HomeMy WebLinkAbout324 E Dyer Rd Unit# A - Misc. Permit-'-SANTA
ANAJIilI\
Planning & Building Agency
Building Safety Division
20 Civic Center Plaza
P.O. Box 1988 (M-19)
Santa Ana, CA 92702
(7r4) 647-5800
ww\rv.s a nta -a na. org
DISABLED ACCESS COMPLIANCE
DOCUMENTATION FORM
ACC-01 CBC 2016
A. PURPOSE OF THIS DOCUMENTATION: (check one)
fi Finding of unreasonable hardship for projects UNDER the valuation threshold"
! FinOing of unreasonable hardship for prolects OVER the valuation threshold.
! Certification of Full Compliance with the 2016 Califomia Building Code
. Valuation threshold as defined in the 2016 Califomia Building Code, Section 1l8-202.4 (Exception rE) and
Section 202 is $156.162 (as of January 2017)
B. PROJECT INFORMATION TO BE COMPLETED BY PETITIONER:
Project Address
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Permit Number:lot toZ\>o
Project Description Flooa Number
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Business Name / Owner:
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Business Phone Number:
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Legal Property Owner:
Total Construction Cost or Project Valuation:$ bt ooo
Cost of Providing Complete Disabled Access
$[b0a
The cost of all construction contemplated in the determination of the valuation of improvement
threshold based on the valuation of site and building improvements for the last three-year period.
Permit No Valuation of lmprovements
Total:
2. 20% ol Tolal Construction Cost or Project Valuation:
3. The actual amount lo be spenl to provide disabled access
S
s
4. Describe the impact of the proposed improvements on flnancial feasibility of the project.
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Rev: 1/9/2017
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Page '1 of 2
lssuance Date
'3?4
Phone Number:
4,
5. Describe the nature of the use of the facility under construction and its availability to persons with
disabilities and the nature of accessibility that would be gained or lost:
6. ldentify the accessibility features and equivalent facilities that WILL be brought into compliance with
the latest edition of Title 24 as a part of this project and an estimate of the cost of each item:
(Documentation may be required)
Accessible Foatures to be Made Accessible Cost of lmprovement
a. Enlrance
tr Door E Landing ! Stairway/Steps fl Ramp $
b. Path of Travel
E Path of travel from accessible parking to the building entrance
and area of remodel $
E Path of travel to sanitary facilities / public phone / drinking fountain $
E Path of travel from the public way to the building entrance $
c. Sanitary facilities ( Floor no )$ -f,'eoo
d. Public phone(s)
e. Drinkingfountain(s)$
f. Parking $
g. Signage & Alarms $
i. orher: llZUNc*rOtz @rhg,$ ),guo
$ 8, LuoTotal:
7. ldentify the accessibility features that WILL NOT comply if a request for unreasonable hardship is
granted. Provide an estimated cost of compliance for each item: (Documentation may be required)
Accessible Features Not to be lmproved Cost of lmprovement
.. FATH of T{z&w.uFrtaM yt.le fo?trt stD€,(D44.$ 50 t ocx>
b. nce,,ts/BtF. ftA.lNasr*r'Ls q s/6u4ge $3,ooo
c $
$Total:
prinr Name: .TUI*f* /r-,rlleptlAUw"t phone No.(ru) 4 ?L- 4/ s5
Address M II2A 4d€ rt qZ
Date b-
Rev: I 1912017
Date:
Page 2 ol 2
$
8. Petitioner must be the l6gal property own€r or his/her legal representative:
I certify that the above noted information is true and correct.
E Legal Property owner E ArchitecuEngineer n Conlractor ff Otn"r, A-ciE.r f Fzti- L\t+',cetL-
Signature:
FOR AGENCY USE ONLY
Approved by: