HomeMy WebLinkAboutX2022-1076 - Alternative Material & MethodsC
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CITY OF NEWPORT BEACH COMM
UNITY
DEVELOPMENT
COMMUNITY DEVELOPMENT DEPARTMENT OCT 1 3 z022
BUILDING DIVISION ^ 1016
100 Civic Center Drive I P.O. Box 1768 1 Newport Beach, CA 92658-8915 X µ0
www.newoortbeachca.00v 1 (949) 644-3200
CASE NO.: / F) /'. / e 'I 'on
❑ REQUEST FOR MODIFICATION TO PROVISIONS
OF TITLE 9 (FIRE CODE) OR TITLE 15 (BUILDING CODE)
OF THE NEWPORT BEACH MUNICIPAL CODE
(See Reverse for Basis for Approval) (Fee $291)
REQUEST FOR ALTERNATE MATERIAL p
OR METHOD OF CONSTRUCTION Qi(%
(See Reverse for Basis for Approval) (Fee $;7911
For above requests, complete Sections 1, 2 & 3
below by printing in ink or typing.
I1191:7-1110:1=T3
SITE ADDRESS: 1-16-31 V^kKw
Owner 'ro..n i (L_Il.,
Address r141 f 1d.
& to •L f.4 zip 41VA06)
Daytime P one (-1.4ry) 94SR—INYI
CITY OF
,PORT 5F
FORA STAFF USE ONLY
Plan Check # 0 R'p -N/ Z2 # of tories 3
Occupancy Classifcation
Use of Building #of Units
Project Status N MANL
Construction Type
Verified by
No. of Items
Fee due Z
DISTRIBUTION
Owner
Petitio
Fire
PETITIONER:
Petitioner S%
Address Td ILt",s 9rr Stt. CSY 1
C.q4�—,J.4Aw r,A Zip On4t.
Daytime11Phone ('lly) — LHt7
Email: is:w.. a k--J&,*w +.r 4tA. GtM
Z (REQUEST: Submit Dlans if necessary to illustrate reauest. Additional sheets or data may he attached_ II
K-SI-l.1
9
Pe'li ner's Position iV� I Jff pr v
Sgnature CA Professional Lie. # C - JOO �� Date: S I Z Z
FOR STAFF USE ONLY
DEPARTMENT ACTION: In accordance with: BC 104.11/CFC 104.9 ❑ CBC 104.10/CFC 104.8
(Alternate materials & methods) (CBC Modification)
❑ Concurrence from Fire Code Official is required. ❑ Approved ❑ Disapproved ❑ written Comments Attached
_ By: Date
Request (DOES DO S sen any fire protection requirements.
eques[ (DOES) OES NOT)7 en the structural integrity
The Request is: Granted ❑ Denied (See reverse for appeal information)
❑ Granted (Ratification required)
Conditions of Approval:
signetuTe - _ +____- ---� Position CHIEF BUILDING OFFIGbA e
Print Name _
APPEAL OF DIVISION ACTION TO THE BUILDING BOARD OF APPEALS (See Reverse)
(Signature, statement of owner or applicant, statement of reasons for appeal and fling fees are required.)
CASHIER RECEIPT NUMBER: kG Formstmodif 07/01/21
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