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Rev: 02/01/2023 Page 1 of 2 <br />DISABLED ACCESS COMPLIANCE <br />DOCUMENTATION FORM <br />ACC-01 CBC 2022 <br />A. PURPOSE OF THIS DOCUMENTATION:(check one) <br />Finding of unreasonable hardship for projects UNDER the valuation threshold* <br />Finding of unreasonable hardship for projects OVER the valuation threshold* <br />Certification of Full Compliance with the 2022 California Building Code <br />*Valuation threshold as defined in the 2022 California Building Code, Section 11B-202.4 (Exception #8) and <br />Section 202 is $195.358.00 (as of January 2023) <br />B. PROJECT INFORMATION TO BE COMPLETED BY PETITIONER: <br />Project Address:Permit Number: <br />Project Description:Floor Number: <br />Business Name / Owner: Business Phone Number: <br />Legal Property Owner:Phone Number: <br />Total Construction Cost or Project Valuation: <br />$ <br />Cost of Providing Complete Disabled Access: <br />$ <br />1. 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.Issuance Date Valuation of Improvements <br />Total: <br />2. 20% of Total 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 />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 />(714) 647-5800 <br />www.santa-ana.org <br />12,300 <br />X <br />714 S Harbor Blvd <br />2/25/2025