Application For Alternative Materials Or Methods Of Construction Form

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Planning Department
Building and Safety Division
APPLICATION FOR ALTERNATE MATERIALS OR METHODS OF CONSTRUCTION
(Please read the attached Conditions of Approval and Disclaimer before completing the application)
Submit two copies of all documents, including plans, showing the proposed alternate.
All attachments must be 8-½” x11” or 11” x17”.
Under the authority of Sections 104.11of the 2010 CBC, or R104.11 of the 2010 CRC, as
amended by the City of Berkeley, the undersigned requests approval of alternate materials,
alternate design and methods of construction
for:______________________________________________________________
Project Name:
_________Plan Check/Permit #: __ __ - __ __ __ __
Project Address
Occupancy Group: ______Type of Construction: ______Sprinklers (Y/N):______#of Stories:______
Floor Area:
Tenant Area:
Describe Use:
Subject of Alternative (a separate form should be filled out for each alternative item):
A brief description of the item must be included if additional documents are attached
_________________________________________________________________________
___
__________________________________________________________________________________________
__________________________________________________________________________________________
Code Requirement (specify code section(s):
__________________________________________________________________________________________
__________________________________________________________________________________________
__________________________________________________________________________________________
Alternate Proposal
(A brief description must be included even if additional documents are attached):
___________________________________________________________________________
___________________________________________________________________________
___________________________________________________________________________
___________________________________________________________________________
Justification
(Attach copies of any reference, test reports, expert opinions, etc. The Building Official may require
that a consultant be hired by the applicant to perform all applicable tests, research and analysis, and submit a full
report of evaluation to Building & Safety for consideration and approval). A brief description must be included
here even if additional documents are attached.
___________________________________________________________________________
___________________________________________________________________________
___________________________________________________________________________

TWO SIDES TO THIS FORM
G:\CODES\ADMIN\FORMS\ALTERNATE MATERIAL APPL 2010 CBC 2010 CRC.DOCX (REV 052511)
Planning a Safe and Sustainable Future for Berkeley
2120 Milvia Street, Berkeley, CA 94704
Tel: 510.981.7440 TDD: 510.981.6903
Fax: 510.981.7450
E-mail:
BuildingandSafety@CityofBerkeley.info

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