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CITY OF NEWPORT BEACH RECEIVED BY
COMMUNITY
COMMUNITY DEVELOPMENT DEPARTMENT DEVELOPMENT
BUILDING DIVISION
100 Civic Center Drive I P.O. Box 1768 1 Newport Beach, CA 92658-89,kFC 18 2023
w�2:•av„r_c•�:roc, tbeachc _. gov 1 (949) 644-3200
CASE NO.: T . V
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)
ESAEQUEST FOR ALTERNATE MATERIAL
OR METHOD OF CONSTRUCTION '
(See Reverse for Basis for Approval) (Fee $P7)
For above requests, complete Sections 1, 2 & 3
below by printing in ink or typing.
JOB ADDRESS:
CITY OF
NEWPORT BEACH
Ob
III FOR STAFF USE ONLY I
Plan Check # # of Stories
Occupancy Classification
Use of Building # of Units I
Project Status
Construction Type
Verified by
No. of Items
Fee due
DISTRIBUTION:
❑ Owner
El Petitioner
❑ Fire
177iliYtP1:14il
0 Plan Check �
❑ Inspector
❑ Other
SITE ADDRESS: 459 62nd Street Petitioner Jeff Parkhurst
(Peddoner to be architect or engineer)
Owner Cole Tripp Address 9521 Irvine Center Dr.
Address 16340 Beach Blvd. Irvine. CA zip 92618
Hunting on eac zip
Daytime Phone (949) 386-0821 Daytime Phone (949)219-1 c)74
Email:_pararc(a attnet
OF
CODE SECTIONS:
CRC R703.7.2.1, CRC R317.1 (5)
[concrete slab. 24" wide Bituthene moisture barrier 18" above and 6" below the top of the concrete slab. SS flashing to be I
over
Petitioner's � y✓f;--��•�%%�
Signature
Position architect
CA Professional Lic. #
20554
08-22-23
FOR STAFF USE ONLY
[DEPARTMENT ACTION: In accordance with: XCBC 104.11/CFC 104.9
(Alternate materials & methods)
Concurrence from Fire Code Official is required. ❑ Approved ❑ Disapproved
By: Date
Request (DOE (DOES NOT)Jl ssen any fire protection requirements.
Request (DOES (DOES NOTyessen the structural integrity
❑ CBC 104.10/CFC 104.8
(CBC Modification)
❑ Written Comments Attached
The Request is: A,Granted ❑ Denied (See reverse for appeal information)
❑ Granted (Rat cation requirecq
Conditions of Approval:
Signatqre I -=-- Position CHIEF F1' 0I t7'NIrl t'1Fk1G)AL
Print Name I �Ac Lti�
Date I''2-- ZO
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: �. EC - 02 11 �� Zo2 3 Forms%modif 07/08/22