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Kitchen Survey Form
Date
-
Month
-
Day
Year
Date
Name
First Name
Last Name
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Email
example@example.com
Phone Number
-
Area Code
Phone Number
General Client Information
What type of project is this?
Renovation
New Construction
New Construction Only
Length of Planning Time
Lot Purchased
Alternate Plan
Contractor
Plans Prepared By
Square Footage
Expect to be In
Interior Design
Stage of Construction
Staked
Foundation
Framed
Enclosed
Roughed
Sheetrocked
Kitchen Contract
In-House Contract
Not Included in House Contract
General
Have you ever completed a remodeling project before?
Yes
No
How did you learn about our firm?
How much time do you / will you spend at the jobsite residence?
Years Lived in House
When would you like to start the project?
-
Month
-
Day
Year
Date
When would you like to project completed by?
-
Month
-
Day
Year
Date
Has anyone else assisted you in preparing a design?
Do you plan on retaining an interior designer or architect to assist in your planning?
Do you have a specific builder/contractor/subcontractor with whom you would like to work?
What portion of the project, if any, will be your responsibility?
How long do you intend to own the residence?
What family members will share in the final decision-making process?
Would you like our firm to assist you in securing project financing?
Yes
No
What do you dislike most about your present kitchen?
What do you like most about your present kitchen?
Budgeting
Kitchen Allowance
Detailed Allowances
Rows
Amount
Cabinets
Countertops
Plumbing Fixtures
Accessories/Hardware
Lighting
Flooring
Walls/Ceiling
Doors/Window
Appliances/Ventilation
Labor
Design Fees
Miscellaneous
Family Facts
The primary cook is
Left-Handed
Right-Handed
Where do you presently store:
Rows
Location
Baking Equipment
Appliance Garage
Basement
Base Cabient
Bookcase
Countertop
Desk
Garage
Laundry Room
Pantry Closet
Tall Cabinet
Wall Cabinet
Boxed Goods
Appliance Garage
Basement
Base Cabient
Bookcase
Countertop
Desk
Garage
Laundry Room
Pantry Closet
Tall Cabinet
Wall Cabinet
Canned Goods
Appliance Garage
Basement
Base Cabient
Bookcase
Countertop
Desk
Garage
Laundry Room
Pantry Closet
Tall Cabinet
Wall Cabinet
Cleaning Supplies
Appliance Garage
Basement
Base Cabient
Bookcase
Countertop
Desk
Garage
Laundry Room
Pantry Closet
Tall Cabinet
Wall Cabinet
Coffee Station
Appliance Garage
Basement
Base Cabient
Bookcase
Countertop
Desk
Garage
Laundry Room
Pantry Closet
Tall Cabinet
Wall Cabinet
Cooking Utensils
Appliance Garage
Basement
Base Cabient
Bookcase
Countertop
Desk
Garage
Laundry Room
Pantry Closet
Tall Cabinet
Wall Cabinet
Dishes
Appliance Garage
Basement
Base Cabient
Bookcase
Countertop
Desk
Garage
Laundry Room
Pantry Closet
Tall Cabinet
Wall Cabinet
Flatware
Appliance Garage
Basement
Base Cabient
Bookcase
Countertop
Desk
Garage
Laundry Room
Pantry Closet
Tall Cabinet
Wall Cabinet
Food Prep Utensils
Appliance Garage
Basement
Base Cabient
Bookcase
Countertop
Desk
Garage
Laundry Room
Pantry Closet
Tall Cabinet
Wall Cabinet
Food Wrapping Materials
Appliance Garage
Basement
Base Cabient
Bookcase
Countertop
Desk
Garage
Laundry Room
Pantry Closet
Tall Cabinet
Wall Cabinet
Glassware
Appliance Garage
Basement
Base Cabient
Bookcase
Countertop
Desk
Garage
Laundry Room
Pantry Closet
Tall Cabinet
Wall Cabinet
Grill Equipment
Appliance Garage
Basement
Base Cabient
Bookcase
Countertop
Desk
Garage
Laundry Room
Pantry Closet
Tall Cabinet
Wall Cabinet
Hand Appliances
Appliance Garage
Basement
Base Cabient
Bookcase
Countertop
Desk
Garage
Laundry Room
Pantry Closet
Tall Cabinet
Wall Cabinet
Laundry/Iron Equipment
Appliance Garage
Basement
Base Cabient
Bookcase
Countertop
Desk
Garage
Laundry Room
Pantry Closet
Tall Cabinet
Wall Cabinet
Leftover Containers
Appliance Garage
Basement
Base Cabient
Bookcase
Countertop
Desk
Garage
Laundry Room
Pantry Closet
Tall Cabinet
Wall Cabinet
Linens/Towels
Appliance Garage
Basement
Base Cabient
Bookcase
Countertop
Desk
Garage
Laundry Room
Pantry Closet
Tall Cabinet
Wall Cabinet
Non-Refrigerated Fruits/Veg
Appliance Garage
Basement
Base Cabient
Bookcase
Countertop
Desk
Garage
Laundry Room
Pantry Closet
Tall Cabinet
Wall Cabinet
Paper Products
Appliance Garage
Basement
Base Cabient
Bookcase
Countertop
Desk
Garage
Laundry Room
Pantry Closet
Tall Cabinet
Wall Cabinet
Pet Food
Appliance Garage
Basement
Base Cabient
Bookcase
Countertop
Desk
Garage
Laundry Room
Pantry Closet
Tall Cabinet
Wall Cabinet
Pots & Pans
Appliance Garage
Basement
Base Cabient
Bookcase
Countertop
Desk
Garage
Laundry Room
Pantry Closet
Tall Cabinet
Wall Cabinet
Recycle Containers
Appliance Garage
Basement
Base Cabient
Bookcase
Countertop
Desk
Garage
Laundry Room
Pantry Closet
Tall Cabinet
Wall Cabinet
Serving Trays
Appliance Garage
Basement
Base Cabient
Bookcase
Countertop
Desk
Garage
Laundry Room
Pantry Closet
Tall Cabinet
Wall Cabinet
Specialty Cooking Vessels
Appliance Garage
Basement
Base Cabient
Bookcase
Countertop
Desk
Garage
Laundry Room
Pantry Closet
Tall Cabinet
Wall Cabinet
What type of specialized storage is desired?
Bottles
Bread Board
Bread Box
Cookbooks
Cutlery
Display Items
Dishes
Food Wrappings
Glassware
Lids
Linen
Plasticware
Soft Drink Cans
Spice
Vegetables
Other
What small specialty electrical appliances do you use in your kitchen?
Blender
Can Opener
Coffee Grinder
Coffee Pot
Crock Pot / Slow Cooker
Electric Frying Pan
Food Processor
Griddle
Juicer
Mixer
Toaster
Toaster Oven
Wok
Other
Do you plan on sorting recyclable trash in your kitchen?
Yes
No
Design Information
Aesthetics
What type of feeling would you like your new kitchen space to have?
American Country
American Formal
Asian
Old World European
Sleek Contemporary
Warm Contemporary
Transitional
Personal Design Statement (Eclectic)
Traditional
What colors do you like?
What colors do you dislike?
What colors are you considering for your new kitchen?
What are the color preferences of other family members?
Additional Design Notes:
Cabinetry
Sources
Rows
Use Existing
Furnished By
Installed By
Cabinetry
Yes
No
Kitchen Specialist
Owner/Owner's Agent
Kitchen Specialist
Owner/Owner's Agent
Construction
Rows
Base
Wall
Tall
Island
Framed
Frameless
Door Type
Rows
Base
Wall
Tall
Island
Full Overlay
Partial Overlay
Inset
Hardware
Rows
Base
Wall
Tall
Island
Knob
Pull
Finger Pull
Channel
Face Material
Rows
Base
Wall
Tall
Island
Wood
Laminate
Paint
Acrylic
Metal
Other
Door Style
Color & Finish
Storage Accessories/Organizers
Rows
Base
Wall
Tall
Island
Appliance Garage
Breadbox
Cutlery Tray
Door Shelf
Drawer Divider / Insert
Drawer Dish Storage
Drawer Pot / Pan Storage
Knife Block
Knife Drawer
Lazy Susan / Turntable
Mixer Lift-Up
Pantry
Plate Rack
Pot Rack
Pull-out Recycle Bin
Pull-out Cutting Board
Roll-out Cart
Roll-out Shelf
Spice Rack / Drawer
Swing-Out Shelf
Tilt-Down Drawer
Towel Bar
Trash Can
Tray Dividers
Toe Kick Step Stool
Vegetable Bin / Basket
Wide / Deep Drawer
Peg Board Drawer
Soffit / Fascia
Sources
Rows
Use Existing
Furnished By
Installed By
Soffit/Fascia
Yes
No
Kitchen Specialist
Owner/Owner's Agent
Kitchen Specialist
Owner/Owner's Agent
Fascia/Soffit Construction
Open
Extended
Flush
Recessed
Remove
Other
Fascia/Soffit Materials
Wallpaper
Wood
Display Rail
Paint
Lighted
Comice
Other
Countertops
Sources
Rows
Use Existing
Furnished By
Installed By
Countertops
Yes
No
Kitchen Specialist
Owner/Owner's Agent
Kitchen Specialist
Owner/Owner's Agent
Material
Rows
Perimeter
Island
Edge Treatment
Backsplash
Concrete
Bevel
Ogee
Full Bull Nose
Half Bull Nose
Square
Eased
Match to Counter
Full Height
4" Backsplash
Quartz
Bevel
Ogee
Full Bull Nose
Half Bull Nose
Square
Eased
Match to Counter
Full Height
4" Backsplash
Granite
Bevel
Ogee
Full Bull Nose
Half Bull Nose
Square
Eased
Match to Counter
Full Height
4" Backsplash
Limestone
Bevel
Ogee
Full Bull Nose
Half Bull Nose
Square
Eased
Match to Counter
Full Height
4" Backsplash
Marble
Bevel
Ogee
Full Bull Nose
Half Bull Nose
Square
Eased
Match to Counter
Full Height
4" Backsplash
Laminate
Bevel
Ogee
Full Bull Nose
Half Bull Nose
Square
Eased
Match to Counter
Full Height
4" Backsplash
Stainless Steel
Bevel
Ogee
Full Bull Nose
Half Bull Nose
Square
Eased
Match to Counter
Full Height
4" Backsplash
Soapstone
Bevel
Ogee
Full Bull Nose
Half Bull Nose
Square
Eased
Match to Counter
Full Height
4" Backsplash
Solid Surface
Bevel
Ogee
Full Bull Nose
Half Bull Nose
Square
Eased
Match to Counter
Full Height
4" Backsplash
Wood
Bevel
Ogee
Full Bull Nose
Half Bull Nose
Square
Eased
Match to Counter
Full Height
4" Backsplash
Other
Bevel
Ogee
Full Bull Nose
Half Bull Nose
Square
Eased
Match to Counter
Full Height
4" Backsplash
Color or Pattern
Sink
Sources
Rows
Use Existing
Furnished By
Installed By
Sink
Yes
No
Kitchen Specialist
Owner/Owner's Agent
Kitchen Specialist
Owner/Owner's Agent
Material
Rows
Sink 1
Sink 2
Sink 3
Composite
Enamel/Cast Iron
Porcelain/Steel
Stainless Steel
Solid Surface
Other
Number of Bowls
Rows
Sink 1
Sink 2
Sink 3
Single
50/50
60/40
Mounting
Rows
Sink 1
Sink 2
Sink 3
Self-Rimming
Under-Mount
Apron
Ledge/Workstation
Integral
Special Features
Rows
Sink 1
Sink 2
Sink 3
Drainboard L
Drainboard R
Full Drainboard
Strainer
Accessories
Other
Faucets
Sources
Rows
Use Existing
Furnished By
Installed By
Faucet
Yes
No
Kitchen Specialist
Owner/Owner's Agent
Kitchen Specialist
Owner/Owner's Agent
Material
Rows
Sink 1
Sink 2
Sink 3
Brass
Chrome
Epoxy-Color
Gold
Brushed Nickel
Pewter
Stainless Steel
Other
Style/Features
Rows
Sink 1
Sink 2
Sink 3
One Handle
Two Handles
Bridge Type
Pot Filler
Goose Neck
Pull-Out Spray
Automatic Operation
Separate Spray
Instant Hot
Water Filter
Dishwasher Air Gap
Dispensers
Rows
Sink 1
Sink 2
Sink 3
Dish Detergent
Hand Lotion
Hand Soap
Lighting Systems
Sources
Rows
Use Existing
Furnished By
Installed By
Lighting Systems
Yes
No
Kitchen Specialist
Owner/Owner's Agent
Kitchen Specialist
Owner/Owner's Agent
Lighting Sytems
Rows
LED
Xenon
General
Decorative
Under Cabinet
Ambient Lighting
Cove
Track
Recessed
Incandescent
Pendant
Halogen
Surface Mounted
Fluoresecent
Appliance & Fixture Specification - Specific
Surface Cooking
Rows
Size
Color
Manufacturer
Model#
Fuel Type
Notes
Range
Gas
Electric
Rangetop
Gas
Electric
Cooktop
Gas
Electric
Surface Venilation
Rows
Size
Color
Manufacturer
Model#
Notes
Hood
Duct Cover
Hood Liner / Blower
Down Draft
Micro Combo
Oven Cooking
Rows
Size
Color
Manufacturer
Model#
Notes
Single
Double
Oven/Micro
Warming Drawer
Microwave/Specialty Ovens
Rows
Size
Color
Manufacturer
Model#
Notes
Configuration
Microwave
Countertop
Built In
Over the Range
Trim Kit
Countertop
Built In
Over the Range
Other
Countertop
Built In
Over the Range
Refrigeration
Rows
Size
Color
Manufacturer
Model#
Notes
Configuration
Style
Refrig. 1
Side-by-Side
Undercounter Drawers
Undercounter Door
Top Freezer
Bottom Freezer
Column
Free Standing
Built-in(Standard)
Built-in(Integrated)
All Refrigerator
All Freezer
Refrig. 2
Side-by-Side
Undercounter Drawers
Undercounter Door
Top Freezer
Bottom Freezer
Column
Free Standing
Built-in(Standard)
Built-in(Integrated)
All Refrigerator
All Freezer
Refrig. 3
Side-by-Side
Undercounter Drawers
Undercounter Door
Top Freezer
Bottom Freezer
Column
Free Standing
Built-in(Standard)
Built-in(Integrated)
All Refrigerator
All Freezer
Other Appliances
Rows
Size
Color
Manufacturer
Model#
Notes
Style
Dishwasher
Standard
Integrated
Semi-Integrated
Drawer
Compactor
Standard
Integrated
Semi-Integrated
Drawer
Ice Maker
Standard
Integrated
Semi-Integrated
Drawer
Front Panel
Standard
Integrated
Semi-Integrated
Drawer
Water Products
Rows
Size
Color
Manufacturer
Model#
Notes
Configuration
Style
Sink 1
Single
50/50
60/40
Undermount
Top Mount
Integral
Apron
Counter Section
Sink 2
Single
50/50
60/40
Undermount
Top Mount
Integral
Apron
Counter Section
Sink 3
Single
50/50
60/40
Undermount
Top Mount
Integral
Apron
Counter Section
Sink Accessories
Single
50/50
60/40
Undermount
Top Mount
Integral
Apron
Counter Section
Instant Hot
Single
50/50
60/40
Undermount
Top Mount
Integral
Apron
Counter Section
Water Filter
Single
50/50
60/40
Undermount
Top Mount
Integral
Apron
Counter Section
Garbage Disposer
Single
50/50
60/40
Undermount
Top Mount
Integral
Apron
Counter Section
Miscellaneous
Rows
Size
Color
Manufacturer
Model#
Notes
Other
Other
Other
Appliance & Fixture Specifications - Generic
Range
Sources
Rows
Use Existing
Furnished By
Installed By
Range/Cooktop
Yes
No
Kitchen Specialist
Owner/Owner's Agent
Kitchen Specialist
Owner/Owner's Agent
Range/Cooktop Finish
Range/Cooktop Size
Range/Cooktop
Rows
Fuel
Type
Elec. Units
Gas Units
Controls
Surface Features
Oven Features
Range
Electricity
Natural Gas
Propane
Free-Standing
Drop-In
Slide-In
Integrated
Professional Style
Conventional Coil
Solid Disk
Sealed Glass Ceramic
Induction
Thermostatic
Dual Size
Open-Air (Convetional)
Sealed
High BTU
Electronic
Conventional Knob
Griddle
Grill
Electric Oven
Gas Oven
Broiler
Convection Oven
Pyrolytic (Self-Cleaning
Cooktop
Electricity
Natural Gas
Propane
Free-Standing
Drop-In
Slide-In
Integrated
Professional Style
Conventional Coil
Solid Disk
Sealed Glass Ceramic
Induction
Thermostatic
Dual Size
Open-Air (Convetional)
Sealed
High BTU
Electronic
Conventional Knob
Griddle
Grill
Electric Oven
Gas Oven
Broiler
Convection Oven
Pyrolytic (Self-Cleaning
Ventilation System
Source
Rows
Use Existing
Furnished By
Installed By
Ventilation System
Yes
No
Kitchen Specialist
Owner/Owner's Agent
Kitchen Specialist
Owner/Owner's Agent
Updraft/Canopy
Exhaust
Recirculating
Hood
Match to Cooktop
Match to Cabinetry
Custom Design
Slim Line/Telescoping
Downdraft/Proximity
Surface Mount
Pop-Up (Behind Cooktop)
Pop-Up (Next to Cooktop)
Ventilation System Installation
New Ductwork Needed
Space to Run Ductwork
Duct Termination
Ovens
Source
Rows
Use Existing
Furnished By
Installed By
Oven/Micro
Yes
No
Kitchen Specialist
Owner/Owner's Agent
Kitchen Specialist
Owner/Owner's Agent
Conventional Oven Configuration
Single
Double
Combo Micro/Oven
Convection-Electric
Convection-Gas
Steam Cooking
High-Speed Cooking
Pyrolytic (Self-Cleaning)
Microwave Oven Configuration
Microwave-Ventilation Combo
Microwave-Convection
Professional Style
Mircrowave-Light Cooking
Installation
Free-Standing
Boxed/Built-In
Integrated
Refrigerator/Freezer
Source
Rows
Use Existing
Furnished By
Installed By
Refrigerator/Freezer
Yes
No
Kitchen Specialist
Owner/Owner's Agent
Kitchen Specialist
Owner/Owner's Agent
Refrigerator/Freezer
Rows
Type
Installation
Ref/Freezer 1
Single Door Refrigerator
Single Door Freezer
Side by Side
Top Mount
Bottom Mount
Undercounter
Refrigerator Drawer
Freezer Drawer
Upright
Chest
Free-Standing
Boxed-In
Integrated
Under-Counter
Decorative Panels
Ref/Freezer 2
Single Door Refrigerator
Single Door Freezer
Side by Side
Top Mount
Bottom Mount
Undercounter
Refrigerator Drawer
Freezer Drawer
Upright
Chest
Free-Standing
Boxed-In
Integrated
Under-Counter
Decorative Panels
Ref/Freezer 3
Single Door Refrigerator
Single Door Freezer
Side by Side
Top Mount
Bottom Mount
Undercounter
Refrigerator Drawer
Freezer Drawer
Upright
Chest
Free-Standing
Boxed-In
Integrated
Under-Counter
Decorative Panels
Dishwasher
Source
Rows
Use Existing
Furnished By
Installed By
Dishwasher
Yes
No
Kitchen Specialist
Owner/Owner's Agent
Kitchen Specialist
Owner/Owner's Agent
Dishwasher
Rows
Type
Installation
Interior Finish
Dishwasher 1
Door
Drawer
Built-In
Integrated with Decorative Panel
Stainless Steel
Color Front
Plastic
Stainless
Dishwasher 2
Door
Drawer
Built-In
Integrated with Decorative Panel
Stainless Steel
Color Front
Plastic
Stainless
Disposer/Trash Compactor
Source
Rows
Use Existing
Furnished By
Installed By
Disposer
Yes
No
Kitchen Specialist
Owner/Owner's Agent
Kitchen Specialist
Owner/Owner's Agent
Trash Compactor
Yes
No
Kitchen Specialist
Owner/Owner's Agent
Kitchen Specialist
Owner/Owner's Agent
Disposer/Trash Compactor
Rows
1
2
3
Disposer
Trash Compactor
Flooring
Source
Rows
Use Existing
Furnished By
Installed By
Flooring
Yes
No
Kitchen Specialist
Owner/Owner's Agent
Kitchen Specialist
Owner/Owner's Agent
Floor Preperation
Rows
Needed
Notes
Removal
Leveling
Shim
Subfloor Material
Underlayment
Baseboard Under Trim
Transition Treatment
Floor Covering
Rows
Material
Color
Floor Covering 1
Bamboo
Carpet
Ceramic Tile
Porcelain Tile
Cork
Laminate
Linoleum
Plank
Vinyl-Tile
Wood
Wood-Engineered
Stone
LVT
Concrete
Terazzo
Other
Floor Covering 2
Bamboo
Carpet
Ceramic Tile
Porcelain Tile
Cork
Laminate
Linoleum
Plank
Vinyl-Tile
Wood
Wood-Engineered
Stone
LVT
Concrete
Terazzo
Other
Windows
Source
Rows
Use Existing
Furnished By
Installed By
Windows
Yes
No
Kitchen Specialist
Owner/Owner's Agent
Kitchen Specialist
Owner/Owner's Agent
Window Measurements
Rows
A
B
C
D
E
F
G
H
I
Window 1
Window 2
Window 3
Window 4
Window 5
Window 6
Window Features
Rows
Configuration
Size
Screen Needed
Window 1
Slider
Casement
Double-Hung
Skylight
Bow
Bay
Vinyl
Aluminum
Aluminum Clad
Wood
Glass Block
Window 2
Slider
Casement
Double-Hung
Skylight
Bow
Bay
Vinyl
Aluminum
Aluminum Clad
Wood
Glass Block
Window 3
Slider
Casement
Double-Hung
Skylight
Bow
Bay
Vinyl
Aluminum
Aluminum Clad
Wood
Glass Block
Window 4
Slider
Casement
Double-Hung
Skylight
Bow
Bay
Vinyl
Aluminum
Aluminum Clad
Wood
Glass Block
Window 5
Slider
Casement
Double-Hung
Skylight
Bow
Bay
Vinyl
Aluminum
Aluminum Clad
Wood
Glass Block
Window 6
Slider
Casement
Double-Hung
Skylight
Bow
Bay
Vinyl
Aluminum
Aluminum Clad
Wood
Glass Block
Window Treatment
Blinds
Fabric
Shutters
Other
Doors
Source
Rows
Use Existing
Furnished By
Installed By
Doors
Yes
No
Kitchen Specialist
Owner/Owner's Agent
Kitchen Specialist
Owner/Owner's Agent
Door Measurements
Rows
A
B
C
D
E
F
G
Door 1
Door 2
Door 3
Door 4
Door 5
Door 6
Door Features
Rows
Configuration
Size
Screen Needed
Hinge L
Hinge R
Hardware Finish
Door 1
Bi-Fold
Slider
Pocket
French
Swing
Solid Core
Steel
Hollow Core
Door 2
Bi-Fold
Slider
Pocket
French
Swing
Solid Core
Steel
Hollow Core
Door 3
Bi-Fold
Slider
Pocket
French
Swing
Solid Core
Steel
Hollow Core
Door 4
Bi-Fold
Slider
Pocket
French
Swing
Solid Core
Steel
Hollow Core
Door 5
Bi-Fold
Slider
Pocket
French
Swing
Solid Core
Steel
Hollow Core
Door 6
Bi-Fold
Slider
Pocket
French
Swing
Solid Core
Steel
Hollow Core
Decorative Surfaces
Source
Rows
Use Existing
Furnished By
Installed By
Decorative Surfaces
Yes
No
Kitchen Specialist
Owner/Owner's Agent
Kitchen Specialist
Owner/Owner's Agent
Wall Preperation
New Plaster/Drywall
Clean
Patch Existing
Remove Existing Covering
Other
Wall Finish
Wallpaper
Paint
Tile
Other
Ceiling Preperation
New Plaster/Drywall
Clean
Patch Existing
Remove Existing covering
Other
Ceiling Finish
Paint
Wallpaper
Suspended
Vaulted
Other
Construction Details
Construction
HVAC
Source
Rows
Use Existing
Furnished By
HVAC
Yes
No
Kitchen Specialist
Owner/Owner's Agent
HVAC System Info
Rows
Notes
A/C System Age
Planned Improvements
Heating System Age
Planned Improvements
Cooking Ventilation Ductwork Age
Planned Improvements
Details
TAKE PICTURE OF SERVICE PANEL
Electrical Work
Source
Rows
Use Existing
Furnished By
Electrical Work
Yes
No
Kitchen Specialist
Owner/Owner's Agent
Electrical Work Info
Rows
Notes
New Service Panel
Code Updates
Modification to Existing Service
Details
Plumbing
Source
Rows
Use Existing
Furnished By
Plumbing
Yes
No
Kitchen Specialist
Owner/Owner's Agent
Plumbing Info
Rows
Notes
New Rough-in Requirements
New Drainage Requirements
New Vent Stack Requirements
Modifications to Existing Liens
Drain Height From Floor
Details
General Carpentry
Source
Rows
Use Existing
Furnished By
General Carpentry
Yes
No
Kitchen Specialist
Owner/Owner's Agent
General Carpentry Info
Rows
Needed
Notes
Demolition Work
Existing Fixture & Equipment Removal
Windows
Doors
Interior Walls
Exterior Walls
Cabinet Install/Woodworking Trim Install
Miscellaneous Work
Source
Rows
Use Existing
Furnished By
Miscellaneous Work
Yes
No
Kitchen Specialist
Owner/Owner's Agent
Miscellaneous Info
Rows
Needed
Notes
Job Site/Room Cleanup
Building Permits
Structural Engineering/Architectural Fees
Inspection Fee
Jobsite Delivery
Other
Existing Construction Details
Age of Home
Access roads to Home
Delivery Truck Clearances
Elevator Size Limitations
Type of Neighborhood
Rural
Suburban
Urban
Historic
Mixed Use
Multi-Family
Gated Community
Planned Development
Type of Home
Single Family
Duplex
Townhouse
Condominium
Apartment/Flat
Other
Structure of Home
One-Story
Two-Story
Three-Story
Ranch
Split-Level
Split-Foyer/Raised Ranch
Other
Approximate Size of Home
Style of Home (Exterior)
Style of Home (Interior)
Condition of
Rows
Notes
Surface Walls
Floors
Ceilings
Soffit/Fascia
Squareness of Corners
Any hazardous material to remove
Is this home part of a Homeowner's Association
Yes
No
Construction of Floor
Slab
Frame
Direction of Floor Joist
Parallel to Longest Kitchen Wall
Perpendicular to Longest Kitchen Wall
Exterior
Brick
Aluminum
Stucco
Wood
Other
Interior
Drywall
Lath & Plaster
Wood
Other
Windows Can Be Changed
Yes
No
Door Can Be Relocated
Yes
No
Walls Can Be Relocated
Yes
No
Windows
Sliders
Double Hung
Skylights
Casement
Greenhouse
Bow/Bay
Other
Sewage System
City
Septic
Other
Type of Roof Material
Age of Roof
Access
Rows
Notes
Can equipment fit into the room
Basement
Attic
Crawl Space
Material Storage
Trash Collection Area
HVAC
Access
Rows
Notes
Location of Existing Vent Stack
Type of Trap
Add Additional Line
GFCI Existing
Yes
No
New Wiring Access
Hard
Average
Easy
Number of Circuits Open for Expansion
Existing Electrical Service Capacity
Number of 120V Circuits
Number of 240V Circuits
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