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ATTACHMENT 3 THE ciry OF Community Development Department ,, •°� Building and Safety Division PLEASANTON 200 Old Bernal Avenue • P.O. Box 520 Pleasanton, California 94566-0802 Phone 925-931-5300•www.pleasantonpermits.corn UNIVERSAL DESIGN CHECK LIST Based on the New Home Universal Design Option Checklist (AB 1400) and Pleasanton Municipal Code Chapter 20.75 The Developer of a residential development (single-family, duplex or triplex) in 10 or more units shall provide this form to all buyers of a new residential dwelling. The Developer should explain the form and options offered. These options shall include all City Mandatory to Offer upgrades and any additional Universal Design upgrades that may be offered by the Developer. The Developer is responsible for providing a copy of this form to the City of Pleasanton Building and Safety Division, signed by the Developer's Representative and the Buyer(s), prior to final inspection of the dwelling. Occupancy of a unit will not be approved unless this form has been submitted to the city. Name of Development: Developer (Contact) Name: Phone No.: Email: Address: Property Address: Permit No.: Tract No.: Lot No.: Home Buyer Name: Home Buyer Name: Part I includes those features related to exterior adaptions. doors and openings, interior adaptations, kitchens, and bathrooms or powder rooms. Part II includes features which apply to other parts of the house and are commonly requested or considered universal design features. Part Ill provides space for details or for any other external or internal feature that may be requested, if it is requested at a reasonable time by the buyer, is reasonably available, is reasonably feasible to install or construct, and makes the home more usable and safer for a persona with any type of activity limitation or disability. Part IV is an explanation of the law governing the Checklist and use of the Checklist. Page I of 7