HomeMy WebLinkAboutX2022-0728 - Alternative Material & Methods�,EWP°Rr CITY OF NEWPORT BEACH
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COMMUNITY DEVELOPMENT DEPARTMENT InIx
u S BUILDING DIMION et a
c �" �r• 100 Civic Center Drive I P.O. Box 17681 Newport Beach, CA 92658-8915 _ ,Q +v
'1<lFp0.N www.newoortbeachca.0ov (949) 844-3200 t/'rl OLI cl _ a1� r'Serr20
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CASE NO.: ® ��� �0,prJ r1
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 $297)
❑ REQUEST FOR ALTERNATE MATERIAL
OR METHOD OF CONSTRUCTION
(See Reverse for Basis for Approval) (Fee$297)
For above re4uests, complete Sections 1, 2 8 3
below by printing in Ink or typing.
JOB ADDRESS:
SITE ADDRESS: WW 02cHlD srret;bT
Owner t.EE TRf 061,414
Address do-b-Zl e0CNI00 OT04SCT
N6WPoaT PiOAC41 Zip
Daytime Phone ( )
FOR STAFF USE ONLY
Check# QL.C3C �0 _of Stgdes, 2.
Use of Building
*ofUnits_
Project Status
fin/ PG&�J L4d'! (a
`T
Construction Type
✓R
Verified by
/M k
No. of Items
Fee due
14 t
DISTRIBUTION:
❑ Owner
❑ Plan Check
Petitioner
❑ Inspector
❑ Fire
❑ Other
PETITIONER:
Petitioner DAV117 V Htg4MA14iJ A9-CAIT647
(Poaaanw ro be amhkeeF or engln'aah
Address 161 14AL.MU7 011-IUB E-*O/
cosm /N975A Zip -72 ?&
Daytime Phone ( 9Id) *%M • 3G e a
Email: d6al,mn„n!J%c.�(#ba/. eef
P1310
Petitioner
Position A(LUitte4j-
Signatu CA Professional Lic. # C 9.o71`i Date: t 102
FOR STAFF USE ONLY
DEPARTMENT ACTION: In accordance with: ❑ CSC 104.11/CFC 104.9 ,QCBC 104,10/CFC 104.8
(Alternate materials & methods) (CBC Modification)
❑ Concurrence from Fire Code Official is required. ❑ Approved ❑ Disapproved ❑ Written Comments Attached
:x- By: Date
Request (DOES)4� S '66 -%seen any fire protection requirements.
r^
[� Request (DOES) OES NO_Iassen the structure) integrity
❑Denied (Seereverseforappealinformation)
Granted (Ral#Ication required)
Position 6&/ r Date WZ Z
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: QP C2e 0) — � 04 Fomrsmoda 07ro8rz2
BILLING CONTACT
HOHMANN DAVID
151 KALMUS DR E. #201
COSTA MESA, CA 92626
Payment Date: 09/22/2022
Reference Number Fee Name
a SEW PORT
u i
N�
C'q<I FOFN�P
Transaction Type Payment Method Amount Paid
X2022-0728
MODIFICATION FEE -ALTERNATE
MATERIAL/METHOD
Fee Payment
Check#11273
$297.00
20321 ORCHID ST NEWPORT BEACH, CA
SUBTOTAL
$297.00
TOTAL $297.00
September 22, 2022 3:11 / 100 Civic Center Dr, Newport Beach, CA 92660 Page 1 of 1