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Plannlng & Bulldlng Agency <br />Bulldlng Safaty Dlvlslon <br />20 Clvlc Center Plaza <br />P.O. Box 1988 (t-19) <br />Santa Ana, CA 92702 <br />0r4) 647{800 <br />wwwsanta-ana.ol! <br />DISABLED ACCESS COMPLIANCE <br />DOCUMENTATION FORM <br />ACC-01 CBC 2019A. PURPOSE OF THIS DOCUilIENTATION: (check one) <br />E Finding of unreasonable hardship for projects UNDER the valuation threshold* <br />! Finding of unreasonable hardship for projects OVER the valuation threshold" <br />I Certification of Full Compliance with the 2019 California Building Code <br />" Valuation threshold as defined in the 2019 California Building Code, Section 118-202.4 (Exception #8) and <br />Section 202 is llzqllogoQ (as of January 20201 <br />B. PROJECT INFORMATION TO BE COi'PLETED BY PETITIONER: <br />Project Addressi <br />90] W Civic Center Dr ve Su te 180SantaAnaCa92703 <br />Permit Number: <br />101 105526-901 <br />Project Description: <br />lnterior tenant improvemenl at suite 180 <br />Floor Number: <br />sulte ls on first floor this four story building <br />Business Name / Owner: <br />Johnson/ <Orino / De Anda DBA Novadent Manager Carlos Morino <br />Business Phone Number: <br />714 863 0588 <br />Legal Property Owner: <br />Santa Ana Corporate Office Center LLC l\,4anager Tony Bolbolian <br />Phone Number: <br />718 755 4968 <br />Total Construction Cost or Project Valuation <br />$ 20 000 00 <br />Cost of Providing Complete Disabled Access: <br />$ 5,000.00 at this Suite <br />1 The cost of all construction contemplated in the determination of the valuation of improvement threshold <br />based on the valuation of site and building lmprovements for the last three-year period. <br />Permit No lssuance Date Valuation of lmprovements <br />Total <br />2. 20o/o of f ol€l Construction Cost or Project Valuation: <br />3. The actual amount to be spent to provide disabled access: <br />$ <br />$ <br />4. Describe the impact of the proposed improvements on financial feasibility of the project. <br />5. Describe the nature of the use of the facility under construction and its availability to persons with <br />disabilities and the nature of accessibility that would be gained or lost: <br />This entire facility complies with disability accessibility. <br />N o additional improvement needed for compliancE <br />Rev: 0210412020 Page 1 ol 2 <br />-,-SANTA <br />ANA,',li[ffi