HomeMy WebLinkAbout102103880 - PermitTA
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DISABI.ED ACCESE @XPUAT'CE
DOCUTE}ITATIOT' FORT
A
AC',O1 C8C 2019
PIJRPOIE OF THIS DOCUEffiATIOH: (drd( orr)
E0 Findlns ol urrcasonablc had$lp for prqcdr t,t{)ER th' vdueton htrlhdd'
E finarB a urc*"rr,"U" hatdshh fr Prqe'ls OVER tho uluston tituohdd
E crrun ru- a Full comdanco wtth thc 2019 Caflbrila Bulbing Cod€
. veluaton t,"s$old 8! dd!€d h fir 2019 Cdbrnls Buddng Code, Socto.r 11&2f2.4 (Erc€9doo #8) and
i*t* ZU " Unag$ (as of Jstruerv 2020)
PRq|ECT |]5ORTANO'{ TO BE GOFLETED EY PETMOT'R
Projed^ddE Pdr t N(,nb3t
r$ ftra+arD er'o o3(f,o
ProFd soipton Floor bat
Le,I\a
B
\
a! er,
Busn6! l'lam. / olxnoc Blrt,7 nier Pnonc tlrnbrr.tct frZ'JTl r
H oa Prortdlng CorDplet!Dbobbd Acc66t
$ y2--oo
$20o(*
$12 CD6
*qa )--
/o,")Log€l PtcPe.fY O,l,Ile
Total Co.tstrucdon Calt or Prqcd valtdoo
$p 6to
1
4
The cost of all constructlon conbmplat€d ln the determinaton of the valuation of lmprcv.fiiont thr'slEld
based on the .mluation of slt€ 6nd buildng lmprov€rnonts fur tho lsst threG)'lar p€flod'
Permit No lssuanca Date
t
2. fro/o olTotsil consrucflon Cosl or Projecl Valuation:
3. The ac-Usl amount to b€ spent to provrde disabled access:
Dos
i
cribe th€ lmpad of the proposed improranncnb on financhl hcdH lity of he prqoa
-).1 A^.!J)12
Phdlo Numb{
m€altsValuation oI lm
.l-\(a (tr .,r^{-I I L.OC r.\ t!.-"
*A It ta gtar<-
5. o€scribe tho nature of tre use of fhe faclltty under construction and its av:ilability b pcrsons with
disabilities and tho natur€ of accesslbllity thet would bG gaincd or bst:
Total:
ldenttfy th€ acc€Bsibillty faaturos and.oquavalant fudtttios rhat UlL b6 brought into compianc€ wrr. thelstrat_edidon of rrire 24 as a part of thi8 projecr and an esdmab;f drc co8tor-e8ctt G;;. itb;r&;;,naybtqutd)
Acc6.&h FrrUG b br ldr lccoDar
a. Ent-ance:
-. Door ! tanoing E StaivaylSteps E Ramp t
b. Pah of Travel:
Cddlnprorcnont
Sa!__
2-o66
lc.
D Pa{h ol t'av€l from eccessbie parktng b ho buiHhg cntsanca
and area of ramodel
Path of travel to santtary facllities i public phone / drinking
$
! Pafr ot uavet fiom the public way to he bul ldhg onfanco $
$Sanitary facllilies ( Floor no.)
$
$
seDrinking fountain(s)
f. Parking
i. Other
a.
t
7
tdEl$ t soo
identity tho accosslbrtity featurEs thst trlHn llor. comply if a rEqucst for rnrcasonable hardshlp tBgranted. Provide an osrimaH cost of comprianco for eacfr ltem: /bavmentarfot Dray i ,equtu;; '-
Accrrrtlb Frdrr! lU b b. tnplDrtd
$
Totrl:
e Pduon . mld br thc hgal goprrf ilrrr or fflh, trgrt.rptErt ttv.:
I ct.tify hat ths abo\rc notsd information h fue and consct
D Legel Pmpefiy Oflner E ercnrlootfngmeer ! Contractor E[ Ofror:
Print Name:
.-]i,rf4 Phone No.(tt ).t72-3?1tr
4a eAAddress:73
Slgnature:
.?
Date , 4^o.Z/
d. Public phone(s)
g. Srgnage & Alarms $
b.Q
c.$
s ltrroo
Approved by:
ku OUOq-ZA2A
Date:
P.Ce 2 ol2
$
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Cct ol Lnprcrrr|t r
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