DRE FIL þeE NUMB þerER (I þfF K þnN OW þnN ) T þrR AC þtT NUMB þerER T þrR AC þtT NAM þeEþAddreADDRE SSQUESTIONNAIRE1. þ HISTORY OF þII MPROVEMENTSA. þ Completion Date (Submit copy of recorded Notice of Completion.) þ. ..............................B. þ Date of Subsequent Additions (Submit copy of recorded Notice of Completion.) þ. .........C. þ Prior to conversion, what was this project used as? þ. ........................................................2. þ CONDITION OF COMMON þAA REA þII MPROVEMENTS þ A. þ 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? þ. Note: þ 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.) þ If YES, please furnish a copy of the entire report.B. þ In lieu of the foregoing, will the city or county provide a statement that the building conforms to current building codes? þ. ................................................................................ þ If YES, please furnish a copy of the statement.C. þ 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? þ. ........................................................................................................................ þ If YES, please submit evidence of compliance with such local building codes and ordinances.D. þ 1) þ When did the applicant start operating the building subject to this conversion? þ. ......2) þ 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.? þ. ..................................................... þ þ Hotel þ Motel þ Apartment Yes No Yes No Yes No Yes No SUBDIVIþsSIONþsS STATE OF CALIFORNIAþDDEPARTMENT OF þRREAL þEEþsSTATESUPPLEMENTAL QUEþsSTIONNAIRE (Common Interest Subdivision Conversion)RE 639 (Rev. 8/15) GENERAL INFORMATION American LegalNet, Inc. www.FormsWorkFlow.com RE 639 þ Page 2 of 3 If YES, list defects and attach proposals to cure defects. þ þ þ þ þ þ þ þ þ þ þ þ þ þ þ þ þ þ þ þ þ on the following items:1) þ Foundation2) þ Structural3) þ Plumbing4) þ Electrical5) þ Mechanical components6) þ Roof7) þ Structural pest control inspection report8) þ Paving9) þ Swimming poolsNote: þ 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. þ 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. þR R ENOVATION OF COMMON þAA REA þII MPROVEMENTSA. þ Does the conversion program provide for any renovation or replacement of common area improvements or will any additions to the project be constructed? þ. ................................ þ If YES, submit a statement indicating all renovation work completed to date, including þ þ þ þ þ þ þ þ þ þ þ þ þ þ a copy of the plot plan detailing new additions.B. þ Will all renovation work be completed prior to recording of the condominium (or cooperative) plan and issuance of the Final Public Report? þ. ............................................ þ þ þ þ þ þ þ þ þ þ þ þ and specify a date for completion [B&P Code Section 11018.5(a)(2)]. Submit Planned Construction Statement (RE 611A) for approval, if necessary. Designate which alternative under B&P Code Section 11018.5(a)(2) will be utilized to guarantee completion. þ If YES, submit copy of recorded Notice(s) of Completion when available.C. þ Will the subdivider furnish owners association with copies of contracts, guarantees and þ þ þ þ þ þ þ þ þ þ þ þ þ þ þ association? þ. ...................................................................................................................... þ þ þ þ þ þ þ þ þ þ þ þ þ þ þ þ þ materiality of such information. þ þ þ Yes þ No þ þ Yes þ No þ þ þ þ Yes þ No þ American LegalNet, Inc. www.FormsWorkFlow.com RE 639 þ Page 3 of 3 4. þ CONVERSION þPP RO þcC EDURESA. þ Furnish, for review, copies of the written notice of intention to convert and notice of þ þ þ þ þ þ þ þ þ þ þ Map Act) must be furnished for review.B. þ Civil Code Section 1134 requires the owner or subdivider, or his agent, of a unit in a condominium project which was converted from an existing dwelling, to deliver to the prospective buyer, either a written statement listing all substantial defects or malfunctions þ þ þ þ þ þ þ þ þ þ þ þ þ þ þ þ disclaiming knowledge thereof. Submit copies of the written statement of defects or written disclaimer proposed for review.5. þO O PERATIN þgG þSS TATEMENTSA. þ Submit income and expense statements applicable to the project for the last (2) years.CERTIFI þcC ATIONI hereby certify under penalty of perjury that the foregoing is true and correct. NAM þeE O þfF þOO W þnerNER ( þIfIF CO þrR PO þrR A þtT IO þnN , PA þrtnerRTNER SHIP, þetET C., SO S þtT A þteTE .) þSS IG þnN A þtT U þreRE DA þteTE TI þtT L þeE þ þ þ þ þ þ þ þ þ þ þ þ þ þ þ þ þ þ þ þ Public. American LegalNet, Inc. www.FormsWorkFlow.com