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14-0143 (DSF)'e,NMI116 It P.O. BOX 1504 T4ht 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 BUILDING & SAFETY DEPARTMENT ' BUILDING PERMIT Application Number: 14-00000143 Property Address: 49020 AVENIDA FERNANDO APN: 646-160-023- - - Application description: DEMO - SINGLE FAMILY Property Zoning: LOW DENSITY RESIDENTIAL Application valuation: 35000 Applicant: Architect or Engineer: �retehvurt *lk ------------------ LICENSED CONTRACTOR'S DECLARATION 1 hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professionals Code, and my License is in full force and effect. ' LicensV�� (� cense No.: 820801 Y, Date: ontractor: O NER-BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractor's State License Law for the following reason (Sec. 7031.5, Business and Professions Code: Any city or county that requires a permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for the permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractor's State License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code) or that he or she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($5001: 1 _ 1 I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale (Sec. 7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who does the work himself or herself through his or her own employees, provided that the improvements are not intended or offered for sale. If, however, the building or improvement is sold within one year of completion, the owner -builder will have the burden of proving that he or she did not build or improve for the purpose of sale.). 1 _ 1 I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who contracts for the projects with a contractor(s) licensed pursuant to the Contractors' State License Law.). (_ 1 I am exempt under Sec. , BAP.C. for this reason Date: Owner: CONSTRUCTION LENDING AGENCY I hereby affirm under penalty of perjury that there is a construction lending agency for the performance of the work for which this permit is issued (Sec. 3097, Civ. C.). Lender's Name: _ Lender's Address: LQPERMIT VOICE (760) 777-7012 .FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 2/13/14 Owner: MILLER III, WILLIAM MCD/MILLER 49792 COACHELLA DR LA QUINTA, CA 92253 D ° Contractor: SANTUCCI BUILDERS INC FEB 1 ` 20��E 72529 BEAVERTAIL STREET U PALM DESERT, CA 92260 (760) 578-7757 CITY YOFL QQUI TA Lic. No.: 820801 Esw Stib Q'I.l Fits] WORKER'S COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: I have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by Section 3700 of the Labor Code, for the performance of the work for which this permit is Zissued. 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier GRANITE STATE Policy Number 51759994-12 I certify that, in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and agree that, if I should become subject to the workers' compensation provisions of Section 700 of the Labor Code, shall forthwith co ly with those provisions. Date: y ✓ Applicant: GWI w" WARNING: FAILURE TO SECURE WOR S' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000). IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. APPLICANT ACKNOWLEDGEMENT IMPORTANT Application is hereby made to the Director of Building and Safety for a permit subject to the conditions and restrictions set forth on this application. 1. Each person upon whose behalf this application is made, each person at whose request and for whose benefit work is performed under or pursuant to any permit issued as a result of this application, the owner, and the applicant, each agrees to, and shall defend, indemnify and hold harmless the City of La Quinta, its officers, agents and employees for any act or omission related to the work being performed under or following issuance of this permit. 2. Any permit issued as a result of this application becomes null and void if work is not commenced within 180 days from date of issuance of such permit, or cessation of work for 180 days will subject permit to cancellation. I certify that I have read this application and state that the above information is correct. I agree to comply with all city and county ordinances and state laws relating to building construction, and hereby authorize representatives of this cou ty to nter upon the above-mentioned prope y' for inspection purp s. lkDate: / Signature (Applicant or Agent): �� Application Number . . . . . 14-00000143 ------ Structure Information SINGLE FAMILY DWELLING DEMOLITION ----- . Other struct info . . . . . NUMBER OF UNITS 1.00 ---------------------------------------------------------------------------- Permit . . . DEMO PERMIT Additional desc . Permit Fee . . . . 24.31 Plan Check Fee 00 Issue Date . . . . Valuation . . . . 35000 Expiration Date . . 8/11/14 Qty Unit Charge Per Extension 1.00 24.3100 LS MISC DEMOLITION, FULL 24.31 ---------------------------------------------------------------------------- Special Notes and Comments DEMOLITION OF 2,854SF DWELLING, 462SF ATTACHED GARAGE, EXTERIOR PROPERTY LINE WALLS, POOL AND SPA, AND ABANDONMENT OF PRIVATE SEWAGE DISPOSAL. THIS PERMIT DOES NOT INCLUDE GRADING OR ESTABLISHMENT OF AN APPROVED PAD HEIGHT. SITE SHALL BE STABILIZED PER PUBLIC WORKS APPROVAL PRIOR TO FINAL INSPECTION. 2013 CALIFORNIA BUILDING CODES. February 12, 2014-4:24:55 PM AORTEGA ---------------------------------------------------------------------------- Other Fees . . . . . . . . PLAN CHECK, DEMOLITION 85.80 Fee summary ----------------- Permit Fee Total Plan Check Total Other Fee Total Grand Total LQPERMIT Charged Paid 24.31 .00 .00 .00 85.80 .00 110.11 .00 Credited Due .00 24.31 .00 .00 .00 85.80 .00 110.11 P��N% - Din# City of La Quin' to Building U Safety Division FFe P.O. Box 1504, 78-495 Calle Tampico r 0 20 F %4 U Quinta, CA 92253 - (760) 777-7012 CD � 9.4. Building Permit Application and Tracking %( ..1ry QUIAI Permit # (q•0143 Project Address: 4q - O A-Ve,rNu,�o Owner's Name: inAl��' U'" h1 �`�✓ OP/V j A. P. Number: Address: 4q - 6 Legal Description: City, ST, Zip: La AA- ZS 3 Contractor: Gv`` D, Gilt (3 %14 CA 'e Telephone: ..................,........ �"%>.•.,•.?<#� s:;>.;�-s:::s; .. Address: -7 2 � 9") Fern I/ev;' O -Z -1 1`, Project Description: )qe*-1` U 1 /'I f City, ST, Zip: ' fq t tM 0 L5 e vt-C g `z 2 (v0 q `d `7 5.a F-' H w � -e Telephone: 1 cQ V S 7 "% r <<:g::v>;;:::F>r'ss:>C�� •P�v I: State Lie. # City Lie. #; Arch., Engr., Designer: Address: JAN 1.7 2014 City., ST, Zip: CITY OF LA QUINTA Telephone Construction Type: COMWQLYLY pEVEL OPMENT Project type circle one): New Add'n Alter Re air Demo State Lie. # > ' ^%' %"'<%;r<:;.<., Name of Contact Person: �'ev �' S76Lk+K L Sq. Ft.%1, "3 # Stories: # Units: Telephone # of Contact Person:? '� � Estimated Value of Project: 7 J O O.O APPLICANT: DO NOT WRITE BELOW THIS LINE # Submittal Req'd Recd TRACMG PERMIT FEES Plan Sets Plan Check submitted Item Amount Structural Calcs. Reviewed, ready for corrections Plan Check Deposit Truss Cales. Called Contact Person Plan Check Balance. Title 24 Calcs. Plans picked up Construction Flood plain plan Plans resubmitted Mechanical Grading plan 2°" Review, ready for corrections/issue Electrical Subcontactor List Called Contact Person Plumbing Grant Deed Plans picked up S.M.I. H.O.A. Approval Plans resubmitted Grading IN HOUSE:- '`" Review, ready for correctionsrissue Developer Impact Fee Planning Approval Called Contact Person A.I.P.P. Pub. Wks. Appr Date of permit issue School Fees Total Permit Fees RANI Y• RECORDING REQUESTED BY: �i Lawyers Title AND WHEN RECORDED MAIL TO: Vlalll TAX St►t'1 William Miller and Nancy Miller 49792 Coachella Drive La Quinta, CA 92253 Order No.: 613696469 10) Escrow No.: FS552 A.P.N.: 646-160-023-6 TRA 020-002 DOC # 2013-0557001 11/26/2013 03:59 PM Fees: $18.00 Page 1 of 2 Doc T Tax Paid Recorded in Official Records County of Riverside Larry W. Ward Assessor, County Clerk & Recorder "This document was electronically submitted to the County of Riverside for recording" Receipted by: CMCALEXANDER SPACE ABOVE THIS LINE IS GRANT DEED THE UNDERSIGNED GRANTOR(S) DECLARE(S) DOCUMENTARY TRANSFER TAX IS $,46-5.-7 G [ X ] computed on full value of property conveyed, or [ ] computed on full value less value of liens or encumbrances remaining at time of sale. [ ] unincorporated area [ X ] City of La Quinta S USE FOR A VALUABLE CONSIDERATION, receipt of which is hereby acknowledged, Drew V. Nelson, Trustee of The Andrew K. Nelson. and Myra G. Nelson Living Trust dated January 12,1987 hereby GRANT(S) to William .McD. Miller, III and Nancy' S: Miller; Trustees of ••the 'Miller° -Family Trust the following adktibed real:propeit'y' in the County of Riverside, State of California See Exhibit "A' attached'hereto and made a part hereof. Commonly known as: 49020 A enida Fernando, La Quinta, CA 92253 2-2- D v, Dated: November4b, 2013 STATE OF CALIFORNIA COUNTY OF cj2r Y+'x14eo SS. On k)6j . Wit? . mn 1 3 before me, L1bca 1ZftA ed Notary Public The Andrew K. Nelson and Myra G. Nelson personally appeared Living Trust dated January 12, 1987 -43f PLJ P160in who proved to me on the basis of satisfactory evidence to be the person ( whose name �p) is/are subscribed to the within instrument and acknowledged to me that he/ sip/ tiyty executed the same in his/ hW/ thpO authorized capacity (ie�), and by his/ her/ tXr signature �) on the instrument the person A, or the entity upo behalf of which the person k4 acted, executed the instrument. I certify under PENALTY OF PERJURY under the laws of the State of California that the foregoing paragraph is true and correct. By: Drew V. Nelson, Co -Trustee 0 LISA RATTAY COMM. # 1085432 K NOTARY PUBLIC -CALIFORNIA SAN MATEO COUNTY 0 COMM. EXPIRES JULY 19, 2016 - .WITNESS- y Mand and -official seal.:!; "­� 00 - x. �+ : • , ::� • . Signature .. -'...r . ~ (This area for official notaryseal) MAIL TAX STATEMENTS AS DIRECTED ABOVE i William McDonald Miller III Nancy Scott Miller 49792 Coachella Drive La Quinta, CA 92253 September 30, 2014 Building Department City of La Quinta To Whom It May Concern: This letter authorizes the demolition of the structure at 49020 Avenida Fernando in the La Quinta Golf Estates by Emery Landclearing and Grading, Inc. in accordance with the specifications outlined in the attached contract. Also -included is a letter from the HOA approving this project. We will file plans for the construction of a residential home in the near future. If you need any further information, please contact us at home or cell Sincer �. Nancy Scott Miller La Quinta Golf Estates Community Association Architectural Committee P.O. Box 553 La Quinta, CA 92247 (760) 564-0136 jimandja andjMew@verizon.net January 28, 2014 William and Nancy Miller 49-792 Coachella Drive La Quinta, CA 92253 . Dear Mr. and Mrs. Miller: The Architectural Committee for the. La Quinta Golf Estates Community Association has reviewed your request to demolish the exiting house at 47-020 Avenida Fernando and we have approved it. When you have the final schedule of demolition please send me a copy. Yours truly, Jimmie D. Woods Chairman, Architectural Committee IT k February 01, 2014 CERTIFICATE OF PROJECT COMPLETION Project Number: 1437A outhcrn Giliiornii'S.ASbe. o `� \':Lead and Mold'PYo1r.54iCnB15� PROJECT# 1437A 1 Avenida Fernando, La Quinta, CA 92253 sli)L 276 y0b�t1 Project Name: Single Family Dwelling Date of Inspection: 02/01/2014 Project Address: 49-020 Avenida Fernando La uinta, CA 92253 Project Number: 1437A Owner/Client: Nancy Miller / Santucci Builders, Inc. CAC/CSST: Scott C. Morrison CAC# 92-0248 Final Inspection Area: Interior Flooring & Exterior Roof Laboratory: Carolina Environmental, Inc. Materials Inspected: Linoleum and Transite Pipe PatMLAP #: 101768-0 A. Please check surfaces completelWor visible ACM dust, debris or fiber residue: �ci4 r dventilation equipment o ductwork Vicon unit zontal surfaces o lights & fixturesciv ls. & ceilings V6ags/drums o remaining barriers. per�* ..•pment & flex ducts o�pi es o other: o registers cynegative air machines negative air filters o other: B. Work area clean-up observations: Yes No Comments: 1. Wet cleaning completed o 2. Abated surfaces encapsulated o 3. Poly encapsulated & bagged o Wet cleaning after poly removal 4. Inspection for visible dust & debris o 6. Critical barriers intact o ` N o� °-c�r���'� � • ,r s ` C 7. Work area ready for air tests o o�(r ,C-A-�� 8. Negative pressure maintained during o �/ final inspection/air clearances C. Waste disposal: Yes/ No 1. Asbestos double bagged/drummed o with amended water 2. Removed from site, containerized & o labeled / 3. Waste manifest used & NESHAP d o compliance 4. Transport by BDC Special Waste Services Explain all no responses. If applicable, explain why: I.H. Monitor, CAC, Comments: e & Signature 02/01/2014 Date -pe M o C) CITY OF LA QUINTA - PUBLIC WORKS DEPARTMENT GREEN SHEET PUBLIC WORKS CLEARANCE FOR RELEASE OF BUILDING PERMIT Form updated & effective 9/25/2009 Green Sheet aDDrovals are forwarded to the Buildino & Safety Department directly by Public Works. Please DO NOT submit the Green Sheet (Public Works Clearance) Packet to the Public Works Department until ALL requirements listed below are complete. Incomplete applications or applications which cannot be processed will be returned to applicant. Date: 2 l -7 / �Developer: ��''" �� C U �w, 11P Y 5 Tract No.: Tract Name: L Q Q�-,sYaf s PO.;- Lot No.(s): 30 Address(s): `Udo �✓c - 1 �r�'�'^�d Phone Number: (-760 ) S7�9 — 7 7S 7 The following are the requirements for Public Works Clearance to authorize issuance of a b'?iE er V'VtD Building & Safety Department: ❑ CUSTOM HOMES: PROVIDE ITEMS #2, #3, #4, #5 & #7 BELOW g ❑ TRACT HOMES: PROVIDE ITEMS #1, #2, #3 & #5 BELOW FEB 10 2014 ❑ COMMERCIAL BUILDINGS/OTHER: PROVIDE ITEMS #1, #2, #3, #5 & #7 BELOW CITY OF ❑ WALLS, SIGNS, OTHER: PROVIDE ITEM #6 BELOW COMMUNITY QUINT -4 D'VELOPM�NT 1. Attach Pad Elevation Certificates in compliance with the approved design elevation for building pad (maximu allowable deviation of +/- 0.1 foot). Pad Elevation Certificates must be current (within 6 months of current date). If a precise grading plan creates the pad for approval, please withhold green sheet submittal until a Pad Elevation Certificate can be provided. 2. Attach geotechnical certification of grading plan compliance including compaction reports from a licensed Soils Engineer. Recently rough graded residential developments which have a previously approved geotechnical certification are exempt from this requirement. 3. Attach recorded final map or title information/grant deed showing proposed building locations are legal lots. 4. Complete the attached <1 acre per lot or infill project Fugitive Dust Control project information form, PM10 plan & agreement or provide alternative & valid City approved PM10 plan set reference number or hard copy plan. PM10 plans for commercial & residential developments (beyond 1 lot) are submitted separately with grading plans & are subject to additional requirements. A current PM10 certification number is required. 5. Attach a copy of the rough or precise grading plan to the Public Works Department showing building location(s) for pad elevation verification. AO flood zone developments will require an approved flood plain development plan. 6. Attach supporting documentation for wall plan, monument sign, grease trap or special facility installations. 7. Complete and sign the attached water quality management plan (WQMP) exemption form, if applicable. PW approved building construction projects require either a WQMP or a completed WQMP exemption form. Approved maps/plans may be viewed at the following link: http://www.la-guinta.org/PlanCheck/m search.aspx I have reviewed and confirmed the requirements listed above as presented and find the improvements to be sufficiently complete for construction of the proposed buildings/structures/walls/signs on the subject lot(s). Pursuant to my findings, the above project may be released for building permit issuance. This section completed by City staff. 1 Recommended by: A-12- Date: Public Works Distribution: Green Sheet to Building & Safety ( ) Green Sheet to Planning Department Declined for approval for reason(s) as follow(s), please correct and resubmit: City of La Quinta - PM10 Fugitive Dust Control Project Information Construction Phase PM10 Agreement <1 acre/lot or Infill Project Projekt Information Project Contractor: TAChecklists - Forms & ApplicalionsWorms & Applications\GREEN SHEET cover & PM10 less than 1 Acre Revised 10-02-12.doc Project Phase Project Name: ;577 Cf - (check one) Project Tract/Lot-Numbers: ❑ ,Zbnstruction V Demolition Project Street Address: �! ' o,;7- F -e ✓, a, -< v Total Acres in Active 2/7 7 a, / a g/ l Anticipated Start Date: / / Anticipated Completion Date: Construction (<1 acre per Lot): ! 5, 0Oo S9 C) • 35 cc► -t ---a PM10 Contact Please note: Dust control is required 24 hours a day, 7 days a week, regardless of Information construction status. Person listed below is responsible for dust control during business and non-busi ess hours. Name: Loy') J aiwc5 1 I71"_er — Eme✓ L�c�.�G%u✓d d-- Fre5 61f -e hn Title: Company Name: ��Er L at,,- (c lc&e f k% %-"A Cj r a ds' n Mailing Address: �ok ld a9 T%e1'y»�r C� 9227`1 —loaq City, State, ZIP Code: A Primary Phone #: C�6 �) 3 % S8 0 Fax #: 760 391 - 583 q 24 Hour Emergency (-7a 77 '7L `1r�J3 Phone#: -7 Cell Phone M Email Address: el"e), G 4e c PM10 Certificate #: C_ v t 2 b S /3 The above stated property owner (or authorized representative): ❖ Shall act as his/her acknowledgement of dust control requirements and their enforceability, pursuant to SCAQMD Rules 403, 403.1, 401, 402, 201, 203 and PERP; ❖ Shall -constitute an Agreement to comply with all project conditions as identified in the approved dust control plan. ❖ Acknowledges that dust control is required twenty-four (24) hours a day, seven (7) days a week, throughout the period of project performance, regardless of project size or status; ❖ Shall ensure that each and every contractor, subcontractor and all other persons associated with the project shall be in continuous compliance with all requirements of the approved dust control plan; ❖ Shall take all necessary precautions to minimize dust, even if additional measures beyond those listed in the dust control plan are necessary; Shall authorize representatives of City/County to enter the property for inspection and/or abatement purposes; Shall hold harmless the City/County and its representatives from liability for any actions related to this dust control plan or,any City/County initiated abatement activities. Signatu(re)of Prop6rty Owner or Authorized Representative 17114 Date City of La Quinta - PM10 Fugitive Dust Control Plan (<1 acre per Lot or Infill Project) This Fugitive Dust Control Plan shall take into account applicable SCAQMD Regulations Rule 403, 403.1, 401, 402, 201, 203 and Portable Equipment Registration Program (PERP). ❖ WATERING: Continuous watering is required to prevent dust and must occur a minimum of four (4) times daily. Water shall be applied from an adequate sized metered water source to dry soils to prevent: ■ Visible dust emissions >20% opacity • Visible dust emissions that travel >100 feet from the source (within site) :• EDUCATION: The responsible dust control Individual and key personnel shall attend SCAQMD PM10 class and obtain PM10 certificate number prior to construction activity (training information may be obtained by contacting SCAQMD at (909) 396-2183). ❖ CONSTRUCTION & DEMOLITION ACTIVITIES: A copy of this approved Fugitive Dust Plan must be kept on site. At least one short-term stabilization method must be used during off hours. At least one long-term stabilization measure must be used within ten (10) days of ceasing activity. ❖ WEATHER MONITORING: Wind predictions shall be monitored. ❖ SIGNAGE: Approved signs shall be installed at a highly visible location. Please refer to the Coachella Valley Fugitive Dust Control Plan Handbook for Construction Signage Guidelines. ❖ TRAFFIC: Construction traffic shall not be allowed on the pad, unless absolutely necessary. If vehicles operate on pad, pad shall be kept firm and moist through hose watering and sprinklers; and a maximum traffic speed of 15mph will be enforced. Fugitive Dust shall be prevented by fencing off site to prevent unauthorized traffic on pad. ❖ PARKING: Parking is not allowed on pad. All vehicles must park on street at designated areas only. ❖ TRACK OUT: Provide 24 hour street cleaning and track out system as approved by City Public Works inspectors. No dirt on public or private roads. Track out shall be cleaned up within one (1) hour of incident and at the conclusion of each workday. ❖ DIRT PILES: Dirt piles shall be limited to 50 cubic yards and built per California Building Code grading requirements. Piles shall be kept moist or covered with tarp material. Larger dirt piles will require stockpile or grading permit. ❖ FENCING: Provide PM10 fencing at perimeter of public roads and where applicable. Wood slat fencing can be installed at rear of property and return 20 feet on either side if HOA restrictions apply. Block walls can replace PM10 fencing during the construction phase. EQUIPMENT: Extra hoses and sprinklers shall be maintained on site. ❖ EXCAVATION MEASURES: All areas to be excavated or graded shall be pre -watered. Water shall also be applied during excavation or grading operations. s• DUMP TRUCKS: Open top dump trucks shall be wet down, moist and covered with a tarp prior to leaving site. ❖ INACTIVE SITE: Within 10 days of ceasing of activities, re -vegetate or permanently stabilize as required. ❖ RECORD KEEPING: Fugitive Dust Control Plan records (i.e. self inspection records, records of use of chemical suppressants, etc.) shall be maintained for 3 years by the Property Owner (or Authorized Representative). Property Owner shall notify the City and SCAQMD within 10 days of completion of project. Water Quality Management Plan (WQMP) Exemption Form - Whitewater River Region Documentation of Project Not Requiring a WQMP but Requiring Site Design BMPs and Source Control BMPs by Entitlement Conditions of Approval or Permit Conditions — WQMP Required for the Listed Change of Land Uses or for Changes of Pollutant Stream (All Questions Below Must be Answered "No" To Exempt Project) Yes No Entitlement or construction of new single-family hillside residence(s) that create 10,000 square feet, or more, of impervious area where the pre -development natural slope is 25% orgreater? Entitlement or construction of new single-family hillside residence(s) that create 10,000 square feet, or more, of impervious area where the pre -development natural slope is 10% or greater where erosive soil conditions are known? Entitlement or construction of new commercial and industrial development(s) of 100,000 square feet / or more? Entitlement or construction of new automotive repair shop(s) including body, upholstery, paint, mvhnije+ firm +rnnemieeinn mnninm nr n+hmr naifmmnfi%im enmrinihi rmnnir vZ+onrlorei InAije+rinl