Replacement Cost Worksheet

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Month Day Year Hour Minutes AM/PM Option

Full Name

First Name Last Name

E-mail

Address

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code Country

Phone Number

Area Code Phone Number

How many square feet of your home is under air conditioning?

What is the year of constuction

If OTHER please specify

Construction Type

Masonry Wood Frame Other

What is the foundation type?

Slab Crawl Space Piere (raised)

Exterior Walls?

Stucco on frame Stucco on masonry

Siding?

Wood Vinyl

Age of roof?

Type of roofing material?

Shingle Tile - clay Tile - concrete Other

If OTHER specify

Door - Atrium

Windows

Bay windows

Bow windows

Picture windows

Skylights - Large

Skylights - Small

Kitchen - Building grade?

Builders grade Simi-custom Custom Designer

Number of full bathrooms

1 2 3 4 Other

If OTHER

Number of half bathrooms

1 2 3 4 Other

If OTHER

Bathrooms - construction

Builders grade Simi-custom Custom Designer

Kitchen - Building grade?

Builders grade Simi-custom Custom Designer

Partition Walls

Drywall Drywall - textured Plaster Plaster - horsehair

Wall height in feet

Ceiling

Drywall Drywall - textured Plaster Plaster - horsehair

Wall finish percentage - paint

Wall finish percentage - wallpaper

Wall finish percentage - Tile

Wall finish percentage - Mirrors

Number of built in cabinetry

Other

Floor finish percentage - carpet

Floor finish percentage - Tile

Floor finish percentage - Hardwood

Floor finish percentage - Laminated wood

Floor finish percentage - Hardwood

Floor finish percentage - Vinyl

Floor finish percentage - Marble

Interior Features:

Central Station Burglar Alarm Local Burglar Alarm Fire Alarm Stereo System Vacuum System Intercom System Interior Sprinkler System

Fireplace?

No Direct Single Double Gas Kava

Conveying System

No Life - chair Elevator Lift - Wheelchair

Wet Bar

No Yes

Attic

No Unfinished Finished Hot Tub Jucuzzi

Number of French Doors

Staircase & Other

No Spiral -Wood Spiral - Metal

Staircase

No Yes Spiral - Metal Spiral - Wood

Custom Vanity

No Yes

Garage & Carports

No Yes Built in Garage Detached Garage Carport

Number of Cars

Attached Structures

Yes No Open Porch Screened Porch Enclosed Porch Open Breezeway Enclosed Breezeway Wood Deck Option9

Garage & Carports

No Yes Open Porch Screened Porch Enclosed Porch Open Breezeway Enclosed Breezeway Wood Deck Redwood Deck

Please specify the number of square feet for each box checked above.

Square Feet

Shed

No Yes

Square Feet

Shed

No Yes

Square Feet

Swimming Pool

No Yes

If you have a pool and screen enclosure, please complete below:
How much would it cost to replace the pool and screen enclosure?

What would be the cost to replace your pool? What would be the cost to replace you enclosure?

Replacement Cost Worksheet

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