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CITY OF SANTA ANA <br />Planning and Building Agency <br />e <br />Identifythe accessibilit features and e uivalent facilities that WILL be brought int com lia►�°�R r�ved <br />6 y q <br />latest edition of Title 24 as a part of this project and an estimate of the cost of each i erg c�FnRrMliTJSSUANCE <br />maybe required) �7, OW <br />Accessible Features to be Made Accessible I CooWltapt&vement <br />ate: <br />a. Entrance: <br />Ej Door ❑ Lan ding ❑Stairway/Steps Ramp I $ <br />b. Path of Travel: ' -1 . r. A <br />❑ Path of travel from accessible parking to the building entrance $ <br />and area of remodel <br />., -, <br />El Path of travel to sanitary facilities / public phone / drinking � <br />fountain <br />❑ Path of travel from the public way to the building entrance I $ <br />C. Sanitary facilities (Floor'no. ) $ <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 maybe required) <br />Total: <br />8. Petitioner must be the legal property owner or his/her legal representative: <br />certify that the above noted information is true and correct. <br />D Legal Property Owner E Arch itect/E ng i neer [Contractor <br />Print Name: OC STAR CONSTRUCTION, INC <br />Address". 92 0 1 <br />Signature: <br />E Other: <br />Phone,.No. 714 - 812 -4415 <br />GARDEN GLOVE BLVD, GARDEN GROVE, CA 92844 <br />FOR AGENCY USE ONLY <br />v y • %, <br />Date: <br />Approved by: Date: <br />I CITY <br />Rev: 01/27/2026 Page 2 of 2 <br />