HomeMy WebLinkAbout101107142 - PermitPlanning & guilding Agency
Building Safely Oivision
20 Civic Center Plaza
P.O. Box 1988 (M-19)
Santa Ana, C492702
(714) 647-s800
www.santa-ana.org
DISABLED ACCESS COMPLIANCE
DOCUMENTATION FORM
ACC-o'| CBC 2016
[l Finding of unreasonable hardship for projects UNDER the valuation threshold'
E Finding of unreasonable hardship for projects OVER the valuation threshold*
n Certification of Full Compliance with the 2016 California Building Code
' Valuation threshold as defined in the 2016 California Building Code, Section 118-202.4 (Exception rl8) and
Section 202 is $156.162 (as of January 20171
B. PROJECT INFORMATION TO BE COMPLETED BY PETITIONER:
Project Address:
l@ e.5'( qerTKVPE?L. r^trA*ll.,b
Permil Number:
lotto'1 l4t
Project Description:
AIC vrttt Fe?L$enEtrt,T- ghP (P1 4Nt1 PefA(
Floor Number:.)
Busioess Name / Ownerl
Ne c QPovr, Le c
Business Phone Number:q+ q 3l I rlo <''
Legal Property Owner:
NEC Avoe?. Lvc
Phone Number:q4q tz6llor
Total Construclion Cost or Projecl Valuation
$ /lz,ovtt
1. The cost of all construclion 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 lssuance Date Valuation of lmprovements
Total
2. 20o/o of f ol€l Construction Cost or Project Valuation:
3. The actual amount lo be spent to provide disabled access
s I 6,4*o -
$
4. Describe the impact of the proposed improvements on financial feasibility of the project.
I Jo". l"^ a,lh
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:
Rev 11912017
-,-SANTA
ANA,'Iiiil
A. PURPOSE OF THIS DOCUMENTATION: (check one)
Cost ol Providing Complete Oisabled Access:
$
Page 1 of 2
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 estimale of the cost of each item:
(Documentation may be required)
Accessible Features to be Made Accessible Cost of lmprovement
a. Entrance
EI Door E Landing n Stairway/Steps E Ramp $ /,ooo
b. Path of Travel
E Path of travel from accessible parking to the building entrance
and area of remodel $
Ef Path of travel to sanitary facilities / public phone / drinking fountain $ /, auo
n Path of travel from lhe public way to the building entrance $
c Sanitary facilities ( Floor no )
c
d. Public phone(s)$
e Drinking fountain(s)$
$
g. Signage & Alarms $ /avo
i. Other:$
$Total:
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 ilem (Documentation may be required)
Accessible Features Not to be lmproved Cost of lmprovement
a $
b $
c $
$Total:
8. Petitioner must be the legal property owner or his/her legal representative:
I certify that the above noted information is true and correcl.
E Legal Property Owner E ArchitecuEngineer E Contractor E other:
Print Name: H a", Clre-ol h ut n k- Phone No.>l 3 >to 6lEs
Address: 28 R;)bl-C+. PancLo 74,s
Signature:Date
275
>.ara4
Rev:1l9l2o1l
Date:
Page 2 ol 2
f. Parking
,t
FOR AGENCY USE ONLY
Approved by: