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A. PURPOSE OF THIS DOCUMENTATION: (check one) <br />DISABLED ACCESS COMPLIANCE <br />DOCUMENTATION FORM <br />o <br />.Iffi"'o''-01 <br />! findlng of unreasonable hardship for prgecb UNOER the valuation threshold' <br />E ;!iading of unreasonable hardship for prorecls OVER the valuation threshold* <br />Ef Certification of Full Compliance with the 20 l9 Califomia Building Code <br />st1 06 <br />^$\ah$a015d\t\ <br />' Valuation threshold as defined in the 2019 Califomia Building Code, Section 118-202.4 (Exception #8) and <br />Section 202 is lllf,g!!!Q! (as of January 2021 ) <br />B. PROJECT INFORMATION TO BE COMPLETEO BY PETITIONER: <br />Proiect Address 21rl s (6R't re. *t+ C <br />Permit Number <br />l0r l0t q l( <br />Project Descnption: <br />Rzs reval^t7 -to t6eAT i^ <br />^(L\<6-T <br />Floor Numbere <br />Business Namg / Owner: <br />CAf-al rL€(trA l-€r9 vwv Sr CoS f ,.o o. To(to-e) <br />Business Phone Numberl <br />111 -)21 -tS lS <br />Legal Properly Ownor Phone Number <br />Tolal Constructron Cost or Ploject Valuation <br />$* 9r, <",c,Cost of Providing Complete Dis€bled Access$ /r! LL o \e!> <br />The cost of all construction contemplated in the determination of the valuation of improvement threshold <br />based on the valuation of site and building improvements for the last three-year period. <br />Permit No lssuance Date Valuation of Improvements <br />Total <br />4. Describe the impact of the proposed improvements on financial feasibility of the prolect <br />s <br />$ <br />5. Describe the proposed improvements related to accessibility upgrades on this project <br />C.A<C ar: 6 \5\(czyt P( <br />^ <br />s. <br />/ 0ll o-7? 2 I Raenc.1*Page 1 of 2 <br />,-,SANTA <br />NAqtl* <br />Planning & Building Agency <br />Building Safety Oivision <br />20 Civic Center Plaza <br />P.O. Box 1988 (M-19) <br />Santa Ana, CA 92702 <br />(714) 647-s800 <br />www.santa-ana.org <br />2. 2oo/o ol fo|,l Construction Cost or Project Valuation: <br />3. The actual amount to be spent to provide disabled access: <br />Rev: 05l20l2O21