Application For Alternative Materials Or Methods Of Construction Form Page 2
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1
2APPLICATION FOR ALTERNATE MATERIALS OR METHODS OF CONSTRUCTION-
PAGE 2
Requested by:
Architect/Engineer Name (Print)
Architect/Engineer Wet Stamp & Signature
__________________________________
__________________________________
Contractor Name (Print)
Contractor Signature
Owner Name (Print)
Owner Signature
Phone No.: (______)_________________
Note: Architect or Engineer must wet stamp & sign
CONDITIONS OF APPROVAL FOR APPLICATIONS FOR ALTERNATE
MATERIALS, ALTERNATE DESIGNS AND METHODS OF CONSTRUCTION
Proposed design complies with the intent of provisions of the current codes.
The material or method proposed is equivalent to code requirements in:
1.
Quality
2.
Strength
3.
Effectiveness
4.
Fire resistance
5.
Durability
6.
Safety
Upon approval, all the features of the approved alternate method or material (including a copy of the
application) shall be incorporated into the drawings and this form shall be reproduced on the drawings.
For Office Use Only
___________________________________________________________________________
___________________________________________________________________________
___________________________________________________________________________
___________________________________________________________________________
APPROVAL RECOMMENDED
APPROVAL NOT RECOMMENDED
STAFF MEMBER SIGNATURE:_________________
STAFF MEMBER NAME:______________________
APPROVED
DENIED
APPROVED
DENIED
BUILDING OFFICIAL______________________FIRE MARSHAL_____________________
STAFF MEMBER NAME: ____________________________________________
$
_____________hours X $170.00 =
___________________total fees due
Payment Information:
Visa
M/C
Cash
Check#__________
Receipt#:_____________Date___/___/___
DISCLAIMER
Applicants for Alternate Materials, Alternate Design and Methods of Construction shall note that the approval of the proposal is based on the factual
documentation provided in support of the alternate at the time of approval. If at any point during the plan review or inspection process, the Building
Official finds deviations from the approved alternative, the approval becomes invalid, and any changes to the approved alternative will require a new
submittal by the applicant and an approval by the Building Official. For Alternate Proposals processed before submittal of full set of plans, the
approval is only conceptual. The approval needs to be validated after submittal of all construction documents.
TWO SIDES TO THIS FORM
G:\CODES\ADMIN\FORMS\ALTERNATE MATERIAL APPL 2010 CBC 2010 CRC.DOCX
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