HomeMy WebLinkAbout104106399 - PermitPllnnin9 & Euildlng Ag.ncy
Building Stflty Oivlsion
20 Clvlc C.ntar Plaza
P.O. Box 1988 (f -19)
Santa Ana, CA927O2
(714) 647-5800
www.aanta-ana.org
DISABLED ACCESS COMPLIANCE
OOCUMENTATION FORM
ACC41 CAC 2019
A. PURPOSE OF THIS DOCUMENTATION: (check ons)
! Finding of unreasonable hardship ftr pnfrb UNDER the valuati,t thrashold'
E Finding of unrsasonable hadship Ifi pm&'cts OVER the valuation threshold'
d C"rtif.ai* of f ull Cornplianc6 with the 20 l9 Califomia Building Code
' Valuation thr€shdd as dofined in the 2019 Califomh Euilding Code, S€ction 1lB-202.4 (Exceptibn rE) and
Seclirn 202 is 394!!l!!9 (as of January 2021 )
B. PROJECT II{FORMATION TO BE COTIPLETED BY PETITIONER:
Proj6<{ Add..8:
626-62O Harbor Blvd.
P€nnil Numb€r:
to4to6399
Prqcci O.rcriptir:
Rcmove un?etmttcd chanqes l Combrne vnfis 6|
Fhor Number:
a6 + 620 rnto I srn4le unrt
Busingss Nam6 / Ornor
llarbor Place thopVnq Center LLC
Businoss Phon€ Numbouqtq 3v-oo40
Lggsl Proporty O./n6r:
Tom Chou
Phofie Numbor
iot l Con6t uclbo Cd oa POod Valultlooi
$ 6,000
-aat A Provldirlg co.npi.ta ol..bLd A.c.+t:
$ l,ooo
1. Th€ co,st of all construction contemplatod in tho detemination of th€ valuation of improvemsnt throshold
basod on th€ valuation of site and building improvements for the last thr6€-y€ar period.
Permit No lssuance Oalg Valuation ol lmprovements
Total:
2. 20o/o ol 1 olal Construclion Cosl o. Poiect Valuation:
3. Th€ aclual amounl to b€ spsnt to provid€ disablod accoss:
4. Dsscdbe tho impact of ths propos€d improvomsnts on fnancial leasibility ol tho proioct.
No mpact
s
$
5. Oescribe tho proposed improvemsnts related to accessibility upgrades on this pIoiect.
vpdahnq all gtqnaqe to comply wfih accesstbrlftv Etandards,verfiy and rnsLall
fi needed access
R6,v: 05/2012021
rbiltv arab bars n bathrooms.
Pq.1d2
.,,,.,SANTA
AIAJilffi
6 tdenttty th6 accessiblllty foaluros and Equivalont facilities that Ullt b€ brought into comPlianca with lhe
lstest edition of TlUe 24as a part of this proiect and an e6timate of the cost of each item: (Documenlation
may be requlred)
Acces3lblc Fcaturo3 to bG Mado Acc.sslblo Co3t of lmproYemont
a. Entrance:
E ooor D Landing D Stairway/Stops E Ramp $ o.oo
b. Path of Trav€l:
fl Path of favel from accessible parking to ths building entranca
and ar6a of remodel $ o.oo
[Path of travol to sanitary facilities / public phon€ / drinking
fountain $ o.oo
fl Path of travel from th€ public way to tho building entrance $ o.oo
c Sanitary facililies ( Floor no.)$ 500,oo
d. Public phona(s)s o.oo
e. Orinkingfountain(s)$ o.oo
f. Pa.king s o.oo
g. Signag€ & Alarms $ 500.oo
i. Other:$ o,oo
$ r,ooo.ooTotal:
7. ldentify the accsssibility featuros that wlLL NOT comply if a requost for unroasonablo hardship is
granted. Provide an estimated cost of compliancs for €ach itsm: (Documentation may be required)
Corl of lmprovemont
a. N/A c
$
c $
sTotal:
8. Petltlonea must be the logal propotty own€r or hls/hor l6gal rop.esentallve:
I cortlfy that the above noted information is true and con€ct.
E Legal Prop€rty Owner E ArchitecuEngineer ! Contractor dcnt". DesanerlA??lrcant
Print Nam6 Davrd R. Gamboa (AES Solutronr LLC)phon€ No. Vl4) 597-5560
Addr6ss: I 3O3 Bt Ave, Eellflowe cA90706
Signature:Date:202t
Revi 05,/2d202'l
FOR AGENCY USE ONLY
Pqa 2 ol2
Approved by:
Accasslble Features Not to bc lmprovod
b.
Date: