Odaff 1 Form PDF Details

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QuestionAnswer
Form NameOdaff 1 Form
Form Length5 pages
Fillable?No
Fillable fields0
Avg. time to fill out1 min 15 sec
Other namesodaff nursery growers renewal, odaff 1 oklahoma, odaff 1 form, odaff search

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OKLAHOMA OFFICIAL TERMITE AND WOOD DESTROYING INSECT REPORT

(FORM ODAFF-1)

THIS INSPECTION DOES NOT ADDRESS HEALTH HAZARD MOLDS OR WOOD DESTROYING

ORGANISMS

SECTION I. ADDRESS OF PROPERTY

1A. Address of structures inspected: Street/Legal Description_______________________________City_______________Zip______

1B. Location of structures inspected (if different than address):_________________________________________________________

SECTION II. INSPECTING COMPANY INFORMATION

2A. ___________________________________________________________________ 2B._________________________________

Name of Inspection CompanyODAFF Business License Number

2C. ________________________________________________________________________________________________________

Address of Inspection Company

City

State

Zip

Telephone Number

2D. ____________________________________________________ 2E. _______________________________________________

Name of Inspector (Please Print)Certification Number of Inspector

SECTION III. PROPERTY INFORMATION

3A. All of the structures on the property listed in Section I were inspected EXCEPT the following:_____________________________

3B. Owner/Seller (if known):______________________________________/_____________________________________________

3C. Name of person purchasing report:____________________________________________________________________________

3D. Capacity of person purchasing report: Buyer Agent Seller Other (specify:____________________________________)

SECTION IV. TYPE OF CONSTRUCTION As determined by visual inspection are:

4A. Stem wall type: Brick Concrete Block Solid Concrete Other (specify:_______________________________________)

4B. Floor Type: Wood Concrete Slab Other (specify:__________________________________________________________)

4C. Area Under Floor: Crawl Space Basement Other (specify:___________________________________________________)

4D. Exterior Type: Wood Wood Veneer Fiberboard Brick/Stone Stucco Aluminum/Vinyl Siding Concrete Block

Other, include combinations (specify:_______________________________________________________________________) 4E. Pier Type: Wood Concrete Block Other (specify:__________________________________________________________)

SECTION V. INACCESSIBLE OR VISUALLY OBSTRUCTED AREAS

5A. Are there any areas of the structure(s) inaccessible or visually obstructed: Yes No If “Yes”, specify in 5B.

5B. Inaccessible or visually obstructed areas include:

Un-floored or insulated attic areas

Inadequate clearance in crawl space

Interior of hollow walls, floors, ceilings

Areas requiring tearing into or defacing to inspect

Storage areas (specify: ____________________________)

Locked areas (specify: _____________________________)

Areas behind or beneath stoves, refrigerators, furniture, built in cabinets, insulation, or floor coverings

Other (specify:_________________________________________________________________________________________)

Comments:__________________________________________________________________________________________________

__________________________________________________________________________________________

OKLAHOMA OFFICIAL TERMITE AND WOOD DESTROYING INSECT REPORT

(FORM ODAFF-1)

THIS INSPECTION DOES NOT ADDRESS HEALTH HAZARD MOLDS OR WOOD DESTROYING ORGANISMS

Address of structures inspected: Street/Legal description _________________________City __________Zip______

Location of structures inspected (if different than address):______________________________________________

Page 1 of __

Inspector’s Initial’s _________

Inspection Date ____________

Updated on 11/2/2007

SECTION VI. CONDITIONS CONDUCIVE

6A. Are there any visible conditions conducive to infestation by termites: Yes No. If “Yes” specify in 6B.

6B. Observed conditions conducive to infestation by termites or other wood destroying insects include:

Wood to ground contact (Symbol: C1)

Stucco siding extending below grade (Symbol: C7)

Remaining form board (Symbol: C2)

Insufficient separation between soil and wood in crawl space (Symbol: C8)

Excessive Moisture (Symbol: C3)

Wood pile in contact with structure (Symbol: C9)

Debris (wood or other cellulose material) under structure (Symbol: C4)

Decks with wooden supports improperly based

Debris (wood or other cellulose material) around structure (Symbol: C5)

in contact with structure (Symbol: C10)

Wooden parts resting on known cracked Dense foliage/shrubs in contact with structure (Symbol: C11)

concrete (slab) or expansion joints (Symbol: C6) Other (specify:________________________________) (Symbol: C12)

6C. Location of conditions conducive to infestation by termites shall be shown on diagram in Section IX.

Comments: __________________________________________________________________________________________________

____________________________________________________________________________________________________________

SECTION VII. EVIDENCE OF ACTIVITY OR DAMAGE BY TERMITES/EVIDENCE OF PREVIOUS INFESTATION OR TREATMENT

7A. ACTIVITY:

(1)Is there visible evidence of termite ACTIVITY? Yes No. If “Yes” specify in (2)

(2)Visible evidence of termite ACTIVITY includes:

Live Termites (Symbol: T1)

Termite frass (pellets) (Symbol: T3)

Exit Holes (Symbol: T5)

Termite Tubes (Symbol: T2)

Winged Adults (Symbol: T4)

 

(3) Location of evidence of termite ACTIVITY shall be shown on diagram in Section IX. Comments:__________________________________________________________________________________________________

___________________________________________________________________________________________________________

7B. DAMAGE:

(1)Is there visible evidence of termite DAMAGE? Yes No. If “Yes” specify in (2)

(2)Visible evidence of termite DAMAGE includes: (specify:___________________________________________________

____________________________________________________________________________________________________

________________________________________________________________________________________) (Symbol: TD)

(3) Location of evidence of termite DAMAGE shall be shown on diagram in Section IX.

Comments:__________________________________________________________________________________________________

___________________________________________________________________________________________________________

7C. Is there evidence of previous infestation or treatment? Yes No. If “Yes” specify: __________________________________

________________________________________________________________________________________________(Symbol: T6)

SECTION VIII. EVIDENCE OF ACTIVITY OR DAMAGE BY WOOD DESTROYING INSECTS OTHER THAN TERMITES

8.ACTIVITY: (Note: 8. does not include Wood Rot Fungi)

(1)Is there visible evidence of ACTIVITY of wood destroying insects OTHER than termites? Yes No. If “Yes” specify in (2), (3), and (4).

(2)Type of OTHER wood destroying insect ACTIVITY:

Insect (specify type:_______________________________________________________________) (Symbol: IA)

(3)Evidence of ACTIVITY of insect(s) noted in (2), above (Specify evidence, such as “live carpenter ants”____________

____________________________________________________________________________________________________)

(4)Location of evidence of ACTIVITY listed in (2) above shall be shown on diagram in Section IX.

Comments: __________________________________________________________________________________________________

OKLAHOMA OFFICIAL TERMITE AND WOOD DESTROYING INSECT REPORT

(FORM ODAFF-1)

THIS INSPECTION DOES NOT ADDRESS HEALTH HAZARD MOLDS OR WOOD DESTROYING ORGANISMS

Address of structures inspected: Street/Legal description _________________________City __________Zip______

Location of structures inspected (if different than address):______________________________________________

Page 2 of __

Inspector’s Initial’s _________

Inspection Date ____________

Updated on 11/2/2007

SECTION IX. DIAGRAM OF STRUCTURE(S) INSPECTED

Use this diagram to show the location and types of conditions conducive, activity, or damage reported in Sections VI, VII, and VIII. Employ the symbols shown in those sections (such as C1, T1, IA and ID) that are the same as the symbols shown below the diagram.

Indicate north by N at appropriate tip of crossed lines.

Evidence of Termite Activity or Damage:

T1: Live Termites

T5: Exit Holes

T2: Termite Tubes

T6: Evidence of previous

T3: Termite Frass (pellets)

infestation or treatment

T4: Winged Adults

TD: Termite Damage

 

Evidence of Activity or Damage by Wood

Destroying Insects Other Than Termites

IA: Insect Activity

ID: Insect Damage

OA: Other Activity

OD: Other Damage

Conditions Conducive:

C7:

Stucco siding extending below grade

C1:

Wood to ground contact

C2:

Remaining form boards

C8:

Insufficient separation between

C3:

Excessive moisture

C9:

soil and wood in crawl space

C4:

Debris under structure

Wood pile in contact with structure

C5:

Debris around structure

C10: Decks in contact with structure

C6:

Wooden parts resting on

C11: Dense foliage/shrubs in contact

 

known cracked concrete

 

with structure

 

(slab) or expansion joints

C12: Other

 

 

 

 

Comments:_____________________________________________________________________________________________________________________________

_______________________________________________________________________________________________________________________________________

_______________________________________________________________________________________________________________________________________

_______________________________________________________________________________________________________________________________________

_______________________________________________________________________________________________________________________________________

_______________________________________________________________________________________________________________________________________

OKLAHOMA OFFICIAL TERMITE AND WOOD DESTROYING INSECT REPORT

(FORM ODAFF-1)

THIS INSPECTION DOES NOT ADDRESS HEALTH HAZARD MOLDS OR WOOD DESTROYING ORGANISMS

Address of structures inspected: Street/Legal description _________________________City __________Zip______

Location of structures inspected (if different than address):______________________________________________

Page 3 of __

Inspector’s Initial’s _________

Inspection Date ____________

Updated on 11/2/2007

SECTION X. RECOMMENDATION FOR TREATMENT OR FOR CORRECTION OF CONDITIONS CONDUCIVE

10A. Is a recommendation made for treatment for termites or other wood destroying insect(s) or for corrections of conditions conducive to infestation? Yes No. If “Yes”, specify in 10B.

10B. Type of recommendation:

(1)Remedial Treatment. Yes No. If “Yes” specify:

(a)Insect(s) to be treated for:

Termites

Wood destroying insects other than termite. (Specify type:____________________________________)

(b)Basis for recommendation:

Presence of live termites (listed in 7A(2) or of other live wood destroying insects listed in Section

8(3)).

Evidence of previous infestation (listed in Sections VII or VIII) and no visible evidence of an adequate treatment to address it.

Other (specify: ______________________________________________________________________)

(2)Preventative treatment. Yes No. If “Yes”, specify insect(s) to be treated for in (a) and basis for recommendation in (b).

(a)Insect(s) to be treated for:

Termites

Wood destroying insects other than termite. (specify type:_____________________________________)

(b)Basis for recommendation: Substantial conditions conducive to infestation referred to in Section VI of this form. (Specify:______________________________________________________________________________________

____________________________________________________________________________________________) (NOTE: These conditions must be substantial.)

(3)Correction of conditions conducive: Yes No. If “Yes”, specify in (a) and (b).

(a)Conditions conducive listed in 6.B.______ _______________________________________________________

_____________________________________________________________________________________________

(b)Corrective measures recommended:______________________________________________________________

_____________________________________________________________________________________________

SECTION XI. ADDITIONAL COMMENTS:____________________________________________________________________

____________________________________________________________________________________________________________

____________________________________________________________________________________________________________

SECTION XII. ATTACHMENTS: List all attachments: ___________________________________________________________

____________________________________________________________________________________________________________

SECTION XIII. STATEMENT OF INSPECTOR

I performed the inspection of the property(ies) referenced above and believe this report to be true and complete.

13A.

Notice of Inspection was posted at or near: Electric Breaker Box Water Heater Beneath Kitchen Sink Bath Trap

13B.

Date Posted:___________ 13C. Signature of Inspector:_________________________ 13D. Date of Signature: __________

SECTION XIV. DISTRIBUTION OF COPIES

Report forwarded to: Title Co. or Mortgagee Purchaser of Service Seller Agent Buyer Inspecting Company (Under ODAFF regulations, only the purchaser of the service and inspecting company are required to receive a copy.)

OKLAHOMA OFFICIAL TERMITE AND WOOD DESTROYING INSECT REPORT

(FORM ODAFF-1)

THIS INSPECTION DOES NOT ADDRESS HEALTH HAZARD MOLDS OR WOOD DESTROYING ORGANISMS

Address of structures inspected: Street/Legal description _________________________City __________Zip______

Location of structures inspected (if different than address):______________________________________________

Page 4 of __

Inspector’s Initial’s _________

Inspection Date ____________

Updated on 11/2/2007

SECTION XV. STATEMENT OF SELLER

The Seller hereto agrees that all known property history information regarding activity of wood destroying insects, damage from wood destroying insects, and treatment history has been disclosed to the Buyer.

_______________________________________________________________

_________________________________________

Signature of Seller of Property or their Designee

Date

SECTION XVI. STATEMENT OF BUYER

I have received the original or a legible copy of this report and all attachments. I have read and understand any Recommendations made. My signature and/or my Closing on this property hereby acknowledge and accept the terms of this report. The Report urges me to obtain the opinion of a qualified building expert regarding any and all damages and defects on the property.

____________________________________________________

__________________________________

Signature of Purchaser of Property or their Designee

Date

SECTION XVII. STATEMENT OF PURCHASER OF SERVICE

 

The undersigned hereby acknowledges receipt of a copy of this report.

 

_______________________________________________________________

_________________________________________

Signature of Purchaser of Service

Date

OKLAHOMA OFFICIAL TERMITE AND WOOD DESTROYING INSECT REPORT

(FORM ODAFF-1)

THIS INSPECTION DOES NOT ADDRESS HEALTH HAZARD MOLDS OR WOOD DESTROYING ORGANISMS

Address of structures inspected: Street/Legal description _________________________City __________Zip______

Location of structures inspected (if different than address):______________________________________________

Page 5 of __

Inspector’s Initial’s _________

Inspection Date ____________

Updated on 11/2/2007