Well I just took my game back to before my Sim moved in and tried again after making sure the lift shafts had public markers in them.
As soon as my Sim arrives at the lot to head to his room three NPC Sims immediately leave the lift and walk off-lot. They are usually mixologists or bouncers. Within the hour I had a firefighter turn up and fade out in front of the lift.
I haven't played long enough on this run yet to see but last time whenever a paper was due to be delivered the paper boy would cycle to the lot as usual, drop the paper and then head to the lift to fade out instead of cycling away.
I'm going to remove the lifts and see what happens.
ETA: Without the lifts there don't seem to be as many NPCs spawning but it still happens only now they are vanishing and spawning at the edge of the lot instead of by the lift (which I have removed as mentioned previously).
I just counted and 51 Sims are listed on the callbox of this 8 apartment building!
ETA2: Moved my Sim into another apartment lot based from the same downloaded lot and there are no issues. My Sim still doesn't like using the lifts but will do on his own when the carpool arrives. No random NPCs spawning or vanishing and one genuine NPC family has moved in.
When telling my Sim to visit the old lot there are still 25 Sims listed on the call box despite there being no available 'Ring Bell' options on the NPC doors. They are all greyed out.
ETA3: It's not the lot! I removed the lot completely and all of the NPCs listed as occupants all started to appear on the call box of a different apartment lot which was previously listed as having no inhabitants. Looks like this world save is just doomed to never have apartments. It did it with a prebuilt EA shell apartment as well.
I've played an EA apartment in Bridgeport but never noticed this behaviour before.
ETA4: I took drastic (?) measures and made use of the "destroyallhumans" command. Putting a fresh copy of my Sim into the apartment lot I have not had NPCs insessantly spawning and leaving the lot. I have seen ones such as burglars and firefighters show up who I don't think should be doing but none are spawning out of the lift in a morning or complaining it is late before leaving.
There are only about 15 Sims listed on the call box now and roughly 25 on the neighbouring apartment call box. Still doesn't seem right but the spawning at least seems to have stopped... for now.