Permitless Alteration Form

UNITED LIKE-FOR-EQUIVALENT ALTERATION FORM

This form shall be completed by the member in accordance with Resolution 01-24-89 and submitted to Manor Alterations. Along with this form, the member shall also submit photos of the "before" and "after" installation. If before photos are not available, the member shall provide a detailed explanation in the Existing Installation field below. Once the completed form is submitted, the member will receive a confirmation email from Manor Alterations, including an assigned receipt number. Members must retain this receipt number and form for their records. If a confirmation email is not received, please contact Manor Alterations at alterations@vmsinc.org or 949-597-4616.

The undersigned, a member of United Laguna Woods Mutual, hereby submits this completed form in order to document the manor alteration described herein. Said alteration shall be performed in accordance with City of Laguna Woods code and the mutual policies. A duly licensed and insured contractor shall perform all code required work, as identified by city permit required below, and which is described incorporated herein. The undersigned also understands and acknowledges that they are responsible for their actions and those of the contractor(s). By making this alteration the undersigned is acknowledging that they are taking full responsibility for the alteration described below and they also understand and acknowledge that they are responsible for any repercussions, damages, claims, fines or violations that result from the actions or inactions of myself and/or the contractor(s) regarding this installation/alteration. The undersigned also agree to be responsible for any damages to the manor and/or my neighbor's manor as a result of these alterations/modifications. The undersigned also releases United Mutual from any liability as a result of these alterations/modifications.

"LIKE FOR EQUIVALENT" ALTERATIONS

"Like for Equivalent," alterations are inclusive of the same size envelope and location, same power connection, voltage, amperage, function, flow and plumbing connections outside of the wall. Any alterations beyond the "Like for Equivalent" scope will require a Mutual Consent. If you have any questions, please contact Manor Alterations.

Please select the category which applies to your United Like-for-Equivalent Alteration

For a full description of categories, please click here.

Category I: Replace items that have already received alteration approval and are currently installed. Category II: For component replacement in (original) unaltered areas.*

Category ICategory II

Please select your alteration from the approved list below:*

Existing installation: Please provide details of existing appliances/materials (make, model, amperage, etc)*

Enter make & model

New installation: Please provide details of new appliances/materials (make, model, amperage, etc)*

Enter make & model

Full Name*

First NameLast Name

Manor Number*

Enter manor number

Manor Unit*

Enter manor unit

Resident ID*

Enter resident ID number

Email*

example@example.com

Phone Number*

Please enter a valid phone number.

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