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Supplemental Questionnaire (Common Interest Subdivision Conversion) RE 639 - California

Supplemental Questionnaire (Common Interest Subdivision Conversion) Form. This is a California form and can be used in Subdivisions Bureau Of Real Estate Statewide .
 Fillable pdf Last Modified 10/28/2013
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State of California Supplemental QueStionnaire RE 639 (Rev. 7/95) Bureau of real eState SuBdiviSionS (Common Interest Subdivision Conversion) GENERAL INFORMATION CALBRE FILE NUMBER (IF KNOWN) TRACT NUMBER TRACT NAME ADDRESS QUESTIONNAIRE 1. HISTORY OF IMPROVEMENTS A. Completion Date (Submit copy of recorded Notice of Completion.) .............................. B. Date of Subsequent Additions (Submit copy of recorded Notice of Completion.) ......... C. Prior to conversion, what was this project used as? ........................................................ 2. CONDITION OF COMMON AREA IMPROVEMENTS Indicate to the nearest month the date of the last renovation or replacement of the following: A. Paint and/or Wall Coverings 1) Exterior paint ............................................................................................................. 2) Trim paint .................................................................................................................. 3) Lobby renovation ...................................................................................................... 4) Interior hallways ........................................................................................................ 5) Community rooms ..................................................................................................... 6) Garages/carports ........................................................................................................ 7) ___________________ ............................................................................................. B. Roofing............................................................................................................................. C. Carpets ............................................................................................................................. D. Common furniture............................................................................................................ E. Athletic equipment ........................................................................................................... F. Paving .............................................................................................................................. G. Building mechanical 1) Central/community heat ............................................................................................ 2) Central/community air............................................................................................... ___________________ ___________________ ___________________ ___________________ ___________________ ___________________ ___________________ ___________________ ___________________ ___________________ ___________________ ___________________ ___________________ ___________________ ___________________ ___________________ Hotel Motel Apartment American LegalNet, Inc. www.FormsWorkFlow.com RE 639 Page 2 of 4 3) Hot water heaters ....................................................................................................... 4) Elevators .................................................................................................................... 5) ___________________ ............................................................................................. H. Recreational facilities 1) Pool............................................................................................................................ 2) Pool heaters ............................................................................................................... 3) Poolfilter ................................................................................................................... 4) Club house ................................................................................................................. 5) Rest rooms ................................................................................................................. 6) ___________________ ............................................................................................. I. Other: 1) ___________________ ............................................................................................. 2) ___________________ ............................................................................................. J. Has any local (city or county) governmental agency, by ordinance or as a condition of approval of the conversion, required, or will they require a building inspection report? Note: Physical elements include, but are not limited to: structures, foundations, roofs, electrical, plumbing, utilities, walls, ceilings and windows, recreational facilities, sound transmission of each building, mechanical equipment, parking facilities, appliances, structural pest control, etc.) If YES, please furnish a copy of the entire report. K. In lieu of the foregoing, will the city or county provide a statement that the building conforms to current building codes? ................................................................................ If YES, please furnish a copy of the statement. L. Has local governmental agency required you to comply with local building codes as a condition to approval of your conversion under the Subdivision Map Act and local ordinance? .............................................................................................................................. If YES, please submit evidence of compliance with such local building codes and ordinances. M. 1) When did the applicant start operating the building subject to this conversion? ...... 2) Are there any defects of the structural components of the building (i.e., foundations, frame, roof structure) or of the plumbing, heating, air conditioning, or other mechanical features such as elevators, exhaust systems, etc.? ............................................... ___________________ ___________________ ___________________ ___________________ ___________________ ___________________ ___________________ ___________________ ___________________ ___________________ ___________________ Yes No Yes No Yes No ___________________ Yes No American LegalNet, Inc. www.FormsWorkFlow.com RE 639 Page 3 of 4 If YES, list defects and attach proposals to cure defects. ______________________________________________________________________________________________ ______________________________________________________________________________________________ __________________
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