State Mandated Inspection Check List

Name of Owner/Property Representative:(Required)

First Last

Building Address(Required)

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code

Email(Required)

Phone Number(Required)

Mobile Number preferred

Address of Owner or Property Representative:(Required)

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code

Number of Floors:(Required)

Number of Units:(Required)

Unique ID

Please Check All that are Applicable:

Building address must be clearly visible from the street on a contrasting color. (6-in to 24-in high)

Does the building have a Fire Sprinkler System? If so, provide the NFPA 25 State form by state licensee showing no deficiencies.

Does the building have a Fire Alarm System? If so, provide the NFPA 25 State form by state licensee showing no deficiencies.

Does the building have a Knox Key box at the main entrance and/or Knox Key switch for the Driveway? If so, are the buildings keys current?

SMOKE DETECTORS and CARBON MONOXIDE DETECTORS must be installed at the access of the bedrooms. Ensure that the detectors have been tested and are properly working.

Ensure all sides of the building, gas meter(s), and electrical panels are free of weeds, trash, and combustible storage.

Dumpsters must be 5 feet away from combustible walls, windows, and building overhangs.

All vents of heat-producing appliances (heaters, clothes, dryers, etc.) must be in good condition and functioning properly. Gas appliances must have accessible gas shut-off valves.

Maintain 36-inch clearance around electrical panels. Repair any circuit breakers missing or damaged. Label all circuit breakers to show which units they control.

Make sure all wiring for appliances are in good condition and plugged directly into a wall outlet. Extensions cords are not allowed to go under carpets, go through walls, or across traffic paths.

The building must have a 2A10BC or larger fire extinguisher within 75 feet of travel distance (fire extinguisher must be in an area accessible to all residents or each unit must be supplied with a fire extinguisher). They must be in a visible and accessible location mounted on a wall with a current State licensee service tag.

No barbeques allowed on balconies.

Completed By:

Date

MM slash DD slash YYYY

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By checking this box and signing this form you admit that this information is correct and truthful

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Board Meeting

Regular Board Meeting

Tuesday, March 14, 2023 6 PM
19235 Yucca Loma Road
Apple Valley, CA 92307
Public is Welcome to Attend