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,,*SNTA <br />A1\A <br />It1\\l\c <br />&BilLDl\[ <br />1cnfl <br />Planning & Building Agency <br />Bullding Safety Division <br />20 Clvlc Contor Plaza <br />P.O. Box 1988 (ir-19) <br />santa Ana, cA 92702 <br />(714) 647-s800 <br />wwwsanta-ana,org <br />DISABLED ACCESS COMPLIANCE <br />DOCUMENTATIOX FORM <br />ACC-01 CBC 2019A. PT RPOSE OF THIS DOCUMENTATION: (check one) <br />[f Finding of unreasonable hardship for projects UNDER the valuation threshold. <br />Q Finding of unreasonable hardship for projects OVER the valuation threshold* <br />E Certification of Full Compliance with the 2019 California Building Code <br />' Valuation threshold as defined in the 2019 California Building Code, Section 1 'l 8-202.4 (Exception #8) and <br />Section 202 is tl!p!@Q (as of January 2020) <br />B. PROJECT INFORMATION TO BE COMPLETED BY PETITIONER: <br />PIoject Address: <br />i000 E. Santa Ana Blvd <br />Permit Number <br />101103540 <br />ftoject Descdption: <br />Second Floor Tennant lmprovement <br />Floor Number <br />2 <br />Business Name / Owner: <br />city of Sanla Ana <br />Business Phone Numbe <br />714.847 5045 <br />Legal Property Oviner: <br />city of Santa Ana <br />Phone Numberl <br />714.647.5045 <br />Total Construction Cost or Proj€cl Valuation <br />320,000 <br />Cost of Providing Comdcte Oisabled Access: <br />$150,000 <br />1. Thecostofall construction contemplated in the determination of the valuation of impmvement threshold <br />based on the valuation of site and building improvements for the last three-year period. <br />lssuance Date Valuation of lmprovements <br />101 1 03540 ln Plan Check $20.000 <br />Total <br />2. 2Oo/o ol Tolal Construction Cost or Project Valuation: <br />3. The actual amounl to be spent to provide disabled access <br />4. Describe the impact of the proposed improvements on financial feasibility of the project <br />5. Describe the nature of the use of the facility under construction and its availability to persons with <br />disabilities and the nature of accessibility that would be gained or lost: <br />Office Soace - The second floor restrooms are not 100% in comoliance. however thev are <br />Accessible: however in an extreme case the first floor restroom are 100% com o liant <br />$ 4,000 <br />$ 4,000 <br />Rev 0210412020 Page 1 ol2 <br />Permit No.