DESCRIPTION OF MATERIALS AND ITEMIZATION OF COSTS
DESCRIPTION OF MATERIALS AND ITEMIZATION OF COSTS
Builder or Contractor G.. A .-R0GL)F1A- (../2/ChtPlsone: Home
Owner nt.e- MOrrretavtery Phone: Home aa etra
Bus.
Address of Property Bldr. Lic. #
Lot: 4) Block: ActaitioGOkitott eciptiB county: ir,A9t-tvinisrf
Lot Set Backs: From: 7fi Ft. Sides JO lb Ft_ Back 7.0 Ft. Zoning Classification:
MATERIALS
1. PLANS, PERMITS, ARCHITECT'S FEES
2. BONDS. INSURANCE COST
s Zatrcea —
3. EXCAVATION, BAC:I:PILL, FINAL GRADING
4. FOUNDATION MATERIAL:
LABOR: S 7. 0 -1
Bearing soil type
Founiation material
Piles
Slab
Moisture Ranier—descastie
Draina,ge System 4:41; OOO -
LABOR: S 5. FRAMING, SHEATHING MATERIAL: S tA sighConcrete Block
Piers
Depth
WasSingle Construction 0 Double Construction
x Grade Material
Girders _x -_Grade Material
Joists x Grade Material
Sub Fir x Grade Material
Studs x Grade Material
Rafters x Grade Material
Trusses
Sheathing: Roof Walls
6. ROOFING .30 LI( Pf2H4W-49 S BLOOD
Waterproofing
idI-1 Cedar shingks u (^MaOtherr shakes u Composition
711e
7. SIDING l'h‘iU ni / ett114110 M MATERIAL: 5 rO
$
it Brick Aluminum i ken LABOR:
T1-11 Woodyw Sto Plood _
— Explain Thic
Type
Other
. `LABOR: S S Soo° — 8. WINDOWS, SASH CA-(VC)rh)e.- MATERIAL:
Make IAN41-. Ty
pecreens
Storm Windows poesDercre Glazed
9. BRICKWORK 3 31 ()OD -
ID Firebox: 0 Brick 0 Metal la No. of Fireplaces
Free Standing U Wood Stove(s) N
10. SHEET METAL WORK " AL-0M
Paneling—descnbe
Wallpaper—describe
rwr I 44 $ L5 PO "r
Connected to 5 Gutters/Downspouts—Descnbe
11. EXTERIOR/INTERIOR PAINTING AND DECORATING P O
Ext. no. of coats Materials CPCSVX
Ira. no. of coats Materials
LO24 in6,06
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Z-12. PLUMBING AND PLUMBING FIXTURES (please indicate if Fiberglass. Stainless Steel, or Cast Lim u_nder ., Type) Fixtures: Type Mfr. (PIE'll Main Bath TYPe Mfgr. 2nd Bath Type NMI% 3rd Bat TYPe Mfr. IGtchea TYPe Mfgr. Utility Type Mfgr. Other: (i.e. Sauna, Jacuzzi. Hot tub, etc.)
13. WATER
❑ Public O Commimity O Well-private Plater Distria
14. SEWER
Cl Sewer hook-up O Septic O Cesspool
15. ELECTRICAL WIRING AND FIXTURES
Installed by
®surface Unary-mad . of outlets (110) No. of outlets (220) Fixture Allowance
16. INSULATION '
Material
Bsmt. walls: Material Vapor Barrier: Material Weather-strippiog—descnbe
17. HEATING, COOLING
Fuel:
Electric
S 'crefikte2. 11 ;() Oil
Hot water or water Wood
Coal
— Solar—please enclose specs. 's
O Central U Wall UWmclow OD fee--4-r-ic-
It Factor
R Factor Ceiling: Material
Walls: Material
Floor (over crawl 9ace) U Under Sub Floor ❑ Foundation Perimeter
R Factor R Factor R Factor
Forced Air
Baseboard
Ceiling cable
Radiator
Wall unit
Her pump
Other.
Air Conditioner:
Ductwork insulation Thickness
18. INTERIOR WALLS/DRYWALLS 2ttaTritg. _ s qt. OD —
Describe finish: walls Describe finish: ceiling Other walls—describe
19. DOORS. TRIM. FINISH
Interior doors: Type le*P3OL-Exterior doors: Type-Front Rear Trim: Wood Vinyl Shearock Trim finish: Material No. of Coats
20. GARAGE MATERIALS
Garage door—describe
Automatic opener—describe 1 (,2l
`n,4tY"ryf Garage intenor hillsheetroc Garage interior,, firewall- onlyked O -kW at, Ic--Teich xeP
Pao too $ 14. Poo
M
4-, OOP - Gov -
a oleo —
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21. CABINETS $ I 44 0OO -
Mfgr Ltiefe- Sel)b
Materials 'de board
Veneer—describe
Finish: Materials ej No. of coats. Z.--
22. VINYL, FORMICA. TILEWORK $ t2.1900
Countertops. Formica Other
Flooring: Kitchen
Baths
Tilework: Kitchen
Baths
Entry
23. APPLIANCES
Range: p.Free standing
Make
Oven: O Free standing U Drop-in U Built-in
Make Model #
Dishwasher t7 Make odd #
Disposal vl, Make Model #
Hood/Fan iee Make te Model S
Jennair Model #
Microwave V Make l I Model #
Intercom Make Model S
Vacuum Make Model #
Trash Compactor Make. Model #
Bath fans Make Model #
Smoke Detector Make Model S
Security System Make Model #
Other Make Model #
24. UNDERLAYMENT S I. LOP -
O Particle board O Plywood O Thickness
25. FLOORING
Carpet—Located 43/4"Vc) CA..-tt I-
Other—Located /wood—Located V I 161/1--r-ey
26. PORCHES, PATIOS, ETC. DroP-in Model #
Want
Size Porch
Deck Size
Patio
Other Late._ re-le-
f-f 0 -k- ISO
ease mark box where appropriate and give size when requested
to receive value.
27. DRIVEWAY -SQUARE FEET 7)0 '‘A 7O T--- &oo $ 3i coo $ tat 000
6(000 ""
bt CVO -----
Gravel
Other ❑ Asphalt Concrete 11000 -
26. LANDSCAPING 4.rtNAT' (a Ali s LEth
tja Barkdust [Shrubs O Lawn CI Retaining Walls
29. MISC. EXTRAS (Win/ I tOtFlarQ4,01( 1 S i COO -
8Rails O Wrought Iron O Sprinkler System
Planters U Other
30. CLEAN-UP ..3)A) VIAjp a $ 1,000
(Ay 3414) 1024 oineros
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31. SALES TAX (WHERE APPLICABLE)
32. SUBTOTAL - LABOR AND MATERIAL
33. FINANCING
34. REAL ESTATE COMMISSIONS
35. PROFIT AND OVERHEAD
36. LOT
(Date acquired Purchase price ad coo
$ -de sego —s Z/O1,7111
s
s 45,0:22
)--VALUE: S
TOTAL COSTS: 5 3 222
FLOOR PLAN: Square feet — Bsmt. Level
Main Level 9r „coy Upper Level
INDICATE ROOMS TO BE FINISHED ONLY
BASEMENT LEVEL MAIN LEVEL UPPER LEVEL LOFT
Bath (1) Living Room Bath (1) I Bath (1)
Bath (2) Dining Room Bath (2) Bath (2)
Bedroom (1) Bath (1) Bedroom (1) • Bedroom (1)
Bedroom (2) Bath (2) Bedroom (2) 'I • Bedroom (2)
Bedroom (3) Bath (3) Bedroom (3) Study
Hall Bedroom (1) Bedroom (4) I I Den/Family Room
Dea/Family Room Bedroom (2) Utility Other
Garage Bedroom (3) Other
Utility Bedroom (4)
Other Kitchen
Den/Family Room
, Garage
Utility
Other
If house is to be built under contract, describe any work to be done by owner:
How is cost of this work to be handled?
I do state that I have prepared the foregoing description of materials with applicable costs to be used
in constriction. I certify that such materials by grade or better and in the quantities and dollar
equivalents s5tiUppulated will be used in such construction, and that all work shall be performed in a
good and wor manner meeting in every respect all applicable code requirements. I agree to
call for and obtain all code or other applicable inspections as required. Further, I agree to
immediately notify and obtain the approval of Washington Federal Savings of any structural, design,
layout, or major material or cost changes from the foregoing description and attach plans which are
contemplated. This certificate is given to induce Washington Federal Savings to grant a mortgage
loan, the proceeds of which will be used to pay construction costs.
Agreed to and accepted by:
G.A. POW1C0ONSTRUCTION INC. . BOX 55
STA D, WA 98292 Dated
Tog. 40 4) Owner ( 1
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