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 |
Veronica Kun
|
| Primary Phone |
+13104283435
|
| Primary E-Mail |
[email protected]
|
| Primary Mailing Address |
21280 Colina Dr, Topanga CA 90290-3507
|
2nd Owner Information
| 2nd Owner |
Steven Popper
|
| Primary Phone |
+13104283435
|
| Primary E-Mail |
[email protected]
|
| Primary Mailing Address |
21280 Colina Dr, Topanga CA 90290-3507
|
Owner’s Representative Details
| Name |
Veronica Kun
|
| Company name (if applicable) |
Sweethomewest
|
| Primary Phone |
+13104283435
|
| Email |
[email protected]
|
| Address |
21280 Colina Dr topanga ca
|
| Proof of Owner Representation |
|
Building Information
Building Address
| Address |
3120 Colorado Ave, Santa Monica CA 90404-3279
|
| Parcel Number |
4268005005
|
Building Occupancy and Area
| Residential (including hotels/motels) (sq. ft.) |
|
Type of Retrofit
| Type of Building |
Soft, Weak, or Open Front (SWOF) wood‐framed building built before 1978 subject to Ordinance 17-004 provisions and SWOF Retrofit Design Guidelines
|
| Screening Report |
|
Maps & Photographs of the Building
Photographs of the Building
Phase 1. Design Engineer Information
Engineer/Architect Selection
| Was the lowest bidder selected? |
No
|
| If not, please explain why |
prior reputation of selected engineer
|
| 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? |
1
|
| I have attached copies of these proposals to this form, along with the signed contract with my selected designer |
No
|
FEMA addendum
Case : Less than 3
| Please explain : |
Prior reputation of selected engineer
|
ENGINEER/ARCHITECT CONTRACT
Retrofit Permit Application
Estimated Project Timeline
| Apply for Building Permit |
2022-02-17
|
| Begin Construction (FEMA review and approval is required prior to start of construction) |
2023-12-01
|
| Complete Construction |
2024-04-01
|
Type of Grant Requested
| Apply for Design Grant |
Yes
|
| Apply for Construction Grant |
Yes
|
Estimated Project Costs
| Estimated Retrofit Design Cost |
$5,000.00
|
| Estimated Retrofit Construction Costs |
$38,000.00
|
Retrofit Scope of Work
| I already have a retrofit design and will provide electronic copies of these plans |
Yes
|
| Description (proposed scope of work) |
please see design details
|
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 |
Veronica Kun
|
| Date |
2023-02-18
|
Acknowledgement - 2nd Owner
Acknowledgement
| Owner 2 Name |
Steven W. Popper
|
| Date |
2023-02-18
|
