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17-18835
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17-18835
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Last modified
7/30/2018 11:17:46 AM
Creation date
7/30/2018 11:17:44 AM
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Building Department
Company Name
PAKHILL
Building Department - Doc Type
Permit
Permit #
17-18835
Building Department - Name
MASHBURN,MONTGOMERY L
Address
38831 NORTH AVE
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� ' l�IN p <br /> �-�"'°"�' INSTALLATION AGREEMENT <br /> HOMEOWNERS Page i of 2 <br /> CHOICE CONSTRUC'TION <br /> EIN#81-1725414 Phone:(877)6523555 <br /> LIC#CBC1261240 www.homeownerschoiceconstruction.com <br /> DATE: � Z� iQ.. CUSTOMER NAME: 1"1.61YLT'� Mdt�'�G� -�/•) <br /> PHONE:(� 108 ADDRE55: � ��� �DP}/1 /d1 Jl�D�r�no,l�S <br /> Exterior Work:ROOF <br /> � {� <br /> Shingle Type: Y � �1�r I1�I'� 1]" Flat Roof: 1�N0 ❑YES FR Color:�`':., <br /> Shingle Color:_�fi . � d • Drip Edge Color:�,�Ridge Vent: ❑Metal �yp Cobre ❑Off-Ridge 4' RV Color:�� <br /> Underlayment: ❑301b Felt(�ood) �Syrithetic{aeccer) �Peel&Stick(sen) NOTE:Roof pitch can affect what underlayment is allowed per building codes. <br /> Dish: ❑DISPOSE ❑KEEP NOTE:If you keep the dish,please call your satellite provider upon completion to reinstall&calibrate it.HCG does not reinstall dish <br /> HOA Approval:CUSTOMER accepts full responsibility for obtaining any necessary HOA approvals for the scope of work and material types/colors. Initial:������i��� <br /> 7 <br /> Interior/Other Work or Notes: �'r a._,_I_ nsurance Claim Example: <br /> ..�.,�,n <br /> _�-_��lt-n�r���e„�.,o,�.�,,, S�•��- _JOB TOTAC(�p�rc�efi78fi�bs#"oPFroved by insurance) $15,000 <br /> i� � ��,.I lohn Doe has a$3,00�cleductible , $3,000 <br /> '�--�e�..��=.---F4l�-I-/.L--.�i�,�u.. ..____ Insurance.pays HCC $12,OD0 <br /> --�b lae�_.�l�.�d�c_.__��Q- .._ <br /> John Doe pays HCC his deductible $3,�00 <br /> __._;______._..___-_._...____�,�_.—_v_._.�r.. .____ 108 TOTAL is paid to HCC to complete rhe work $I5,000 <br /> __..._..__—___-.._.._._.—__ ' —__.___..�.. __- -- NOTf:This is an example of a simple insurance job.Tlte numbe�s akove are not <br /> related to the specific job in�his agreement Each jab varles as cosis for items <br /> -""-'�'�-�"-'�`-�"' - '�`--"���-��— - such as rotien wood replocement i�parac�es,suppl�men!s,etc.would affect the <br /> final breokdown o�the job. <br /> . � <br /> JOB TOTAL: ,�Q � Payment Notes: �� � 2:��' <br /> � <br /> $���1 � <br /> 41pr� c�arr4�. <br /> . � <br /> installation Payme�t:CUSTOMER agrees to promptly release the 1"Insurence Check,CUSTOMER'S Deductible Amount,and any/all Upgredes to HCC at <br /> completion of the roof.GUSTONIER agrees not to withhold said payments over minor construction defects/disputes and/or status of the county's final inspection. <br /> Payees on Insurance Check(s): �44}�� '�i i��Q��..iR +�5��� Check Expiration oate: <br /> Bank EndorsemenY Process:Flease check ONE in each section below if a Bank's name is also listed as a pa�ye�e on tife in�su`r�-ance�(ieck(s).If NO,please leave blank. <br /> Section 1: ❑Monitored ❑Non-Monitored <br /> Section 2: ❑Mail Away ❑Lo�cal Bank Endorsement <br /> Section 3: �CUSTOMER will handle the Bank Endorsement ❑HCC will handle the Bank Endorsement <br /> Missed Items and/or Suppleri�ents/Hidden Damages: <br /> CUSTOMER agrees to allow HCC fo request supplemental funds from CUSTOMER'S insurance company for mistakes,items missed,do�umented pri�e increases, <br /> overhead&profit,underlying damage,etc.that may not be reflected on the insurence Settlement Statement.CUSTOMER agrees to release all supplemental funds(ff <br /> any}to NCC.This will not affect the amount CUSTOMER will have to pay out-of-pocket.Exdusion:Most insurance companies will not cover rotten wood unless <br /> directly damaged by the storm(Please see reverse side for more details). Initial:��,,,���-%�; <br /> Solar Panels:�NO ❑YES �IfYES,check ONE below: <br /> ❑CUSTOMEfi�wili'fiandle the solar panel portion of this project.CUSTOMER will have the panels removed and plumbing capped off rp 3or to the roof installatton <br /> date.The funds from the insurance company for the solar panels will be returned when all work in this agreement is complete and HCC has been paid in full. <br /> ; <br /> �CUSTOMER allows HCC to rerriove&dispose of the panels.CUSTOMER ensures the plumbing is inactive and capped off prior to install.There is a$250 <br /> emergency plumbing fee if it is i t ready upon our crew's arrival.The reinstallation funds will be returned when all work is complete and HCC has been paid in fuA. <br /> CUSTO ER�'INITIAL HCC INITIAL i <br /> � <br /> ***PLEASE INITIAL(3)FRONT AREAS&SIGN THE REVERSE SIDE OF BOTH WHITE AND YELLOW COPIES*** <br />� WHITECOPY-HCC ♦ YELLOWCOPY-CUSTOMER <br /> Ver.0619170 <br />
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