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n 0,sAl{lA <br />ANA,ffi <br />Planning & Building Agoncy <br />Bullding Safoty Olvlslon <br />20 Civlc Conter Plaza <br />P.O. Box 1988 (M.19) <br />Santa Ane, CA 92702 <br />(71lt) 6,17*5800 <br />www,t a nta .a n a. org <br />DISABLED ACCESS COMPLIANCE <br />DOCUMENTATION FORM <br />ACC-o1 CBC 2019A. PURPOSE OF THIS OOCUMENTATION: r;heck ore, <br />! Finding of unreasonable hardship for projects UNDER the valuatron threshold'!Finding of unreasonable hardship for proiects 0VER the valuation threshold" <br />Certrficatron of Full Compliance with the 201 9 Cahfornia Burtding CodeF <br />' Valualion threshold as deflned in the 2019 California Buildrng Code. Section 1 1B-202 4 (Exceplron #81 and <br />Secrron 202 is $170,466.00 (as of January 2O2O ) <br />B. PROJECT INFORMATION TO BE COMPLETED BY PETITIONER: <br />r"?lH;,,. ft:vers sr PermrlNumcer <br />PaoJecl Descfiplron <br />Detlo t/v Per2.vvlrrfrZn Ar4LLSI 4Ecf met Brtsanda de5T <br />Busrness Name / Owner Busrness Phone Number3\ AAPY"AaET\ta{r 9{1 -'t zz 'lttoo <br />Legal Properly Ow erC*At€ HaeDtilGg <br />Tolal Conslruclron Cosl or Project Veluatrons t2oo- <br />gArA€ <br />Cosl ol ProvidxU Complete Orsabled Access <br />S 710 <br />The cost ot ali constructron contemplated in the delermination 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 lm ovem e ntstLoo- <br />2 20'/o of T olal Constructron Cost or Project Vatuation <br />3 The actual amount to be spent to provide disabted access <br />S 71o <br />2'lO <br />4 Descflbe the rmpact of the oposed improvements on financtal feasrbrlity of the project <br />t"rrLL PA\/r o€ ./POAr€'O D.lrTL <br />T DNDft\tc,Nft L1€ €\r{t 6stt- Crstn Ptt fH LE <br />s <br />Rca 02104t2021) <br />L +LLq,L€ <br />Paqe 1 ol 2 <br />29 <br />Total lzo> <br />5 Descnbe lhe nature of the use of the facility under construction and its avarlability to persons with <br />drsabrlitres and the nature of accessibrlity that would be gained or lost