HomeMy WebLinkAbout2140 S Bristol St - Misc. Permit (2)>-
Plannlng & Bullding Agoncy
Eulldlng Safoty Oivlslon
20 Clvlc C.ntGr Plara
P,O. Box '1988 (il-19)
Sante Ana, CA 92702
(714) 647.5800
www.santa-arB,org
DISABLED ACCESS COMPLIANCE
DOCUMENTATION FORM
ACC{1 C8C 2016
A. PURPOSE OF THIS DOCUMENTATION: (check one)
I Finding of unreasonable hardship for prqects UNDER he \Etuation hreshold'
I Fhdrng of unreasonauo hardst]ip for projects OVER th6 \6luatim thrBshold'
El Cenification of Full Cornplianca with the 2016 Califomia Building Code
' Valuatio.l thrcshold as defined h he 2016 Califomia Building Code, Seclion 11&202.4 (Excaplion rE) and
Section 202 ls t].llgJlE (as of January 2017)
B. PROJECT INFORMATION TO BE COMPLETED BY PETITIONER:
Prci€'ct Addrrss Pcrmrt NullSor
101 103736
ryld Od.dpudt
Grocery markcl- lnterior Security railing addition
Floot Numb6a
Eusrr€s! Ndn6 / Oirlgr
Food 4Less
Busir6! Phoar Numbar
310-900-3276
Leoal Poporty Own€.
The Kroger Company
Total Co.Etrvdiqr Cost or Pmjacl Valuallons $ 41 ,t77.oo
Colt of Provirng Cdnploto Bi€bl€d Accosg$ not aoplicable
1. The cosl oI all construction contemplaled in Ele determination of fle valuatjon of improv€ment
threshold based on the valuation of site and building improvemonts for the last lhrse.year period.
Permit No.lssuance Oate Valuation of lmprovements
Total:
2. 20% of Total Construction Cost or Proiecl Valuation:
3. The actual amount lo be spenl to provide disabled access
s $ 8235.00
N/A
4. Oescribe lhe impsct of th€ proposed improvements on financial fcasibilily of the project
None
5. Oescribe the nature of the use of the facility under constsuction and ils availability to persofls with
disabilities and the nature of accessibility lhat,,rould be gain6d or lost:
Grocary market . Cu.ranl Rest ooms aod accsssibls pslh and Egrsss and Exlls are cun€nt par lhe
20,l9 CBC cod6-
R6v l/9{2017 Pag. I of 2
,..,,,SA]\TA
A\A;.irir
2140 S. Bristol St. Santa Ana
6 ldenlify the accessibilrty feeturas and equivalent facilities that EILL be brought hlo compliance wilh
th€ lalest €dition of Tilre 24 as a part of this proiect and an estimats of he cost of aach item:
(Documenlalion may be requicd)
N/A
! a. Entrance:
I Ooor E Landing ! Suirway/St€ps E Ramp
D Path of ravel to sanitary facilities / public phone / drinking fountain $
$] Path of travel from th€ public way to the building entrance
Drinking fountain(s)e
f, Parking
g. Signage & Alarms
Other RESTROOI\,,I SIGNAGE $ 500.00
Total:s 1000.00
7 ldentity the accessibility features that ULL NOT comply it a request for unreasonable hardship is
granted Provide an astimated cost of compliance for each ilem: (Oocumenlation may be requi6d)
Accessible FEaturss Not to be lmproved Cost of lmprovemont
a s
b q
c.
$Total:
8. P€lltioner must be the legal property own€r or his/her legal representatlv€:
lcertify thal lhe abovs noted information is trus and mnect.
O Legal Propsrty Owner / arcfitecuEngineer I Contractor E Other
Print Name:Brad J Williams Phone No.562-628-8000
245 EAST 3 rd street, Long Beach, CA 90802
Signature:Oate:
!
Cost of lmprovemontAccecsible Features to be Made Accsssible
s
CC Path of travel from sccessible parkhg to he building entrance
and area of remodsl
)c_$
d. Public phone(s)
S
$ 500.00
Ror 119/2017
FOR AGENCY USE ONLY
0ate
Pagr 2 ol 2
Approved by:
b. Path of Travel:
Sanitary facilities ( Floor no.
Address:
t\-