Applicant Information
Primary Information
| Is the building owned by Individual owners, LLC , Trust or Corporation |
Individual Owners
|
Multiple Owner
| How many owners does this building have |
2
|
Owner Information
| 1st Owner |
barry skaggs
|
| Primary Phone |
+13102611896
|
| Alternative Phone |
+13102611896
|
| Primary E-Mail |
[email protected]
|
| Primary Mailing Address |
5942 Edinger Ave, Huntington Beach CA 92649-1763
|
2nd Owner Information
| 2nd Owner |
elaine skaggs
|
| Primary Phone |
+13102611896
|
| Alternative Phone |
+13102611896
|
| Primary E-Mail |
[email protected]
|
| Primary Mailing Address |
5942 Edinger Ave, Huntington Beach CA 92649-1763
|
Owner’s Representative Details
| Name |
barry skaggs
|
| Company name (if applicable) |
barry skaggs
|
| Primary Phone |
+13102611896
|
| Alternate Phone |
+13102611896
|
| Email |
[email protected]
|
| Address |
5942 Edinger Avenue
|
| Proof of Owner Representation |
img20221208_14482448.pdf
|
Building Information
Building Address
| Address |
1753 17th St, Santa Monica CA 90404-4435
|
| Parcel Number |
427402700522000
|
Building Occupancy and Area
| Residential (including hotels/motels) (sq. ft.) |
6500
|
Type of Retrofit
| Type of Building |
Non-Ductile Concrete (NDC) building (or portions of buildings) subject to Ordinance 17-1011 provisions and the NDC/PNSMF Seismic Design Guidelines
|
| Screening Report |
img20221208_14571139.pdf
|
Maps & Photographs of the Building
Photographs of the Building
| Photo 1 |
|
| Photo 2 |
|
| Photo 3 |
|
| Vicinity Map |
|
| Site Map |
|
Phase 1. Design Engineer Information
Engineer/Architect Selection
| Was the lowest bidder selected? |
Yes
|
| If not, please explain why |
Lowest bidder was selected
|
| How many design professionals did you contact? You must try to obtain at least (3) proposals. |
5
|
| How many proposals did you receive from design professionals? |
4
|
| I have attached copies of these proposals to this form, along with the signed contract with my selected designer |
Yes
|
FEMA addendum
Design Professional (1)
| Date contacted (Approximate date if exact date is unknown) |
2022-06-21
|
| Company Name |
JN engineering
|
| How you contacted them |
Phone, Email
|
| Name of person contacted |
Laura
|
| Did the company provide a bid? |
NO
|
| Design Proposal Bid Amount |
$0.00
|
| Attachment |
22152 17th Street Proposal.pdf
|
Design Professional (2)
| Company Name |
American rettrofitters
|
| Date contacted (Approximate date if exact date is unknown) |
2019-06-27
|
| How you contacted them |
Phone, Email
|
| Name of person contacted |
David Jacobson
|
| Did the company provide a bid? |
Yes
|
| Design Proposal Bid Amount |
$65,000.00
|
| Attachment |
img20221213_14522659.pdf
|
Design Professional (3)
| Company Name |
SFT Construction
|
| Date contacted (Approximate date if exact date is unknown) |
2022-06-16
|
| How you contacted them |
Phone, Email
|
| Name of person contacted |
Mandro
|
| Did the company provide a bid? |
Yes
|
| Design Proposal Bid Amount |
$81,500.00
|
| Attachment |
Seismic Retrofit Proposal - 1753 17th St.pdf
|
Design Professional (4)
| Company Name |
L.A. Seismic Construction Co.
|
| Date contacted (Approximate date if exact date is unknown) |
2022-07-05
|
| How you contacted them |
Phone, Email
|
| Name of person contacted |
"Tag"
|
| Did the company provide a bid? |
Yes
|
| Design Proposal Bid Amount |
$88,775.00
|
| Attachment |
Seismic Retrofit Proposal - 1753 17th St.pdf
|
ENGINEER/ARCHITECT CONTRACT
Retrofit Permit Application
Estimated Project Timeline
| Apply for Building Permit |
2023-01-16
|
| Begin Construction (FEMA review and approval is required prior to start of construction) |
2023-01-25
|
| Complete Construction |
2023-03-08
|
Type of Grant Requested
| Apply for Design Grant |
Yes
|
| Apply for Construction Grant |
Yes
|
Estimated Project Costs
| Estimated Retrofit Design Cost |
$3,000.00
|
| Estimated Retrofit Construction Costs |
$62,000.00
|
Retrofit Scope of Work
| I already have a retrofit design and will provide electronic copies of these plans |
Yes
|
| Description (proposed scope of work) |
see design file
|
Design File
Proposed Project
| Do you expect the proposed project to result in any changes visible from the exterior of the building |
No
|
Acknowledgement - 1st Owner
Acknowledgement
| Owner 1 Name |
Barry Skaggs
|
| Date |
2023-01-02
|
Acknowledgement - 2nd Owner
Acknowledgement
| Owner 2 Name |
elaine skaggs
|
| Date |
2023-01-02
|
