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CITY OF NEWPORT BEACH
COMMUNITY DEVELOPMENT DEPARTMENT
BUILDING DIVISION
100 Civic Center Drive I P.O. Box 1768 1 Newport Beach, CA 92658-8915
4 FoaP www.newpo beachca.gov 1 (949) 644-3200 %
CASE NO.:
❑ REQUEST FOR MODIFICATION TO PROVISIONS
OF TITLE 9 (FIRE CODE) OR TITLE 16 (BUILDING CODE)
OF THE NEWPORT BEACH MUNICIPAL CODE
(See Reverse for Basis for Approval) (Fee $306)
REQUEST FOR ALTERNATE MATERIAL
OR METHOD OF CONSTRUCTION
(See Reverse for Basis for Approval) (Fee $306)
For above requests, complete Sections 1, 2 & 3
below by printing in ink or typing.
JOB ADDRESS:
SITE ADDRESS: 24 Cervantes
Owner Iliana&Jemme Teal
Address 24 Cervantes
Newport Coast, CA Zip 92660
Daytime Phone ( 714 ) 272=9632
00
)( w'q-035-4
RECEIVED BY
COMMUNITY
DEVELOPMENT
FEB 2 S 20A
CITY OF
NEWPORT BEACH
III FOR STAFF USE ONLY III
Plan Check # J0e14*'(-0 F of Stories '2-
Occupancy Classification R&ILI,
Use of Building WflD # of Units i
Project Status i%iPq ill CCLA
Construction Ty a �V
Verified by MK
No. of Items
Feedue �6iI
DISTRIBUTION:
Owner
Plan Check
Petitioner
Inspector
Fire
❑ Other
PETITIONER:
Petitioner MlchoolRZPWE
(Petleoner he eI¢hiMC[ or angirwed
Address 8 Hammond, Ste 102
Irvine. CA Zip 92613
Daytime Phone (949) 4M-6019
Email: michaeliOloftcrafters corn
sheets or
3 JUSTIFICATION/FINDINGS OF EQUIVALENCY: CODE SECTIONS:
. . -- _ CRC R506.2.3 & CGBSC 4.505.2.1
Position Stmdural Engineer of Record
Petitioners —�.e /� -
Signature /i6[C.iF 4l& CA Professional�Lic. # C 90363 Date: 2r20/2024
FOR STAFF USE ONLY
DEPARTMENT ACTION: In accordancewith: . .CBC 104.11/CFC 104.9
(Alternate materials & methods)
❑ Concurrence from Fire Code Official is required. ❑ Approved ❑ Disapproved
By: Date
Request (DOE DOES -NOT) lessen any fire protection requirements.
�=Request (DO DOES N en the structural integrity
❑ CBC 104.10/CFC 104.8
(CBC Modification)
❑ Written Comments Attached
The Request is: Granted ❑ Denied (See reverse for appeal information)
❑ Granted (Ratification required)
Conditions of Approval:
CHIEF " -
Signat�re--� --- � �' Position
Print Name
Date r7 3 O 'ZU
APPEAL OF DIVISION ACTION TO THE BUILDING BOARD OF APPEALS (See Reverse)
(Signature, statement of owner or applicant, statement of reasons for appe nd filing fees are required.) 4
CASHIER RECEIPT NUMBER:�. ocnz� '=i e23
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