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Planning & Building Agency <br />Building Safety Division <br />20 Civic Center Plaza <br />P.O. Box 1988 (M.'19) <br />Santa Ana, CA 92702 <br />(7'r4) 647-s800 <br />www,santa-ana.org <br />DISABLED ACCESS COMPLIANCE <br />DOCUMENTATION FORM <br />ACC-o1 CBC 2016 <br />A. PURPOSE OF THIS DOCUMENTATION: (check one) <br />! finaing of unreasonable hardship for prolects UNDER the valuation threshold- <br />fl, Find'ng of unreasonable hardship for projects OVER the valuation threshold* <br />VJ Certification of Full Comp[ance with the 2016 California Building Code <br />' Valuation threshold as defined in the 20'16 California Building Code, Section 118-202.4 (Exception #8) and <br />Section 202 is $156,162 (as of J anuary 2017 ) <br />B. PROJECT INFORMATION TO BE COMPLETED BY PETITIONER: <br />Projecl Address <br />/Lot s, GarnJo sI. <br />Permrl Number: <br />Prolect 0escription: <br />(€1tt,:r/i: Dctttt''l 6 iP tLL <br />Floor Number <br />Business Name / Owner <br />4nt 17114r,* <br />Business Phone Number(qqq\ 9 to-qrlG <br />Leqal Propeny Owner(fiNr*tafr q\'lzz -l')oa(rq <br />Cost of Providing Complete Disabled Access <br />s -4- <br />Tolal Consl,lction Cosl or Project Valuatioo$ fos- <br />Permit No lssuance Date Valuation of lm provements <br />Total <br />2. 200/o of Tolal Construction Cost or Project Valuation: <br />3. The actual amount to be spent to provide disabled access <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 />flh s FAar r-r (Y fi LLI ccttt (et eb ru | fl+ Zc, iV z-bc Ft{L )tt*ote-ul <br />$ <br />$ <br />Rev 11912017 <br />ftccess <br />Page 1 ol2 <br />**SAJ'[A <br />NA,ffi <br />1. The cost of all construction contemplated in the determination of the valuation of improvement <br />threshold based on the valuation of slte and building improvements for the last three-year period.