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Planning & Euilding Agency <br />Building Safety Division <br />20 Civic Center Plaza <br />P.O. Box 1988 (M-19) <br />Santa Ana, CA 92702 <br />(714) 647-s800 <br />www.santa-ana.org <br />,'.-l I .) :13.I :i,'l <br />A. PURPOSE OF THIS DOCUMENTATION 'rherk orr,.rl <br />! finalng of unreasonable hardship for proiects UNOER the valuation threshold' <br />! finding of unreasonable hardship for proJects OVER the valuation threshold' <br />E Certificatron of Full Compliance with the 2019 Califomia Building Code <br />, Vatuation threshold as defined in the 20'19 California Building Code, Section 1'18-202.4 (Exception #8) and <br />Section 202 is i12241899 (as of January 2021 ) <br />B. PROJECT INFORMATION TO BE COMPLETED BY PETITIONER: <br />l. The cost of all construction contemplated in the determination of the valuation of improvement threshold <br />based on the valuation of site and building improvements for the last three-year period' <br />DISABLED ACCESS COMPLIANCE <br />DOCUMENTATION FORM <br />Permit No Valuation of lm ments <br />tol i'+ o4z -tp',.Airyt it{ bon <br />J <br />it{. L ooTotal <br />4u.ooo <br />4. Describe the impact of the propo rmproveme on financi I feasibility of the project. <br />$ <br />D43ol Io <br />Permrl Number <br />L^\\ 5 e+ <br />Propcl Address <br />y; Stb <br />Floor Number <br />?<4to-\.^J (.r",(. <br />De sccl p <br />t6b tv'C i e <br />Business Phone Numb€r <br />7Ll-Lsr -!{oofhBusrness Name / <br />tqi <br />Phone Number-1rtdrr;s tdeLegal Properly <br />CC A \JI$r9 <br />s <br />Cosl of Providing ComP ete Drsabled Accesstn/ction Cost or Pro,ect Valuation <br />boo$jTotal <br />5 Describe the pro osed im ents related to accessibility u rades on this ect <br />.lz\ <br />Rev 0t20i2021 <br />L <br />p <br />a +vJ t^*-\ <br />Page 1 of 2 <br />*-SANTA <br />NAr[i?il <br />2. ?0o/o of folal Construction Cost or Project Valuation: <br />3. The actual amount to be spent to provide disabled access: <br />lssuance Date