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Plannlng & Bullding Agency <br />Bullding Saf.ty Division <br />20 Civic Center Plsza <br />P.O. Box 1988 (M-19) <br />Santa Ana, CA 92702 <br />or4) 647-5800 <br />wwwSanta-ana.or9 <br />DISABLED ACCESS COMPLIANCE <br />DOCUMENTATION FORM <br />cBc 2016 <br />A. PURPOSE OF THIS DOCUMENTATION: (check one) <br />N$s 28Nl$ <br />hna! Finding of unreasonable hardship for projecls UNDER the valuation threshold' <br />E ,[inding of unreasonable hardship for projects OVER th€ valuation threshold' <br />Er Certincation ot Full Complianc€ with the 2016 California Building Code <br />o1 Santa <br />C\t'J <br />' Valuation threshold as defined in the 2016 California Building Codo, Section 118-202.4 (Exception #8) and <br />Seclion 202 is $lEqlg3 (as of J anuary 2017) <br />B. PROJECT INFORMATION TO BE COMPLETED BY PETITIONER: <br />1. The cost of all construclion contemplated in the determination of the valuation of improvement <br />threshold based on tho valuation of site and building improvements for the last thre€-year period. <br />Permit No lssuance Date Valuation of lmprovements <br />None in last three vears <br />0Total <br />2. 200k ol Tolal Construclion Cost or Project Valuation: <br />3. The actual amount to be spent to provide disabled access <br />$)).155 <br />$ 10.000 <br />4. Describe the impact of the proposed improvements on financial feasibility ot the project <br />No Con truction and access ibilitv remediation are p art of the overall project ans overall store <br />will be in full compliance with CBC Chapter 118. <br />5 Oescribe the nature of the use of the facility under construction and its availability to persons with <br />disabilities and the nature of accessibitity that woutd be gained or lost: <br />n with disabilities in the customer <br />lobby and restrooms. Accessibility will be in full compliance once construction is complete with <br />CBCB Chapter 11B <br />4t 9 ilWtue. ?Lvt,ehNlp ANh.cA e?kPrqecl Addr6s:Pemil Numb€r: ,-,-- - - - <br />fnhyevlrtT /0ff7b* <br />7cd <br />Prqoct Ooscriptjon: <br />a <br />NL,mber: <br />tlr o\c N nl-D / 5 R6l, pilB ft t{( <br />Busin€ss Name / Owner:Busi-n6ss Phone Numbe, <br />Qoq-qa-zZlz <br />ElZ-24-obqt+ <br />Cost ol Poyiaifcomfllde DisaUteO eccess:$ N/A <br />Phone Number'p6rty <br />N <br />Total Construclion Cost <br />c <br />s c <br />Rev: 1 l9l2g17 loll03Z67 p.-+-*c.q--Page 1 ol 2 <br />,**SANTA <br />NATiL,.i! <br />tt,L. u-c