Gardena, CA · Los Angeles County
Accessibility Hardship Form
Applicants use this form to request hardship approval for accessibility improvements associated with alterations, structural repairs, or additions to an existing building.
What this form is
The form documents proposed accessibility improvements and related costs for a hardship request involving work at an existing building or facility. It asks for project and permit details, information about accessible features on the path of travel, cost calculations, a description of improvements, and applicant certification. The form says to submit it with a site and floor plan before plan review; the request is subject to approval by the Building Official.
Who needs it
Applicants seeking hardship approval for accessibility improvements related to building alterations, structural repairs, or additions use this form.
How to submit it
Submit the completed form with a site and floor plan in duplicate to the Building Division before completing plan review. The form lists [email protected].
About notarization
This document is signed without a notary; the applicant certifies the information by signing and dating the form, with no notarized or sworn attachment specified.
How to submit this form
- 1
Download The Form
Download the Accessibility Hardship Form PDF for the building project.
- 2
Complete The Form
Enter the project, permit, accessibility-feature, cost, and applicant certification information requested.
- 3
Prepare The Site And Floor Plan
Prepare a site and floor plan of existing and proposed accessibility improvements along the accessible route to the area of alteration.
- 4
Submit To The Building Division
Submit the completed form and plan in duplicate to the Building Division before completing plan review.
Frequently asked questions
- Do I need a notary for the Accessibility Hardship Form?
- No. The form provides a signature and date line for the applicant's certification and does not specify a notary or notarized attachment.
- What should I submit with the Accessibility Hardship Form?
- Submit the completed form with a site and floor plan showing existing and proposed accessibility improvements along the accessible route to the area of alteration. The form requires two copies.
- How do I submit the Accessibility Hardship Form?
- Submit the form and site and floor plan in duplicate to the Building Division before plan review is completed. The document also lists [email protected].
Need something notarized?
This Accessibility Hardship Form doesn’t need a notary — but if you have another Gardena form that does, a commissioned online notary can help.