our visionabout the designerproject gallerycustom homesremodeling and renovation
 
 
 

home

 

steps to a custom home

 

stock plans

 

free consultation

 

terms of use

 

site map

 
 
 
 

If you're not ready to complete the Client Requirements Form below and would like to just have a brief communication about your new project,  click here to go to our (brief) free consultation form

Client Requirements Form

A Message from the Designer:

Dear prospective client,

Completing this form does not imply any commitment on your part. It just says that you're willing to take the time to express your needs and to begin a dialogue that could result in the design of a home that will bring many years of comfort and happiness to you and your family. 

My holistic approach to residential design requires information about your family's needs and the proposed site for your new home. Complete this form by clicking the boxes and filling the appropriate fields. If you're uncertain about any information, just leave the field blank. Typically, completing this form would take five to ten minutes of your time.

When you're through, press the 'Submit Form' button below and you will see a 'Form Confirmation' notice. This means that the form has already been submitted to us. After we review your completed form, we will contact you to discuss our design approach to your new home.

If you prefer to complete this form offline, please download  this form and fax it to us at 949.666.5017. 

Sincerely,

Cynthia Leif, AIA

Contact Info
 First Name 
 Last Name 
Street Address 
City/State 
Postal/Zip Code 
Country 
Daytime Phone No. 
Home Phone Work Phone
Best Time To Call You
Fax No. 
 E-mail 
 Where did you 
hear about us? 

If Others/Referred, please specify:
Which "search term" brought you to our site?
Lot Info 
Location of Existing Lot 
Lot Area   sq. ft.
Lot Dimensions   frontage x depth
Lot Slope   degrees
Lot Orientation 
Corner Lot?  Yes No
Irregular Lot?  Yes No
If YES, please fax a copy of your lot plan
Neighboring Structures 
Desired View Direction 
Schedule
When do you want to start the Design Phase?
Target Date for 
Start of Construction 
Architectural Style:  Please select
Mediterranean
Contemporary
Modern/ Ultra Modern
Victorian
Not Sure yet
Other: (please specify)
Details

Front Porch 

Yes No

Foyer 

Yes No

Living Room 

Yes No

Combined with Dining Room
Fireplace

Is Living Room separate from the Great Room?

Comments

Dining Room 

Yes No

Number of persons 

Additional informal dining area
Fireplace

Comments

Great Room 

Yes No

Accessible to which rooms:
Fireplace

Comments

Den/ Music Rm 

Yes No

Toilet and Bath      or:    Powder Room

Entertainment Center

Comments

Office or Library 

Yes No

Toilet and Bath      or:    Powder Room  

Built-in shelves

Comments

Guest Room 

Yes No

Guest Room located at:
Ground Floor Second Floor Both

Toilet and Bath

Walk-In Closet

Comments

Kitchen 

Yes No

Breakfast Nook

Open Plan     Enclosed Kitchen

Island Counter

Kitchen Appliances

Comments

Laundry Room 

Yes No

Built-in shelves

Located at Ground Floor  Second Floor

Ironing Area

Comments

Servants' Quarter 

Yes No

Access:
Access from Inside
Access from Outside
Both

Toilet & Bath: Common Individual

No. of Employees per Room

Comments

Carport/Garage 

Yes No

Open Carport Covered Garage

No. of Cars

Comments

Lanai 

Yes No

Open Covered Screened With Trellis

Comments

Master Bedroom 

Yes No

Walk-In Closet: Yes No His and Hers Combined walk-in

Toilet and Bath: Yes No

Enclosed Commode: Yes No

Separate Shower Stall: Yes No

Bathtub: Yes No

Jacuzzi: Yes No

Comments

Children's Rooms 

Yes No

Number of Rooms:

Walk-In Closet: Yes No

Toilet and Bath:
Private T & B Common/ Adjoining T & B None

Number of Children per Room:

Comments

Storage Room 

Yes No

Size: Large Small None

Location:

Attic Studio 

Yes No

Built-In Closet: Yes No

Toilet and Bath: Yes No

Access from which room?

Comments

Basement 

Yes No

Built-In Closet: Yes No

Toilet and Bath: Yes No

Access from which room?

Comments

Balcony 

Yes No

Open Covered  With Trellis

Location:

Roof Deck 

Yes No

Outdoor Amenities 


Swimming Pool
Diving Pool
Lap Pool
Game Pool None

Max. Depth  in feet

Length  in feet

Width    in feet

Lanai at Pool edge: Yes No

Shower Room/Cabana: Yes No

Gazebo Yes No

Comments

Property Fencing 

Yes No

Type of Fencing:
None
Ornamental Only
Ornamental with Security

Comments

Landscaping

Yes No
Air-conditioning  Yes No

Comments

Other Comments e.g. What your new home will mean to you and your family, What are the things that you don't like in your current house, What are the additional features that you want for your new home, etc. (your comments here help us understand your vision for your new home)

 

Total Floor Area you wish to achieve:


*(between _____sq.ft. to _____sq.ft.)

Approximate budget for house construction

Back to Custom Homes Page

 

www.asis-leif.com

27702 Crown Valley Parkway,  Suite D-4  # 270
Ladera Ranch (Orange County), CA 92694
Copyright 2001-2012    
All rights reserved

Phone Numbers       949.307.1739
Toll-Free   1.888.553.2279
      Email us at sales@asis-leif.com