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 |
11
|
Owner Information
| 1st Owner |
Delete
|
| Primary Phone |
|
| Primary E-Mail |
delete.com
|
| Primary Mailing Address |
608 Idaho Ave Unit 7, Santa Monica CA 90403-2712
|
2nd Owner Information
| 2nd Owner |
Matt Gallant
|
| Primary Phone |
+13107398756
|
| Primary E-Mail |
[email protected]
|
| Primary Mailing Address |
608 Idaho Ave Unit 8, Santa Monica CA 90403-2712
|
3rd Owner Information
| 2nd Owner |
Diane Demusto
|
| Primary Phone |
+14243546174
|
| Primary E-Mail |
[email protected]
|
| Primary Mailing Address |
608 Idaho Ave Unit 2, Santa Monica CA 90403-2712
|
Owner’s Representative Details
| Name |
|
| Company name (if applicable) |
608 Idaho Ave Homeowners Association
|
| Primary Phone |
|
| Email |
|
| Address |
monica, CA 90403
|
| Proof of Owner Representation |
|
Building Information
Building Address
| Address |
608 Idaho Ave, Santa Monica CA 90403-2777
|
| Parcel Number |
4292007030
|
Type of Retrofit
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 |
n/a
|
| 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
| The signed agreement includes the FEMA addendum information’ |
Yes
|
| Please add the signed agreement addendum that addresses FEMA provisions |
|
Design Professional (1)
| Date contacted (Approximate date if exact date is unknown) |
2019-05-15
|
| Company Name |
AMA Construction Services Inc
|
| How you contacted them |
Phone, Email
|
| Name of person contacted |
Alex Mustapha
|
| Did the company provide a bid? |
Yes
|
| Design Proposal Bid Amount |
$85,200.00
|
| Attachment |
|
Design Professional (2)
| Company Name |
Pacific Structures
|
| Date contacted (Approximate date if exact date is unknown) |
2022-09-07
|
| How you contacted them |
Email
|
| Name of person contacted |
Joe Padilla
|
| Did the company provide a bid? |
Yes
|
| Design Proposal Bid Amount |
$11,000.00
|
| Attachment |
|
Design Professional (3)
| Company Name |
CES4
|
| Date contacted (Approximate date if exact date is unknown) |
2022-09-15
|
| How you contacted them |
Phone, Email
|
| Name of person contacted |
Pedram Zohrevand
|
| Did the company provide a bid? |
Yes
|
| Design Proposal Bid Amount |
$6,500.00
|
| Attachment |
|
ENGINEER/ARCHITECT CONTRACT
| Signed Agreement Addendum |
|
Retrofit Permit Application
Estimated Project Timeline
| Apply for Building Permit |
2023-08-15
|
| Begin Construction (FEMA review and approval is required prior to start of construction) |
2023-09-18
|
| Complete Construction |
2023-12-18
|
Type of Grant Requested
| Apply for Design Grant |
No
|
| Apply for Construction Grant |
Yes
|
Estimated Project Costs
| Estimated Retrofit Design Cost |
$6,500.00
|
| Estimated Retrofit Construction Costs |
$68,500.00
|
Retrofit Scope of Work
| I already have a retrofit design and will provide electronic copies of these plans |
Yes
|
| Description (proposed scope of work) |
Includes all construction work as described in the plans for the retrofit construction.
|
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 |
One beam will be added and visible on the right side of the building outside the garages
|
Acknowledgement - 1st Owner
Acknowledgement
| Owner 1 Name |
Diana Sofko
|
| Date |
2023-06-23
|
