Applicant Information
Primary Information
| Is the building owned by Individual owners, LLC , Trust or Corporation |
Trust
|
LLC / Trust / Corporation Information
Owner’s Representative Details
Building Information
Building Address
| Address |
1143 Harvard St, Santa Monica CA 90403-4732
|
| Parcel Number |
4266009059
|
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 |
Not applicable.
|
| 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? |
5
|
| I have attached copies of these proposals to this form, along with the signed contract with my selected designer |
No
|
FEMA addendum
ENGINEER/ARCHITECT CONTRACT
Retrofit Permit Application
Estimated Project Timeline
| Apply for Building Permit |
2025-05-01
|
| Begin Construction (FEMA review and approval is required prior to start of construction) |
2025-10-01
|
| Complete Construction |
2025-12-01
|
Type of Grant Requested
| Apply for Design Grant |
Yes
|
| Apply for Construction Grant |
No
|
Estimated Project Costs
| Estimated Retrofit Design Cost |
$8,975.00
|
| Estimated Retrofit Construction Costs |
$70,000.00
|
Retrofit Scope of Work
| I already have a retrofit design and will provide electronic copies of these plans |
Yes
|
| Description (proposed scope of work) |
Soft-story retrofit of two sides of two-story back building.
|
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 |
Polkinghorn Family Trust dated August 15, 1990, by William A. Polkinghorn, Trustee
|
| Date |
2024-10-30
|