Do I need a notary for the rental inspection exemption application?

No. The application is signed and dated without a notary, but the city also requires a notarized letter stating the property is no longer a rental unit.

Who can apply for a rental inspection exemption?

A property owner can use this application to certify that the property is no longer a rental unit and request an exemption from Pinole's Residential Rental Inspection Program.

What information does the application ask for?

It asks for the property address, APN, occupancy group, property type, number of buildings and units, and the owner's name, address, phone number, and email.

How do I submit the rental inspection exemption application?

The document does not give a submission address or method. Submit it to the city department named on the form; check the city website for current contact details.

Pinole, CA · Contra Costa County

No notary required

Application for Exemption from the Residential Health and Safety Rental Inspection Program

Property owners use this application to ask Pinole to exempt a property that is no longer a rental unit from its Residential Rental Inspection Program.

What this form is

This application asks Pinole to exempt a property that is no longer a rental unit from the Residential Rental Inspection Program. It requests the property address, APN, occupancy group, property type, building and unit counts, and owner contact details. The owner certifies the property is no longer rented and acknowledges that a notarized letter is also required.

Who needs it

A property owner seeking an exemption for a property that is no longer a rental unit should complete this application.

How to submit it

Submit it to the city department named on the form; check the city website for current contact details.

About notarization

The application is signed and dated without a notary; the city also requires a notarized letter stating the property is no longer a rental unit.

How to submit this form

1
Download the Application
Download the rental inspection exemption application PDF.
2
Complete the Property Details
Enter the property and owner information requested on the form.
3
Gather the Required Letter
Obtain the notarized letter stating the address is no longer a rental unit and addressing discontinued monetary gain and tax records.
4
Sign and Submit
Sign and date the application, then submit it to the city department named on the form.

Frequently asked questions

Do I need a notary for the rental inspection exemption application?: No. The application is signed and dated without a notary, but the city also requires a notarized letter stating the property is no longer a rental unit.
Who can apply for a rental inspection exemption?: A property owner can use this application to certify that the property is no longer a rental unit and request an exemption from Pinole's Residential Rental Inspection Program.
What information does the application ask for?: It asks for the property address, APN, occupancy group, property type, number of buildings and units, and the owner's name, address, phone number, and email.
How do I submit the rental inspection exemption application?: The document does not give a submission address or method. Submit it to the city department named on the form; check the city website for current contact details.

Need something notarized?

This Application for Exemption from the Residential Health and Safety Rental Inspection Program doesn’t need a notary — but if you have another Pinole form that does, a commissioned online notary can help.