HomeMy WebLinkAboutB15-1119Butte County Department of Development Services
0 1,11 OC PERMIT CENTER
o..
7 County Center Drive, Oroville, CA 95965
Main Phone (530)538-7601 Permit Center Phone (530)538-6861 Fax(530)538-7785
c0oU Nth
FORM NO
DPC-01
ACCESSIBILTY UPGRADE WORKSHEETI
Job Address i k S C. L. r\re, 1G-- Date s J 13 1 I`7
Project Name 14 e_ ._. Ve- - . C, i-;' y L, Permit Number B
Applicant C - Owner M*1c_-e_Lt
1. Construction Cost: $ 2 C3 , c -s 3 4— _ a. Ground floor $
b. Basement $
c. Other floors ( ) $
2. Construction Cost on the same path of travel during the previous three years: $
3. Total Construction Cost (add amounts in 1 and 2 above): $ —2-- d , q 3 4— BUTTp
4. Current Valuation Threshold (Effective January 2012): $ 136 060.00 41gy COf 3 20
SELECT YOUR APPLICABLE ACCESSIBILITY UPGRADE COMPLIANCE OBLIGATION Is� 3 2015
❑ This alteration consists solely of accessibility upgrades and is limited to its specific scope of work DEVEj,,,lOp 0
C1 The existing primary entrance, route of travel, at least one restroom for each sex (as applicable), putt it ccliMmudrinking
fountains (if any), parking, storage and alarms that serve the area of alteration currently comply with all accessibility provisions as
for new buildings.
The total Construction Cost (item 3 above) exceeds the current valuation threshold and the alteration occurs on the ground floor.
I will upgrade the existing primary entrance, route of travel, at least one restroom for each sex (as applicable), public phones or
drinking fountains (if any), parking, storage and alarms that serve the area of alteration to comply with all accessibility provisions
as for new buildings.
❑ The total Construction Cost (item 3 above) does not exceed the Current Valuation Threshold (item 4 above) or the alteration
occurs on a floor other than the ground floor.
I will upgrade the existing primary entrance, route of travel, at least one restroom for each sex (as applicable), public phones or
drinking fountains (if any), parking, storage and alarms that serve the area of alteration, as applicable, to comply with all
accessibility provisions as for new buildings.
❑ The total Construction Cost (item 3 above) does not exceed the Current Valuation Threshold (item 4 above) or the alteration
occurs on a floor other than the ground floor and providing compliance with all accessibility provisions as for new buildings would
create an unreasonable hardship.
I will provide accessibility to the maximum extent feasible without incurring disproportionate costs (i.e. 20 percent of the amount in
Item 1 $ . In, choosing which accessible elements to provide, priority will be given to those
el hat will pro ' e the gr test access in the order provided in the Cost Table. (Please complete the Cost Table)
l� 1
Signedement tDate
i,_�,
(OWNER OR APPLICANT)
Building Division Plan Approval
Cost Table
Date
Step A. Select the compliance status applicable to each category. If "Existing Full" is selected go to Step C. Otherwise,
go to Step B.
Step B. Select the individual elements in this category that are non -complying. Describe the upgrades necessary for full
compliance of each selected individual element and provide their costs.
Step'C. Go to the next category (2, 3, 4, 5 then 6) and perform Step A. Repeat until all 6 categories have been completed
in order.
K:\NEW—WEBSITE\Building\Building Forms & Documents\2014\2014 Forms - Completed\DPC\DPC-
01_Accessibi Ity_Upgrade_Worksheet_11.26:12_reVd_3.7.2014_AKM.doc
Page 1 of 3
NOTE: If providing an individual element is unfeasible or the costs of an individual element cause the total costs to
exceed the disproportionate costs for this project, note it as such and skip to the next individual element
selected. Your total costs should be approximately equal to or greater than the disproportionate posts unless full
compliance for each category is achieved prior to exceeding disproportionate costs.
Disproportionate Costs for this project $
fAmnunf fmm Atv-�accihfTifv Unnnade Wedcsheat
CATEGORY
COSTS
1,
PRIMARY ENTRANCE TO ALTERED AREA
Compliance Status: ❑ Existing Full I'Upgrade Full ❑ Upgrade Partial
DOOR
A. Change of door
$ -26500
B. Threshold
C. Hardware
D. Kick plate
®
E. Strike -side clearance
❑
F. Other
S o , "a
SIGNS AND IDENTIFICATION
®
A. Sign at building entrance
❑
B. Sign in building lobby
❑
C. Other
$ Zf;�,SO
Subtotal
2.
ROUTE TO THE ALTERED AREA
Complianoe Status: ❑ Existing Full ❑ Upgrade Full ❑ Upgrade Partial
CHANGE OF ELEVATIONS)
'
El
Ra . urb Ramps
$
❑
B. Lifts
E]
C. Elevators
❑
DOORS
A. Change of door
❑
❑
B. Threshold
C. Hardware
❑
D. Kick plate
❑
E. Strike -side clearance
❑
F. Signs and identification 'lle)
❑
G.Other
Subtotal
K:\NEW—WEBSITE\Building\Building Forms & Documents\2014\2014 Forms - CompleteMPODPC-
0 I—AccessibiltyUpgrade Worksheet 11.26.12 rev'd 3.7.2014 AKM.doc
Page 2 of 3
CATEGORY
-- COSTS --i
- 3.
RESTROOMS SERVING ALTERED AREA -
Compliance Status: ❑ Existing Full ❑ Upgrade Full Upgrade Partial
❑
A. Enlarge restroom
$
❑
B. Enlarge door(s)
❑
El
C. Strike side clearance
D. Door symbols
ISO �J
E. Signs and identification (Braille)
F. Replacement or relocation of fixture (specify)
1.
2.
3.
4.
G. Replacement or relocation of accessories (specify)
❑
1.
2.
3.
4.
H. Grab bars (bars and backing)
-Z� , oa
I. Other
$ 3o O
Subtotal
4.
PUBLIC TELEPHONES
Compliance Status: ❑ Existing Full ❑ Upgrade Full ❑ Upgrade Partial
❑
A. RetrofittAdd
$
Subtotal
$
S.
DRINKING FOUNTAINS
Compliance Status: ❑ Existing Full ❑ Upgrade Full ❑ Upgrade Partial
❑
A. Replace drinking fountain
$
❑
B. Relocate existing drinking fountain
❑
C. Provide alcove
❑
D. Add wing walls and/or floor treatment
❑
E. Other
$
Subtotal
6.
PARKING, STORAGE, ALARMS
Compliance Status: ❑ Existing Full ❑ Upgrade Full ❑ Upgrade Partial
A. Replace curb ramps1i IR-
$ 'Z..� 3 -1 o
g
B. Re -slope parking space & loadinglunloading aisle
C. Paint the border of loading/unloading aisle blue
7 C -Q
❑
D. Other
Subtotal
$ *Z, 2a
TOTAL
S5,470
K:1NEW WEBSITE\Building\Building Forms & Documents\2014\2014 Forms - ComptetedOPCOPC-
01_Accessibilty_Upgmde Worksheet 11.26.12_m,/d 3.72014 AKM.doc
Page 3 of 3
Butte County Department of Development Services
PERMIT CENTER FORM NO
7 County Center Drive, Oroville, CA 95965
Main Phone (530)538-7601 Permit Center Phone (530)538-6861 Fax(530)538-7785 DPC-01
CCESSIBILTY UPGRADE WORKSHEET
Job Address 1 Ar- Date 5 I r 3 1 IS7
Project Name L n 1! a IA e—A Ves . G k-: v ' L— Permit Number B
Applicant Owner M c_ -e- L -e-
1. Construction Cost: $ c), 3 4-- a. Ground floor $
b. Basement $
c. Other floors ( ) $
Construction Cost on the same path of travel during the previous three years: $ f -
3. Total Construction Cost (add amounts in 1 and 2 above): $ Z e) , 3 4- BTITTF
4. Current Valuation Threshold (Effective January 2012): $ 136 060.00 COUNTY
SELECT YOUR APPLICABLE ACCESSIBILITY UPGRADE COMPLIANCE OBLIGATION Ty if -Ito
13 2015
❑ This alteration consists solely of accessibility upgrades and is limited to its specific scope of work:DEVELOP11I
❑ The existing primary entrance, route of travel, at least one restroom for each sex (as applicable), putt it cEphbr CA$drinking
fountains (if any), parking, storage and alarms that serve the area of alteration currently comply with all accessibility provisions as
for new buildings.
The total Construction Cost (item 3 above) exceeds the current valuation threshold and the alteration occurs on the ground floor.
I will upgrade the existing primary entrance, route of travel, at least one restroom for each sex (as applicable), public phones or
drinking fountains (if any), parking, storage and alarms that serve the area of alteration to comply with all accessibility provisions
as for new buildings.
❑ The total Construction Cost (item 3 above) does not exceed the Current Valuation Threshold (item 4 above) or the alteration
occurs on a floor other than the ground floor.
I will upgrade the existing primary entrance, route of travel, at least one restroom for each sex (as applicable), public phones or
drinking fountains (if any), parking, storage and alarms that serve the area of alteration, as applicable, to comply with all
accessibility provisions as for new buildings.
❑ The total Construction Cost (item 3 above) does not exceed the Current Valuation Threshold (item 4 above) or the alteration
occurs on a floor other than the ground floor and providing compliance with all accessibility provisions as for new buildings would
create an unreasonable hardship.
I will provide accessibility to the maximum extent feasible without incurring disproportionate costs (i.e. 20 percent of the amount in
Item 1 $ . In choosing which accessible elements to provide, priority will be given to those
element that will pro a the gr test access in the order provided in the Cost Table. (Please complete the Cosi Table)
Signed ` Date 5
(OWNER OR APPLICANT)
Building Division Plan Approval Date
Cost Table
Step A. Select the compliance status applicable to each category. If "Existing Full" is selected go to Step C. Otherwise,
go to Step B.
Step B. Select the individual elements in this category that are non -complying. Describe the upgrades necessary for full
compliance of each selected individual element and provide their costs.
Step'C. Go to the next category (2, 3, 4, 5 then 6) and perform Step A. Repeat until all 6 categories have been completed
in order.
K:\NEW_WEBSITE\Building\Building Forms & Documents\2014\2014 Forms - Completed\DPC\D.PC-
01_Accessibilty_Upgrade_Worksheet_l 1.26.12_redd_3.7.2014_AKM.doc
Pagel of 3
CATEGORY
- COSTS—
3.'
RESTROOMS SERVING ALTERED AREA
Compliance Status: ❑ Existing Full ❑ Upgrade Full allpgrade Partial
❑
A. Enlarge restroom
$
❑
B. Enlarge door(s)
❑
❑
C. Strike side clearance
D. Door symbols
�O dz-
E. Signs and identification (Braille)
F. Replacement or relocation of fixture (specify)
1.
2.
3.
4.
G. Replacement or relocation of accessories (specify)
❑
1.
2.
3.
4.
-�� , 00
H. Grab bars (bars and backing)
I. Other
$ -300
Subtotal
4.
PUBLIC TELEPHONES
Compliance Status: ❑ Existing Full ❑ Upgrade Full ❑ Upgrade Partial
❑
A. Retrofit/Add
$
Subtotal
$
5.
DRINKING FOUNTAINS
Compliance Status: ❑ Existing Full ❑ Upgrade Full ❑ Upgrade Partial
❑
A.Replace drinking fountain
$
❑
B. Relocate existing drinking fountain
❑
C. Provide alcove
❑
D.Add wing walls and/or floor treatment
❑
E. Other
$
Subtotal
6.
PARKING, STORAGE, ALARMS
Compliance Status: ❑ Existing Full ❑ Upgrade Full ❑ Upgrade Partial
A. Replace curb ramps
$
B. Re -slope parking space & loadinglunloading aisle
C. Paint the border of loadinglunloading aisle blue
2 C -Z>
D. Other
Subtotal
$ 2' 20
TOTAL
$-5,47 a
K:WEW_WEBUMBuilding\Building Forms & Documents\2014\2014 Fors - Completed\DPC1DPC-
01_Accessibilt Upgrade Worksheet 11.26.12 re,/d_3.7.2014 AKM.doc
Page 3 of 3
NOTE: If providing an individual element is unfeasible or the costs of an individual element cause the total costs to
exceed the disproportionate costs for this project, note it as such and skip to the next individual element
selected. Your total costs should be approximately equal to or greater than the disproportionate costs unless full
compliance for each category is achieved prior to exceeding disproportionate costs.
Disproportionate Costs for this project $
(Amnunt fmm Arr�ssih►Tifv Unarada Worksheet
CATEGORY
COSTS
1.
PRIMARY ENTRANCE TO ALTERED AREA
Compliance Status: ❑ Existing Full MPgrade Full ❑ Upgrade Partial
DOOR
A. Change of door
$71500
®
B. Threshold
®
C. Hardware
®
D. Kick plate
®
E. Strike -side clearance
❑
F. Other
IS o "G
SIGNS AND IDENTIFICATION
®
A. Sign at building entrance
❑
B. Sign in building lobby
❑
C.Other
$ 'ZFSo
Subtotal
2.
ROUTE TO THE ALTERED AREA
Compliance Status: ❑ Existing Full ❑ Upgrade Full ❑ Upgrade Partial
CHANGE OF ELEVATIONS)
-
❑
A - Ramp urb Ramps
$
❑
B. Lifts
❑
C. Elevators '
DOORS `
❑
A. Change of door
❑
B. Threshold
❑
C. Hardware
❑
D. Kick plate
❑
E. Strike -side clearance
❑
F. Signs and identification 'lie)
❑
G. Other
Subtotal
K:WEW WEBSITE\Buiiding\Building Forms & Documents\2014\2014 Forms - Completed\DPC\DPC-
Ol_Accessibilty_Upgmde Worksheet 11.26.12 rev'd 3.72014_AKM.doc
Page 2 of 3