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efta-efta01128406DOJ Data Set 9OtherDESCRIPTION OF MATERIALS AND ITEMIZATION OF COSTS
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DOJ Data Set 9
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efta-efta01128406
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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 sigh
Concrete 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(
Pf
2H 4W-49
S BL OOD
Waterproofing
id
I-1 Cedar shingks u (^Ma
Otherr shakes
u Composition
711e
7. SIDING
l'h‘iU ni
/ ett 114110 M
MATERIAL: 5 rO
$
it
Brick
Aluminum
i
ken
LABOR:
T1-11
Wood
yw
Sto
Pl
ood
_
— Explain
Thic
Type
Other
. ` LABOR: S
S Soo° —
8. WINDOWS, SASH
CA-(VC)rh)e.-
MATERIAL:
Make
IAN41-.
Ty
pecreens
Storm Windows
poesD
ercre 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
EFTA01128406
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
K 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
K 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,4 tY"ryf
Garage intenor hillsheetroc
Garage interior,, firewall
-
onlyked
O -kW at, Ic-
-Teich xeP
Pao too
$ 14. Poo
M
4-, OOP -
Gov -
a oleo —
EFTA01128407
21. CABINETS
$
I 4 4 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
4
3/4"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
K Asphalt
Concrete
1 1 000 -
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 -
8
Rails
O Wrought Iron
O Sprinkler System
Planters
U Other
30. CLEAN-UP ..3)A) VIAjp a
$ 1,000
(Ay 3414)
1024
oineros
EFTA01128408
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
EFTA01128409
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