Disabled Access Compliance Documentation Form - City Of Santa Ana

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Planning & Building Agency
Building Safety Division
20 Civic Center Plaza
DISABLED ACCESS COMPLIANCE
P.O. Box 1988 (M-19)
DOCUMENTATION FORM
Santa Ana, CA 92702
(714) 647-5800
ACC-01 CBC 2013
A. PURPOSE OF THIS DOCUMENTATION:
Finding of unreasonable hardship for projects under $143,303 (as of January 2014) per
2013 California Building Code (CBC), Section 11B-202.4 (Exception #8) and Section 202.
Full Compliance with the 2013 California Building Code
B. PROJECT INFORMATION TO BE COMPLETED BY PETITIONER:
Project Address:
Permit Number:
Project Description:
Floor Number:
Business Name / Owner:
Business Phone Number:
Legal Property Owner:
Phone Number:
Total Construction Cost or Project Valuation:
Cost of Providing Disabled Access:
$
$
1. The cost of all construction 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
(from
/
/
to
/
/
). References:
Permit No.
Issuance Date
Valuation of Improvements
Total:
2. The minimum amount to be spent to provide disabled access under the subject building permit
application (20% of Total Construction Cost or Project Valuation): $
Describe the impact of the proposed improvements on financial feasibility of the project.
3. 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: 7/28/2014
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