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Street Address
*
Building Number(s)
Unit Number(s)
Zip Code
*
Address numbers clearly visible from street/number or letters for units- minimum 4 inches in height or in accordance with MMC 9-5
*
Pass
Fail
Not Applicable
Household trash, tires, scrap wood, scrap metal, etc. shall be stored and protected in an orderly fashion as to not be an attractive nuisance – Property must be clear from any overgrown/dry vegetation and/or weeds 12 inches or taller in height capable of being ignited and endangering the property
Pass
Fail
Not Applicable
Dumpster/Trash Cans Must be in enclosure if provided/stored out of public right-of-way/ free from trash overflow
*
Pass
Fail
Not Applicable
Inoperable vehicles must be stored out of public view and on a paved surface
*
Pass
Fail
Not Applicable
Foundation crawl spaces must be covered and screens must be in good working condition
*
Pass
Fail
Not Applicable
Roof must be free from any visible holes or penetrations that allow outside elements - rain & cold - in and heated air out. Must be free from tarps or other unrated plastics
*
Pass
Fail
Not Applicable
Stairways, landings, treads, risers, balusters Should be in good condition/free from visible structural defects (looses threads, missing balusters or handrails, rotting or deteriorating materials) and anything that could cause a trip or fall hazard
*
Pass
Fail
Not Applicable
Fire Extinguishers – Multi-Family Only – 3 or more units (Must be properly serviced, labeled, and stored – minimum size 2A10-BC)
*
Pass
Fail
Not Applicable
Fire Sprinkler System – Multi-Family Only – 3 or more units (If provided – Certification of 5-year inspection required)
*
Pass
Fail
Not Applicable
Working exterior lights (Approved lighting fixtures at entrance/exiting doors, all exterior hallways, as applicable)
*
Pass
Fail
Not Applicable
Property must be clear of all infestations - insect, rodent, etc
*
Pass
Fail
Not Applicable
Electric and gas meters must have proper labeling, be properly protected, and must not be tampered with. Utilities in an exterior closet or room may require sign
*
Pass
Fail
Not Applicable
Service panel must have a panel cover and breakers labeled with appropriate identification, as applicable
*
Pass
Fail
Not Applicable
Exterior walkways, passageways, and common areas hall be kept unobstructed, in a proper state of repair, and maintained from hazardous conditions
*
Pass
Fail
Not Applicable
Water heaters must have proper earthquake strapping, proper drain lines, combustion air, clearances, and venting
*
Pass
Fail
Not Applicable
Existing Fire Lanes clearly marked
*
Pass
Fail
Not Applicable
Unit have hot and cold running water
*
Pass
Fail
Not Applicable
Each unit must have its own electrical power source from a public utility. All electrical equipment, wiring, and appliances shall be properly installed and maintained in a safe and approved manner
*
Pass
Fail
Not Applicable
Each unit shall be provided with permanent heating facilities capable of maintaining a room temperature of 70 degrees Fahrenheit at a point 3 feet above the floor in all habitable rooms
*
Pass
Fail
Not Applicable
Unit must have a functioning sewage system and must be clear of any surfacing sewage indoors or outdoors
*
Pass
Fail
Not Applicable
Entry doors must be in good condition – Locks on doors must not exceed 48” in height, unless otherwise allowed. No double key lock on entry door
*
Pass
Fail
Not Applicable
At least one main exit door per unit & escape/rescue window per bedroom. There must not be any double key locks on any exit doors throughout the unit
*
Pass
Fail
Not Applicable
Units must be clear of mold and other infestations – insects, rodents, etc
*
Pass
Fail
Not Applicable
Smoke and carbon monoxide detectors must be working and located outside of each separate sleeping area. Smoke detectors must also be located inside each sleeping area
*
All mechanical equipment in the unit must properly function including; appliances, venting systems, thermostats, air conditioning unit – if provided, etc.
*
Pass
Fail
Not Applicable
All wiring and electrical components must be in good working condition – no spliced wiring, no exposed wiring, and all outlets and switch plates must have appropriate coverings/GFCI in bath and kitchen operational, if applicable
*
Pass
Fail
Not Applicable
All plumbing must be in good working condition – sink, toilet, bathtub or shower, no leaks, must have P-traps, toilets must be secured to ground and sinks must be secured to walls, etc.
*
Pass
Fail
Not Applicable
Nonporous counter and sink surfaces are required in kitchens
*
Pass
Fail
Not Applicable
All windows must have adequate weather protection – no broken glass/plastic coverings, etc. - be in good operable condition and have locking mechanisms that function without use of a key or special knowledge. If window bars or screens are present they too must function without use of a key or special knowledge. Openable windows shall be supplied with tightly fitting insect screens
*
Pass
Fail
Not Applicable
Floors must not be in a defective or deteriorating condition that could cause a trip or fall hazard or impact sub-flooring
*
Pass
Fail
Not Applicable
Subflooring must be in good condition without buckling or sagging which suggests structural defects
*
Pass
Fail
Not Applicable
Walls must be in good repair clear of large holes, missing sections, etc.
*
Pass
Fail
Not Applicable
Ceiling must be in good repair, must not be collapsing, buckling or sagging suggesting structural defects or roof leakage
*
Pass
Fail
Not Applicable
Applicant's Name
Authorized Acknowledgement
I certify that I have inspected the aforementioned unit and that the information above is true and correct to the best of my knowledge.
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