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Page 1 of 2 ALTERNATE MATERIALS AND METHODS OF CONSTRUCTION AND/OR DESIGN Alternate Submittal For: Project: AMMA No.: Date Issued: Chief Building Official, This is to acknowledge our understanding that the alternate submittal(s) of plans for the above project will be charged the current hourly plan check rate with a minimum deposit of an estimated time spent on said review. The alternate submittal items shall not be installed until the Chief Building Official has approved their design and submittal documents. Requested by (print and sign): Contractor/Professional Designer/Property Owner Date Contact’s Name Date ---PAGE BREAK--- Page 2 of 2 (Submit two copies of all documents, including plans showing the proposed alternate) Under the authority of DMC 7.28.150, the undersigned request approval of alternate materials and methods of construction is for: Project Name: Project Address: Occupancy Group: Type of Construction: Sprinklered No. of Stories: Total Floor Area: Floor Area Per Floor: Tenant Floor Area: Describe Use: SUBJECT OF ALTERNATIVE (separate forms should be filled out for each different item): CODE REQUIREMENT (specify code edition and section): ALTERNATE PROPOSED: 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 test, research and analysis and submit a full report of evaluation to the Building Division for consideration and approval): REQUESTED BY (print and sign): Architect or Engineer (Designer of Record) Date Contractor Date Building Owner (Applicant) Date Contact Phone No. (Architect or Engineer must wet stamp and sign) STAFF USE ONLY Staff findings: Approval Recommended Not Recommended Staff (print and sign) Date Approved Denied Chief Building Official Date Staff: Alternate Material # Date Requested Alternate Materials and Methods of Construction and/or Design Request