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
|