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 |
6
|
Owner Information
| 1st Owner |
Robert O'Connor
|
| Primary Phone |
+13106992587
|
| Primary E-Mail |
[email protected]
|
| Primary Mailing Address |
2920 11th St, Santa Monica CA 90405-5747
|
2nd Owner Information
| 2nd Owner |
Jerry Jensik
|
| Primary Phone |
+13103992902
|
| Primary E-Mail |
[email protected]
|
| Primary Mailing Address |
2920 11th St, Santa Monica CA 90405-5747
|
3rd Owner Information
| 2nd Owner |
Vincent Pellecchia
|
| Primary Phone |
+12018520530
|
| Primary E-Mail |
[email protected]
|
| Primary Mailing Address |
2920 11th St, Santa Monica CA 90405-5747
|
Owner’s Representative Details
| Name |
Shabnam Bahadori
|
| Company name (if applicable) |
Hilltop Villas Homeowners Association
|
| Primary Phone |
+13104221713
|
| Email |
[email protected]
|
| Address |
2920 11th street, Unit 4, Santa Monica, CA 90405
|
| Proof of Owner Representation |
Deed of Trust - Bahadori.pdf
|
Building Information
Building Address
| Address |
2920 11th St, Santa Monica CA 90405-5747
|
| Parcel Number |
4285027036
|
Building Occupancy and Area
| Residential (including hotels/motels) (sq. ft.) |
8200
|
Type of Retrofit
Maps & Photographs of the Building
Photographs of the Building
Phase 1. Design Engineer Information
Engineer/Architect Selection
| Was the lowest bidder selected? |
Yes
|
| If not, please explain why |
YES
|
| How many design professionals did you contact? You must try to obtain at least (3) proposals. |
3
|
| How many proposals did you receive from design professionals? |
3
|
| 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) |
2021-02-17
|
| Company Name |
JB General Contractors
|
| How you contacted them |
Phone, Email
|
| Name of person contacted |
Jack with JB General Contractors
|
| Did the company provide a bid? |
Yes
|
| Design Proposal Bid Amount |
$164,800.00
|
| Attachment |
Bid 1 JB General Contractors.pdf
|
Design Professional (2)
| Company Name |
Cal Retrofit
|
| Date contacted (Approximate date if exact date is unknown) |
2021-02-09
|
| How you contacted them |
Phone, Email
|
| Name of person contacted |
Mary C
|
| Did the company provide a bid? |
Yes
|
| Design Proposal Bid Amount |
$134,910.00
|
| Attachment |
Bid 2 Calretrofit.pdf
|
Design Professional (3)
| Company Name |
SKS Construction
|
| Date contacted (Approximate date if exact date is unknown) |
2021-06-01
|
| How you contacted them |
Phone, Email
|
| Name of person contacted |
Sam
|
| Did the company provide a bid? |
Yes
|
| Design Proposal Bid Amount |
$7,000.00
|
| Attachment |
Bid 3 - SKS Construction Signed Contract Agreement 2021.pdf
|
ENGINEER/ARCHITECT CONTRACT
Retrofit Permit Application
Estimated Project Timeline
| Apply for Building Permit |
2023-01-10
|
| Begin Construction (FEMA review and approval is required prior to start of construction) |
2023-01-20
|
| Complete Construction |
2023-04-30
|
Type of Grant Requested
| Apply for Design Grant |
Yes
|
| Apply for Construction Grant |
Yes
|
Estimated Project Costs
| Estimated Retrofit Design Cost |
$6,000.00
|
| Estimated Retrofit Construction Costs |
$129,600.00
|
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 attached
|
Design File
Proposed Project
| Do you expect the proposed project to result in any changes visible from the exterior of the building |
Yes
|
Proposed Project - Cont
| Please explain |
See attached
|
Acknowledgement - 1st Owner
Acknowledgement
| Owner 1 Name |
Shabnam Bahadori
|
| Date |
2022-12-19
|
