HomeMy WebLinkAboutXR2023-3520 - Alternative Material & MethodsCITY OF NEWPORT BEACH cFCFi
COMMUNITY DEVELOPMENT DEPARTMENT og�Foo�N�y�
BUILDING DIVISION 0s ` "
100 Civic Center Drive I P.O. Box 1768 1 Newport Beach, CA 92658-8915
www.newportbeachca.gov 1 (949) 644-3200 �Fy C�nO
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CASE NO.:
FOR STAFF USE ONLY
❑ 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 $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 AD
Owner
Plan Check # 11 aoaV-a-`Wftf Stories o2
Occupancy Classification Q3
Use of Building Sf R # of Units \
Project Status P C
Construction Type \/-(3
Verified by DRtA h'LiG
No. of Items
Fee due 3019
DISTRIBUTION:
Owner
Petitioner
❑ Fire
PETITIONER:
Petitioner
Email:
E41an Check'DRH
❑ Inspector
❑ Other
2 1REQUEST: Submit plans if necessary to illustrate reciVest: Additio al sheets or dat may be attached.
Position
CA Professional Lic. # C
Zip
L.
Date: Q, 0a1 - -Wik
FOR STAFF USE ONLY
DEPARTMENT ACTION: In accordance with: WICBC 104.11/CFC 104.9
(Alternate materials & methods)
❑ Concurrence from Fire Code Official is required. ❑ Approved ❑ Disapproved
By: Date
Request (DOES DOES N lessen any fire protection requirements.
El Request (DOES (DOES N ) lessen 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:
}t-yT
Signature Position CHIEF BUILDING OFFICIAL
1—
Print Name I sr c = i tNl3
Date 0 i s- Z,024
APPEAL OF DIVISION ACTION TO THE BUILDING BOARD OF APPEALS (See Reverse)
(Signature, statement of owner or applicant, statement of reasons for appeal and filing fees are required.)
CASHIER RECEIPT NUMBER: C�`Z> 2-Len—'""�r—`+ Forms\modif 08/15/23