HomeMy WebLinkAboutX2019-2225 - Alternative Material & MethodsY�1-0\G- ZtiZVj
CITY OF NEWPORT BEACH
COMMUNITY DEVELOPMENT DEPARTMENT
BUILDING DIVISION
100 Civic Center Drive I P.O. Box 1768 1 Newport Beach, CA 92658-8915
www.newoortbeachca.00v 1 (949) 644-3200
CASE NO.: LGJ1 1 + 2/-&W
APPEAL OF DIVISION ION 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: ��FormsUnotlif 89/21/18 I
ffJ'REQUEST FOR MODIFICATION TO PROVISIONS
FOR STAFF USE ONLY
OF TITLE 9 (FIRE CODE) OR TITLE 15 (BUILDING CODE)
OF THE NEWPORT BEACH MUNICIPAL CODE
_
Plan Check # / d9# f Stories
(See Reverse for Basis for Approval) (Fee $294)
Occupancy Classification 3
❑ REQUEST FOR ALTERNATE MATERIAL
Use of Building S Fr7 E of Units
OR METHOD OF CONSTRUCTION
Project Status
(See Reverse for Basis for Approval) (Fee $294)
Construction Type lei i
❑ REQUEST FOR EXEMPTION FROM DISABLED
ACCESS DUE TO PHYSICAL OR LEGAL
CONSTRAINT (Fee $1,637)
Verified by 7)/
No. of Items'
Fee due Z 9 el-
--
(Ratification by the Board of Appeals will be required.)
DISTRIBUTION:
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❑ Owner 'Plan Check f::
For above requests, complete Sections 1, 2 & 3
below by printing in ink or typing.
Petitioner ❑ Inspector
LJFire ❑ Other
7 JOB ADDRESS:
PETITIONER ADDRESS:
q,
SITE ADDRESS: ' h S=.;ABtl)x Petitioner Ui 41'aWI. C7 i�rn �JYh;a.
141
Owner BrAl [+e—rk+- (Petifionertobearchitectoreng!neer)
Address t1 4 5stnn �d{re �Zri 3v�-� X31 i y3
1 Q1 Zip N Zip
Daytime Phone ( 310) O Daytime Phone (c be
2 REQUEST: Submit plans if necessa to illustrate request. Additional sheets or tlala ma be attached.
to oW n J
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_LJJUSTIFICATIONIFINDINGS OF EQUIVALENCY:
CODE SECTIONS:
N
Petition ��OP Position Y
Signatu a CA Professional Lic. # C 1 Data i
0. C 14 46 FOR STAFF USE ONLY
DEPAR I Nr—Itfnr a with: ❑ CBC 104.11/CFC 104.9 ❑ CBC 104.10/CFC 104.8
.qty Fo (Alternate materials & methods) (CBC Modification)
❑ Concurrence �C` cial is required. ❑ Approved ❑ Disapproved ❑ Written Comments Attached
By: Date
❑ Request (DOES) (DOES NOT) lessen any fire protection requirements.
❑ Request (DOES) (DOES NOT) lessen the structural integrity
The Request isGranted Denied (See reverse for
EE]❑
Granted (Ratification required) appeal information)
Conditions of Approval:
Signatur Position c Date 7 ��
Print Na a o.aa
APPEAL OF DIVISION ION 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: ��FormsUnotlif 89/21/18 I
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