Applicant Information
Primary Information
| Is the building owned by Individual owners, LLC , Trust or Corporation |
Individual Owners
|
LLC / Trust / Corporation Information
Multiple Owner
| How many owners does this building have |
1
|
Owner Information
| 1st Owner |
MAHIN M GHAFFARI
|
| Primary Phone |
+13103958643
|
| Primary E-Mail |
[email protected]
|
| Primary Mailing Address |
PO Box 49234, Los Angeles CA 90049-0234
|
Owner’s Representative Details
Building Information
Building Address
| Address |
1128 10th St, Santa Monica CA 90403-5335
|
| Parcel Number |
4281028006
|
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 |
retrofit contract.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
|
| 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 |
Document_2024-11-10_132958.pdf
|
ENGINEER/ARCHITECT CONTRACT
