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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 Department Of Real Estate Statewide . |
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STATE OF CALIFORNIA SUPPLEMENTAL QUESTIONNAIRE (Common Interest Subdivision Conversion) RE 639 (Rev. 7/95) DEPARTMENT OF REAL ESTATE SUBDIVISIONS GENERAL INFORMATION DRE 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 ........................................................................... ___________________ ___________________ ___________________ ___________________ ___________________ ___________________ ___________________ ___________________ ___________________ ___________________ ___________________ ___________________ ___________________ ___________________ Hotel Motel Apartment F. Paving .......................................................................................... G. Building mechanical 1) Central/community heat .................................................................. 2) Central/community air .................................................................. ___________________ ___________________ 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) Pool filter ................................................................................. ___________________ ___________________ ___________________ ___________________ ___________________ ___________________ 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. ____________________________________________________________________________________ ____________________________________________________________________________________ ____________________________________________________________________________________ ____________________________________________________________________________________ N. Submit inspection reports by a qualified engineer or contractor or other qualified person on the following items: 1) 2) 3) 4) 5) 6) 7) 8) 9) Foundation Structural Plumbing Electrical Mechanical components Roof Structural pest control inspection report Paving Swimming pools Note: Reports should state the condition of those components, give an estimate of their remaining useful life, and give an estimate of the cost of any recommended repairs. If subdivider decides not to furnish the inspection reports and cost estimates, the Department of Real Estate will insert a special note in the Subdivision Public Report dealing with the seriousness of such lack of material information. 3. RENOVATION OF COMMON AREA IMPROVEMENTS A. Does the conv
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