities located in Texas' vulnerable coastal and inland regions. This document, updated to reflect the latest regulatory standards since January 1, 2005, thus stands as a testament to the proactive measures taken by the Texas Department of Insurance to ensure that buildings are constructed or modified to withstand the capricious wrath of nature.

QuestionAnswer
Form NameForm WPI-1
Form Length2 pages
Fillable?Yes
Fillable fields91
Avg. time to fill out18 min 46 sec
Other namesBreezeway, TEXAS, 2005, 103-1E

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TEXAS DEPARTMENT OF INSURANCE

Windstorm Inspections / MC 103-1E 333 Guadalupe Street P.O. Box 149104 Austin, Texas 78714-9104 (512) 322-2203 or toll free 1-(800)248-6032 Fax (512) 322-2273 TDI website: www.tdi.state.tx.us

APPLICATION FOR CERTIFICATE OF COMPLIANCE

Form WPI-1

Physical Address of Structure to Be Inspected (Complete 9-1-1 Street Address including house/building Number):

_________________________________________________________________________________ Tract or Addition__________

_________________________________________________________________________________ Lot__________Tract_______

_________________________________________________________________________________ Block ___________________

City ______________________ Zip Code _______________ County _______________________

ο Inside City Limits

ο Outside City Limits

 

 

Structure is located in:

ο Inland II

ο Inland I

ο Seaward

 

Is the structure located in a Coastal Barrier Resource Zone (COBRA): ο Yes

ο No

Owner:

Name: __________________________________________Telephone No.: ______________________ Fax No.:______________

Mailing Address:__________________________________City: ______________________________ Zip Code:_____________

Builder/Contractor (at time of construction):

Name: __________________________________________Telephone No.: ______________________ Fax No.:______________

Mailing Address:__________________________________City: ______________________________ Zip Code:_____________

Engineer:

Name: __________________________________________Telephone No.: ______________________ Fax No.:______________

Mailing Address:__________________________________City: ______________________________ Zip Code:_____________

E-Mail Address: __________________________________Texas Registration No.: _____________________________________

Commencement of Construction (date):__________________

Date of Application: __________________________

1. Type of Building:

 

2. Type of Inspection:

 

ο

Commercial

 

Entire Building (Type): ___________________________

ο

Residential Dwelling

Entire Re-Roof (Type): ___________________________

ο

Duplex

 

 

Re-decking

ο Garage Attached by Breezeway

Partial Re-roof (Type and Area):____________________

ο

Detached Garage

 

Re-decking

ο

Condominium (# of Units:______*)

Alteration (Type): _______________________________

ο

Townhouse

(# of Units:______*)

Repair (Type): __________________________________

ο

Apartments

(# of Units:______*)

Mechanical Only (Type):__________________________

 

 

* Per Building

Foundation Only (Type):__________________________

ο

Farm & Ranch

 

Addition (Type): ________________________________

ο

Metal Building

Retrofit of All Exterior Openings:___________________

ο

Other (Specify):__________________

 

(For windborne debris protection only (impact resistant

 

 

 

 

exterior opening products or shutters). All exterior openings

 

 

 

 

shall include windows, doors, garage doors, and skylights.

Comments:

______________________________________________________________________________________________________________________

______________________________________________________________________________________________________________________

Submitter Information:

 

SUBMITTER NAME (please print):________________________________________

DATE: ______________________

TELEPHONE NUMBER: ________________________________________________

 

PLEASE CHECK ONE: ο Owner ο Builder/Contractor ο Insurance Agent ο Engineer

ο Other (Specify) _______________

 

 

FOR TEXAS DEPARTMENT OF INSURANCE INSPECTIONS: MAIL OR FAX TO YOUR LOCAL FIELD OFFICE

FOR INSPECTIONS BY ENGINEERS: MAIL OR FAX TO AUSTIN OFFICE: 512/322-2273

FORM WPI-1

 

Effective January 1, 2005

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