PMT17-02525 City of Menifee Permit No.: PMT17-02525
29714 HAUN RD.
�!-�CCEI/7 MENIFEE,CA 92586 Type: Residential Alteration
MENIFEE Date Issued: 07/19/2017
PERMIT
Site Address: 29041 HOGAN DR,MENIFEE,CA 92586 Parcel Number: 338-043-006
Construction Cost: ' $19,533.00
Existing use: 1 &2 Family Residence Proposed Use:
Description of REMOVE&REPLACE EXISTING TUB AND WALL SURROUND. REMOVE AND REPLACE EXISTING
Work: SHOWER PAN AND WALL SURROUND. REPLACE PLUMBING FIXTURES AND EXISTING
WINDOWS. INSTALL SHOWERHEAD.
Owner Contractor
EARL PHILLIPS SEARS HOME IMPROVEMENT PRODUCTS INC
29041 HOGAN DRIVE 1024 FLORIDA CENTRAL PARKWAY
MENIFEE, CA 92586 LONGWOOD, FL 32750
Applicant Phone:4075515402
TERRI WALLACE License Number:721379
SEARS HOME IMPROVEMENT PRODUCTS INC
1024 FLORIDA CENTRAL PARKWAY
LONGWOOD, CA 32750
Fee Description Qtv Amount(El
Plumbing Fixtures and Vents,fixtures 1 116.00.
Building Permit Issuance 1 27.00
GREEN FEE 1 1.00
General Plan Maintenance Fee-Plumbing 1 5.80
$149.80
The issuance of this permit shall not prevent the building official from thereafter requiring the correction of errors in the plans and
specifications or from preventing builiding operations being carded on thereunder when in violation of the Building Code or of any other
ordinance of City of Menifee.Except as otherwise stated,a permit for construction under which no work is commenced within six
months after issuance,or where the work commenced is suspended or abandoned for six months,shall expire,and fees paid shall be
forfeited.
AA_Bldg_Pennit_Template.rpt Page 1 of 1
CITY OF MENIFEE
LICENSED DECLARATION property who builds or Improves thereon,and who contracts for the projects
I hereby affirm under penalty of perjury that I am under provisions of with a licensed contractor(s)pursuant to the Contractors State License Law).
Chapter9(commencing with section 7 00)of Division 3 of the Business and ❑I am exempt from Iicensure underthe Contractor's State License Law for
Professions Code and my license is in f 11 farce and effect. the following reason:
License Clas icense Noll —11 By my signature below I acknowledge that,except for my personal residence
Expires LJ�301 IV Signature in which I must have resided for at least one year prior to completion of
improvements covered by this permit.I cannot legally sell a structure that
WORKER'S COMPENSATION DECLARATION have built as an owner-builder if it has not been constructed In its entirety by
❑1 hereby affirm under penalty of perjury one of the following declarations:I licensed contractors.I understand that a copy of the applicable law,Section
have and will maintain a certificate of consent of self-insure for worker's 7044 of the Business and Professions Code,is available upon request when
compensation,issued by the Director of Industrial Relations as provided for this application is submitted or at the following website:
by Section 3700 of the Labor Code,ued. for h�e.¢e_rfoLLmaPce of work for which www.leeinfo.ca.gav/calaw.html.
this permit is iss LQ. L `�'V—I 7
Polity# Date
o l have and will maintain workers compensation insurance,as required by PROPERTY OWNER OR AUTHORIZED AGENT
section 3700 of the Labor Code,for the performance of the work for which ❑By my signature below I certify to each of the following:I am the property
this permit Is issued.My workers compensation Insurance carrier and policy owner or authorized to act on the property owners behalf.I have read this
number are:
application and the Information I have provided is correct.I agree to comply
Carrier �Y< K1.SR - �trUlll.'ES .l _£. (!s with all applicable city and county ordinances and state laws relating to
1
' �r,� q,��^� building construction.I authorize representatives of this city or county to
Policy#w u q!nAo /Expires i�_ enter the above Identified property for Inspection purposes.
(This section need not to be completed is the permit is for one-hundred Date
dollars($100)or less PROPERTY OWNER OR AUTHORIZED AGENT
❑I certifythat in the performance of the work for which this permit is issued,
I shall not emolov any persons in any manner so as to become subject to the CITY BUSINESS LICENSE#
workers co pensation laws of California,and agree that if I should become HAZARDOUS MATERIAL DECLARATION
subject to th !workers yy��cop nsat' n provisions of Section 3700 of the Labor
Code,I hall rthwith c@ pi i ith those provisions. r 9 r Will the applicant or future building occupant handle hazardous material or a
1 -71 h mixture containing a hazardous material equal to orgreater that the
Applicant Date / mounts specified on the Hazardous Materials Information Guide?
WARNING:FAILURE TO SECURE WORKER'S COMPENSATION COVERAGE IS -ayes OCNo
UNLAWFUL,AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES Will the intended use of the building by the applicant or future building
AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS($100,000),IN occupant require a permit for the construction or modification from South
ADDITION TO THE COST OF COMPENSATION,DAMAGES AS PROVIDED FOR Coast Air Quality Management District(SCAQMD)?See permitting checklist
IN SECTION 3706 OF THE LABOR CODE,INTEREST,AND ATTORNEYS FEES for guidelines
CONSTRUCTION LENDING AGENCY ❑Yes XNo
I hereby affirm that under the penalty of perjury there is a construction Will the proposed building or modified facility be within 1000 feet of the
lending agency forthe performance of the work which this permit is issued outer boundary of a school?
(Section 3097 Civil Code) ayes Po
OWNER BUILDER DECLARATIONS I have read the Hazardous Material Information Guide and the SCAQMD
I hereby affirm under penalty of perjury that I am exempt from the perml ing checklist.I uryerstand my requirements under the State of
Califor is Health&Safel Code,Section 25505 and 25534 concerning
Contractors License Law for the reason(s)indicated below by the
checkmark(s)I have placed next to the applicable item(s)(Section 7031.5 ,hVarz rd us materla Apo Ipg.
Business and Professions Code).Any city or county that requires a permit to I ir�r Na
construct,alter,improve,demolish or repair any structure,prior to its Date '
PROPERTY OWNER AUTHORIZED AGENT
issuance,also requires the applicant for the permit to file a signed statement
that he or she is licensed pursuant to the provisions of the Contractors State EPA RENOVATION,REPAIR AND PAINTING(RRPI
License Law(Chapter 9(commencing with Section 7000)of Division 3 of the The EPA Renovation,Repair and Painting(RRP)Rule requires contractors
Business and Professions Code)or that he or she Is exempt from Iicensure receiving compensation for most work that disturbs paint in a pre-1978
and the basis for the alleged exemption.Any violation of Section 7031.5 by residence or childcare facility to be RRP-certified firms and comply with
an Applicant for a perm it subjects the applicant to a civil penalty of not more required practices.This includes rental property owners and property
than($500). ,, managers who do the paint-disturbing work themselves or through their
o I,as owner of the property,or my employee with wages as their so] Me0% Ve0brnployees.For more information about EPA's Renovation Program visit:
compensation,will do( )all of or( )portion of the work,and tl@10� 1 ;4e www.epa.gov/lead or contact the National Lead Information Center at
not intended or offered for sale.(Section 7044,Business arp Ans ^®R9 1-800-424-LEAD(5323).
Code;The Contractor o s State License Law does not apply to owner a 4 `! ❑An EPA Lead-Safe Certified Renovator will be responsible for this project
property who,through employees'or personal effort,builds or imp h�
property provided that the Improvements are not intended or offered for Certified Firm Name:
sale.If,however,the building or improvement is sold within one year of Q(a„Q Firm Certification No.:-
completion,the Owner-Builder will have the burden of proving tha 0 R
not built or improved for the purpose of sale. ❑No EPA Lead-Safe Certified Firm is required for this project because:
❑I,as owner of the property am exclusively contracting with licensed
contractors to construct the project(Section 7044,Business and Professions
Code:The Contractors State License Law does not apply to an owner of.a If your project does not comply with EPA RRP rule please fill out the RRP
Acknowledgement.
INt v. ING ♦ SAFETY PERMIT/PLAN
• ♦ APPLICATION
ut ➢
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t1
A—Menifee
DATE o-I I101 b-C PERMIT/PLAN CHECK NUMBER
TYPE: []COMMERCIAL ✓]RESIDENTIAL MULTI-FAMILY ❑MOBILE HOME Ej POOL/SPA SIGN
SUBTYPE: ADDITION ]✓ ALTERATION []DEMOLITION ]ELECTRICAL ]MECHANICAL
❑NEW [-]PLUMBING ❑RE-ROOF-NUMBEROFSQUARES
DESCRIPTION OF WORK Bath#1:Remove existing tub and wall surround. Install new tub and wall surround. W
Bath#2:Remove existing shower pan and wall surround. Install new shower pan and wall surround.Replace plumbing fixtures
PROJECT ADDRESS 29041 Hogan Dr.,Sun City,CA 92586
ASSESSOR'S PARCEL NUMBER 338.4314W- 0)-t7j•bd(0 LOT 40—[ TRACT �3�Q
PROPERTY OWNER'S NAME Ead Phillips
ADDRESS 29041 Hogan Dr.,Sun City,CA 92586
PHONE (951)672-1072 EMAIL
APPLICANTNAME
ADDRESS .1 -,E- ) 14 �-, n olvi
PHON(-9 I7&- EMAIL I er,„vIt L.l )r�114,4t--77Pt., ('�
CONTRACTOR'S NAME Sears Home Improvement OWNERBUILDER? ]YES❑✓NO
BUSINESS NAME Sears Home Improvement
ADDRESS 1024 Florida Central Pkwy,Longwood,FL 32750
PHONE (860)952-4112 EMAIL soottdoughman@gopermits.org
CONTRACTOR'S STATE LIC NUMBER 721379 LICENSE CLASSIFICATION
VALUATION$ $19,533.00 gQ FT L SQ FT
PUCANPS SIGNATURE DATE 7 I
CITY STAFF USE ONLY
DEPARTMENT DISTRIBUTION Crt1 OF MENIFEE BUSINESS LICENSE NUMBER
BUILDING PLANNING ENGINEERING FIRE I GREEN I' SMiP
INVOICE ILf,Q PAIDAMOUNT
AMOUNT {4 ` O CASH O CHECK N O CREDIT CARD VI5A(MC
PLAN CHECK FEES PAID AMOUNT 0CASH 0CHECK# OCREDITCARD VISA/MC
OWNER BUILDER VERIFIED 0 YES O NO DL NUMBER NOTARIZED LETTER O YES -" NO
City of Menifee Building&Safety Department 29714 Haun Rd. Menifee,CA 92586 951-672-6777
www.citycfinenifee.us Inspection Request Line 951-246-6213 On116a
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jobsite until completion. S11-ex 20111
1111111111111111 Office Location:SAN DIEGO
Proposal Date 06/26/2017 JJobNumber 22400708 Sears Home Improvement Products,Inc.
Customer Name Seamrs
P 0.Box 522290,Longwood,FL 32750-7579
EARL W PHILLIPS JR Phone(800)4694663
Customers Nome Phone Customer's work Phone Notice of Cancellation may be sent to this address
Street Address ESTIMATE AND PROPOSAL Contractor LlcenselReglsbationNumber
29041 HOGAN DR CA(721379)
city Slate Zip Code Bathroom Remodeling
SUN CITY CA 92586 Is installation within city limits?
Installation Address County RIVERSIDE (Yes/No): NO
Billing Address(if different from above) City Slate Zip Code Project Consultant Name B License No.(if applicable)
HENRY R R FINN 107630
Description of the Project and Description of the Significant Materials to be Used and Equipment to be installed
Showerrrub WAVE FRONT TUB
(including surrounds)
Shower Doors SHOWER - SLIDING
CabinetsiVanities NONE
Countertops NONE V-1
Flooring NONE v
Mirrors/Lighting NONE
The Bathroom Remodel Addendum is made a part of and incorporated into this contract by reference. Customer(s)initials to
1
r
01111111111110
Additional work to be done:2 BATH REMODELS & BATHROOM WINDOWS
Work NOT to be done: Removal or moving of any walls;painting,wallpaper work;repairs of water or termite damage to sub-floors or walls;electrical or
plumbing work outside of this bathroom project.
NO TEXTURE & NO PAINT
SPECIAL INSTRUCTIONS:PLEASE INSTALL WINDOWS AND THEN THE BATHROOMS IN AT A TIME
All of the above check boxes, "Work NOT to be done; 'Additional work to be done; and Customer(s)initials
"Special Instructions"sections have been reviewed and explained to me.
pity Ot Menliee e t
eulldln9 81 gafety p-11F
SBRl-CA (Dig.) Rev 06/14/2016 !Ul 19 20�1_ Page 1 of
1111111111111111 Job Number. 22400708
APPROXIMATE START DATE and APPROXIMATE COMPLETION DATE:
The work will start approximately 4 To 6 WEEK (Approximate Start Date)
It will be substantially completed by approximately 1 WEEK (Approximate Completion Date)
These dates are subject to change at the time the contract is accepted by Sears Home Improvement Products,Inc.(°Searsl or at any other time by mutual
written agreement.Customer understands that the pproxima e Start Date is only an estimated a e and the Customer will a contact pnor to is date to
schedule the actual start date.
MOLD REMEDIATION:This Estimate and Proposal assumes that no mold remediation will be needed during installation work. If, upon inspection by the
contractor or others,it is teamed that mold remedialion is necessary then Customer must arrange and pay for such remediation by a qualified person prior to
the start or continuation of work.If Customer fails to arrange for necessary mold remediaton within thirty(30)days,Sears may cancel this contract upon written
notice to Customer.
Customer(s)initials
PLEASE NOTE that Sears is not responsible for correcting any existing code violations or pre-existing conditions of any subilooring not being replaced at this time.
If additional work is required,it will be the Customer's responsibility.Any additional charges will be quoted and approved prior to the start of any additional work.
Customers)fnttials �'
ASBESTOS ABATEMENT:This Estimate and Proposal assumes that there are no asbestos containing materials(AGMs")that would be disturbed in the
performance of the installation work.If upon further inspection by the contractor or others it is learned that ACMs have to be disturbed to perform work,then
Customer must arrange and pay for abatement of asbestos by a qualified person prior to the start or continuation of work. If Customer faits to arrange for
necessary asbestos abatement within thirty(30)days,Sears may cancel this contract upon Customer(s)initials
written notice to Customer.
The TOTAL PRICE including all labor,material,taxes and any applicable discount is$ 19,533.10 Contract Price ^P$19,533.10
Initial Payment(not to exceed 30%of Total Price unless Special Order)$ 5,859.93 State Sales Tax( 0.00 %) $0.00
Final Payment(balance payable upon completion of job)$ 13,673.17 Local Sales Tax( 0.00 %) $0.00
The Initial Payment is due prior to Sears ordering products. Total Amount Due $19,533.10
The form and method by which the Customer(s)will pay is described in a separate Cash/Credit Customer(s)initials
Card Payment Addendum made a part of and incorporated into this contract by reference.
NOTICE TO BUYER: YOU,THE BUYER, MAY CANCEL THIS TRANSACTION AT ANY TIME PRIOR TO MIDNIGHT OF THE THIRD BUSINESS DAY
(FIFTH BUSINESS DAY IN ALASKA, FIFTEENTH BUSINESS DAY IN NORTH DAKOTA IF YOU ARE AGE 65 OR OLDER)AFTER THE DATE OF THIS
TRANSACTION.SEE THE ATTACHED NOTICE OF CANCELLATION FORM FOR AN EXPLANATION OF THIS RIGHT.
ADDITIONAL PROVISIONS
Proposal and Approval.Sears offers to furnish the materials and arrange for their delivery and installation as specified on the first page and/or the attached
sketches and specification sheets for the TOTAL PRICE shown.This offer must be approved by the Installation Department.If this is a credit sale or a payment
an completion sale,it must be approved by the Credit Sales Department.If this proposal is not approved or the installation cannot be made in accordance with .
the law,this offer will be withdrawn and any payments you have made will be refunded to you.Any materials left over after the installation has been completed '
are Sears property and will be removed by Sears.
Installation.I understand that Sears will not install the materials but will arrange for the installation.Sears is not responsible for materials or installation NOT
furnished or arranged by Sears.Sears'installation contractor(s)will obtain all building permits required by local law.For homes located in historic or landmark
zoning districts,Customer will be responsible for obtaining required approvals and related permits prior to the commencement of work on this contract
Authorization.I authorize Sears to:(1)arrange for a contractor(licensed where required by law)to make the installation of materials;(2)issue a work order
for this installation to a contractor;(3)inspect the installation;and(4)pay the contractor when the installation is complete if I have signed a certificate that the.
installation has been completed to my satisfaction.
Delays in Installation.I agree that Sears is not responsible for delays in delivery or installation due to weather,fire,strikes,war,government regulations or any
causes beyond Sears'control.
Oral Agreements and Changes in Contract.I understand that there are no oral agreements between Sears and me.Everything I expect Sears to do has been
included in writing in this contract.Nothing can be changed in this contract unless it is in writing on a separate form accepted by me and Sears.
Responsibility of Buyer.I agree that any information or measurements that I give to Sears are correct and complete.I am responsible for any special work
described in this contract.
Electrical&Plumbing Service.I will provide adequate electrical and/or plumbing service(s)to run any newly installed appliances or other furnishings. lithe
electrical and/or plumbing service(s)do not meet the standards of the utility company or electrical and/or plumbing codes,I will make the necessary changes at
my expense unless Sears has agreed in this contract to make the changes.
Payment.I will pay Sears the cash price that covers the price of material and installation as shown on the first page.
Warranty Information.Appropriate product warranty documents will be given to me by Sears.Sears'Warranty on Installation is:
SEARS'LIMITED WARRANTY ON INSTALLATION
In addition to any manufacturer warranty extended to you on the product(s)used(which warranty becomes effective the date the merchandise is installed),if
the workmanship(or application)of any Sears'arranged installation proves faulty within one year after the completion of installation,then upon notice from you
Sears will cause such faults to be corrected by repair at no additional cost to you.If Sears determines that repair is not commercially practicable or cannot be
timely made,then,at Sears'sole discretion,Sears may elect to provide replacement or refund.Service under this Limited Warranty is available by calling
Sears Home Improvement Products at 1-800-222.5030,Option 4.This warranty gives you specificlegaldghts,andyoumayalsohaveotherdghtsthat
vary from State t0 State.
SBRl-CA (Dig.) Rev 06/14/2016 Page 2 of4
Job Number. 22400708
NOTICE TO BUYER
NOTICE TO BUYER: YOU, THE BUYER, MAY CANCEL THIS TRANSACTION AT ANY TIME PRIOR TO MIDNIGHT OF THE THIRD BUSINESS DAY
[FIFTH BUSINESS DAY IN ALASKA, FIFTEENTH BUSINESS DAY IN NORTH DAKOTA IF YOU ARE AGE 65 OR OLDER]AFTER THE DATE OF THIS
TRANSACTION.SEE THE ATTACHED NOTICE OF CANCELLATION FORM FOR AN EXPLANATION OF THIS RIGHT.
1. DO NOT SIGN THEAGREEMENT IFANYOFTHE SPACES INTENDED FORTHEAGREED TERMS TO THE EXTENT OFTHEAVAILABLE INFORMATION
ARE LEFT BLANK.
2. YOU ARE ENTITLED TO A COPY OF THIS AGREEMENT AT THE TIME YOU SIGN IT.KEEP IT TO PROTECT YOUR LEGAL RIGHTS.
3. YOU MAY PAY OFF THE FULL UNPAID BALANCE DUE UNDER THE AGREEMENT AT ANY TIME,AND IN SO DOING YOU SHALL BE ENTITLED TO
A FULL REBATE OF THE UNEARNED FINANCE AND INSURANCE CHARGES.
4. YOU MAY CANCEL THIS TRANSACTION AT ANY TIME PRIOR TO MIDNIGHT OF THE THIRD BUSINESS DAY[FIFTH BUSINESS DAY IN ALASKA,
FIFTEENTH BUSINESS DAY IN NORTH DAKOTA IF YOU ARE AGE 65 OR OLDER]AFTER THE DATE OF THIS TRANSACTION.SEE THE ATTACHED
NOTICE OF CANCELLATION FORM FOR AN EXPLANATION OF THIS RIGHT. FAILURE TO EXERCISE THIS OPTION, HOWEVER, WILL NOT
INTERFERE WITH ANY OTHER REMEDIES AGAINST THE RETAIL SELLER YOU MAY POSSESS. IF YOU WISH, YOU MAY USE THIS PAGE AS
NOTIFICATION BYWRITING"I HEREBY RESCIND"AND ADDING YOUR NAME AND ADDRESS.A DUPLICATE OF THIS RECEIPT IS PROVIDED BY
THE SELLER FOR YOUR RECORDS.
5. IT SHALL NOT BE LEGAL FOR THE SELLER TO ENTER YOUR PREMISES UNLAWFULLY OR COMMIT ANY BREACH OF THE PEACE TO
REPOSSESS GOODS PURCHASED UNDER THIS AGREEMENT.
NOTICE: This is a HOME IMPROVEMENT CONTRACT as defined in Section 7151.2 of the Contractors'State License Law.A notice concerning
commercial general liability insurance is attached to this contract.A notice concerning workers'compensation insurance is attached to
this contract.
NOTICE TO BUYER: You are entitled to a completely filled in copy of this agreement, signed by both you and the
contractor, before any work may be started.
If this contract has not been negotiated at Sears'place of business and is for the repair or restoration of residential premises damaged by a disaster,then your
right to cancel is extended from three(3)to seven(7)days.See the attached Notice of Cancellation form for an explanation of this right.
The law requires that the contractor give you a notice explaining your right to cancel.
Initial the checkbox if the contractor has given a "Notice of the Three-Day Right to Cancel."
Customer(s)initials
Initial the checkbox if the contractor has given a"Notice of the Seven-Day Right to Cancel."
Customer(s)initials
Notice to California Residents:
If this contract is a home improvement contract,as specified in California Business and Professions Code Section 7159,in a sum in excess of$500
cash price and with a down payment being made in excess of$1,000 or ten percent of the contract price,whichever is lesser,and/or a payment
schedule which may provide that the contractor is to receive in excess of 100 percent of the value of the work performed on the project at any
time before completion,this contract is covered by blanket performance and payment bond No.4136874,issued by Safeco Insurance Company of
America as surety,Safeco Plaza,Seattle,WA 98185.
06/26/2017 06/26/2017
Customer's signature Date Customer's signature (� Date
Accepted by Sears Home Improvement Products,Inc.("Sears)on 06/26/2017 by: V
Date Management Representative
SBR3-CA (Dig.) Rev 06/14/2016 Page 3 of4
Job Number: 22400708
Note about Extra Work and Change Orders
Extra Work and Change Orders become part of the contract once the order is prepared in writing and signed by the parties prior to the commencement of the
work covered by the new change orders.The order must describe the scope of the extra or change,the cost to be added or subtracted from the contract
and the effect the order will have on the schedule of progress payments. Change orders required by the building department at the job site shall be
considered incorporated into the contract without being signed by both parties.
MECHANICS LIEN WARNING:
Anyone who helps improve your property,but who is not paid,may record what is called a mechanics'lien on your property.Amechanics'lien is a claim,like a
mortgage or home equity loan,made against your property and recorded with the county recorder.
Even if you pay your contractor in full,unpaid subcontractors,suppliers,and laborers who helped to improve your property may record mechanics'liens and
sue you in court to foreclose the lien.If a court finds the lien is valid,you could be forced to pay twice or have a court officer sell your home to pay the lien.
Liens can also affect your credit.
To preserve their right to record a lien,each subcontractor and material supplier must provide you with a document called a'20-day Preliminary Notice.'This
notice is not a lien.The purpose of the notice is to let you know that the person who sends you the notice has the right to record a lien on your property if he
or she is not paid.
BE CAREFUL.The Preliminary Notice can be sent up to 20 days after the subcontractor starts work or the supplier provides material.This can be a big problem
if you pay your contractor before you have received the Preliminary Notices.
You will not get Preliminary Notices from your prime contractor or from laborers who work on your project.The law assumes that you already know they are
improving your property.
PROTECT YOURSELF FROM LIENS.You can protect yourself from liens by getting a list from your contractor of all the subcontractors and material suppliers
that work on your project.Find out from your contractor when these subcontractors started work and when these suppliers delivered goods or materials.Then
wait 20 days,paying attention to the Preliminary Notices you receive.
PAY WITH JOINT CHECKS.One way to protect yourself is to pay with ajoint check.When your contractor tells you it is time to pay for the work of a subcontractor
or supplier who has provided you with a Preliminary Notice,write ajoint check payable to both the contractor and the subcontractor or material supplier.
For other ways to prevent liens,visit CSLB's Web site at www.cslb.ca.gov or call CSLB at 800-321-CSLB(2752).
REMEMBER,IF YOU DO NOTHING,YOU RISK HAVING A LIEN PLACED ON YOUR HOME.This can mean that you may have to pay twice,or face the forced
sale of your home to pay what you owe.
Information about the Contractors' State License Board (CSLB): CSLB is the state consumer protection agency that licenses
and regulates construction contractors.
Contact CSLB for information about the licensed contractor you are considering, including information about disclosable
complaints, disciplinary actions and civil judgments that are reported to CSLB.
Use only licensed contractors. If you fi le a complaint against a licensed contractor within the legal deadline (usually four years),
CSLB has authority to investigate the complaint. If you use an unlicensed contractor, CSLB may not be able to help you resolve
your complaint. Your only remedy may be in civil court, and you may be liable for damages arising out of any injuries to the
unlicensed contractor or the unlicensed contractors employees.
For more information: Visit CSLB's Web site at www.cslb.ca.gov
Call CSLB at 800-321-CSLB (2752)
Write CSLB at P.O. Box 26000,Sacramento,CA 95826.
SBRl-CA (Dig.) Rev 0 6114/2 0 1 6 Page of
Bathroom Remodel Addendum
Lead Number: 22400708 Date: 6/26/2017 Sales Rep: Henry R R Finn
Customer Name: P R Phone: (951)672-1072
Address: 29041 Hogan Dr
City: Sun City State: CA Zipcode: 92586
City of Menitee
Building & Satety Dept.
JUL 1 9 2C
Received
Bathroom Remodel Addendum
N4 � T�i y. 3�+5/i."r 4 .1 r�'•�`�` dr .,..«r 4"1 y" v _ x
Description Comments
Master&Guest Bathroom
�..,...� �'-
6x6 Tile Pattern- Wall Surrounds, 3 Soap Dish Wall System all wall panels 65"X98.5"6x6 Tile Pattern
3 Soap Dish
Walls
Adders: Wall Surround Finish:Travertine
BCIP-Slider Shower Door. Shower-Sliding
Adders: Shower Door Height:70 314" - - -
Shower Door Width:58"-60"
Shower Door Finish:Brushed Nickel
Shower Door Glass:Rain - - -Comer Caddy Comer Caddy. Comer Caddy-Am.Acrylic
Adders: Corner Caddy Shelves:4 Shelves with Shaving Stand
Comer Caddy Finish:Travertine - -
- Corner Caddy Shape:Standard Comer Caddy Comer Caddy. Comer Caddy-Am.Acrylic
Adders: Corner Caddy Shelves:4 Shelves
Comer Caddy Finish:Travertine
Comer Caddy Shape:Standard
Custom Pan- Am Acrylic Bath Sys. Custom Shower Pan-UC/R Drain(Max W 28"-36"&L 30%60")
Am
Adders: Shower Pan Finish:White -
Drains Drains. Drains
Adders: Drain Finish:Brushed Nickel
MT-2112 Shower. Moen-MT-2112-Kingsley Shower-Trim/Valve
Adders: Faucet Finish:Brushed Nickel
MT-2113 Tub/Shower. Moen-MT-2113-Kingsley Tub/Shower-Trim/Valve(posi valve)
Adders: Faucet.Finish:Brushed Nickel
Over Flow Over Flow. Over Flow
Adders: Over Flow Finish:Brushed Nickel -
Wave Front Am Acrylic Bath Sys. Wave Front Tub
Adders:- Tub Length:60
Tub Depth:15 -
Tub.Width:32 - -tub Drain:Left - - -
Tub Finish:White -
WindowKil Window Kits. Window Kits-Am.Acrylic
Adders: - Window Kit Finish:Travertine- - -
City & S elin Dept.
ee
Building
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Bathroom Remodel Addendum
06 26 2017 I06 26 2017
Customer Signature Date Customer Signature Date