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City of Los Angeles

Department of Building and Safety

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FILE NO.

DISTRIBUTION

REQUEST FOR MODIFICATION OF BUILDING


ORDINANCES (98.0403 L.A.M.C.)
REQUEST FOR ALTERNATE MATERIAL OR METHOD
OF CONSTRUCTION (17951d. H. & S.C.)
REQUEST FOR HARDSHIP EXEMPTION OR
EQUIVALENT FACILITATION (19957 H. & S.C.)

Owner

.Mechanical
...............

Pl Ck.

Petitioner

.Heating
................

Insp.

Fire

.................

Bur.

Health

......................

For above requests, complete sections 1,2, & 3 in duplicate by printing in ink or typing.

JOB
ADDRESS

LOT(S)
TRACT

Owner.................................................................................................................
Address...............................................................................................................
.......................................................................Zip.....................................

District Office................................
Plan Ck No.....................................
Zone...............................................
Permit No .....................................
Job Order No. ................................
Bureau/Division Engr./Mech.
............................
Use of Bldg. ..................................
Job Status ......................................

Daytime Phone (

).........................................................................

Petitioner.............................................................................................................
Address................................................................................................................
...................................................................Zip......................................
Daytime Phone (
)..........................................................................

BLK
Type....................................
Stories................................
Occ ....................................
No. Units ...........................
F.D.....................................
D.M. ..................................
C.D. ...................................

YARD NOTICE (COM-784) RECEIVED FROM PETITIONER


POSTCARD (COM-3) NAME/ADDRESS COMPLETED
BY PETITIONER
SIGN NOTICE RECEIVED FROM PETITIONER

REQUEST: S u b mi t p l a n s i f n e c e s s a r y t o i l l u s t r a t e r e q u e s t . A d d i t i o n a l s h e e t s o r d a t a ma y b e a t t a c h e d .

Permission to install a domestic dryer moisture exhaust duct in excess of 14 feet in length.

Dept. Comment Dryer Vent

Code Sections: L.A.M.C. 95.504.3.2

JUSTIFICATION/FINDINGS OF EQUIVALENCY:

Title 24--

In order to compensate for the excess in length, the diameter of the duct will be increased.

Petitioners
Signature ............................................................. Position ................................ Date....................

Reviewed
By ...................................... Date

DEPARTMENT ACTION: In accordance with


Sec. 98.0403 L.A.M.C.
Sec. 17951d H. & S.C.
Sec. 19957 H. & S.C.
The Request is
Granted (See attached letter).
Denied (See reverse for appeal information).
Wr i t t e n c o n c u r r e n c e f r o m t h e ( Fi r e ) ( T r a n sp o r t a t i o n ) ( H e a l t h ) ( . . . . . . . . . . . . . . . . . . . . . . . . . . . . ) D e p t . i s r e q u i r e d .
R e q u e s t ( I S ) ( I S N O T ) i n c o n f o r m i t y wi t h t h e s p i r i t a n d p u r p o s e o f C o d e S e c t i o n i n v o l v e d .
C o n d i t i o n ( DOE S) ( DOE S NOT ) p r o v i d e . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
( E QUI VAL E NCY) ( E QUI VAL E NT FACI L I T AT I ON)
De p a r t me n t Ac t i o n b y

Date

Conditions of Approval: (Reasons For Appeal in Case of Denial)

SEE ATTACHED CONDITIONS OF APPROVAL.

( C a sh i e r U se O n l y )
No. of I t e ms . . . . . . . . . . 1. . . . . . . . . . . .
Fe e Due . . . . . . . . $. .100.00
. . . . . . .MPC
.........
Fe e Ve r i f i e d . . . . . . . . . . . . . . . . . . . . . .
APPEAL OF DEPARTMENT ACTION TO BOARD OF BUILDING AND SAFETY
COMMISSIONERS/DISABLED ACCESS APPEALS COMMISSION
( Si g n a t u r e , St a t e me n t o f r e a so n s f o r a p p e a l a n d f i l i n g f e e s a r e r e q u i r e d . )
Signature of Owner or Applicant submitting notarized declaration (LADBS COMM-832) - Bd. Res. 832

X ....................................................................................
Pr i n t Na me . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
PC/MECH/Req.Mod.25
(Rev.
8/1/2005)
Misc/Req.
Mod. 1 (Rev.
8/1/2005)

Po si t i o n . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Da t e . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
www.ladbs.org

SUPPLEMENTAL INFORMATION AND/OR SKETCH OF JOB CONDITION


BASIS FOR APPROVAL-INFORMATION
For the Superintendent of Building or his designated agent to approve a request for modification or
a request for alternate material or method of construction he must determine that special, individual
reasons exist that make compliance with the strict letter of the ordinance impractical and that
equivalency is provided for requests applicable to the State Housing Law. The resulting condition
must be in conformance with the spirit and purposeof the ordinance involved. The applicant must
provide sufficient information with this application to allow the above evaluation to be made.

INFORMATION ON PROCEDURE FOR APPEAL FROM


A DETERMINATION OR ACTION BY THE
DEPARTMENT OF BUILDING AND SAFETY
Appeal from the determination or action of the Superintendent of Building or his designated agency may be
made to the Board of Building and Safety Commissioners. To appeal, the appellant must give special
individual reasons that make compliance with the strict letter of the ordinance impractical. Appeals pertaining
to State Housing Law provisions require complete evidence to substantiate that the proposed design, material,
or method of construction is at least equivalent to that prescribed by the Code. State such reasons or evidence
on the front of this form or on a separate attachment.

DATE :
JOB ADDRESS:
CONDITIONS OF APPROVAL:
1.

The moisture exhaust duct shall be increased to 5 inches nominal diameter.

2.

The total developed length of the 5 inch diameter duct shall not exceed 44 feet including
two 90-degree elbows. 4 feet shall be deducted for each 90-degree elbow in excess of
two.

3.

Provide clean outs that are accessible and are spaced not more than 20 feet apart, they
shall also be located at the base of each vertical riser.

4.

The termination of the duct shall not be restricted by any louvers or screens and the free
area of the duct shall not be reduced.

5.

The duct system design shall be such that the fasteners will not obstruct the flow through
the duct system.

6.

The lap joints are to be in the direction of the air flow.

7.

Ducts installed within a wall shall not be installed where the free area of the duct will be
reduced.

8.

The moisture exhaust duct shall not extend into or through ducts or plenums.

PC/MECH/Req.Mod.25 (Rev. 8/1/2005)

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www.ladbs.org