HomeMy WebLinkAboutXR2023-3483 - Alternative Material & Methods (3)CITY OF NEWPORT BEACH RECEIVED BY
COMMUNITY
COMMUNITY DEVELOPMENT DEPARTMENT DEVELOPMENT
BUILDING DIVISION APR 10 2024
100 Civic Center Drive I P.O. Box 1768 1 Newport Beach, CA 92658-8915
www.newportbeachca.gov 1 (949) 644-3200 CITY OF
r NEWPORT BEACH
I CASE NO.: j.0 2l' � SG I
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 ADDRESS: 7 ✓ ��
Owner L''®!A/
Address %-C'��
Cam` zip
Daytime Phone (7/rf) 74-3 �4"5
III I FOR STAFF USE ONLY III
Plan Check # �a-2� �2- l j # of Stories
Occupancy Classification R3/v
Use of Building <5 # of Units
Project Status
Construction Typey 01
Verified by S4.9
No. of Items 1
Fee due
DISTRIBUTION:
❑ Owner
® Plan Check
® Petitioner
❑ Inspector
❑ Fire
❑ Other
T4iYI191&; 7
Petitioner iA14 fl" 14 'Ake hat
(Petitioner to be architect or engineer)
Address22OIAEVV 'T I ll
Daytime Phone (q"
Email:/drl
r21REQUEST: Submit plans if necessary to illustrate request. Additional sheets or data may be attached. II
TION/FINDINGS
l5 141.7
CODE SECTIONS:
^Atf%
Position 7
Petition s
Signature CA Professional Lic. # I Date:
FOR STAFF USE ONLY
DEPARTMENT ACTION: In accordance with: CBC 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
Pf 1�equest (DOES DOES NOT))essen any fire protection requirements.
E!rRequest (DOES(DOES NOT) ssen the structural integrity
The Request is: Granted ❑ Denied (See reverse for appeal information)
❑ Granted (Ratification required)
Conditions of Approval:
"---� CHIEF BUILDING OFFICIAL
�� - '
Signature --" Position
Date o >
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 filing fees are required.)
CASHIER RECEIPT NUMBER: M , 0 " Oiq-2014( Forms\modif 08/21/23
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