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Planning & guilding Agency <br />Building Safely Oivision <br />20 Civic Center Plaza <br />P.O. Box 1988 (M-19) <br />Santa Ana, C492702 <br />(714) 647-s800 <br />www.santa-ana.org <br />DISABLED ACCESS COMPLIANCE <br />DOCUMENTATION FORM <br />ACC-o'| CBC 2016 <br />[l Finding of unreasonable hardship for projects UNDER the valuation threshold' <br />E Finding of unreasonable hardship for projects OVER the valuation threshold* <br />n Certification of Full Compliance with the 2016 California Building Code <br />' Valuation threshold as defined in the 2016 California Building Code, Section 118-202.4 (Exception rl8) and <br />Section 202 is $156.162 (as of January 20171 <br />B. PROJECT INFORMATION TO BE COMPLETED BY PETITIONER: <br />Project Address: <br />l@ e.5'( qerTKVPE?L. r^trA*ll.,b <br />Permil Number: <br />lotto'1 l4t <br />Project Description: <br />AIC vrttt Fe?L$enEtrt,T- ghP (P1 4Nt1 PefA( <br />Floor Number:.) <br />Busioess Name / Ownerl <br />Ne c QPovr, Le c <br />Business Phone Number:q+ q 3l I rlo <'' <br />Legal Property Owner: <br />NEC Avoe?. Lvc <br />Phone Number:q4q tz6llor <br />Total Construclion Cost or Projecl Valuation <br />$ /lz,ovtt <br />1. The cost of all construclion 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 lssuance Date Valuation of lmprovements <br />Total <br />2. 20o/o of f ol€l Construction Cost or Project Valuation: <br />3. The actual amount lo be spent to provide disabled access <br />s I 6,4*o - <br />$ <br />4. Describe the impact of the proposed improvements on financial feasibility of the project. <br />I Jo". l"^ a,lh <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 />Rev 11912017 <br />-,-SANTA <br />ANA,'Iiiil <br />A. PURPOSE OF THIS DOCUMENTATION: (check one) <br />Cost ol Providing Complete Oisabled Access: <br />$ <br />Page 1 of 2