Uniform Mitigation Verification Inspection Form ( Oir-B1-1802 ) (Page 2 of 4) in pdf

or greater resistance than 8d common nails spaced a maximum of 6 inches in the field or has a mean uplift resistance of at least

182 psf.

D. Reinforced Concrete Roof Deck.

E. Other: _____________________________________________

F. Unknown or unidentified.

G. No attic access.

4. Roof to Wall Attachment: What is the WEAKEST roof to wall connection? (Do not include attachment of hip/valley jacks within

5 feet of the inside or outside corner of the roof in determination of WEAKEST type)

A. Toe Nails

Truss/rafter anchored to top plate of wall using nails driven at an angle through the truss/rafter and attached to

the top plate of the wall, or

Metal connectors that do not meet the minimal conditions or requirements of B, C, or D

Minimal conditions to qualify for categories B, C, or D. All visible metal connectors are:

Secured to truss/rafter with a minimum of three (3) nails, and

Attached to the wall top plate of the wall framing, or embedded in the bond beam, with less than a ½" gap from

the blocking or truss/rafter and blocked no more than 1.5” of the truss/rafter, and free of visible severe

corrosion.

B. Clips

Metal connectors that do not wrap over the top of the truss/rafter, or

Metal connectors with a minimum of 1 strap that wraps over the top of the truss/rafter and does not meet the nail

position requirements of C or D, but is secured with a minimum of 3 nails.

C. Single Wraps

Metal connectors consisting of a single strap that wraps over the top of the truss/rafter and is secured with a

minimum of 2 nails on the front side and a minimum of 1 nail on the opposing side.

D. Double Wraps

Metal Connectors consisting of 2 separate straps that are attached to the wall frame, or embedded in the bond

beam, on either side of the truss/rafter where each strap wraps over the top of the truss/rafter and is secured with

a minimum of 2 nails on the front side, and a minimum of 1 nail on the opposing side, or

Metal connectors consisting of a single strap that wraps over the top of the truss/rafter, is secured to the wall on

both sides, and is secured to the top plate with a minimum of three nails on each side.

E. Structural

Anchor bolts structurally connected or reinforced concrete roof.

F. Other: _______________________________________________

G. Unknown or unidentified

H. No attic access

5. Roof Geometry: What is the roof shape? (Do not consider roofs of porches or carports that are attached only to the fascia or wall of

the host structure over unenclosed space in the determination of roof perimeter or roof area for roof geometry classification).

A. Hip Roof

Hip roof with no other roof shapes greater than 10% of the total roof system perimeter.

Total length of non-hip features: ______ feet; Total roof system perimeter: _______ feet

B. Flat Roof

Roof on a building with 5 or more units where at least 90% of the main roof area has a roof slope of

less than 2:12. Roof area with slope less than 2:12 ________ sq ft; Total roof area __________sq ft

C. Other Roof

Any roof that does not qualify as either (A) or (B) above.

6. Secondary Water Resistance (SWR): (standard underlayments or hot-mopped felts

do not qualify as an

SWR)

A. SWR (also called Sealed Roof Deck) Self-adhering polymer modified-bitumen roofing underlayment applied directly to the

sheathing or foam adhesive SWR barrier (not foamed-on insulation) applied as a supplemental means to protect the

dwelling from water intrusion in the event of roof covering loss.

B. No SWR.

C. Unknown or undetermined.

Inspectors Initials _____ Property Address_____________________________________________________________

*This verification form is valid for up to five (5) years provided no material changes have been made to the structure or

inaccuracies found on the form.

Page 2 of 4

OIR-B1-1802 (Rev. 01/12) Adopted by Rule 69O-170.0155

Uniform Mitigation Verification Inspection Form ( Oir-B1-1802 ) Page 2

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