HSFEHQ-12-R-0002_Attach3.pdf

Please Print Legibly:

Serial No. :_______________________ Facility:_______________________ Inspector:_______________________ Date:_________________ ____

13.

1 Bedroom

2 Bedroom

3 Bedroom

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Axles include grease fitting that are secured from environmental conditions when not being accessed during maintenance

Exterior Condition Notes

Window screens secured with removable, reusable, non-corrosive shipping clips

Ti i 8 00 14 5 S i "E " d t d f ti

• Indicate with an X in the Pass or Fail column if the unit passes or fails the requirement

• When a requirement includes measurement, indicate the measurement in the Notes column

• Supplement checklist by providing additional information in the Notes column

• If Exterior and Interior Inspector is same person, then write "Same" in 10-12

• If necessary, reattach all four pages before submitting checklist

Manufacturer

14. Final Acceptance (Signature and Print Name)

NON UFAS

UFAS

Year

EXTERIOR

Manufacturer removed exterior shipping materials, like plastic, wrap, nails, etc.

If no shrink wrap, not covered in or has residue of materials including oil, tar, or grease

2. Date of Inspection

3. Serial Number

1. FEMA Unit Identification Number

7. Printed Name of Exterior Inspector

10. Printed Name of Interior Inspector

8. Signature of Exterior Inspector

11. Signature of Interior Inspector

9. Date

12. Date

5. US Government Barcode (added after inspection)

4. Receiving Facility 6. Date of Acceptance

FEDERAL EMERGENCY MANAGEMENT AGENCY

Interim Contract - Manufactured Home Inspection Checklist v.AA (Rev. 4/5/12)

16. Unit Details 17. Unit Type 18. Instructions

Northern

Southern

FailPass

15. DateRecommendation to Accept / Deny

ACCEPT unit as is

DENY unit as is

Interim Contract ‐ Manufactured Home Inspection Checklist v.AA (Rev. 4/5/12) Page 1

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Notes

All exterior penetrations are properly caulked

Drawbar

Bottom board is secured, moisture resistant under whole unit, prevents rodents from entering, and allows for cross tie anchoring buckles

Adequate number of axles as per contract (requirements provided post-award)

Fail

Non-rust rain channels are not punctured with weep holes over windows/doors, and are at least 1.5" high x 1" wide

Roof shingles are white or light colored composition shingle

Siding and corners are light grey, manufacturer's full vinyl siding or similar material;

soffits, trim, and J-block can either be the same light grey, or white

Notes

Tires are new size 8.00 x 14.5, Series "E," and not defective

Transportation system components installed with locking nuts or lock washers

Pass

Notes

Exterior Documentation

HUD Certification label placed on unit exterior (as required in 24 CFR 3280.11)

Manufactured Home ID is black, 4" high, and 2' from bottom of roof line

Manufactured Home Serial Number stenciled in contrasting color, 2” tall on the tongue; must match stamped serial number and serial number on HUD data plate

Drawbar welded (not bolted), made of 12" I-beam, and centered for towing

Welds and bar painted with rust-preventative paint: Blue/Northern or Red/Southern

Exterior

Unit number placard on exterior left front corner between 3" from the bottom of adjacent roof eve and no more than 3" from left edge of unit

Fail

Tire rims clamps, bolts, nuts, and related hardware are new

Fail

Pass

Documentation that the weight of the unit does not exceed the allowable weight for the number of axles provided

Weatherproof outdoor duplex receptacle flush mounted on exterior wall about 5' from water inlet, and 6" up from floor level

Pass

UL-approved weatherproof exterior light fixtures exist at each exterior door, and are metal with non-breakable globe Exterior heat tape receptacle is a single outlet with weatherproof case, is within two feet of water pipe inlet, and is not protected by GFCI For Nothern units only: This requirement shall include a second, double outlet

Interim Contract ‐ Manufactured Home Inspection Checklist v.AA (Rev. 4/5/12) Page 1

Serial No. :_______________________ Facility:_______________________ Inspector:_______________________ Date:_________________ ____

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Mark Location of Exterior Damage

47. Left Side

48. Right Side

49. Front 50. Back

NotesFailPassExterior (Continued)

Exterior doors have 1 peephole 5' 3" from finished floor AND 1 peephole 3' 7" from finished floor Roof penetrations capped with a galvanized metal cap (no rubber grommets) and painted to prevent rust

Hinged, metal service entrance junction box mounted to floor joist between I-beam and sidewall; 8" maximum between box and floor joist; within 10' maximum of right rear of unit without blocking exit

Exterior doors are 36” x 76,” hinged toward rear of unit, and do not block/touch windows when open

Wooden board or other material (which will not rust or rot) installed to deflect or prevent damage to “bottom board” or other items above the tires

Interim Contract ‐ Manufactured Home Inspection Checklist v.AA (Rev. 4/5/12) Page 2

51. Roof

52. Undercarriage

Interim Contract ‐ Manufactured Home Inspection Checklist v.AA (Rev. 4/5/12) Page 2

Serial No. :_______________________ Facility:_______________________ Inspector:_______________________ Date:_________________ ____

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Stand-alone 1.2 cubic foot microwave with child lock OR combination microwave / hood / fan / light exists 30" self-cleaning 4 burner electric range with indicator light and thermostat-

Kitchen Pass Fail Notes

3 sets of keys with serial number and space for barcode, placed in sink

18 cubic foot frost-free refrigerator with freezer

Refrigerator is on its own circuit (check circuit breaker box for separately labeled refrigerator circuit breaker)

Refrigerator can be opened from inside (there are no locks on refrigerator door)

Refrigerator secured to floor and wall stud

Minimum 32" of counter space, not including dining table

Living Room Pass Fail

NOAA/FCC Weather Radios are equipped with strobe component that works with electrical power and battery backup; and there is at least one radio per bedroom

Notes

1 sleeper sofa, 1 arm chair, 1 coffee table, and 1 end table exist and are in new condition

Telephone and cable television jacks installed

Smoke alarms are audio/visual with strobe component and have battery backup

Smoke alarms have push-button testing and temporary silencing devices

Smoke alarms exists in living room, dining/kitchen area, and each bedroom

5 lb. A-B-C fire extinguisher exists with mounting bracket secured to wall stud in living room/kitchen area

Safety Devices Pass Fail

Notes

Unit Contact Placard on interior side of exterior doors, adjacent to upper peephole;

top of sign shall not be higher than 66” above finished floor Unit Contact Placard has white background, black 1” font stating “FEMA Owned & Maintained Unit Contact FEMA at 800-621-FEMA,” 8" space to write FEMA Unit Data Placard in interior side of water heater closet door, 3 inches from latch side, top of placard 5’ from bottom of the door, blue font 1/4" high

Notes

Internal Documentation Pass Fail

HUD Data Plate exists on/near main electrical panel, in kitchen cabinet, or in bedroom closet (as required in 24 CFR 3280.5)

Furniture packed in a manner so that it is not damaged during multiple transportations or in the unpacking process and is in the room it will be used

THU must be free from defective materials or workmanship

All joints (between trim and walls, molding and walls, molding and floors, etc.)

caulked to ensure tight seal

INTERIOR

Internal Condition Pass Fail Notes

Interim Contract ‐ Manufactured Home Inspection Checklist v.AA (Rev. 4/5/12) Page 3

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Cabinetry is wall mounted

Lighted exhaust ceiling fan installed

All faucet assemblies include secondary dual shutoff valve for hot / cold water

Receptacle for range is flush mounted in the wall behind range

All faucet assemblies are dual shutoff valve

Minimum four receptacles are in the kitchen area above the counter

Industry standard toilet exists

Industry standard surfaced-mounted medicine cabinet with light (bathroom fixture) mounted on the vertical wall directly above the cabinet

Bathroom Pass Fail Notes

Standard 30" x 60" shower / tub combination exists

Curtain rod, shower curtain and curtain hooks, toilet paper roll holder, and towel rack are installed

Notes

Dining table is 3' x 5' (minimum), and composed of wood (free of porous fabric material) In 1- and 2-bedroom units, 4 dining chairs for adults exist; in 3-bedroom units, 6 dining chairs for adults exist; and all are composed of wood (free of porous fabric materials)

Dining Area Pass Fail

Hot water and drain pipes insulated and no sharp / abrasive surfaces under sink

Range is plugged in and secured to floor with 2 gusset angle brackets

Upper cabinetry is wall mounted, 36" long (continuous, minimum), and has fixed shelving Counter top is water resistant, and has caulking between top and backsplash of same material

Sink is stainless steel, self-rimming double-bowl, with spray nozzle of 12" extension and metal strainer basket

Counter space is 36" (continuous, minimum), supported by a base cabinet that has a single drawer and two doors

There is not a separate sidewall vent for range / oven controlled oven Lighted, power-vented hood range hood (one-piece construction OR combination microwave / hood / fan / light)

Interim Contract ‐ Manufactured Home Inspection Checklist v.AA (Rev. 4/5/12) Page 3

Serial No. :_______________________ Facility:_______________________ Inspector:_______________________ Date:_________________ ____

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98. Each bedroom has a 5-drawer dresser minimum 48"H x 33"W x 18" D

99. Each bedroom has at least one night stand

100. Each bedroom has at least one mattress, box spring, and metal bed frame

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104. Each bedroom has a receptacle on each wall

105. Each bedroom has smoke alarms with strobe component installed

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Each bedroom has telephone and cable television jacks installed

Water heater compartment is labeled and states “No additional items shall be stored in the compartment”

Switches and thermostat 48" above finished floor

Bathroom, washer, and dryer are in same area and back-to-back to kitchen and water heater

Electrical outlets 18" above finished floor and not self-contained devices

Electric, 40 gallon (dual element) quick recovery water heater exists on individual circuit, and has pressure relief valve, drain pan, and metal tank drain valve

Interior access to water heater uses "SCHLAGE” brand key / dead bolt lock unique to closet (ensure that key works)

Plumbing, Appliances, Electrical, and Electronics Pass Fail Notes

1- and 2-bedroom units have electric service of 150 amps (minimum); 3-bedroom units have electrical service of 200 amps; master and branch circuit breaker panel flush-mounted on right side of back bedroom (120/240 volts, 4-wire, with individual water heater circuit taped in "off" position)

Appliances are Energy Star qualified

HVAC does not require additional installation and is not an adaption of a traditional split system where the compressor is designed to be installed separate from the

If no shrink wrap, weather proof covering on the external mounted portion of HVAC

Dryer vent, electrical connections, and water hookup for standard size washer and dryer are installed (no washer or dryer appliances are provided) Whole house electric HVAC system exists without individual / window HVAC appliances in each room; with digital thermostat and automatic settings; and with furnace or air handling unit (if applicable) in the water heater / furnace cabinet

All electrical circuits are clearly and legibly identified

Bedrooms Pass Fail Notes

If 2 or 3 bedrooms, one bedroom is larger

Each bedroom has an enclosed closet with minimum interior length of 32"

Closets have shelf and rod running length of closet with support at both ends

If Bedroom 2 exists, it has standard 54" x 75" full bed

Bedroom 1 has standard 54" x 75" full bed

If Bedroom 3 exists, it has two XL twin beds (39" x 75") on a free standing bunk bed frame (not built into the manufactured housing unit)

Interim Contract ‐ Manufactured Home Inspection Checklist v.AA (Rev. 4/5/12) Page 4

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Windows Pass Fail Notes

Windows are double-paned, at least 30" x 54," with window screens & mini-blinds

No shutters, and labeled as and affixed with operating instructions for egress

Floor Covering Pass Fail

Molding Pass Fail

Notes

Interior floors are continuous roll, non-foam resilient, non-skid (no carpet)

A carpet scrap or doormat of about 30" x 15" is placed at each entrance

Heat duct openings are covered with 4" x 10" metal, adjustable louvered register

Notes

All trim molding is the same color - or color coordinated - to the interior paneling

All seals, joints, door / window frames, and corners (visible or not) are finished

All fixtures have CFL bulb equivalent to 60 watt bulb installed

Exposed panel edges are covered with permanently attached non-plastic edging

Notes

Lighting fixture in living/dining room, kitchen, each bedroom, bathroom, and hall

All interior lighting fixtures are ceiling mounted

Receptacles near wet areas are protected with ground fault interrupter

Shrink wrapped units have either solar or wind vent fans, and fans are placed in front of two windows on opposite sides (long side) of the unit

All interior lighting fixtures are wall-switch controlled with dual sockets

There are no hanging lights

Lighting Requirement Pass Fail

All fixtures are equipped with non-breakable shades (no glass permitted) stored in the compartment

Interim Contract ‐ Manufactured Home Inspection Checklist v.AA (Rev. 4/5/12) Page 4

Serial No. :_______________________ Facility:_______________________ Inspector:_______________________ Date:_________________ ____

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UFAS Visual Scan of Doorways, Hallways, Interior Receptacles and Bathroom

UFAS

Pass Fail Notes

Notes

Water closet between 15" and 19" from the top of the toilet seat

UFAS Visual Scan(Continued) Pass Fail

A device (like a rubber bumper) is installed to prevent water from escaping shower

Dining table is moveable on wheels or casters

Grab bars installed in shower on back wall and wall opposite seat between 33" and 36" above the finished floor (but not extended over seats)

Counter surface 34" high (maximum); bottom of mirror 40" high (maximum)

UFAS Bathroom Pass Fail

Cl fl f 30" 60"

Notes

Includes one of (a) accessible bathtub, (b) 36" x 36" transfer shower, or (c) 30" x 60" (minimum) roll in shower with no threshold or curve and non-skid surface Folding seat in shower is 17" to 19" in height, secured to short wall, and perpendicular to control wall

Handicap toilet installed with top of seat 17" to 19" from the floor

Notes

Appliances are not obstructed, have 30" x 48" clear floor space for forward/parallel approach

Sink is a maximum of 6.5" deep, 34" high, with knee clearance

Hot water and drain pipes insulated or protected and no sharp / abrasive surfaces under sink

Sinks and cabinets are wall-supported, and finished floors / walls exist under base cabinets

Self-cleaning oven with insulation on all sides

Hallways are a minimum of 36” wide

Refrigerator either vertical side-by-side type or over-under type with at least 1/2 freezer space under 54" above floor

Work surfaces are between 28" and 34" from the ground

UFAS Kitchen Pass Fail

All rooms include a turning radius of 60" or a T-shaped space

Knee clearance at tables, counters, and work surfaces is at least 27" high, 30" wide, and 19" deep

Switch to operate power vent operable with one hand

Doors - Open 90°; minimum opening 32"; raised thresholds/floor level changes beveled (maximum slope 1:2 and height 1/2"); handles extend 2" from door surface, and have 1.5" clearance on either side

Switches/receptacles above obstructions/countertops are 44" above finished floor

Oven self-cleaning or adjacent to adjustable height counter with knee space

Controls do not require reaching across burners

Interim Contract ‐ Manufactured Home Inspection Checklist v.AA (Rev. 4/5/12) Page 5

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Notes / Comments

Electrical receptacle for TTY next to the living room phone jack

UFAS Living Room Pass Fail Notes

Hot water / drain pipes under lavatories are insulated / covered

Clear floor space of 30" x 60"

Flush controls mounted on the wide side of toilet, 44" above floor (maximum)

Interim Contract ‐ Manufactured Home Inspection Checklist v.AA (Rev. 4/5/12) Page 5