Fillable Self-Cert Checklist 3-6-15TEST2 City of Hayward

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Self-Cert Checklist 3-6-15TEST2 City of Hayward

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CODE ENFORCEMENT DIVISION - RESIDENTIAL RENTAL INSPECTION PROGRAM
SELF-CERTIFICATION CHECKLIST
The Self-Certification Checklist is designed to assist owners in determining whether their properties qualify to participate in the
Self-Certification Program. Each item on the checklist must be verified as being in compliance or marked as “Not Applicable.”
Use the “comments” section to explain actions taken if you were unable to access to the unit or to relay additional information
about the items checked.
Owners should recognize that the Self-Certification Checklist is not all inclusive and that in addition to the items listed below,
Owners are responsible for ensuring that their apartments are in compliance with the applicable provisions of the Hayward
Municipal Code, including California Building Model Codes, and the International Property Maintenance Code. For copies visit
www.hayward-ca.gov; http://archive.org/details/gov.law.icc.ipmc.2012; or http://www.bsc.ca.gov/codes.aspx
.
ADDRESS:
NUMBER OF UNITS:
COMPLEX NAME:
INSPECTION DATE:
EXTERIOR/COMMON AREAS/SCHEDULE
“B”
Compliance
Verified
Not
Applicable
Unit #
Address:
Building
Foundations are in good solid condition.
Exterior paint showing no signs of damaging deterioration.
Exterior walls are free of major cracks and erosion.
Walkways are safe.
Roofs are in good repair.
Gutter /downspouts are unclogged and in good condition.
Staircases are sound and in good condition.
Exterior lighting is in good working order.
Electrical service panels, meters and enclosures are in
good condition.
Decks and balconies are in good solid condition.
Chimneys have spark arrestors.
Doors and Locks
Solid core doors are installed
Entry doors are equipped with deadbolt locks and passage
door locks with deadlocking latches. All locks work.
All exterior doors open and shut properly.
Sliding patio doors work properly including all locking
and latching mechanisms.
Page 1 of 8
EXTERIOR COMMON AREAS “B”
CONTINUED
Compliance
Verified
Not
Applicable
Unit #
Address:
Landscaping
The property landscaping is being properly maintained
and free of liter.
Storm drains are clear of debris and in good condition.
Fire Extinguishers(s)
Fire extinguishers are provided and installed according
to the State Fire and Safety Codes.
Each extinguisher has been tagged and serviced by a
State licensed contractor within the last year and after
each use.
Date Inspected:
Inspectors Signature and Title:
Resident Signature:
Exiting
Exits are clear and unobstructed all the way to the
public right of way.
All “EXIT” signs and lighting is in working order.
The area on and beneath exit stairs is clear of material.
Fire doors are operable and in good condition.
Garbage/Recycling Materials
Garbage service and sufficient garbage containers are
provided on site.
All unsanitary garbage bins have been cleaned
and/or replaced.
Garbage receptacles are stored in proper enclosures.
Fences and Gates
Property fences and gates are in good working condition.
Laundry Rooms
Interiors are clean and facilities are maintained
in good condition
Pools
Swimming pool gates and enclosures are in compliance.
Swimming pool is clean.
Contact Alameda County Environmental Health Dept.
http://www.cdph.ca.gov/HealthInfo/environhealth/water/Pa
ges/CaliforniaPublicSwimmingPoolRequirements.aspx
Parking
Driveways and parking areas are in good condition.
Carports are in good condition
Sewer
Clean-out lines are unobstructed and in good condition.
Page 2 of 8
INTERIOR/SCHEDULE “B”
Compliance
Verified
Not
Applicable
Unit #
Address:
Kitchen
Floor covering is free of trip hazards.
Electrical outlets are functional and have cover plates.
GFCI’s properly installed and in working condition.
Light switches function and have cover-plates.
Overhead lighting is operational and in good repair.
Windows are equipped with proper locking devices.
Windows with screens are in good condition.
Stove burners and oven works safely with functioning
door and knobs that turn completely on and off.
Gas stove is free of gaseous odors immediately report gas
leaks or gaseous odors to PG&E 800-743-5000.
Stove hood/filter and fan are working properly.
The dishwasher functions properly.
The garbage disposal is in good working order.
The kitchen sink and faucets drain properly and are
free from leakage.
The refrigerator is in good working order.
Living Room
Floor covering is free of trip hazards.
Electrical outlets are functional and have
cover-plates.
Light switches function and have cover-plates.
Windows and windowpanes are intact, unbroken
and not cracked.
Windows are equipped with proper locking devices.
Window screens are in good condition.
Smoke & Carbon Monoxide Detector/Hallways
and Bedrooms
Smoke detectors are installed in hallways
and sleeping rooms.
All smoke detectors are in working order.
A minimum of one Carbon Monoxide
Detector shall be installed in each residential unit. Installed
outside of the sleeping quarters and installed per the
manufacturers specifications.
To ensure that smoke detectors/carbon monoxide detectors
have been inspected annually the owner/or on site manager
will keep in unit file documentation that states the date the
smoke/carbon monoxide detectors were last serviced and if
possible the signature of the resident, along with the
maintenance personnel and owner/or onsite manager.
Date Inspected:
Inspectors Signature and Title:
Page 3 of 8
INTERIOR /SCHEDULE “B” CONTINUED
Compliance
Verified
Not
Applicable
Unit #
Address:
Bedroom I
Floor covering is free of trip hazards.
Electrical outlets are functional and have cover plates.
Light switches function and have cover-plates.
Windows and panes are intact, un-broken. No cracks.
Windows are equipped with proper locking devices.
Window screens are in good condition.
Egress windows are operable and open completely.
NOTE: If bedroom window bars exist they are correctly
installed and have the required quick -release mechanisms.
Bedroom II
Floor covering is free of trip hazards.
Electrical outlets are functional and have cover-plates.
Light switches function and have cover-plates.
Windows and windowpanes are intact, unbroken. No
cracks.
Windows are equipped with proper locking devices.
Window screens are in good condition.
Egress windows are operable and open completely.
NOTE: If there are bedroom window bars they
are correctly installed and have the required quick
release mechanisms.
Bedroom III
Floor covering is free of trip hazards.
Electrical outlets are functional and have cover-plates.
Light switches function and have cover-plates.
Windows and windowpanes are intact, unbroken. No
cracks.
Windows are equipped with proper locking devices.
Window screens are in good condition.
Egress windows are operable and open completely.
NOTE: If bedroom window bars exist they are correctly
installed and have the required quick -release mechanisms
approved.
Bedroom IV
Floor covering is free of trip hazards.
Electrical outlets are functional and have cover-plates.
Light switches function and have cover-plates.
Page 4 of 8
INTERIOR/ SCHEDULE “B” CONTINUED
Compliance
Verified
Not
Applicable
Unit #
Address:
Windows and windowpanes are intact, unbroken. No
cracks.
Windows are equipped with proper locking devices.
Window screens are in good condition.
Egress windows are operable and open completely.
NOTE: If bedroom window bars exist they are correctly
installed and have the required quick-release mechanisms
approved.
Bedroom V
Floor covering is free of trip hazards.
Electrical outlets are functional and have cover-plates.
Light switches function and have cover-plates.
Windows and windowpanes are intact, unbroken no cracks.
Windows are equipped with proper locking devices.
Window screens are in good condition.
Egress windows are operable and open completely.
NOTE: If there are bedroom window bars they are
correctly installed and have the required quick release
mechanisms approved.
Bathroom I
Floor covering is free of trip hazards
Electrical outlets are functional and have cover-plates.
Overhead lighting is operational and in good repair.
GFCI’s properly installed and in working condition.
Windows and windowpanes are intact, unbroken no cracks.
Windows are equipped with proper locking devices.
Window screens are in good condition.
The ceiling exhaust fan is in good working condition.
The sink, faucet, bathtub and toilets drain properly. No
leaks.
The toilet is secure.
The sink, bathtubs/ shower surrounds are in good
condition.
Light fixtures are secure and in working order.
Towel-bars and accessories are secure.
Page 5 of 8
INTERIOR/ SCHEDULE “B” CONTINUED
Compliance
Verified
Not
Applicable
UNIT #
Address:
Bathroom II
Floor covering is free of trip hazards
Electrical outlets are functional and have cover-plates.
Light switches function and have cover-plates.
Overhead lighting is operational and in good repair.
GFCI’s properly installed and in working condition.
Windows and windowpanes are intact, unbroken no cracks.
Windows are equipped with proper locking devices.
Window screens are in good condition.
The ceiling exhaust fan is in good working condition.
The sink, faucet, bathtub and toilets drain properly. No
leaks.
The toilet is secure.
The sinks, bathtubs/ shower are in good condition.
Light fixtures are secure and in working order.
Towel-bars and accessories are secure.
Bathroom III
Floor covering is free of trip hazards.
Electrical outlets are functional and have cover-plates.
Light switches function and have cover-plates.
Overhead lighting is operational and in good repair.
GFCI’s properly installed and in working condition.
Windows and windowpanes are intact, unbroken no cracks.
Windows are equipped with proper locking devices.
Window screens are in good condition.
Egress windows are operable and open completely
Note: If there are bedroom window bars they are correctly
installed and have the required quick release mechanisms
approved.
The ceiling exhaust fan is in good working condition.
The sink, faucet, bathtub and toilets drain properly and are
free of leaks.
The toilet is secure.
The sinks, bathtubs/or shower surrounds are
in good condition.
Light fixtures are secure and in working order.
Towel-bars and accessories are secure.
Page 6 of 8
OTHER IMPORTANT ITEMS
Compliance
Verified
Not
Applicable
Unit #
Address:
Electrical Safety Requirements
The unit has no exposed or bare live wires.
The use of extension cords and electrical adapters
are not overloading the circuit and are “UL” approved for
the amperage of the device.
If the building was constructed in 1960 or earlier: The
fuses in the panel box that serves each unit is rated at least
15 amps.
Note: If the fuses are greater than 15 amps and
the unit was built in 1960 or before, an electrical
danger is present unless the wiring has been updated.
The City strongly recommends that you contact a
licensed electrician if you are not sure about the
proper fuses for the building or units.
Sub-panels are labeled and breakers are in proper
working condition.
Plumbing and Mechanical Requirements
Electrical or gas heaters are functioning properly
Note: If there is a high pressure gas boiler system
(not the water heater), the boiler heater system is
in proper working condition.
The water heater is in working order supplying
water at a minimum of 120F.
The water heater has a working temperature and
pressure release valve including a proper drain
line on the pressure relief valve.
The water heater is properly strapped.
Gas lines have shut off valves at the appliance
connection. All service gas lines are free of leaks.
If you smell gaseous odors report immediately to
PG&E 800-743-5000.
The vent pipes that serve gas heating appliances are
terminated above the roofline with vent caps
(direct vent heaters exempt).
Mold
There is no visible mold in the unit. Information: If mold
is found assess the situation by cleaning and/or using a
professional mold abatement company to refinish all
deteriorated surfaces and remedy the water intrusion
problem, the City of Hayward recommends that you give
your tenants a Mold Notification Addendum to add to your
rental agreement. This addendum should inform residents
about mold and their responsibilities to prevent mold
growth and how to inform owner of possible water
intrusion/mold in unit.
http://www.cdph.ca.gov/search/results.aspx?k=MOLD
Page 7 of 8
OTHER IMPORTANT ITEMS
Compliance
Verified
Not
Applicable
UNIT #
Address:
Vector (Insects, rodents and other pests)
Property is free of infestations.
COMMENTS
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Name: (print)
Title:
Signature:
Inspection Date:
Page 8 of 8
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Self-Cert Checklist 3-6-15TEST2 City of Hayward

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Completed 11 July 2020

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