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 |
3
|
Owner Information
| 1st Owner |
Mary Stewart
|
| Primary Phone |
+13108694211
|
| Primary E-Mail |
[email protected]
|
| Primary Mailing Address |
12807 Dewey St, Los Angeles CA 90066-1710
|
2nd Owner Information
| 2nd Owner |
Jane Gonzalez
|
| Primary Phone |
+18054035624
|
| Primary E-Mail |
[email protected]
|
| Primary Mailing Address |
5580 Coralino Rd, Santa Barbara CA 93111-1428
|
3rd Owner Information
| 2nd Owner |
Lorna Joan Humphreys
|
| Primary Phone |
+13104513140
|
| Primary E-Mail |
[email protected]
|
| Primary Mailing Address |
851 2nd St Apt 213, Santa Monica CA 90403-1068
|
Owner’s Representative Details
| Name |
David Stewart
|
| Company name (if applicable) |
None
|
| Primary Phone |
+13109189377
|
| Email |
[email protected]
|
| Address |
12807 Dewey Street, Los Angeles, CA 90066
|
| Proof of Owner Representation |
David CDL.pdf
|
Building Information
Building Address
| Address |
1123 Princeton St, Santa Monica CA 90403-4792
|
| Parcel Number |
4266016043
|
Building Occupancy and Area
| Residential (including hotels/motels) (sq. ft.) |
1722
|
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 |
We did
|
| 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
Design Professional (1)
| Date contacted (Approximate date if exact date is unknown) |
2024-09-11
|
| Company Name |
Optimum Seismic
|
| How you contacted them |
Email
|
| Name of person contacted |
Ali Vahdani
|
| Did the company provide a bid? |
Yes
|
| Design Proposal Bid Amount |
$43,500.00
|
| Attachment |
1123 Princeton St - Design-Build Proposal (1).pdf
|
Design Professional (2)
Design Professional (3)
ENGINEER/ARCHITECT CONTRACT
Retrofit Permit Application
Estimated Project Timeline
| Apply for Building Permit |
2024-11-13
|
| Begin Construction (FEMA review and approval is required prior to start of construction) |
2025-01-13
|
| Complete Construction |
2025-02-18
|
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 |
$38,500.00
|
Retrofit Scope of Work
| I already have a retrofit design and will provide electronic copies of these plans |
Yes
|
| Description (proposed scope of work) |
Retrofit soft-story car-port.
|
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 |
Mary Stewart
|
| Date |
2025-03-12
|