HomeMy WebLinkAboutB23-2099 038-280-003 Fire AMMR REQUEST FOR MODIFICATIONS OR ALTERNATE MATERIALS
AND METHODS REVIEW
Fire Code Sections 104.9-Modifications and 104.10-Alternate Materials and Methods
SECTION 1 -APPLICANT
INSTRUCTION: Applicant(s) or Project Owner(s) or Owner(s) designee (with written
authorization from Project Ownership accompanying this form). Please complete SECTION 1
and submit this form and all supporting documents (building plans, calculations, specifications,
test reports, etc.)to the Fire Marshal Office for review of this document. A non-refundable
Alternate Materials and Methods Review fee is required upon submittal and prior to the review.
Permit Number: r�i5 Z 3 - Zo ci 9 APN: 0 3 �i-2_bcr- oC 3 Date: / /1[l Zq
Project Address: RCV\Chn £ CV1 O SeCQ
Owner:Rc *o (ictno Seco Owners Address: NA 5,7 Rd .
Applicant:MK- ?roi-E i0'\ P./yiS Applicants Email: bi S ..c Ylci►1L• C�'"1
Applicant's Phone Number: 530 - ( .l_ 1C CI
Modification — Alternate Materials [V Alternate Methods of Construction or Protection
Project Description:
Modification Request -Explain the practical difficulties involved in carrying out the provisions of
the Code and proposed application. -OR-Alternate Request - Explain the materials, designs, or
methods of construction not specifically prescribed in the Cod and proposed application.
(Attach additional documents as necessary): See_ ct\- hek Pr g- Cee
Applicable Code References: (List all applicable Code Sections) J1I\ \3
Justification: Demonstrate conformity and equivalence with that prescribed in the Code.
(Attach additional documents as necessary): )e e ,l c& J c 'r A
SECTION 2 - FIRE MARSHAL OFFICE USE ONLY- FINAL DETERMINATION: This re uest is: r_ f N ��ZL/
APPROVED (Provide Conditions of Approval, if Any) Approved By: 11
NOT APPROVED (Provide comments, if any) Not Approved By:
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