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Rev: 03/18/2025 Page 2 of 2 <br />6.Identify the accessibility features and equivalent facilities that WILL be brought into compliance with the <br />latest edition of Title 24 as a part of this project and an estimate of the cost of each item: (Documentation <br />may be required) <br />Accessible Features to be Made Accessible Cost of Improvement <br />a.Entrance: <br /> Door Landing Stairway/Steps Ramp $ <br />b.Path of Travel: <br /> Path of travel from accessible parking to the building entrance <br /> and area of remodel $ <br />$ <br /> Path of travel from the public way to the building entrance $ <br />c. Sanitary facilities $ <br />d.Public phone(s)$ <br />e.Drinking fountain(s)$ <br />f.Parking $ <br />g.Signage & Alarms $ <br />i.Other:$ <br />Total: $ <br />7.Identify the accessibility features that WILL NOT comply if a request for unreasonable hardship is <br />granted. Provide an estimated cost of compliance for each item: (Documentation may be required) <br />Accessible Features Not to be Improved Cost of Improvement <br />a. $ <br />b. $ <br />c. $ <br />Total: $ <br />8.Petitioner must be the legal property owner or his/her legal representative: <br />I certify that the above noted information is true and correct. <br /> Legal Property Owner Architect/Engineer Contractor Other: <br />Print Name: Phone No. <br />Address: <br />Signature: Date: <br />FOR AGENCY USE ONLY <br />Approved by: Date: <br />(All Accessible signage includes material and labor) 1,500 <br />( Replace toilet, grab bar, toilet paper dispenser, <br />toilet seat cover,restroom sink, soap dispenser...) <br />11,500 <br />13,000 <br />path of travel from the public way to the building entrance 30,000 <br />30,000 <br />x Designer <br />714-417-1839KIM NGUYEN <br />10492 TRASK AVE #B, GARDEN GROVE, CA 92843 <br />09.08.2025