02110103 CITY OF COPERTINO - - ea
BUILDING DI ON p 41T CONTRACTOR INFU ON ;
am Fs R' NINA & SCOTT �BREHMER PFnMIrN02110103
fEffNAfE:& SCOTT BREHMER APPLICATIPIiS Eg 2002
PHONE: SANITARY NO, CONTROL NO.
ARCHITECT/ENGINEER: BUILDING PERMIT INFO
BLDG ELECT PLUMB MECH
�O2 LICENSED CONTRACT'OR'S DECLARATION O O O O
C u' 1 hereby afRpn NII 1 am licensed under provisions of Chapter 9(commencing b Description
<i�' vim Sation 7000)of Division 3 of the Business and Prommiom Codes and my license is REVISION— p
Z O��„ imm�fomeamerr0. IN HOUSE USE ONLY, NO NEW PERMIT ISSUED
YY1,Z Liccnu Class Lic.N
2nFn Dam Contractor ORIG. #02070067
`—'Y•3 ARCHTIECTS DECLARATION
•�ee< I understand my plans shall he used as public Immix C
O6U
u3_.G Limmsed Professional
OWNER-BUILDER DECLARATION
< e S I hereby affirm that 1 ammexempt from the CmnlraCtors License Law for the
�a
d 00 following reason.(Section 703 L5.Business and Professions Code:Any city or county v S
x which requires.permit to e..,,arm,.improve,demoluh,or opair any stmnum C
1O—t^ prior m its issuance.also nomires the applicant for such permit to file a signed nmemenl
1 n that he is licensed pursuant wthe provisions ofthe COnmclur'sLicense Law(Chapter 9 Sq. Ft.Floor Area 79IQ3(IGn
oft-$ (commencing with Section 7")of Division 3 of the Business and Professions Core)or
Wo,3— that he is exempt rhcmfrom and the basis for the alleged exemption.My violation of
Salon 7031.5 by any applicant for•permit subjects the applicant to a civil penalty of
not mom than five hundred dollars($500), be Occupancy Type
I,ex owner of tint property,or my employees with wag.Is their sole compewuon,
will do the work.and the sweture is not intended or offered for sale(Sec.7W.Basins
and Prefessm.Code:The Contractor's License Law does not apply in an Owner of 102 - PIE RS
IERS equired Inspections
,property who builds or improves thereon,and who docs such work himulf or through his
own employe..provided that such improvements are not intended proffered for We.If. 103 — LIFER
however.the building or improvementis.Soldwithinoneyearoreompiedon,theowner- 104 - REBAR
builder will have me burden of proving that he did not build or improve for purpoom of
.]I1105 - ANCHOR BOLTS
0 1.as owner of the property,am exclusively contracting with licensed convenors to 10 6 - SEWER & WATER
consumer the pmjen(Sec.7D14,Business and Professions Code:)no Contractors Li
cense law dors not apply to an owner of property who bunch or improv thereon,and, 202 — UNDERFLOOR PLUMBING
Lwho icense Law,
such projects with aanvacmr(s)licenumm
d pursuant the Contractors 203 - UNDERFLOOR MECHANICAL
O lam.emptumm'Sce. ,B& u
PCforrhismon 204 - UNDERFLOOR FRAME
caner Data 205 - UNDERFLOOR INSULATION
WORKER'S COMPENSATION DECLARATION 301 - ROUGH PLUMBING
I hereby affirm under Penalty of perjury one of the following declarations: 302 — TUB & OR SHOWER
0 I have and will maintain.Certificate of Continuself-instant
o for Worker'sCompen-
sation,as provided for by Smtion 37W of the labur,code.for ma sa fmmanee of the 303 — ROUGH MECHANICAL
work for which this permit aissued. 304 - ROUGH ELECTRICAL
0 1 haw and will maintain Workers Compensation Insurance.IS required by Section 305 — FRAME
37M of the labor Code,for thor
e performance of the wk for which this permit is issued.
My Workers CompeuSadon lnsurnna Canim Ind Policy number are: 306 HOLDOWNS
Cartier: Policy NO: 307 - INSULATION
CERTIFICATE
COMPENSATIONTON MOM INSURAANEWORKERS' 308 — SHEETROCK
(This Section need not bu completed if me peons is for one hundred dollars 1$100) 309 - EXTERIOR LATH
I Certify"rlcss) 310 - INTERIOR LATH
employ this in the performance of as work for which this permit is issued,rsCm I shag not 311 - SCRATCH COAT
employ any permon in any manner so Cor m become subject ro me Workers'Compensation
Lawscant Dia.°am
Applicant 313 - ROOF NAIL
NOTICE TO APPLICANT.If.after making this Cenificam of Exemption,you should 501 - FINAL ELECTRICAL ENERGY
become subject to the Worker's Compensation previsions of the tabor Code,you most
OZ forthwith comply with Inch provisions.1this permit shaBbedeemed rovokcd. 502 - FINAL PLUMBING ENERGY
z o CONSfRUCItONLENDING AGENCY 503 - FINAL MECHANICAL ENERGY
hereby• g.gencyImthcperf.....Iof 504 - FINAL BUILDING ENERGY
F kforwIRrm Nmmere issued(S .30 lending C > Newer'sName ch thispennitisissad(Sec.3097.Civ.C.) 505 - FINAL ELECTRICAL
W Ca Lenders Name
]Z <mersAaem. 506 - GAS TEST
U O 1 Coolly that I have read this application and sum mat the Show information is 507 - FINAL PLUMBING
W F cunni 1 agree m comply with all City and county ordinances and sac¢laws miming to
O U building consumcdon.no hereby allffiOdW representatives Of this City to enter upon the 5 FINAL MECHANICAL
W abuvc-mentioned properly fori.pection purposes. O9 — FIN
F gy (We).9.m Save,indemnify and keep armthe
p hless City of Cupevino.gat., GRADE
G
N
liabilities.judgments,costs and expenses which may in any way accrue against said City 5 Fi' N
U z in
UNDERSTANDSnting of rhis AND WILL COMPLY WITH ALL NON-POINT rm iL 1 WORKS
SOURCE REGULATIONS. Issued bys Date
Signature of AppbcanJConvutor Dam Re-roofs
HAZARDOUS MATERIALS DISCLOSURE Type of Roof
Will me applicant or future building occupant Imre or handle mosom.,material
n defined by the Cupertlno Municipal Code,Chapter 9.12,and dm Hcalth and Safety
Code,Section 25532(+)7
❑Yes ❑No All roofs shall be inspected prior to any roofing material being installed.
Will the applicant Or future building occupant use equipment or devices which If a roof is installed without first obtaining an inspection, I agree to remove
cant haaartims air contaminants as defined by the Bay Arca Air Quality Management all new materials for inspection.
District?
❑Yes ON.
I hate rad the hazardous materials requirements under Chapter 6.95 of the Calim,
nia Health&Safety Cum,Senitms 25505.35533 and 25534.1 understand mm ifthe building
does not currently haw a imam.mm it is my mspumibility to notify the occupant of the
niquimmentawhich most IS,met poor toiasuanaofaCenir.mofOccupancy. Signature of Applicant Date
Owner or awhmntm•gene Dam All roof coverings to be Class"B" or better
CITY OF CUPERTINO
It• 1 of 1 PERMIT RECEIPT OPERATOR: conniew
COPY # 3
Sec : Twp : Rng : Sub: Blk: Lot :
APN . . . . . . . . : 32601007 . 00
DATE ISSUED. . . . . . . : 11/15/2002
RECEIPT # . . . . . . . . . : 20399
REFERENCE ID # . . . : 02110103
SITE ADDRESS . . . . . : 10955 BARRANCA DR
SUBDIVISION . . . . . .
CITY CUPERTINO
IMPACT AREA . . . . . .
OWNER TINA & SCOTT BREHMER
ADDRESS . . . . . . . . . . :
CITY/STATE/ZIP . . . . ,
RECEIVED FROM . . . . : ROBERT BARBERA
CONTRACTOR . . . . . . . : LIC # *OWNER*
COMPANY TINA & SCOTT BREHMER
ADDRESS . . . . . . . . . . :
CITY/STATE/ZIP . . . : ,
• TELEPHONE . . . . . . . . :
FEE ID UNIT QUANTITY AMOUNT PD-TO-DT THIS REC NEW BAL
------ - - -- ---- - - - ------ ------ - - -- ------ - - -- ---------- ------ - - -- ---- - -----
BPLANCKREP HOURS 4 . 00 222 . 00 0 . 00 222 . 00 0 . 00
- --------- -- - - - - -- - - ---------- ------- ---
TOTAL PERMIT 222 . 00 0 . 00 222 . 00 0 . 00
METHOD OF PAYMENT AMOUNT NUMBER
----------------- ------------ ---------- - - - - - -- -
OTHER 222 . 00 MC
'TOTAL RECEIPT 222 . 00
•
EXCERPTS FROM CHAPTER 23 2001 CALIFORNIA BUILDING CODE
"`� • TABLE 23-IV-R-S-RAFTERS WITH L/240 DEFLECTION LIMITATIONfPt^,
The allowable bending stress(Fb)and modulus of elasticity(E)used In this table shall be from Tables 23-IV-V-1 and 234V-V•2 only.
DESIGN CRITERIA:
Strength-Live load of 20 psf(0.9a kN/m2)plus dead load of 20 pat(0.96 kN/m2)determines the required bending design value.
Deflection-For 20 par(0.96 kN/mz)live load.
Limited to span in inches(mm)divided by 240.
aeXr a IngBending Design Value,Fe(pal)
Ble. �o)
gn) x Denali for Wmm2
x MArormm 300 aoo 900 coo rpo e0o 900 taco 100 1200 1000 taco Itwo
12.0 6-2 7-I 7-11 8-8 9-5 10-0 10-8 11-3 11-9 12-4 12-10 13-3 13-9
z 16.0 5-4 6-2 6-10 7-6 8-2 8-8 9-3 9-9 10-2 10-8 11-1 11-6 I1-11
•:(� 6 19.2 4-10 5-7 6-3 6-10 7-5 7-11 8-5 8-11 9-4 9-9 10-1 10-6 10-10
24.0 4-4 5-0 5-7 6-2 6-8 7-1 7-6 7-11 8-4 8-8 9.1 9-5 9-9
12.0 8-1 9-4 10-6 11-6 12-5 13-3 14-0 14-10 15-6 16-3 16-10 .17-6 18-1
2 .16.0 7-0 8-1 9-1 9-11 10-9 11-6 12-2 12-10 13-5 14-0 14-7 15-2 15-8
x
g 19.2 6-5 7-5 8-3 9-1 9-9 10-6 11-1 11-8 12-3 12-10 13-4 13-10 14-4
24.0 5-9 6-7 7-5 8-1 8-9 9-4 9-11 10-6 71-0 11-6 11-11 12-5 12-10
12.0 10-4 11-11 13-4 14-8 15-10 16-11 17-11 18-11 19-10 20-8 21-6 22-4 23-1
•`� 2 16.0 8-11 10-4 11-7 12-8 13-8 14-8 15-6 16-4 17-2 17-11 18-8 19-4 20-0
10 19.2 8-2 9-5 10-7 11-7 12-6 13-4 14-2 14-11 15-8 16-4 17-0 17-8 18-3
;;X 24.0 7-4 8-5 9-5 10-4 11-2 11-11 12-8 13-4 14-0 14-8 15-3 15-10 16-4
12.0 12-7 14-6 16-3 17-9 19-3 20-6 21-9 23-0 24-1 25-2
+r{ % 16.0 10-11 12-7 14-1 15-5 16-8 17-9 18-10 19-11 20-10 21-9 22-8 23-6 24-4
12 19.2 9-11 11-6 12-10 14-1 15-2 16-3 17-3 18-2 19-0 19-11 20-8 21-6 22-3
•;;; ' 24.0 8-11 10-3 11-6 12-7 13-7 14-6 15-5 16-3 17-0 17-9 18-6 19-3 19-11
'2+ 12.0 0.10 :]0:13
0.22 0.28 0.36 0.44 0.52 0.61 0.71 0.80 0.91 1.01 1.13
`! 16.0 0.09 0.19 0.25 0.31 0.38 0.45 053 0.61 0.70 0.79 0.88 0.97
E19.2 0.08 0.17 0.23 0.28 0.35 0.41 048 0.56 0.64 0.72 0.80 0.89
. 24.0 0.07 0.15 0.20 0.25 0.31 0.37 0.43 0.50 0.57 0.64 0.72 0.80
alae/ Spa ng Bending Design Value,Fa(pal) e`
on xo.00ee9forWmirirco ANCEWIIff It7tUl ur
'rfl x rgr mm'+ m t o0 1800 1900 2000 2100 CCTP-ORT NC239oJD 5 ?.+ ) r,(U3eb014l r-32600 27ao
12.0 14-2 1 -8 15-1 15-6 15-11 16-3 168 7-0 7- 17-9 IS-1
?� '16.0 - - 8 13-1 13.5 13-9 14-1 aT`4-5 4- 1 -4 15-8 16-0
6• .2 71-3 1.7 11-11 12-3 12-7 12-10 1312-• 3 -9 14-0 14-4 14-7
24.0 1 10-4 10-8 10-11 11-3 11-6 `hill-9_ �1 .12.7--12.10 13-1
12.0 18-9 19-0 19-10 20-5 20-11 21-5 1 021-11 p2 -5 31'11 22:11 11 b0 3"50 °`2340
i 2 16.0 16-3 16-9 17-2 17-8 18-1 - 18-7 19-0 X19-SOI) 8t19I1bIRI;S Zglj It S �8-g 21d
x
!?gi g 19.2 14-10 15-3 15-8 16-2 16-7 16-11 17-4 17-9,Oy CI18?geS 0118 6tOf II17QLj0 19-3
24.0 13-3 13-8 14-0 14-5 14-10 15-2 15-6 15-10 Orjt16;3 pi fR164B0n t116110 17-2
2 12.0 z3-8 24-7 1-1 z6-o City of Clpertmo.
:.I 16.0 20-8 21-4 21-11 22-6 23-1 23-8 24-3 24-10 25-4 25„1
x p r an I . . 91O ItiOnS
;I 10 19.2 18-11 19-6 20-0 20-7 21-1 21-8 22-2 22-8 t23-ljrn It 23-7o I e 24n1 24-6 ``•1,
24.0 16-11 17-5 17-11 18-5 16-11 19-4 194 20-3, 6,'211;8„f nngl-arm ISIaki!i 21-11 S;'c$;�!�9
12.0
2 16.0 25-2 25-11 n 1 ^ li ..L (lf $t;to LOW.
x
12 19.2 23-0 23-8 24-4 25-0 25-8
24.0 20-6 21-2 21-9 22-5 23-0 23-6 24-1 24-8 25-2 25-8
E24.0
1.24 1.36 1.48 1.60 1.73 1.86 2.00 2.14 2.28 2.42 2.57
1.07 L18 1.28 1.39 1.50 1.61 1.73 1.85 1.97 2.10 2.22 2.35
h2
'^ 0.98 1.07 1.17 1.27 1.37 1.47 1.58 1.69 1.80 1.91 2.03 2.15
0.88 0.96 1.05 1.13 1.22 1.32 1.41 1 1.51 1.61 1.71 1.82 1.92
NOTE: The required modulus ofelasticity,E,in 1,000,000 pounds persquare inch(psi)(x0.00689f)r N/mm2)is shown at the bottom ofthis table,is limited to
2.6 million psi(17914 N/mm2)and less,and is applicable 10 all lumbersizes shown.Spans are shown in feet-inches(I foot=304.8 mm,l inch=25.4 mm)
• and are limited to 26 feet(7925 mm)and less.
l
1-232
2001 CALIFORNIA BUILDING CODES • EXCERPTS FROM CHAPTER 23
TABLE 23-W-R-4-RAFTERS WITH L/240 DEFLECTION LIMITATION
The allowable bending stress(Fb)and modulus of elasticity(E)used in this table shall be from Tables 23-IV-V-1 and 23-IV-V-2 only. •
- DESIGN CRITERIA:
Strength-Live load of 30 psf(1 A4 kN/m2)plus dead load of 15 psi(0.72 kN/m2)determines the required bending design value.
Dell 30 psf(t.a4k /m2)live load.
Limited to span in inches(mm)divided by 240.
Ratter s ecin9 Bending Daslgn Value,F6(psi)
sine pd^) x 0.00669 for N/mm2
n)
x 25.4 for mm 300 400 600 600 700 900 900 1 1006 1100 1200 1Y0 1400 1500
12.0 5-10 6-8 7-6 8-2 8-10 9-6 10-0 10-7 11-1 11-7 12-1 12-6 13-0
?f 2 16.0 5-0 5-10 6-6 7-1 7-8 8-2 8-8 9-2 9-7 10-0 10-5 10-10 11-3
x192 4-7 5-4 5-11 6-6 7-0 7-6 7-11 8-4 8-9 9-2 9-6 9-11 10-3
6
24.0 4-1 4-9 5-4 5-10 6-3 6-8 7-1 7-6 7-10 8-2 8-6 8-10 9-2
12.0 7-8 8-10 9-10 10-10 11-8 12-6 13-3 13-11 14-8 15-3 15-11 16-6 17-1
2 16.0 6-7 7-8 8-7 9-4 10-1 10-10 11-6 12-1 12-8 13-3 13-9 14-4 14-10
x 19.2 6-0 7-0 7-10 8-7 9-3 9-10 10-6 11-0 11-7 12-1 12-7 13-1 13-6
8
24.0 5-5 6-3 7-0 7-8 8-3 8-10 9-4 9-10 10-4 10-30 11-3 11-8 12-1
12.0 9-9 11-3 12-7 13-9 14-11 15-11 16-11 17-10 18-8 19-6 20-4 21-1 21-10
2 16.0 8-5 9-9 10-11 11-11 12-11 13-9 14-8 15-5 16-2 16-11 17-7 18-3 18-11
10 19.2 7-8 8-11 9-11 10-11 11-9 12-7 13-4 14-1 14-9 15-5 16-1 16-8 17-3
24.0 6-11 8-0 8-11 9-9 10-6 11-3 11-11 12-7 13-2 13-9 14-4 14-11 15-5
12.0 11-10 13-8 15-4 16-9 18-1 194 20-6 21-8 22-8 23-9 24-8 25-7
2 16.0 10-3 11-10 13-3 14-6 15-8 16-9 17-9 18-9 19-8 20-6 21-5 22-2 23-0
x 19.2 9-4 10-10 12-1 13-3 14-4 15-4 16-3 17-1 17-11 18-9 19-6 20-3 21-0
12
24.0 8-5 9-8 10-10 11-10 12-10 13-8 14-6 15-4 16-1 16-9 17-5 16-i 16-9
12.0 0.13 0.19 0.27 0.36 0.45 0.55 0.66 0.77 0.89 1.01 1.14 1.28 1.41 e
16.0 0.11 0.17 0.24 0.31 0.39 0.48 0.57 0.67 0.77 0.88 0.99 1.10 1.22
E 19.2 0.10 0.15 0.22 0.28 0.36 0.44 0.52 0.61 0.70 0.80 0.90 1.01 1.12
24.0 0.09 0.14 0.19 0.25 0.32 0.39 0.46 0.54 0.63 0.72 0.81 0.90 1.00
Rettar Bending Design Value,Fa(pal) '
Size specing
(m) (In) x 0.00669 for Wmm2
x 16.4 for mm 1600 17W 1600 1900 2000 2100 2200 2300 2400 2600 2600 2700
12.0 13-5 13-101 14-2 14-7 15-0 15-4 15-8
2 16.0 11-7 11-11 12-4 12-8 13-0 13-3 13-7 13-11 14-2
x 19.2 10-7 10-11 11-3 11-6 11-10 12-2 12-5 12-8 13-0 13-3 13-6
6
24.0 9-6 9-9 10-0 10-4 10-7 10-10 11-1 11-4 11-7 11-10 12-1 12-4
12.0 17-8 1812 ' 16-9 19-3 19-9 20-3 20-8
2 16.0 15-3 15-9 16-3 16-8 17-1 17-6 17-11 18-4 18-9
x 19.2 13-11 14-5 14-10 15-2 15-7 16-0 16-4 16-9 17-1 17-5 17-9
8
24.0 12-6 12-10 13-3 13-7 13-11 14-4 14-8 15-0 15-3 1 15-7 15-11 16-3
•fit;' 12.0 22-6 23-3 23-11 24-6 25-2 25-10
2 16.0 19-6 20-1 20-8 21-3 21-10 22-4 22-10 23-5 23-11
x 19 2 17-10 18-4 18-11 19-5 19-11 20-5 20-10 21-4 21-10 22-3 22-8
0
24.0 15-11 16-5 16-11 17-4 17-10 18-3 18-B 19-1 19-6 19-11 20-4 20-8
12.0
2 16.0 23-9 24-5 25-2 25-10
x 19.2 21-8 22-4 23-0 23-7 24-2 24-10 25-5 25-11
12
..:� 24.0 19-4 20-0 20-6 21-1 21-8 22-2 22-8 23-3 23-9 24-2 24-8 25-2
*i 12.0 1.56 1.71 1.86 2.02 2.18 2.342,51
16.0 1.35 1.48 1.61 1.75 1.89 2.03 2.16 2.33 2.48
E 19.2 1.23 1.35 1.47 1.59 1.72 1.85 1.99 2.12 2.26 2.41 2.55
24.0 1.10 1.21 1.31 1.43 1.54 1.66 1.78 1.90 2.02 2.15 228 2.41
NOTE: The required modulus of elasticity,E,in 1,000,000 pounds per square inch(psi)(x0.00689for N/mm2)is shown at the bottom of this table,is limited to
"! 2.6 million psi(17 914 N/mm2)and less,and is applicable to all lumbersizes shown.Spans are shown in feel-inches(1 foot=304.8 mm,l inch=25.4 mm)
and are limited to 26 feet(7925 mm)and less.
•
'- - 1-231
j a-b
MR1
CITY OF CUPE.kTINO D Z a 03
CITY or PERMIT APPLICATION FORM
CUPEI�TINO
APN# � a1 � Date:
Buildirig Address:
,,-0,9625-
Owner's
O Owner's Name: Phone#:
.� 50 c� �/0 3 - 737-9
Contract r: License#:
d tu.t.�5e U/c 2
Contact: Phone#:
_77 /vl6f
Applicant/Contractor: Fax #:
:Bd
ildi e t Info:
Elect Plumb
Mech
b Descrip n: / f •
siden • ��/ �J�J ommerc 1:
Floor Area.
Architect/Engineer: Valuation
ype of Construction: Occupanc ro
64�,C-e
uanti Fee ID Fee Descri tion Fee Group
BAPPLOTHER Other A liances MECHANICAL
BCONSTAX Construction Tax BUILDING
BCONSTAX Ind/Off/Comm/ uasi BUILDING
BCONSTAXB Con. Tax for B Zone BUILDING
BCONSTAXH Hotel and Motel BUILDING
BCONSTAXR Constax—Resi/Mobile BUILDING
BELEC1000 y Elec 600V <= 1000A ELECTRICAL
BELEC1001 Elec 600V> 1000A ELECTRICAL
BELEC200 Elec Svcs 600V<=200A ELECTRICAL
BENERGY EnergyBUILDING
BENERGYADD Energy Add Multi BUILDING
BINVESTIGA Investi ation fee BUILDING
BMITIGATC Comm. Housing Mit. Fee BUILDING
BMITIGATR Res. Housing Mit Fee BUILDING
BMNEWMULTI New Multi-Familv Res MECHANICAL
BNEWMULTI New Multi-family Res ELECTRICAL
BNUCOMME New Comm Electric ELECTRICAL
BNUCOMMM New Comm Mechanical MECHANICAL
BNUCOMMP New Comm Plumb PLUMBING
1of3 ` I
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