Inspection Request

Residential/Commercial Inspection Form

If you are a property owner and would like to have the property inspected for earthquake readiness, please fill out this short form and we will contact you within 24 hours.

First Name
Last Name
Address
City
State
Zip Code
Home Phone
Work Phone
Cell Phone
Email*
What year was your home built?
What is the total square footage?
When would you like this scheduled?
Do you have any questions about earthquake retrofitting?
Agent's Name
Agent's Phone
Agent's Cell
Agent's Email

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**You can pay the $200.00 inspection fee via PAYPAL after submitting the request form above OR at time of inspection**