Loading...
Tax2013B-CS160922 '1. TEXAS DEPARTMENT OF LICENSING AND REGULATION ' �t4 COMPLIANCE DIVISION-ARCHITECTURAL BARRIERS .0...,., A�0,�,) P.O.Box 12157 •Austin,Texas 78711 • (512)539-5669• (877)278-0999 • FAX(512) 539-5690 \ -,/ architectural.barriers@license.state.tx.us • www.license.state.tx.us VARIANCE APPLICATION A separate variance application for each(non-compliant)condition within a single building or facility must be submitted by the owner(or owner's designated agent)and must include a$175.00 non-refundable application fee and if the project has not already been registered and assigned a TDLR project number,an additional$175.00 non-refundable registration fee. In addition,the application must be accompanied by plans (site and/or architectural)of all affected areas and any supporting documentation that provides adequate proof to the commission that compliance with the specific Texas Accessibility Standard (TAS) is impractical or irrelevant to the nature, use, or function of the building or facility. The department shall issue a decision based on Chapter 469.151 and 469.152 and the information submitted with the application. **IMPORTANT INFORMATION** Incomplete applications and applications received without the required fee(s)will not be processed. FORM MUST BE COMPLETED IN FULL, PLEASE PRINT OR TYPE 1. Has this project been reviewed? LdYes ['No 2.If yes,name of reviewer: , E �/ ❑ �,4V1S Rib 1(, fS b ' 3. Has this project been inspected? 'es No 4. If yes,name of inspector: 5.If yes,date of inspection: 6. Project Name:, 7. EABPRJ#: ` y�/ 1/ vv°9'' i C �l`3� i� . .3‘N �L (If registered.) 1������1�1�` 8.Building/Facility Name:, 9.Address: • Suite No.: City Zip Code: WI t S`i a.u4v,,-\V- ?-_a_iv p S C' 'F=is `--1 cpt.1 10. escription:Indicate the type of project: 11.Scope of Work(Describe the constructio(i activities): Ly New Building or Facility 4FLO SWT ( •5ilp--(JC.1-1 )`- '' C e . SIN( ❑Addition to an Existing Building or Facility ❑Alteration to an Existing Building or Facility 5&e, C(*(And .8,,t ..\ 12.Estimated Project Construction Cost: 4;INi IA z� 13.Original date of construction of this building/facility: 14.Square Footage of Building: • . 15.Square Footage Per Floor: 16. Is this building a qualified historic building? ❑Yes o 17. Is this building being considered for a state lease?❑Yes 76o If yes,a copy of a letter of support from the Texas Historical Is a state agency currently located in this building?❑Yes o Commission(THC)must accompany this application. If yes, provide the state lease number: • 18.State the TAS reference number 19.State the specific location of the violation within the building or site: for which the variance is requested: t cam, 'z.um -D win CoN ins i b a-a SThN > eAls 20. Explain in detail,why,compliance with this TAS standard cannot be achieved(attach additional sheets if necessary) NZ Wvlkk-11ArbUSk i : .116Wsti eiki P[ccl\ P C.4=te r-ct;,,>+01 e-iia,Of__--,i s P�",je c.4-. role. use& aw- 9t-a�dv,2( .i-e-h,i\s-C r krUrtt§drd( 4s iieS �> �e(s)c0- IIP Sic e-v.-t � 5,,� J&va urnmir oils . wf..hr(t/e vpkt11rd oi- ' ie j s be \A C 4�nm iCL. .v,.; me hoA ns,l4, �1o;nc) Ptsyt�vev� t,. e m it) d�-� c e -fit-€. .`( beNA bxtuY4 -1-e-truNc t: 4( o wPrD ks i 3+(31A-c it - ),(1 pC&r' L lel-t54- 0 vac,_.eY\ce, -1-&3.dZ3 21. Intent to Apply: I hereby apply for a variance or waiver from the Texas Accessibility Standards as required for compliiacce with the Texas Architectural Barriers Act,Government Code,Chapter 469. (Check One) I am the❑ Owner Ly'Owner's Agent 22.Name: 23.Company/Firm: �l�vL�' � � QCT CF C E1,-'-- VNGf E_CP--1 TEP. 24.Address: rr City: S ZI�^--s pa_uV LD , &)ELL �J-t l 25. Phone r ,Z yC i s 26. Fax: 27.**Email: 28.Signature: 29.Date: TDLR FORM 013AB 06-14 NOTE: An individual who completes and tiles this form with the Texas Department of Licensing and Regulation(the Dept.)is entitled to the following: 1) to be informed about the information that the Dept.collects about the individual,upon their request and subject to a few exceptions; 2) to receive and review the information,under Sections 552.021 and 552.023 of the Texas Govt.Code;and 3) have the Dept.correct information about the individual that is incorrect,under Section 559.004 of the Texas Govt.Code. **The Department will add your address to the Architectural Barriers email notification list,which automatically provides Department information on matters affecting Architectural Barriers.Your email address is confidential pursuant to the Texas Public Information Act;the Department will not share it with the public.For additional information link to:http://www.license.state.tx.us/newslettersfrDLRnotificationLists.asp 1 S A Pam:S\Rmaar4D.tufa\N.e_D.N_nodInaa\WCTFv(R005.ang 7y _ H x a o m s z m N Mi z.00 O MIN. • D O I� OD i H i 1 O O Z ILIU ,c m A )Li D gm A j) �ys o� 1E!:!!1 - O `3'.-1 x -u A I o —\ N INCE:10:5 A ---12. N ' _ Z ----- o _ 110131010:1 o A I VI O°O°OHO°O < 0 0 O co i!1 O�ODODO dO Z 'Op000o°°Q.°°0°°°6°o Z z • °°°°°o°°° Ln rO_O o1V4 A r*1 r{�I�,4;.. Z rC N { 1� m • mv D AO N O Cm 1 1 �� v ZO o=on 1 X© r AD zmII / `OIT m oZ� I l Ln,m z 0 r;n i z N Z oo 11 5 ;i v --ia P' Z 1.50 I D N -c Do m LOCK-OUT 0 1 A,�- O I W A A yam,. F D v { 0 1 Qi m v T O v m O A'c r F c cn o t m °D --1 m = . f { Nm SA zr Z , z -z H Zz r 3' D 4" >cn-' Dv '{m Z d, A 0 m A U O D 0 m 0 E rNm OG Mm o M '> > - -- -N z 0 o=V1 6" MIN. m CO o m O o �..our 00 r D z mo my z v In m ccn N' J v mD - om w Q' ,/, .......„-J ' >c _ A > O Z O vI D_ p/� Nr ii 20ml�nAct *Z Z D pi � O JJro , �cn o A{o >m m Am 'S o I �,y�Jq�y /m�v= vOm M OD I '�' Ln - tiCN.�.; r Z ori (I) A I t m D •{i,e: z D m !n m •rota! •r-iO -� z oN> 't'.,. z m I .5 m ..--1••••., r `n Z o g ,o_,m in ,�' _ �'n mx Z vj