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Job #21658671

Masonry Fireplace Inspection

Customer Information
Customer Name
Joanna Davis
Address
9048 Meadowsweet Way , Elk Grove, CA 95624 USA
Customer Phone #
(562) 207-8760
Customer Email
Joanna.davis44@gmail.com
Date of Inspection
2024-01-15
Chimney Height
2 Story
Chimney Location
Exterior Wall
EXTERIOR FIREPLACE CHECKLIST:
Flue Tile Size
8" x 13"
Chimney Cap/Arrestor
 Not Applicable
Crown
 Not Applicable
Flashing
 Not Applicable
Shoulders
 Not Applicable
Brickwork/Mortar
 Not Applicable
Clean Out Door
 Not Applicable
ADDITIONAL NOTES ABOUT THE EXTERIOR:
Please refer to previous inspection report for exterior inspection
Exterior Pictures

INTERIOR FIREPLACE CHECKLIST:


Flue Liner
 Satisfactory
Smoke Chamber
 Unsatisfactory

"The smoke chamber parge that is required for safe use of the fireplace was not performed today
and must be performed at a later date in order for this fireplace to be safe for use"

Damper
 Satisfactory
Lintel/Throat
 Satisfactory
Firebox/Inner Hearth
 Satisfactory

"We repointed the firebox with high temperature mortar in order to properly insulate this area of
the fireplace."

Ash Dump Door


 Not Applicable
Mantle
 Satisfactory
Outer Hearth
 Satisfactory
Spark Screen
 Satisfactory
Fireplace Grate
 Satisfactory
ADDITIONAL NOTES ABOUT THE INTERIOR:
-
Interior Pictures

FIREPLACE/CHIMNEY OVERVIEW:
IS THE FIREPLACE SAFE FOR USE?
 NO
CUSTOMER SIGNATURE:
Please sign below acknowledging the condition of the Fireplace/Chimney.

Fireplace Inspection performed on:


2024-01-15
Technician
Signature
I acknowledge that I have thoroughly inspected the interior and exterior to the best of my abilities
and the form above is a representation of my inspection.

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