HomeMy WebLinkAboutXR2022-2309 - Alternative Material & MethodsX)2Z(122-2 `
CITY OF NEWPORT BEACH
COMMUNITY DEVELOPMENT DEPARTMENT
BUILDING DIVISION FF9FN
100 Civic Center Drive I P.O. Box 1768 1 Newport Beach, CA 92658-8915 �820
www.newportbeachca.gov 1 (949) 644-3200 cJ
c�tY
N�F
CASE NO.: � e�Cy
REQUEST FOR MODIFICATION TO PROVISIONS
F TITLE 9 (FIRE CODE) OR TITLE 15 (BUILDING CODE)
OF THE NEWPORT BEACH MUNICIPAL CODE
(See Reverse for Basis for Approval) (Fee $291)
❑ REQUEST FOR ALTERNATE MATERIAL
OR METHOD OF CONSTRUCTION
(See Reverse for Basis for Approval) (Fee $291)
For above requests, complete Sections 1, 2 & 3
below by printing in ink or typing.
JOB ADDRESS:
SITE ADDRESS., f2
Owner �� KP5{ F fNDP t�E
Address �7 GhfitPlR1P
1J zip 9z-627;
Daytime Phone (-71+(OZ519
FOR STAFF USE ONLY
Plan Check # ' 'r, z4 LZ # of Stories Z
Occupancy Classification
Use of Building r>s� # of Units t
Project Status
Construction Type -\I 1zi
Verified by I�l�
No. of Items
Fee due 2�(
DISTRIBUTION:
❑ Owner -Plan Checks CA—'�-O
Petitioner ❑ Inspector
❑ Fire ❑ Other
PETITIONER:
Petitioner VJA f2 -1 ll /D LI L
(Petitioner to be architect or engineer)
Address Ifo P.r)C j ((05'8
pJ, ??- LP- zip 92655
Daytime Phone ( )
12 (REQUEST: Submit Dlans if necessary to illustrate request. Additional sheets or data maybe attached. II
LAc or.,r%wliv Fc7z—b, F Pn10 rAimAl 1ZESCuE:- &PeENIW—!r, 540-LI.- OP&N r2l9007L>" II
3 JUSTIFICATION/FINDINGS OF EQUIVALENCY: CODE SECTIONS: I
T17AiGL D75TA�i�fCE en-00 1 i2-Dt>M ININDOW IS V`rlt0�� V-310 •
I THb44 15' Tb-rue ErJ&r- mot- -r4w-- r--)oA-r I G6>•1'L ezDF VGC E Me¢�NGy Ec�¢s5S o2
Petitioner's �—
Signature ezA
M
Position A4Z e f-l-1-1 E�
CA Professional Lie. # --- � y637
LL
FOR STAFF USE ONLY
DEPARTMENT ACTION: In accordance with: ❑ CBC 104.11/CFC 104.9
/K-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
Request (DOE T ssen any fire protection requirements.
equest (DOES DOES NO essen the structural integrity
The Request Is: Granted ❑ Denied (See reverse for appeal information)
❑ Granted (Ratification required)
Conditions of Approval:
CHIEF BUILDING OFFICIAL
Signatte � —�— � Position
Date 03—Z2-20Z.3
Print Name I oh,l =C 11' ^ —
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: 905c+ . o0660M'%AL1� Forms\modif 07/01/21
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