Request for Alternate Means of Protection or Methods of
Construction
Date Submitted: Building Permit:
In accordance with section §2.02, Title 19 California Code of Regulations, the undersigned requests approval
of alternate means of protection for:
Project Name:
Project Address:
Subject of Alternative (separate forms must be completed for each different item):
Code Requirement Requesting Mitigation (specify code edition and section):
Justification (attach copies of pertinent information):
Alternate Requested By:
Print Name Signature
Requestor Address:
Requestor Phone:
For Staff Use Only
Date Reviewed:
Findings:
Approved [ ] Denied [ ]
Fire Marshal:
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signature
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