14259 (SFD)7.
_ CV.
P.O. BOX 1504 No. 14259
Building 78-495 CALLE TAMPICO
Address A7_A QA Vis, Me%n4-arta LA QUINTA, CALIFORNIA 92253
Owner
Nianvil vigrublian
Mailing BUILDING: TYPE CONST. VN OCC. GRP. � R3
Address 154 Desert Falls Dr. E.
A.P. Number 643-120-044
City Zip Tel.
Palm Desert, t A 92211 {619) 340-3522 Legal Description Lot 272 Tract 26152
Contractor Project Description SFd
Mannes Construction
Address
154 Desert Falls Dr. E.
City lZip Tel.
Palm Desert, 92211 (619)340-3522
State Lic. City
& Classif. H 190530 Lic. # 2579
Arch., Engr..
Designer John Walling
Address Tel.
45190 Ciub.Dr. (6191360-0250
City Zip State
Indian Wells, CA 92210 Lic.# 67424
LICENSED CONTRACT? 'S DECLARATION
1 hereby affirm that amLLlicensed under Drd�V 1pns of Chapter 9 (commencing with Section
,000) of Division 3 o he�t3usinesrand P.W sjons Code, apd nyjicense is in,fgll force apd
OWNER -BUILDER DECLARATION
I hereby affirm that 1 am exempt from the Contractor's License Law for the following
reason: (Sec. 7031.5,Business and Professions Code: Any city or county which requires a
permit to construct, after, improve, demolish, or repair any structure, prior to its issuance also
requires the applicant for such permit -to file a signed statement that he is licensed pursuant to
the provisions of the Contractor's License Law, Chapter 9 (commencing with Section 7000) of
Division 3 of the Business and Professions Code, or that. he is exempt therefrom, and the basis
for the alleged exemption. Any violation of Section 7037.5 by any applicant for a permit
subjects the applicant to a civil penalty of not more than five hundred dollars ($500).
E: 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, Suisness and
Professions Code: The Contractor's License Law does not apply to an owner of property who
builds or improves thereon and who does such work himself or through his own employees.
provided that such 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 did not build or improve for the purpose of sale.)
u I, as owner of the property, am exclusively contracting with licensed contractors to con-
struct the project. (Sec. 7044, Business and Professions Code: The Contractor's License Law
does not apply to an owner of property who builds or improves thereon, and who contracts for
such projects with a contractor(s) licensed pursuant to the Contractor's License Law.)
_' 1 am exempt under Sec. B. 8 P.C. for this reason
Date Owner
WORKERS' COMPENSATION DECLARATION
I hereby affirm that I have a certificate of consent to self -insure, or a certificate of
Worker's Compensation Insurance, or a certified copy thereof. (Sec. 3800, Labor Code.)
Policy No. Company
y is filed with the city. ❑ Certified copy is hereby furnished.
CERTIFICATE OF EXEMPTION FROM
WORKERS' COMPENSATION INSURANCE
(This section need not be completed it the permit is.for one hundred dollars ($700) valuation
or less.)
I certify that in the performance of thg 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.
Date Owner
NOTICE TO APPLICANT: If, after making this Certificate of Exemption you should become
subject to the Workers' Compensation provisions of the Labor Code, you must forthwith
comply with such provisions or this permit shelf be deemed revoked.
WARNING: FAILURE TO SECURE WORKERS' 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.
This is a building permit when properly filled out, signed and validated, and is subject to
expiration if work thereunder is suspended for 180 days. '
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 city to enter the above-
mentioned property for inspection purposes.
Signature of applicant Date
Mailing Address
City, State, Zip
ZONE: BY:
Minimum Setback Distances:
Front Setback from Center Line
Rear Setback from Rear Prop. Line
Side Street Setback from Center Line
Side Setback from Property Line
FINAL DATE INSPECTOR
Issued by:—
Validated by:
Validation:_
Date Permit
Sq. Ft. 3212
Size
No. No. Dw.
Stories Units
New O Add O
Alter ❑ Repair ❑ Demolition u
Permit does
not include block,Wall or
pool.
Estimated Valuation
192 r 704 . Oq
PERMIT_
AMOUNT
Plan Chk. Dep.
G 0 •
Plan Chk. Bal.
` 5 ' 42
^
Const. t t "y
� 5 •
aw
Mech.
96.
Electrical
A 400 • e v
Plumbing
19 31 • 5
2-9.27
S.M.I.
Grading
20.00
Driveway Enc.
- • vv
Infrastructure
^ 70.61 0.1
w • ' ..
I
ei ,.a !l .1A
L AOCGirl a i. ►
TOTAL
6,793.20 W 0 `1 . 2 ar
t
REMARKS
f i 1t : 1� .v I n i
\1 I � � � �. i ii � X
V
-� e I
ZONE: BY:
Minimum Setback Distances:
Front Setback from Center Line
Rear Setback from Rear Prop. Line
Side Street Setback from Center Line
Side Setback from Property Line
FINAL DATE INSPECTOR
Issued by:—
Validated by:
Validation:_
Date Permit
CONSTRUCTION ESTIMATE
NO. ELECTRICAL FEES
NO. PLUMBING FEES
tST FL. SO. FT. ® $
UNITS
v
_
2ND FL. S0. FT.
BONDING
YARD SPKLR SYS'i EM
POR. SO. FT. ®
MOBILEHOME SVC.
BAR SINK
GAR. SO. FT. ®
POWER OUTLET
ROOF DRAINS
CAR P. SO. FT.
GAS (ROUGH)
DRAINAGE PIPING
WALL SO. FT. ®
OTHER APPJEOUIP.
DRINKING FOUNTAIN
SO. FT. ®
TEMP. POLE
URINAL
ESTIMATED CONSTRUCTION VALUATION $
GROUT
WATER PIPING
NOTE: Not to be used as property tax valuation
FINAL INSP.
FLOOR DRAIN
MECHANICAL FEES
WATER SYSTEM
WATER SOFTENER
VENT SYSTEM FAN EVAP.000L HOOD
SIGN
WASH ER(AUTO)(DISH)
APPLIANCE DRYER
FINAL INSP.
GARBAGE DISPOSAL
FURNACE UNIT WALL FLOOR SUSPENDED
LAUNDRYTRAY
AIR HANDLING UNIT CFM
KITCHEN SINK
ABSORPTION SYSTEM B.T.U.
TEMP USE PERMIT SVC
WATER CLOSET'
COMPRESSOR HP
POLE,TEMIPERM
LAVATORY
HEATING SYSTEM FORCED GRAVITY
AMPERES SERV ENT
SHOWER
BOILER B.T.U.
SO. FT. @ c
BATH TUB
SO. FT. ® c
WATER HEATER
MAX. HEATER OUTPUT, B.T.U.
SO. FT. RESID ® IIA c
SEWAGE DISPOSAL
GAR. FIREWALL
SO.FT.GAR ® J.c
HOUSE SEWER
LATHING
GAS PIPING
PERMIT FEE
PERMIT FEE
PERMIT FEE
DBL
TOTAL FEES
MICRO FEE
MECH.FEE PL.CK.FEE
CONST. FEE ELECT. FEE
SMI FEE PLUMB. FEE
FINAL INSPECTION��
CERT. OCC.
STRUCTURE / PLUMBING ELECTRICAL HEATING & AIR COND. SOLAR
SETBACK 11,
GROUND PLUMBING /�—c(—q
L UNDERGROUND
A.C. UNIT
COLL. AREA
SLAB GRADE q1ROUGH
PLUMB.
BONDING
HEATING (ROUGH)
STORAGE TANK
FORMS
SEWER L
ROUGH WIRING
DUCT WORK
ROCK STORAGE
FOUND. REINF.
GAS (ROUGH)
METER LOOP.
HEATING (FINAL)
OTHER APPJEOUIP.
REINF. STEEL
GAS (FINAL)
TEMP. POLE
GROUT
WATER HEATER
SERVICE
FINAL INSP.
BOND BEAM
WATER SYSTEM
GRADING
cu. yd.
$ plus x$
_$
LUMBER GR.
FINAL INSP.
FRAMING
FINAL INSP.
ROOFING
REMARKS:
VENTILATION
FIRE ZONE ROOFING
FIREPLACE
SPARK ARRESTOR
GAR. FIREWALL
LATHING
MESH
INSULATIONISOUND
FINISH GRADING
FINAL INSPECTION��
CERT. OCC.
FENCE FINAL
sma,rl.1 VM'J bo n1% l uMtOnri111ALJ
GARDEN WALL FINAL
DESERT SANDS UNIFIED SCHOOL DISTRICT
82-879 Highway 111
NOTICE: • Indio, CA 92201
Document Cannot Be Duplicated 619-775-3500
Date 110/25/941 Type of Permit La Quinta
No. 13147 Permit #
Log
Owner Name -Manvil Mgrublian
No. 47-490 Street Via Montana
City La Quinta Zip 92253 Study Area 123
APN # Tract .# Lot # 0 Square Footage 13212
Type of Development ISingle Family Residence No. of units
Comments
At the present time, the Desert Sands Unified School District does not collect fees on
garages /carports, covered patios/walkways, residential additions under 500 square feet,
detached accessory structures or replacement mobilehomes. It has been determined
the above-named owner is exempt from paying school fees at this time due to the
following reason:
•EXEMPTION NOT APPLICABLE
i ..
This certifies that school facility fees imposed pursuant to Government Code 53080
in the amount of 1.72 X 3 212 or .$ 5,524.64 have been paid to D.S.U.S.D. for
the property listed above and that building permits and/or Certificates of Occupancy for
this square footage in this proposed project may now be issued.
-Fees Paid By Mannes Construction Telephone., 340-3522
Name on the check
By Dolores A. Ballesteros
Superintendent
Fee collected /exempted by Mary Lou Lopez s G,RC,_1,
Payment:,_Rece yed
��-Ch
Signature Sig " ' e
--, �,`��%�•" eck N6`1003 -
Collector: Attach a y of county or city plan c eapplication form to distric..t;copy;for ill,Waivers.
Embossed Original- Building Dept./Applicant Copy - Applicant/Receipt Co 'Y Accounting `
RECORDING REQUESTED BY
AND WHEN RECORDED MAIL TO
Name Manvil & Marjorie,
Mgrublian, Trustees
Address 670 Lombardy Place
city& - San Marino, CA 91108
State
SPACE ABOVE THIS LINE FOR RECORDER'S USE
IT- IOP cRe�.n,vn>s� GRANT DEED
APN No. O Title No. CI 3 - -3 7 6 7, Escrow No. 2-18172
THE UNDERSIGNED GRANTOR(s) DECLARE(s)
DOCUMENTARY TRANSFER TAX is $ 165.00 CITY TAX $
IN computed on full value. of property conveyed, or
0 computed on full value less value of liens or encumbrances remaining at time of sale,
❑ Unincorporated area: 04 City of LA QUINTA and
FOR A VALUABLE CONSIDERATION, receipt of which is hereby acknowledged,
WILMA-LA QUINTA L.P., A DELAWARE LIMITED PARTNERSHIP
hereby GRANT(s) to MANVIL MGRUBLIAN and MARJORIE MGRUBLIAN
".; Trustees of the Mgrublian Family Trust Dated 1'1/19/85
the following described real property in the
County of RIVERSIDE , State of California:
SEE EXHIBIT "A " ATTACHED WILMA-LA QUINTA L.P. A DELAWARE
LIMITED PAR'TNERSIIIT
BY: CENTRUM PORT PAVILION LTD.,
A DELAWARE CORPORATION, AS GENERAL
Dated: August 16, 1994 PARTNER
BY: WILMA SOUTH MANAGEMENT -CORP.,
A GEORGIA CORPORATIO TTS ATTORNEY
Stole of Eall —mia cilOL`�
ss.
County of AI / .� I •
�c
On / i5 - % before me.
personally appeared : )t 7
personally known to me (or proved to me on the basis of satisfactory evidence) to be the
lhe`within Instrument and acknowledged to me all that he/she/they executed the sari
that by his/her/their signatures) on the instrument the person(s), or the entity upon br'-
inslr,ument..
WITNESS my hand and official seal.
- tatun": mn
Signature
(here Insert name) Notary Public,
name(s) is/are subscribed to
uthorized capacity(ies). and
kon(s) acted, executed the
fI,����MikIa`wllhin border
EXHIBIT "A"
PARCEL 1:
LOT 272 OF TRACT NO. 2139.52, IN' TILE CITY OF L1 QUINTA, COUNTY OF RIVERSIDE, I`AI1;
CALIFORNIA, AS PER MAP RECORDED IN BOOK 227, PAGES 77 THROUGH 85 INCLUSIVE, 01: MAP;, .1
TIME OFFICE OF 11 -IF COUNTY RECORDER, OF SAID COUNTY' AND AMENDED BY RE=SOLUTION NO. 91 _1 l;
RECORDED MARCH 213, 1.992, AS INSTRUMENT NO. 10517G, OF OFFICIAL, RECORDS.
RESERVING THEREFROM ALL OIL, GAS AND OTHER HYDROCARBON SUBSTANCES LYING WITHIN II.N ANI l I INP!
THAT PORTION OF SAID LAND, LYING BELOW A DEP11-1 OF 500 FEET, ME=ASUR[D V111TI:CALLY 1:1101.1
SURFACE OF SAID LAND,- WITHOUT HOWE=VER ANY RIGHT TO ENTER UPON THE.,SURFACE OF SAID LAI'!
OR INTO THAT PORTION OF THE SUBSURFACE THEREOF, LYING BELOW_ A DEPTH OF 500
MEASURED VERTICALLY FROM SAID SURFACE. .
PARCEL 2:
A NONEXCLUSIVE EASEMENT FOR INGRESS,EGRESS, USE AND ENJOYMENT OF THE COMMON ARIA (A
DEFINED IN THE DECLARATION REFERRED TO BELOW) INCLUDING ANY COMMON AREA ANNEXED 1'0 11!
PROPERTIES (AS DEFINED IN THE DECLARATION REFERRED TO BELOW).
SUBJECT T0:
THIS DEED IS MADE AND ACCEPTED UPON THE. COVENANTS, CONDITIONS, RE SLRVATI:CIN`.; .
Rr STRICTIONS, f_ASEMrNTS AND 01TIL=R MATTERS SET FORTH IN'THAT THAT CERTAIN AMFNDED ANI) 'R(_STATI
DECLARATION OF ESTABLISHMENT OF CONDITIONS, COVENANTS AND RESTRICTIONS FOR LAKE 1.
QUINTA (THE, "DECLARATION-), RECORDED NOVEMBER 2.7, 1992, AS INSTRUMENT NO. 41_!";1.1.:.'.
OFFICIAL RECORDS, RIVERSIDE COUNTY AND. ANY AMENDMENTS AND ANNEXATIONS TIIERFTO, ALL. 0
WHICH PROVISIONS ARE INCORPORATED HEREIN BY REFERENCE THERETO WITH TIME SAME FORCE AN; .
EFFECT AS THOUGH FULLY SET FORTH - IimE-IN AT LENGTH, AND GRANTEES, BY ACCEPTANCE OF Till,
DEED APPROVE, ADOPT, RATIFY AND AGREE TO BE BOUND BY THE PROVISIONS OF SAID DECLARA`I7:0!
AND ANY AMENDMENTS 'AND ANNEXATIONS THERETO AND AGREE TO PAY PROMPTLY WHEN DUE, ANY AN:
ALL MAINTENANCE ASSESSMENTS AS REQUIRED UNDER SAID DECLARATION AND ANY AMENDMENTS AN!
ANNEXATIONS THERETO.
GRANTEE:
Manvi Mgrubli
arjor' MgrulJlian
s ~
mar �,` - '{. _ _ _. " • n• ., _
r .. -
Page I
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LAKE I,Ar QUINTA
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LAKE -LA .QUINTA -'I OT 272;McGRUBLIAN'RESIDENCE>
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