Pleasant Hill, CA · Contra Costa County
ADA Compliance & Hardship Worksheet 11B – Path of Travel
This worksheet documents accessibility improvements and hardship requests for property owners or authorized agents submitting alteration, addition, or structural repair plans.
What this form is
Use this worksheet to document project costs, accessible path-of-travel elements, and any request for unreasonable hardship or technical infeasibility. The city requests it for qualifying alterations, additions, or structural repairs; when the alteration does not exceed the stated valuation threshold, the worksheet and site and floor plans of existing and proposed accessibility improvements must be submitted for plan review. It asks for project details, estimates, improvement costs, and signatures.
Who needs it
Property owners or authorized agents, with design professional information, complete this worksheet for applicable alteration, addition, or structural repair projects.
How to submit it
Submit the completed worksheet and required attachments to the Building and Safety Division as part of plan review. The worksheet and plans must be signed and approved before plan check approval and permit issuance, and attached to the building plans.
About notarization
This document is signed and dated without a notary; it calls for detailed estimates and site and floor plans, but does not say those attachments must be notarized or sworn.
How to submit this form
- 1
Download The Worksheet
Download the ADA Compliance & Hardship Worksheet PDF.
- 2
Complete Project Information
Enter the project address, permit number, APN, project description, and owner or agent and design professional details.
- 3
Complete The Analysis
Provide construction cost information, proposed accessibility improvements, and any applicable hardship or technical infeasibility details.
- 4
Gather Attachments
Prepare required detailed estimates and site and floor plans of existing and proposed accessibility improvements.
- 5
Submit To The City
Submit the signed worksheet and required attachments to the Building and Safety Division as part of plan review.
Frequently asked questions
- What is the ADA Compliance & Hardship Worksheet for?
- It documents project information, construction costs, proposed accessibility improvements, and any request for unreasonable hardship or technical infeasibility related to path-of-travel requirements.
- How do I submit the worksheet?
- Submit the completed worksheet and required attachments to the Building and Safety Division as part of plan review. The worksheet and plans must be signed and approved before plan check approval and permit issuance.
- Do I need a notary for the ADA Compliance & Hardship Worksheet?
- No. The document calls for signatures and dates, plus detailed estimates and site and floor plans; it does not say these attachments must be notarized or sworn.
Need something notarized?
This ADA Compliance & Hardship Worksheet 11B – Path of Travel doesn’t need a notary — but if you have another Pleasant Hill form that does, a commissioned online notary can help.