Wdiir Arizona Form – Fill Out and Use

STRIKE FORCE Pest & Termite Control, Inc.

TERMITE INSPECTION REPORT/ WDIIR*

*Wood-Destroying Insect Inspection Report

OPM License Number 5440

480.922.8800 (Phoenix) | 520.413.5439 (Tucson) | 928.277.1226 (Northern AZ) | 866.902.1546 (Fax)

Office@StrikeForceService.com | www.StrikeForceService.com

Property Address:

123 E MAIN STREET, PHOENIX, AZ 85009

Inspector: Jimmy Norton | License Number: 123 | Date of Inspection: March 17, 2011

©2011 STRIKE FORCE Pest & Termite Control, Inc.

Thank You!

March 17, 2011

MR SMITH

123 E MAIN STREET Phoenix, AZ 85009

Thank you for choosing STRIKE FORCE Pest and Termite Control, Inc to inspect your property. Evidence of SUBTERRANEAN TERMITES (SU) were found, and therefore we have included a estimate for $614. This proposal includes treating termites, a preventative barrier around the exterior stem wall of the home, as well as a 1 year renewable warranty for SUBTERRANEAN TERMITES (SU).

STRIKE FORCE offers over 34 years of termite inspection and treatment experience throughout the State of Arizona. We strive to exceed our customers' expectations by respecting your home and business, and by protecting it.

We look forward to serving you!

Jimmy Norton

President

OPM License Number 5440

480.922.8800 (Phoenix) | 520.413.5439 (Tucson) | 928.277.1226 (Northern AZ) | 866.902.1546 (Fax)

Office@StrikeForceService.com | www.StrikeForceService.com

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1A. VA/HUD/FHA CASE #	DATE OF INSPECTION
	3/17/2011

	WOOD-DESTROYING INSECT INSPECTION REPORT	1B.	ORIGINAL REPORT		1D. WDIIR #
	ADDITIONAL INFORMATION OF THIS PROPERTY MAY BE AVAILABLE FROM		SUPPLEMENTAL REPORT
	OFFICE OF PEST MANAGEMENT, 9535 E. Doubletree Ranch Road, Scottsdale,
		1C.	SALE	REFINANCE	1E. TARF #
	Arizona 85258-5514, (602) 255-3664 - (602) 255-1281 fax www.sb.state.az.us
			OTHER

NOTE: Pursuant to: ARS§32-2321 (B)(1)(10), ARS§32-2324 (A) This form must be completed only by an Active Licensed Applicator or Qualifying Party.

2.READ CAREFULLY PRIOR TO COMPLETING THIS OFFICE OF PEST MANAGEMENT (OPM) FORM

1.The VA or HUD/FHA case number shall be inserted in Item 1A by the lender or by the pest control company.

2.Areas that were inaccessible or obstructed (Item 7) may include, but are not limited to, wall coverings, fixed ceilings, floor coverings, furniture, or stored articles. In Item 7, the Inspector shall list those obstructions or areas which inhibit the inspection.

3.Item 8A alone is checked when evidence/insects are found but no control measures are performed. Items 8A and 8C are checked when evidence/insects are found AND control measures are performed.

4.When visible evidence if observed, wood-destroying insects causing such evidence shall be listed in Item 8A and the visible damage resulting from such infestation shall be noted in Item 8D.

5.When treatment is indicated in Item 8C, the insects treated shall be named and the date of treatment indicated. The application method and chemicals used shall be entered in Item 10. Proper control measures may include issuance of warranty. Warranty information shall also be entered in Item 10. (Proper control measures are those which are allowed by OPM Statute/Rule, or the label for the chemical used).

6.Visible evidence of conditions conducive to infestation from wood-destroying insects shall be reported in Items 15-18 on the second page of this form, (e.g., earth- wood-contact, faulty grade, insufficient ventilation, etc.).

7.All supplemental reports shall be completed within (30) days of the date of the original report.

3A. NAME OF INSPECTION COMPANY		5A. NAME OF PROPERTY OWNER/SELLER
STRIKE FORCE PEST AND TERMITE CONTROL, INC		MR SMITH
3B. ADDRESS OF INSPECTION COMPANY (Street, City, ZIP)		5B. PROPERTY ADDRESS
P.O. BOX 3803, SCOTTSDALE, AZ 85271		123 E MAIN STREET, PHOENIX 85009
3C. TELEPHONE NUMBER (Include Area Code)	4. BUSINESS LICENSE #	6A. INSPECTED STRUCTURES
480-922-8800	5440	HOUSE
6B. LIST ALL UN-INSPECTED STRUCTURES
N/A

7.THIS INSPECTION DOES NOT INCLUDE THE FOLLOWING LISTED AREAS WHICH ARE OBSTRUCTED OR INACCESSIBLE . (See also Item 19, Page 2.) SEE PAGE 2, ITEM 19

8.BASED ON THE INSPECTOR'S VISUAL INSPECTION OF THE READILY ACCESSIBLE AREAS OF THE PROPERTY . (See Section (11) before completing): A. Visible evidence of wood-destroying insects was observed.

Describe evidence observed: SUBTERRANEAN TERMITES (SU), SEE GRAPH

Type of Wood-Destroying Insects observed: N/A

B. No visible evidence of infestation from wood-destroying insects was observed.

C. Visible evidence of infestation as noted in 8A. Proper control measured were performed on (date):

D. Visible damage due to SUBTERRANEAN TERMITES (SU)			was observed in the following areas: SEE GRAPH.

E. Visible evidence of previous treatment was observed. List evidence. (See also Item 20, page 2):

11.STATEMENT OF INSPECTOR

A.The inspection covered the readily accessible areas of the above listed structures, including attics and crawl spaces which permitted entry.

B.Special attention was given to those areas which experience has shown to be particularly susceptible to attack by wood-destroying insects.

C.Non-destructive probing and/or sounding of those areas and other visible accessible wood members showing evidence of infestation was performed.

D.The inspection did not include areas which were obstructed or inaccessible at the time of inspection.

E.Neither I, nor the company for which I am acting, have had, presently have, or contemplate having any interest in this property. I do further state that neither I, not the company for which I am acting, is associated in any way with any party to this transaction.

12A. SIGNATURE OF INSPECTOR	12B. INSPECTOR'S LICENSE NUMBER	12C. DATE
	JIMMY NORTON [123]	3/17/2011

STATEMENT OF PURCHASER

I HAVE RECEIVED THE ORIGINAL, OR A LEGIBLE COPY, OF THIS FORM AND HAVE READ PAGE (1, 2, & 3) OF THIS FORM.

I UNDERSTAND THAT THIS IS NOT A STRUCTURAL DAMAGE, FUNGI/MOLD REPORT, OR A WARRANTY AS TO THE ABSENCE OF WOOD- DESTROYING INSECTS AND I CAN CONSIDER ASSESSMENT BY A LICENSED STRUCTURAL CONTRACTOR OR FUNGI/MOLD INSPECTOR FOR ANY STRUCTURAL DAMAGE OR FUNGI/MOLD CONCERN.

PROPERTY NAME/ADDRESS

DATE OF INSPECTION

123 E MAIN STREET, PHOENIX 85009

3/17/2011

AT THE TIME OF THE INSPECTION THE PROPERTY WAS:

Vacant

Occupied

Unfurnished

Furnished

CONDITIONS CONDUCIVE TO INFESTATION

15. WOOD TO EARTH CONTACT (EC)

YES

NO

(If YES, check mark and explain conditions conducive)

Fence Abutting Structure

Pier Posts

Plants/Trees Contacting Structure

Concrete Foam Boards

Porch Stairs

Other

Porch Post

Trellis

Comments:

SEE GRAPH.

16. EXCESSIVE CELLULOSE DEBRIS (CD)

YES

NO

(If YES, check mark and explain conditions conducive)

Comments:

17. FAULTY GRADES (FG)

YES

NO

(If YES, check mark and explain conditions conducive)

Evidence of surface water draining toward house

Stucco at or below grade

Floor level or planters at below grade

Joists in crawl space less thatn 18" above grade

Wood siding below grade

Other

Comments:

SUNKEN FLOOR, COMMON ITEM IN THIS AREA, SEE GRAPH.

18. EXCESSIVE MOISTURE (EM)

YES

NO

(If YES, check mark and explain conditions conducive)

Standing Water

Water Damage

Bath/Shower/Toilet Leaking

Inadequate Ventilation

Sprinklers Hitting Structure

Water Stain

Plumbing Leaks

Other

Crawl Space/Water Leaking

Improper Condensate Drainage

Attic/Roof Leak

Comments:

SEE GRAPH.

19. INACCESSIBLE AREAS (IA)

YES

NO

(If YES, check mark and explain)

Attic - All

Floors

Sub/Crawl Space Area - Clearance

Attic - Joists

Wall Interiors

Sub Area/Crawl Space No Access

Attic - Partial

Enclosed Staiwell

Areas Obstructed By Furniture Or Stored Articles

Plumbing Traps

Dropped Ceilings

Other SEE BELOW.

Comments:

AREAS COVERED BY BUILT-IN CABINETS, APPLIANCES, FLOORING, WALL COVERING, WIRING, PIPES, INSULATION, ETC.

20. EVIDENCE OF PREVIOUS TREATMENT

BY ANOTHER COMPANY: While evidence of previous treatment does exist, it is impossible for the inspecting company to ascertain if such treatment was properly performed. Further investigation is left to the Buyer's discretion to determine if such treatment was done properly and if a valid warranty exists against the target pest of such treatment.

BY THE INSPECTING COMPANY: Previous treatment is recorded for this property. At the Buyer's discretion, treatment records can be viewed at the inpecting company's local office with the property owner's permission.

Account Number:___________________________ Date of Initial Treatment:___________________________ Target Pest:

Warranty Expiration Date:___________________________ Other:

Pest Control Inspector's Additional Comments

GRAPH OF STRUCTURE(S)

(Note: Graph Not To Scale)

PURSUANT TO: R4-29-307 (e)(1) THROUGH (5) & (a) THROUGH (p) THE INSPECTOR MUST COMPLETE THE GRAPH ON PAGE (3) FOR ANY NOTED

ITEMS WHICH ARE CHECK ( ) MARKED BELOW

	CODE	SEE GRAPH PAGE (3)		CODE	SEE GRAPH PAGE (3)		CODE	SEE GRAPH PAGE (3)		CODE	SEE GRAPH PAGE (3)
	SU Subterranean Termites			OW Other Wood Destroying Insects(*)			OB Obstructions			WD Water Damage
	DR Drywood Termites			FG Faulty Grade			IA Inaccessible Areas			WS Water Stains
	DA Dampwood Termites			EC Wood To Earth Contact			IV Inadequate Ventilation			RL Roof Leaks
	BE Wood Destroying Beetles			CD Cellulose Debris			PL Plumbing Leaks			EM Excessive Moisture
	CA Carpenter Ants			PA Plantings Abutting Structure			SP Sprinkler Hitting Structure			FI Further Inspection Needed

(*) Other Wood Destroying Insects

NOTES: BAIT AND MONITORRING STATIONS		NOTES: EM/WS/WD-AT PATIO COVER

NOTES: FG/PLANTER		NOTES: SUBTERRANEAN TERMITES AT EXTERIOR OF
		HOME

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			TERMITE PROPOSAL
	STRIKE FORCE
		Name	MR SMITH
	Pest & Termite Control, Inc
		Address	123 E MAIN STREET
	P.O. Box 3803, Scottsdale, AZ 85271		Phoenix, AZ 85009
	P: 480.922.8800 (Phoenix)	Phone
	P: 520.413.5439 (Tucson)
		Details	4139 sq ft	House	Condo	Mobile
	P: 928.277.1226 (Northern AZ)
				1 Story	2 Story	Basement
	F: 866.902.1546
	office@strikeforceservice.com	Date	March 21, 2011
	www.StrikeForceService.com
		Inspector	Jimmy Norton		Cert. # 930242

License Number 5440

Signature

TREATMENT TYPE		TARGET PEST

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Explanation of codes for WDIIR

(SU) Subterranean termites, (DR) Drywood termites, (DA) Damp Wood termites, (BE) Wood destroying beetle, (CA) Carpenter Ants,

and (OW) Wood destroying insects; these are marked if evidence is found during the inspection. Evidence is; termites and/or other wood destroying insects, tubes, stains from tubes, and damage from insect. As per the OPM (Office of Pest Management) "8A will need to be marked even if the observed evidence is deemed from past activity."

(FG) Faulty Grades exist if the exterior grade is at or above the interior slab or wood floor level. examples include; slopes where water drains or stands next to the foundation, basement, sunken floors/sunken rooms, wood or stucco at or below the grade, high rock/dirt levels, wood siding and raised planters against a house. A lot of these calls tend to be related to common building features of the home.

(EC) Earth to wood contact involves wood that is part of the structure or is attached/secured to the structure and is in contact with the ground. examples include; wood fences, form boards, trellis/lattice, support posts, and trees, shrubs, plants planters, and weeds.

(PA) Plantings abbuting the home; trees, plants, shrubs, cactus, weeds, vines, ect. that are touching the structure. Frequently these are common landscaping items around a home that brush up next to or go up the side of a home. A common call on most termite reports.

(OB) Obstructions, this call is used when items are in the way of the inspection. Examples are; clothes in closets, furniture, storage boxes in garages, stored items in attic or crawl space. this is a common call for occupied homes. Occupants have clothes, personal items, furnishings, cars, etc. in home.

(IA) Inaccessible Areas, this call does not necessarily mean the home was inaccessible. this code is used on all homes due to various inaccessible areas in the home. To see those areas, see page 2, number 19 of the WDIIR (Termite Report). The most common examples are; not being able to see through, around and or under the insulation in the attic, see the interior of walls, see around plumbing/plumbing traps, piles of debris (pavers or bricks) up against a home, inspect under floor coverings, inspect the interior of inclosed stairways, inspect in crawl spaces with obstructions, low clearance, or no access. Home with the interior inaccessable will still be inspected on the exterior. the interior of the graph will show (IA/FI) See page 1, number 10, as to why the interior was inaccessible. Common reasons are; no key in lock box, wrong CBS code, no one home to open home, dog loose on interior. When access to home is available, please contact our office. We will be happy to schedule a supplemental inspection.

(EM) Excessive Moisture includes these calls (PL) plumbing leaks, (SD) sprinkler hitting the structure, (WD) water damage and /or dry

rot, (WS) water stais, and (RL) roof leaks. Excessive moisture exists if there is moisture or evidence of moisture around the home. As per the OPM (Office of Pest Management), "this would include moisture sources, which are currently not moist." Examples would include, but not limited to: common water stain and/or dry rot on structure. common locations are patio covers, roof eaves, under sinks, around water heater, water softeners, ceilings, water stains on floor of home/garage/sheds, ect.

(FI) Further Inspection used when a further inspection is needed or recommended. Here are some of the most common reasons; No access to the interior of the home. Locked room/closet/garage/sheds. The garage is inaccessible or partially inaccessible due to stored items, dog(s) present in all and /or part of the home.

A Note About A Termite Treatment Proposal, If Applicable

Prior to treatment, we will do a full inspection to make sure nothing has changed since the last inspection. we will treat the active areas with Termidor and/or a private brand of Premise (these materials are considered by our industry as top of the line). When treating the active areas, we will foam, trench and treat, and/or drill those areas. Depending on the surfaces, the best method will be determined by the state certified technician at the time of service. We will then do a complete perimeter inspection. We will trench and treat the exterior of the property. This part of the treatment does two things; it reestablishes a termite barrier in the areas of the home that are historically the most vulnerable to termite infestations, and it also, allows us to put the whole house under a full home warranty. This warranty is one year long, and is renewable annually. See proposal for details.

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