Real Estate HO App

HOMEOWNERS ASSOCIATION APPLICATION

Applicant Name:

Property Address:

Parcel / APN Number:    Ownership Interest:

Applicant Contact Information

Type of Application (Check applicable)

New Member / Occupancy
Resale / Transfer Approval
Architectural Modification / Improvement
Change of Property Use (e.g., rental, business)
Other:

Proposed Activity / Improvement

Estimated Start Date:

Estimated Completion Date:

Fees, Assessments & Attachments

Application Fee Amount: $    Applicant acknowledges fee is nonrefundable

Outstanding Assessments or Liens: Yes No    If yes, amount: $

Site plan / survey
Architectural drawings / elevations
Color and material samples
Statement of account for HOA fees
Proof of contractor insurance

Disclosures

Lead-based paint (property constructed before 1978): Yes No

Evidence of mold, rot or water intrusion: Yes No

Prior structural damage or repairs: Yes No

Any unpermitted alterations currently on property: Yes No

Pending litigation or governmental enforcement affecting property: Yes No

Property will be used as short-term rental or transient occupancy: Yes No

Household pets that may affect exterior common areas: Yes No

Representations, Consent and Certification

By submitting this application, Applicant certifies under penalty of perjury that the information provided is true and complete to the best of Applicant's knowledge. Applicant authorizes the association and its representatives to inspect the property during regular business hours for the purpose of reviewing this application. Applicant further represents that all work will comply with the association's governing documents, local building codes and required governmental permits.

Applicant acknowledges that approval by the association is limited to compliance with the association's architectural standards and does not constitute a representation or warranty regarding fitness, workmanship, structural integrity, or compliance with building codes. Applicant agrees to indemnify, defend and hold the association, its officers, directors and agents harmless from claims, liabilities, damages and cost of defense arising from the proposed work, except to the extent caused by the association's gross negligence or willful misconduct.

Applicant understands that the association may require additional information, drawings, samples, a deposit for restoration, or proof of contractor insurance prior to approval. Applicant agrees that any misrepresentation or omission on this application may be grounds for denial or revocation of approval and may subject Applicant to enforcement remedies under the governing documents.

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