HomeMy WebLinkAboutXR2022-1851 - Alternative Material & Methods�t WPpFrT CITY OF NE V"V' IF ®R ffi Y9x`iACHll
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�- ,> COMMUNITY CDEVELoPMEN7' IDF,PARTMENT
BUILDING DIVISION
100 Civic Center Drive P.O Box 1768 1 Newport Beach, CA 92658-8915
cqr r+-�aN� 'tic ,ports ry i (949) 644-3200
CASE NO.:
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 requests, complete Sections 1, 2 3
below by printing in ink or typing.
JOB ADDRESS:
SITE ADt
Owner
Address
1 .T— ZiP 'yam
Phone
0WyDJy
JqOPQr
02023
XaZa0 _ U51
Cty
FWe_i_ OP
III FOR STAFF USE ONLY III
Plan Check # `pG ZOZZ- Fof Slorles
Occupancy Classification 7j
Use of Building C✓ • h # of Units _
Project Status L
Construction Type
Verified by
No. of Items _
Fee due 6, 2z�
DISTRIBUTION: ,,..
❑ wner Plan Checkc -A
� Petitioner ❑ Inspector
❑ Fire ❑ Other
PETITIONER_
Petitioner fi
Zip
4440
.Petitioners Position Engineer
Signature CA Professional Lic. # 94064 Date: 12/22/2022
FOR STAFF USE ONLY
:PARTMENT ACTION: In accordance with. ❑ CBC 104.11/CFC 104.9 CBC 104.10/CFC 104.8
(Alternate maturate & method's) (CSC Modification)
Concurrence from Fire Code Official is required. ❑ Approved ❑ Disapproved ❑ written Comments Attached
Print Name
BY ___
(DOES (Z&S.NWT1 Essen any fire protection requirements.
(DOE (DOES�T�'(elssen the structural integrity
❑ Granted (Ratification required)
Date
[]Denied (See reverse for appear information)
Position,_....- F.FIl.1 IL0/—a'5. _ 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 riling fees are required.)
el
CASHIER RECEIPT NUMBER: R EC -00679 "7- &Uo 3 Formslmodif 07/08122
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