HomeMy WebLinkAboutXR2023-2015 - Alternative Material & Methods)C�2.2023- 7�i�
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.newl)ortbeachca.gov 1 (949) 644-3200
CASE NO.: -a l=
RECEIVED By
COMMUNITY
DEVELOPMENT
FEB 0 7 2C?d
CITY OF
NEWPORTBEACH
FOR STAFF USE ONLY
REQUEST FOR MODIFICATION TO PROVISIONS
OF TITLE 9 (FIRE CODE) OR TITLE 15 (BUILDING CODE)
Plan Check # i Oda-1 # of Stories 5ix1
Occupancy Cla sificatio A-3h) t
OF THE NEWPORT BEACH MUNICIPAL CODE
R
(See Reverse for Basis for Approval) (Fee $306)
Use of Building &F # of Units
Project Status UA/bZA PLAW Q�&ts-
❑ REQUEST FOR ALTERNATE MATERIAL
Construction Type V6! — sl &JV'<Ld&
OR METHOD OF CONSTRUCTION
Verified by
(See Reverse for Basis for Approval) (Fee $306)
No. of Items
Fee due o� .
For above requests, complete Sections 1, 2 & 3
DISTRIBUTION:
❑ Owner )P Plan Check
below by printing in ink or typing.
Petitioner ElInspector
❑ Fire ❑ Other
171 JOB ADDRESS:
PETITIONER:
f,
SITE ADDRESS: i �� C„LT(F"�rJY�S
Petitioner'�PvV�
Owner L.I r% =
(Petitioner to be architect or engineer)
Si5(( C'i'l(&
Address IL>Lrfn'tf^cci iklc>tk�.0.w't�
Address
5 w1,tyMJ GVL-X At Z) A Zip `PP7
KVW%0- � (3��- C1t Zip
Daytime Phone i
Daytime Phone (-14cj) 230- 3�Z{r
M`.�t p r<
& W-A
2 REQUEST: Submit plans if necessary to illustrate request. Additional sheets or data may be attached.
o ikL M�R-c t�'G EGIe-rc ,5 O El2
b s vJ rL tic t� l
\ • 2 Frl�
3
USTIFICATION/FINDINGS OF EQUIVALENCY:
CODE SECTIONS:
GQG RI I o.
,fie 1�0� T-0 NAQrk- CLASS
le eoi-� r-- K14A o
p'K C'-rJ L
�IR-C-F�IC�LT�
Position
nioners�aT' 2 �_, p
�Ll/ � L �Z� � Date: �
Signature CA Professional Lic. #
Sig
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
Request (DOES�(DOssen any fire protection requirements.
,Request (DOESssen the structural integrity
The Request is: Granted ❑ Denied (See reverse for appeal information)
❑ Granted (Ratification required)
Conditions of Approval:
Signat — —' Position CHIEF BUILDING OFFICIAL Date
Print Name 1 /r-= / 1ist,
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: ocI13 7z ` 20 Z�Z Forms\modif 08/21/23