THIRD LAGUNA HILLS<\/p>\n
Application for Co-occupancy Permit<\/p>\n
Check List<\/p>\n
Please print clearly on your application so the information provided will be legible for digital<\/p>\n
imaging. Please return completed form to Salina Kuresa in Community Services or via email at<\/p>\n
salina.kuresa@vmesinc.org; 949-268-2393.<\/p>\n
All new Co-occupants and Non-Resident Members wishing to reside in the Unit shall complete and<\/p>\n
provide the following:<\/p>\n
Complete \u201cApplication for Co-occupancy Permit\u201d form<\/p>\n
All Members and Co-occupants to provide copy of age verification document(s)<\/p>\n
(driver’s license, passport or birth certificate)<\/p>\n
Initial understanding of the \u201cno rents will be paid or collected during the duration<\/p>\n
of applicant’s occupancy\u201d statement<\/p>\n
Initial Member acknowledgment of 3rd Party Occupancy Fee (if applicable) and<\/p>\n
Member responsibility to notify Mutual of cancellation of occupancy status and to return<\/p>\n
occupant ID card to avoid charges to the account.<\/p>\n
Sign and date application and confirm which Member(s) to reside or not reside in unit<\/p>\n
Initial and Sign \u201cImportant Information for Third Laguna Hills Mutual\u201d form<\/p>\n
Review \u201cDisclosure notice re asbestos-containing construction materials\u201d<\/p>\n
After Board Approval:<\/p>\n
Complete the Everbridge Emergency Notification Record on the attached form or online at<\/p>\n
lagunawoodsvillage.com, scroll to the Everbridge icon at the bottom of any page and click \u201cSign up<\/p>\n
today.\u201d<\/p>\n
Revised 12\/2025
\nTHIRD AGUNA HILLS<\/p>\n
Application for Co-occupancy Permit<\/p>\n
Unit address<\/p>\n
Applicant 1 and Applicant 2 Information<\/p>\n
Last name<\/p>\n
First name<\/p>\n
MI<\/p>\n
Social Security No.<\/p>\n
Birthdate<\/p>\n
Home phone<\/p>\n
Mobile phone<\/p>\n
Email<\/p>\n
Marital [] Married [] Widowed [] Single<\/p>\n
If under 45 years of age, indicate if spouse\/registered<\/p>\n
Status<\/p>\n
[] Divorced [] Separated<\/p>\n
domestic partner [] or if applicant is a disabled child \/<\/p>\n
[J Registered Domestic Partner<\/p>\n
grandchild []<\/p>\n
Last name<\/p>\n
First name<\/p>\n
MI<\/p>\n
Social Security No.<\/p>\n
Birthdate<\/p>\n
Home phone<\/p>\n
Mobile phone<\/p>\n
Email<\/p>\n
Marital<\/p>\n
[] Married [] Widowed [] Single<\/p>\n
If under 45 years of age, indicate if spouse\/registered<\/p>\n
Status<\/p>\n
[] Divorced [] Separated<\/p>\n
domestic partner [] or if applicant is a disabled child \/<\/p>\n
[1 Registered Domestic Partner<\/p>\n
grandchild []<\/p>\n
Previous address<\/p>\n
State<\/p>\n
Applicant relationship to member<\/p>\n
City<\/p>\n
Zip<\/p>\n
In case of emergency, notify<\/p>\n
Relationship to applicant<\/p>\n
Address<\/p>\n
Telephone #<\/p>\n
Member\/Co-occupant Acknowledgements<\/p>\n
We hereby apply for approval of the applicant to reside in the unit identified above as an occupant and affirm that the information<\/p>\n
provided herein is accurate to the best of our knowledge. We have read the terms and conditions for such occupancy on the reverse side of<\/p>\n
this application and agree to be bound by the terms therein. We have received a copy of the notice informing us of the possible existence of<\/p>\n
asbestos in certain buildings.<\/p>\n
We swear, under penalty of perjury, that there will not be a landlord-tenant relationship between shareholder and occupant, and<\/p>\n
that no rents will be paid or collected during the duration of applicant\u2019s occupancy, unless a lease is executed through the Laguna<\/p>\n
Woods Village leasing office.<\/p>\n
** All Members and Co-occupants must initial and agree to the \u201cno rents paid or collected\u201d statement above:<\/p>\n
Member Acknowledgment of Additional Occupant Fee and Occupancy Cancellation<\/p>\n
* Member is aware of and agrees to pay to the mutual an additional sum each month for each occupant of the unit in excess of<\/p>\n
two, at the rate prescribed by the mutual and GRF. A schedule of fees is available upon request and is subject to change<\/p>\n
annually. Additional fee is added to the member\u2019s account.<\/p>\n
All Members must Initial:<\/p>\n
\u00ab Member is responsible for notifying Laguna Woods Village when additional occupant(s) have moved out of the unit and for<\/p>\n
returning additional occupant(s) ID card to avoid charges to the account. All Members must Initial:<\/p>\n
Date<\/p>\n
Co-occupant name (print)<\/p>\n
Signature<\/p>\n
Co-occupant name (print)<\/p>\n
Signature<\/p>\n
Date<\/p>\n
Member name (print)<\/p>\n
Signature<\/p>\n
Date<\/p>\n
To reside? [] Yes [] No<\/p>\n
4<\/p>\n
Member name (print)<\/p>\n
Signature<\/p>\n
Date<\/p>\n
To reside? [] Yes [] No<\/p>\n
Member name (print)<\/p>\n
Signature<\/p>\n
Date<\/p>\n
To reside? [] Yes [] No<\/p>\n
Revised 12\/2025
\ny<\/p>\n
HILLS<\/p>\n
THIRD LAGUNA<\/p>\n
A<\/p>\n
L<\/p>\n
Application for Co-occupancy Permit \u2014 Page 2<\/p>\n
Primary rules governing occupancy \u2014 Third Laguna Hills Mutual<\/p>\n
The parties to this agreement are the mutual corporation, hereinafter referred to as \u201cthe mutual\u2019; the member, hereinafter<\/p>\n
referred to as \u201cmember,\u201d and whose signature appears on the reverse side of this application; and the applicant(s) for<\/p>\n
occupancy, hereinafter referred to as \u201cco-occupant,\u201d and whose signature appears on the reverse side of this application.<\/p>\n
In consideration of their mutual undertakings, and by executing this application, the parties hereto agree as follows:<\/p>\n
1<\/p>\n
Co-occupant shall be entitled to occupy the unit indicated on the reverse side of this application.<\/p>\n
2<\/p>\n
Co-occupant and member affirm their intent that the co-occupant will reside in this unit and that occupant is 45<\/p>\n
years of age or older, or is the spouse or registered domestic partner of the qualifying resident, or is a disabled<\/p>\n
child\/grandchild.<\/p>\n
Non-members may reside only if they are approved to co-occupy (and meet the requirements of Section 2 above),<\/p>\n
and reside with a qualifying member who is at least 55 years of age.<\/p>\n
Co-occupant shall be entitled to the use and enjoyment of the facilities and services provided by the Golden Rain<\/p>\n
Foundation on the same basis as members of the foundation, but will have neither ownership nor voting rights in<\/p>\n
the foundation or any mutual.<\/p>\n
Member shall be responsible for the conduct and deportment of the co-occupant.<\/p>\n
Co-occupant shall be subject to the same rules, regulations and restrictions that are applicable to the member,<\/p>\n
except with respect to payment of carrying charges. If co-occupant ever shall become the legal or equitable owner<\/p>\n
of the membership, co-occupant will apply for membership in the mutual in the form generally used by the mutual<\/p>\n
and will pay all amounts due pursuant to the CC&R\u2019s.<\/p>\n
Member and co-occupant shall be equally responsible for payment of any charges incurred by co-occupant in<\/p>\n
respect to service provided by Golden Rain Foundation or the mutual.<\/p>\n
Member agrees to pay to the mutual an additional sum each month for each occupant of the unit in excess of two,<\/p>\n
at the rate prescribed by the mutual and\/or GRF.<\/p>\n
Members shall be responsible for canceling the co-occupancy status and returning co-occupant\u2019s ID when<\/p>\n
occupant ceases to reside in the unit.<\/p>\n
10<\/p>\n
Any party may terminate this agreement at any time upon 30 days written notice to the other parties to this<\/p>\n
agreement.<\/p>\n
1<\/p>\n
In order to induce the mutual to execute this agreement, the other parties agree that they have no rights against<\/p>\n
the mutual as a direct or indirect result of the execution of this agreement, and in the event that there are any<\/p>\n
expenses incurred by the mutual to enforce the terms of this agreement, or to remove or take other action, or to<\/p>\n
defend any action relative to member or co-occupant, as a direct or indirect result of this agreement, member and<\/p>\n
co-occupant agree to hold the mutual harmless from and to pay all costs or expenses incurred by the mutual,<\/p>\n
including, but not limited to, attorney\u2019s fees, court costs or related expenses.<\/p>\n
12<\/p>\n
Guests may stay a maximum of 60 days per year, and only while the qualifying senior resident is in residence.<\/p>\n
Notice to members and applicants<\/p>\n
Approval of this application by the mutual, in and of itself, does not confer any right on the co-occupant other than the<\/p>\n
revocable right to occupy the unit named on the reverse of this form. As indicated, both member and the mutual generally<\/p>\n
have the right to terminate occupant status at any time, without cause, provided, however, that Section 51.3 of the<\/p>\n
California Civil Code may be interpreted to inhibit this right of termination in certain circumstances.<\/p>\n
Revised 12\/2025
\nNA HILLS<\/p>\n
Unit number<\/p>\n
THIRD LAGU<\/p>\n
AL<\/p>\n
Important Information for Third Laguna Hills Mutual<\/p>\n
Laguna Woods Village is an independent-lifestyle and age-restricted community (as defined by California Civil Code<\/p>\n
\u00a751.3) that does not provide any form of healthcare or assisted living. Each resident is responsible for his\/her own<\/p>\n
care and welfare. All caregivers need to be approved by the Mutual.<\/p>\n
Third Mutual is a common interest development with rules and regulations regarding, residency, parking, pets,<\/p>\n
traffic, storage, noise, etc.<\/p>\n
The Mutual insures only the exterior walls of the units. Owners need to seek advice from their own insurance<\/p>\n
agent regarding condominium insurance (HOB) for personal possessions, all things inside the manor, and any<\/p>\n
exterior upgrades or alterations.<\/p>\n
Appearance of the Community is important, and residents are required to keep their balconies, patios, walkways and<\/p>\n
carports free from clutter.<\/p>\n
When moving into the Community, residents are asked to break down and stack moving boxes next to trash<\/p>\n
dumpsters or at curbside for routine pickup. Please be advised that there are weight and volume restrictions. Call<\/p>\n
CR&R at 949-625-6735 to arrange to have excessive moving material hauled away as a chargeable service. When<\/p>\n
moving out of the Community, the resident is responsible for hauling away excessive materials\/furniture.<\/p>\n
Owners are required to check with the Manor Alterations Department before making any structural or landscape<\/p>\n
alteration. Alterations are prohibited without prior review and Mutual consent and\/or city permits may be needed.<\/p>\n
Contact the Manor Alterations Department at 949-597-4616 or alterations@vmsinc.org to inquire on what is<\/p>\n
required. Owners are financially responsible for the maintenance of alterations, even if the Mutual performs the<\/p>\n
work. Contractors trash must not be put into any Community dumpsters.<\/p>\n
Relatives and other guests may stay overnight for a total of 60 days in any 12-month period, but may not stay in the<\/p>\n
unit during the absence of the member. Non-frequent guests, vendors and contractors are to be called through the<\/p>\n
gate (949-597-4301) or registered through dwellingLive.<\/p>\n
Board approval is required for all persons wishing to reside in the Community. Contact Community Services at 949-<\/p>\n
268-2393 before any change in residency status.<\/p>\n
The use of the elevator when moving into a multistory building requires the placement of elevator protection<\/p>\n
pads, which can be requested through Security Dispatch, 949-580-1400.<\/p>\n
10<\/p>\n
Condominium owners receive property tax notices and billings directly from the OC Tax Assessor’s Office 714-834-<\/p>\n
2727. Owners are responsible for paying their own taxes.<\/p>\n
11<\/p>\n
Third Mutual has reached its 25% leasing cap and new owners may not be permitted to lease their unit until the<\/p>\n
current leasing percentage dips below 25%.<\/p>\n
12<\/p>\n
All cars, trucks, RVs, golf cars, golf carts and electric personal assistive mobility devices must be registered and<\/p>\n
any fees paid for the required community permits.<\/p>\n
13<\/p>\n
Coyotes and other wildlife are active in and around Laguna Woods Village. Wildlife activity is regulated by state and<\/p>\n
city laws. Village Management Services Inc., the Golden Rain Foundation of Laguna Woods, Third Laguna Hills<\/p>\n
Mutual and United Laguna Woods Mutual assume no liability for wildlife encounters or related incidents and are not<\/p>\n
responsible for any injury, damage or nuisance caused by coyotes or other wildlife.<\/p>\n
I\/we, have read the above and agree to comply with the rules of this Community.<\/p>\n
Applicant Initial Here:<\/p>\n
Applicant Initial Here:<\/p>\n
Date<\/p>\n
Date<\/p>\n
Revised 12\/2025
\nTHIRD LAGU<\/p>\n
NA HILLS<\/p>\n
AL<\/p>\n
Notice<\/p>\n
To<\/p>\n
Employees, contractors employed by the Laguna Woods Village associations,<\/p>\n
members and prospective purchasers of dwelling units at Laguna Woods Village,<\/p>\n
Laguna Woods<\/p>\n
From:<\/p>\n
Village Management Services Inc.<\/p>\n
Subject:<\/p>\n
Disclosure notice: Laguna Woods Village buildings constructed with asbestos-<\/p>\n
containing construction materials<\/p>\n
Health & Safety Code 25915.2 and 25915.5 require the mutual to provide annual notice about the<\/p>\n
existence of asbestos-containing materials (ACM) in nonresidential public buildings in the mutual to all<\/p>\n
employees and contractors performing work within said buildings, and to all members of the mutual.<\/p>\n
In addition, the mutual is required to disclose to new owners, within 15 days of acquiring title to a unit, the<\/p>\n
existence of asbestos-containing material in nonresidential public buildings within the mutual.<\/p>\n
Village Management Services Inc., as employer, and as agent, for the associations that own or manage<\/p>\n
the buildings at Laguna Woods Village, Laguna Woods, for their members, hereby notifies all its<\/p>\n
employees, contractors and all mutual members and transferees, that some buildings within Laguna<\/p>\n
Woods Village have been surveyed and found to contain asbestos.<\/p>\n
The analytical method used to determine asbestos content was polarized light microscopy\/dispersion<\/p>\n
staining. Since the community has an active asbestos operations and maintenance program, testing is<\/p>\n
ongoing. Because of the high cost to conduct a complete asbestos survey and analysis of all buildings,<\/p>\n
surveys are conducted only upon repair, remodel, addition to or removal of a building or part of a<\/p>\n
building suspected to contain asbestos materials, as required by labor codes. The certificates of analysis<\/p>\n
for any testing received to date are available to employees, contractors, owners and tenants and<\/p>\n
transferees for review and photocopying from the Laguna Woods Village Human Resources\/Safety<\/p>\n
Office, 24351 El Toro Road, Laguna Woods, CA., between 9 a.m. and 5 p.m., Monday through Friday.<\/p>\n
The following buildings in Laguna Woods Village, Laguna Woods, were constructed prior to 1979 and<\/p>\n
thus may contain asbestos in one or more construction materials: All community facilities buildings<\/p>\n
(with the exception of Clubhouse 7, the mini-gym at Clubhouse 1, the broadband services building, the<\/p>\n
Laguna Woods Village Community Center, the vehicle maintenance building, and a portion of the<\/p>\n
warehouse\u2014all constructed after 1979), including clubhouses and outbuildings, library, maintenance<\/p>\n
warehouse building, stables, gatehouses, garden center buildings, all detached laundry buildings and<\/p>\n
residential buildings numbers 1 through 5543 inclusive.<\/p>\n
Disclosure notice: Asbestos-containing construction materials continued on next page<\/p>\n
Revised 12\/2025
\nTHIRD LAGU<\/p>\n
NA HILLS<\/p>\n
AL<\/p>\n
Disclosure notice: Asbestos-containing construction materials continued from previous page<\/p>\n
At the time most of the buildings in Laguna Woods Village were constructed, asbestos-containing<\/p>\n
materials met local codes as well as state and federal regulations and were extensively used in many<\/p>\n
building products, including but not limited to: ceiling tile, floor tile\/linoleum and mastic, textured wall<\/p>\n
surfaces, sprayed acoustical ceilings, fire doors, structural fireproofing, pipe\/boiler insulation, attic<\/p>\n
insulation and heating duct material\/insulation.<\/p>\n
According to the National Cancer Institute and the Environmental Protection Agency, any asbestos in<\/p>\n
these materials does not present a threat to health so long as the asbestos is not disturbed and does<\/p>\n
not become airborne.<\/p>\n
However, because breathing asbestos has been known in some instances to cause cancer and other<\/p>\n
forms of lung disease, sanding, scraping, drilling, sawing, crushing, tearing\/breaking up or otherwise<\/p>\n
disturbing asbestos-containing materials presents a potential health risk. Therefore, you are directed<\/p>\n
not to perform such tasks in areas with ACM present or suspected unless the area\/materials have<\/p>\n
been tested and found not to contain asbestos or if specifically assigned or contracted to do such work<\/p>\n
and it is in accordance with all federal, state, and local laws as well as internal guidelines called for in<\/p>\n
the asbestos operations and maintenance plan and other company safety and environmental policies<\/p>\n
and procedures.<\/p>\n
Village Management Services Inc. employees whose work orders require them to construct, repair,<\/p>\n
maintain or otherwise disturb construction materials that may contain asbestos are hereby directed to<\/p>\n
follow the current regulations and policies noted above and to wear the required protective equipment,<\/p>\n
prior to performing such work. Questions concerning instructions and equipment should be directed to<\/p>\n
the HR\/Safety Supervisor at 949-597-4321.<\/p>\n
It is illegal to place asbestos materials or debris in Laguna Woods Village trash dumpsters. Such<\/p>\n
materials must be disposed of separately in accordance with state and county regulations to avoid fines.<\/p>\n
Contact the HR\/Safety Supervisor at 949-597-4321 for details.<\/p>\n
If you become aware of any asbestos-containing material becoming damaged or otherwise disturbed,<\/p>\n
please contact Laguna Woods Village Customer Service at 949-597-4600, or the HR\/Safety Supervisor at<\/p>\n
949-597-4321.<\/p>\n
Village Management Services Inc.<\/p>\n
Revised 12\/2025
\nTHIRD LAGUNA HILLS<\/p>\n
Alerts and Emergency Notifications Powered by<\/p>\n
Yeverbridge<\/p>\n
Everbridge is Laguna Woods Village’s official emergency notification system\u2014a robust and widely used platform that enhances our<\/p>\n
ability to keep you informed via text, email and phone during critical events.<\/p>\n
The Village Management Services Security Services Department and the Laguna Woods Village Disaster<\/p>\n
Preparedness Task Force encourage all residents to take a few minutes to ensure their contact information is up to<\/p>\n
date. Staying informed is essential for community safety\u2014register today to receive critical alerts when they matter<\/p>\n
most.<\/p>\n
Everbridge notifications cover alert and emergency situations, including:<\/p>\n
Critical power outages<\/p>\n
Earthquake emergency procedures<\/p>\n
Evacuations per the Orange County Fire Authority<\/p>\n
Gate or road closures<\/p>\n
Wildfire<\/p>\n
Other safety threats<\/p>\n
How to Submit Your Form or Enroll Online<\/p>\n
Please complete the form on the reverse side and return it in person to the Laguna Woods Village Community<\/p>\n
Center front desk at 24351 El Toro Road or mail it to:<\/p>\n
Village Management Services Inc.<\/p>\n
Attn: General Manager’s Office<\/p>\n
24351 El Toro Road<\/p>\n
Laguna Woods, CA 92637<\/p>\n
To enroll via the Laguna Woods Village website, visit lagunawoodsvillage.com, scroll to the Everbridge icon at the<\/p>\n
bottom of any page and click \u201cSign up today.\u201d<\/p>\n
To enroll or customize your alert preferences on the resident portal: Visit lagunawoodsvillage.com > Resident<\/p>\n
login. To customize alerts, log in to the portal, click \u201cUpdate Your Info,\u201d scroll to \u201cContact Preferences,\u201d and select<\/p>\n
\u201c|<\/p>\n
consent to receive official HOA communications via email.\u201d<\/p>\n
All information provided for Everbridge notifications is kept strictly confidential and will only be used to contact you<\/p>\n
in the event of an emergency.<\/p>\n
Don\u2019t wait\u2014sign up today to stay informed and prepared!<\/p>\n
Revised 12\/2025
\n[l=<\/p>\n
~~<\/p>\n
Laguna Woods Village\u2019<\/p>\n
Yeverbridge Contact Information Form and Emergency Notification Record<\/p>\n
Manor is<\/p>\n
[7] leased<\/p>\n
[J] Owner-occupied<\/p>\n
[] vacant<\/p>\n
Date<\/p>\n
Your Information<\/p>\n
Resident ID<\/p>\n
Manor<\/p>\n
Name<\/p>\n
Email<\/p>\n
Home phone<\/p>\n
Cell phone<\/p>\n
Non-occupant owner address<\/p>\n
City, state, zip<\/p>\n
Emergency Contact(s)<\/p>\n
Name<\/p>\n
Relationship<\/p>\n
Home number<\/p>\n
Email<\/p>\n
\u2018Work number<\/p>\n
Cell number<\/p>\n
Address<\/p>\n
City, state, zip<\/p>\n
Name<\/p>\n
Relationship<\/p>\n
Home number<\/p>\n
Email<\/p>\n
\u2018Work number<\/p>\n
Mobile number<\/p>\n
Address<\/p>\n
City, state, zip<\/p>\n
Attorney name<\/p>\n
Phone<\/p>\n
Power of Attorney\/Trustee name<\/p>\n
Phone<\/p>\n
Pet care contact name<\/p>\n
Phone<\/p>\n
Doctor name<\/p>\n
Phone<\/p>\n
Note: California Civil Code Section 4041 requires owners to provide annual written notice to the association of<\/p>\n
the following. This includes contact information of the legal representative, if any, including any person with<\/p>\n
power of attorney or other person who can be contacted in the event of an emergency or extended absence<\/p>\n
from the manor. Emergency contact information may be given to hospital personnel upon request.<\/p>\n","protected":false},"author":2,"featured_media":0,"template":"","document_category":[1720],"document_type":[53],"class_list":["post-49010","document","type-document","status-publish","hentry","document_category-admin-services","document_type-other"],"acf":{"document":79320,"resolutions":null,"legacy_id":"4276","pdf_extracted_text":""},"yoast_head":"\n