HomeMy WebLinkAboutX2019-1954 - Alternative Material & Methods (2)X pC1 IgSy RE.CEI(,F-0
G�4ti �P e CITY OF NEWPORT BEACH oUf �MopNlrr�
COMMUNITY DEVELOPMENT DEPARTMENT �4 MENr
BUILDING DIVISION 2 g
cyticOr<�sp 100 Civic Center Drive I P.O. Box 1768 I Newport Beach, CA 92658-8915 7 ? zz
www newoortbeachcagov i (949) 644-3200
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CASE NO.: ' 2Fti
❑ 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 $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.
III FOR STAFF USE ONLY III
Plan Check
Occupancy
Use of Builc
Project Stat
Construction
Verified by
No. of Items
Fee due
DISTRIBUTION:
❑ Owner
Petitioner
Fire
,4.Plan Check M
❑ Inspector
❑ Other
7 1 JOB ADDRESS: I PETITIONER: II
SITE ADDRESS: 6 Inverness Ln. Petitioner Eric Mossman
Owner Wil & Christina Smith treurooer ro a a amhumt w eeema
Address 6 Inverness I n Address 2025 W Balboa Blvd., Suite B
Newport Beach CA zip 97660 Newport Beach CA zip92663
Daytime Phone (909 ) 837-7813 Daytime Phone (949 ) 500-7212
if
S
CODES
Position Architect _ I
CRProfessional Lic. # (',-1471 R -_ Date:-1 I r 20
APPEAL OF DIVISION ACTION TO THE BUILDING BOARD OF APP S (See Reverse)
(Signature, statement of ow, or applica t, statement of reasons for appeal n filing fees erequiretl.j
CASHIER RECEIPT NUMBER: , �' �� w Fomnstmodif 07ro121
CID