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-'-SANTA <br />ANAJIilI\ <br />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 />(7r4) 647-5800 <br />ww\rv.s a nta -a na. org <br />DISABLED ACCESS COMPLIANCE <br />DOCUMENTATION FORM <br />ACC-01 CBC 2016 <br />A. PURPOSE OF THIS DOCUMENTATION: (check one) <br />fi Finding of unreasonable hardship for projects UNDER the valuation threshold" <br />! FinOing of unreasonable hardship for prolects OVER the valuation threshold. <br />! Certification of Full Compliance with the 2016 Califomia Building Code <br />. Valuation threshold as defined in the 2016 Califomia Building Code, Section 1l8-202.4 (Exception rE) and <br />Section 202 is $156.162 (as of January 2017) <br />B. PROJECT INFORMATION TO BE COMPLETED BY PETITIONER: <br />Project Address <br />. A DYY? ?A <br />Permit Number:lot toZ\>o <br />Project Description Flooa Number <br />I <br />Business Name / Owner: <br />A I ( @mrn'u ?,e.AL?>tt-(v <br />Business Phone Number: <br />cclcl bbV-Z?L'I <br />Legal Property Owner: <br />Total Construction Cost or Project Valuation:$ bt ooo <br />Cost of Providing Complete Disabled Access <br />$[b0a <br />The cost of all construction contemplated in the determination of the valuation of improvement <br />threshold based on the valuation of site and building improvements for the last three-year period. <br />Permit No Valuation of lmprovements <br />Total: <br />2. 20% ol Tolal Construction Cost or Project Valuation: <br />3. The actual amount lo be spenl to provide disabled access <br />S <br />s <br />4. Describe the impact of the proposed improvements on flnancial feasibility of the project. <br />,Jlsf wA it TED lN- A{cAsstELe pes. ZcLnU FffO fZE trlhL, rE*b|:f M Ot'€U rN. <br />PE CO /.',ll"Lt A Ut/O /e,r'- , <br />AT Lt. <br />Qtlfl4 <br />'a fYTo P1aA <br />Rev: 1/9/2017 <br />E-e <br />L.L,Ltl <br />Page '1 of 2 <br />lssuance Date <br />'3?4 <br />Phone Number: <br />4, <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: