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ALDAZLA QUINTA, 01 CALIFORNIA 92253 A:i� (760) 777-7000 FAX (760) 777-7101 APPLICATION FOR HOME OCCUPATION OF A BUSINESS G061,0d-, 1FEE $70.00 INSPECTION DATE: 6 la4APlease read each condition listed on the attachment in this packet to see if the proposed l activity complies with the City's Home Occupation Regulations. APPLICANT � NAMES: (List all owners, partners, and/or corporation officers ei T4 G//G7'G Z --Mw� jo Xf+. v PROPERTY ADDRESS: AYC. Cat'fc4et2- PHONE: C76 c.)) SG y^ Ct g Cc MAILING ADDRESS: (IF DIFFERENT FROM ABOVE) n n PROPERTY OWNER: TYPE OF RESIDENCE, (SINGLE, MULTIPLE, MOBILE HOME, ETC.) TYPE OF BUSINESS: 'ham t w yt // U v BRIEF DESCRIPTION OF HOW THE BUSINESS WILL OPERATE: NUMBER OF PERSONS INVOLVED IN BUSINESS: _ z SQUARE FOOTAGE OF USABLE FLOOR AREA IN HOUSE (EXCLUDE GARAGE): / LOCATION AND SQ ARE FOOTAGE OF AREA OF BUSINEr AC IVITY IN HOME (EX. BEDROOM - 125 SQ FT.): AD j[ — / 2 t75 . 4 , DESCRIPTION OF MACHINERY, EQUIPMENT, AND SUPPLIES BEING USED IN THE BUSINESS OPERATIONL en s v i G I HAVE READ, UNDERSTAND, AND AGREE WITH THE CONDITIONS BY WHICH A HOM CCUPATION I ALLOWED. (CONDITIONS ATTACHED). PIC T'S SIGNATURE ATE IF APPLICANT IS OTHER THAN THE PROPERTY OWNER, AUTHORIZATION OF OWNER OR RENTAL/LEASING AGENT IS REQUIRED. • /o t6, lu • OWNER/AGENT SIGNATURE DATE AGENT COMPANY NAME CONTACT PH. # DATE IMPORTANT: FALSE OR MISLEADING INFORMATION SHALL BE GROUNDS FOR DENYING YOUR HOME OCCUPATION; FAILURE TO COMPLY WITH THE CONDITIONS LISTED ON THE ATTACHED PAGE SHALL BE GROUNDS FOR REVOCATION OF PERMIT. BUILDING AND SAFETY DEPARTMENT/CODE COMPLIANCE DIVISION: APPROVED DENIED SPECIAL CONDITIONS OFFICER I.D. # Z' DATE • • 0 0 OWNER/AGENT SIGNATURE DATE AGENT COMPANY NAME CONTACT PH. # DATE IMPORTANT: FALSE OR MISLEADING INFORMATION SHALL BE GROUNDS FOR DENYING YOUR HOME OCCUPATION; FAILURE TO COMPLY WITH THE CONDITIONS LISTED ON THE ATTACHED PAGE SHALL BE GROUNDS FOR REVOCATION OF PERMIT. ******************************************************************************************** BUILDING AND SAFETY DEPARTMENT/CODE COMPLIANCE DIVISION: APPROVED DENIED OFFICER I.D. # SPECIAL CONDITIONS DATE • PLEASE READ! Please contact your Homeowner's Association prior to paying for your Home Occupation Permit. Your Homeowner's Association may restrict or prohibit home based businesses. I HAVE READ AND UNDERSTAND THIS STATEMENT. Signature C] WORKER'S COMPENSATION • If your company has employees, a copy of the Workman's Compensation Policy accompanymustthe business license application, indicating dates of coverage and dollar amount. This proof of coverage must be received before the business license can be processed. If you do not have employees, please check the last section on this page: "I Certify that........ If your business is being operated from your home in La Quinta, a Home Occupation Permit is required before a business license is issued. If you have any questions, please contact the Code Compliance Division at 777-7050. Every employer who applies for any license or renewal of any license for a business issued pursuant to Section 37101 of the government Code or Section 7284 of the Revenue and Taxation code shall complete and sign a declaration that states the following: 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 Worker's Compensation, as provided by Section 3700 -for the duration of any business activities conducted for which this license is issued. . I have and will maintain Worker's Compensation Insurance, as required by Section 3700 for the duration of any business activities conducted for which this license is issued. My Worker's Compensation insurance carrier and policy number: Carrier: Policy Number: Expires: A COPY OF SAID POLICY OR CERTIFICATE OF CONSENT SHOWING THE AMOUNT OF COVERAGE AND EXPIRATION DATE FOR WORKER'S COMPENSATION IS REQUIRED TO PROCESS THIS APPLICATION. I certify that in the performance of any business activities for which this license is issued, I shall not employ any person in any manner so as to become subject to the worker's compensation laws of California, and agree that if I should become subject to the worker's compensation provisions of Section 3700, I will provide the City with a policy or certificate copy within ten (10) days of the change in requirements. P NATURE DATE WARNING: Failure to secure Worker's Compensation coverage is unlawful, and shall subject an employer to criminal penalties and civil fines up to $100,000. In addition to the cost of compensation, damages, • interest, and attorney's fees may be assessed to you as provided in Section 3706 of the Labor Code. HOME OCCUPATION CONDITIONS AND CRITERIA OLL HOME OCCUPATIONS SHALL COMPLY WITH THE FOLLOWING CONDITIONS AND REQUIREMENTS: No one, other that the resident of the dwelling shall be employed ori the premises in the conduct of the Home Occupation. The Home Occupation shall be conducted entirely within the enclosed area of the main building and shall not occupy more than 25% of the total area of the structure. A Home Occupation shall not be conducted within an accessory structure. There may be storage of equipment of supplies in an accessory structure. Garage space may be used for the conduct of a Home Occupation only when it does not interfere with the use of such space for the off-street parking or vehicles required by Chapter 9.160 of the Zoning Ordinance. There shall be no outdoor storage of equipment, machinery, supplies, materials, or merchandise. 5. There shall be no sales activity, either wholesale or retail, except mail order sales, nor shall there be the maintenance of an office open to the general public. 6. There shall be no supply of hazardous materials stored on the premises at any given time (i.e. pool, chlorine, paint thinner, etc.), unless the hazardous materials are stored in a manner approved by the State Fire Marshal or any other regulating agency. 7. There shall be no dispatching of persons or equipment to or from the subject property, including the use of vehicles which operate to and from the premises. • 8. No vehicles or trailers, except those normally incidental to residential use, shall be parked at the residence at any time. There shall be no use of any mechanical equipment, appliance, or motor outside of the enclosed building or which generated noise detectable from outside the building in which it is located that is related to the business. 10.. There shall be no signs or other devices identifying or advertising the home occupation. 11. In no way shall the appearance of the building or lot be so altered, or the home occupation be so conducted, that the lot or building may be reasonably recognized as serving a non-residential use (either by color, materials, construction, lighting, sounds, vibrations, etc). 12. No Home Occupation shall create a nuisance by reason ofnoise, odor, dust, vibrations, fumes, smoke, electrical interference, traffic, or other causes. 13. The use shall meet reasonable special conditions as established and made of record in the Home Occupation Permit, as may be deemed necessary to carry out the intent of this section. CITY OF LA QUINTA MUNICIPAL CODES: 9.60.110, 9.160, and 9.210.060 0 WORKER'S COMPENSATION If your company has employees, a copy of the Workman's Compensation Policy must accompany the business license application, indicating dates of coverage and dollar amount. This proof of coverage must be received before the business license can be processed. If you do not have employees, please check the last section on this page: "I Certify that. If your business is being operated from your home in La Quinta, a Home Occupation Permit is required before a business license is issued. If you have any questions, please contact the Code Compliance Division at 777-7050. Every employer who applies for any license or renewal of any license for a business issued pursuant to Section 37101 of the government Code or Section 7284 of the Revenue and Taxation code shall complete and sign a declaration that states the following: 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 Worker's Compensation, as provided by Section 3700 for the duration of any business activities conducted for which this license is issued. • I have and will maintain Worker's Compensation Insurance, as required by Section 3700 for the duration of any business activities conducted for which this license is issued. My Worker's Compensation insurance carrier and policy number: Carrier: Policy Number: Expires: A COPY OF SAID POLICY OR CERTIFICATE OF CONSENT SHOWING THE AMOUNT OF COVERAGE AND EXPIRATION DATE FOR WORKER'S COMPENSATION IS REQUIRED TO PROCESS THIS APPLICATION. I certify that in the performance of any business activities for which this license is issued, I shall not employ any person in any manner so as to become subject to the worker's compensation laws of California, and agree that if I should become subject to the worker's compensation provisions of Section 3700, I will provide the City with a policy or certificate copy within ten (10) days of the change in requirements. APPLICANT SIGNATURE DATE WARNING: Failure to secure Worker's Compensation coverage is unlawful, and shall subject an employer to criminal penalties and civil fines up to $100,000. In addition to the cost of compensation, damages, • interest, and attorney's fees may be assessed to you as provided in Section 3706 of the Labor Code. • Case# 13618 City of La Quinta 78-495 Calle Tampico - La Quinta, California 92253 PH: (760)777-7000 FAX. • (760)777-7011 TDD: (760)777-1227 Date Reported eceived By How Received I Complaint 5/2/2005 Gina McElroy Counter Contact Founded Location N ddress 52580 Avenida Carranza Reporting Party Name hone eporting Party Address Rafael Aldaz 760-5649963 52580 Avenida Carranza Description Home Occupation Permit has been requested for an Air Conditioning and Heating Business. Codes Violated is Officer Assigned Jackie Misuraca 6day, May 02, 2005 Date Closed Approved By Page 1 of 2 Case# 13618 5/2/2005 Monday Case Initiated Home Occupation Permit inspection has been scheduled for Tuesday, May 3, 2005 between 10:00 and 10:30 a.m. grm. • Officer Assigned Jackie Misuraca 6day, May 02, 2005 Date Closed Approved By Page 2 of 2 MetroScan /Riverside (CA) Parcel : 773 291 004 Pos Int Ref APN : 000 000 000 Owner : Aldaz Rafael;Angulo Cecilia Land : $33,780 Co Owner LotSgFt Struct :$101,343 Site : 52580 Avenida Carranza La Quinta 92253 Other Bldg SF Mail : 52580 Avenida Carranza La Quinta Ca 92253 Total : $135,123 Xfered : 06/14/2000 Doc # : 226571 Exempt Gas Service Price : $125,000 Deed : Grant Deed Type GarSgFt LoanAmt : $118,750 Loan : Conventional %Imprvd : 75 Lender : Washington Mutual Bank IntTyp : Adjustable % Owned : 100 VestTyp : Joint Tenant Tax Area : 20-123 Use : RO1 Res,Single Family Residences 04-05 Tax :$1,908.52 Plat : 18 Map Grid : 879 E1 Census : Tract :451.10 Block : 1 OwnerPh S : • T : R Q : Tenant Ph . Bedrms :3 Stories : 1 Acres :.11 Year Built BthFull : 2 Fireplace : Yes LotSgFt :4,791 Street Type Bth3Qt Pool : No Bldg SF :1,661 Waterfront BthHalf : RmAddtns : Yes AddOnSF h Gas Service CntlHt :Yes AddPkgTyp „b GarSgFt :525 Water Source Cnt1A/C : Yes Roof Type : Tile Gar Type : Attached Sewer Type /5 09 e B C Agri Preserve 773 —2 9 T. C. A. 020-0/7 /5 ® /4 O /3 Q -�- a CAGLE �- �S/ • m 2(D! © /, q U S /6 +• Q / S 2/ O O2 S. 2 20 U 2e Q ,19 0 44 h M o /B © ®5 a ", „b 9/ h ` A 6 F " ,lll m/7 Oj /9 aI h Q M /6 O ® 7 W /5 09 e B POR. N112 SEC. 12 r6S R6E 2/ O 82 20 ® /© 3 9 O 4 292 m /7 77 ® 6 /6 /\ 7 B �!J /5 ® B n V 2 0 ^ 0 O @ 0 S 20O �3 /9 ® 34 O/B0 05 h 293 m/7O ® 6 160 ® 7 /5 O9 B E,VSENADA 0 2 O, /3 i y2202 h ®/ V Y 2/ O @ 2 200 ©3 9 O O7 4 O/BO®5 O6 /6 ® ® 7 /5 ©/ B 1991 Paved None Developed None R R Q q /a /4 2) fZ39 Z /a ® @ 9 i /a ® @ 9 2 R oz3a"L Q C Q R L /3 ©/0 /3 ® ®/0 /3 B 0/0 /3 // ®/0 /Z /©� c� //• �• ; /Z ®/l 4 CALLE J I NOCALES - 1- Santa Corme/ito At Vale Lo Oainto Unit No. /6 MS /8199 " No. /0 M8 /8170 32 ft // M818173 c @8 S 3 � ®9 j - - W /0 N W s• /5 ® /4 O /3 Q I 9 e.. oz + �+ • ' S /6 +• Q / Alm - b S. /! N� 5• S. N V U Z0O 3 h Q W C Oa/8 ® 5 h Ch O I R R Q q /a /4 2) fZ39 Z /a ® @ 9 i /a ® @ 9 2 R oz3a"L Q C Q R L /3 ©/0 /3 ® ®/0 /3 B 0/0 /3 // ®/0 /Z /©� c� //• �• ; /Z ®/l 4 CALLE J I NOCALES - 1- Santa Corme/ito At Vale Lo Oainto Unit No. /6 MS /8199 " No. /0 M8 /8170 32 ft // M818173 ,A,SY1l+SSWS NAP BK. 773 A1. 19 RIMN.ZkC C&Wr, CAL/f. w APRIL /%7 Information compiler! from various sources. Real Estate Solations makes no representations or warranties as to the accuracy or completeness of information contained in this report. c @8 S 3 � ®9 j - - W /0 N W s• /5 ® /4 O /3 Q I ,A,SY1l+SSWS NAP BK. 773 A1. 19 RIMN.ZkC C&Wr, CAL/f. w APRIL /%7 Information compiler! from various sources. Real Estate Solations makes no representations or warranties as to the accuracy or completeness of information contained in this report. HOME OCCUPATION CONDITIONS ALL HOME OCCUPATIONS SHALL COMPLY WITH THE FOLLOWING CONDITIONS: 1. No one, other than the resident of the dwelling shall be employed on the premises in the conduct of the Home Occupation. 2. The Home Occupation shall be conducted entirely within the enclosed area of the main building and shall not occupy • more than 25 percent of the total area of the structure. 3. A Home Occupation shall not be conducted within an accessory structure. There may be storage of equipment or supplies in an accessory structure. Garage space may be used for the conduct of a Home Occupation only when it does not interfere with the use of such space for the off-street parking of vehicles required by Chapter 9.160 of the Zoning Ordinance. 4. There shall be no outdoor storage of equipment, machinery, supplies, materials, or merchandise. 5. There shall be no sales activity, either wholesale or retail, except mail order sales, nor shall there be the maintenance of an office open to the general public. 6. There shall be no supply of hazardous materials stored on the premises at any given time (i.e. pool, chlorine, paint thinner, etc.), unless the hazardous materials are stored in a manner approved the State Fire Marshall or any other regulating agency. 7. There shall be no dispatching of persons or equipment to or from the subject property, including the use of vehicles which operate to and from the premises. 8. No vehicles or trailers, except those normally incidental to residential use, shall be parked at the residence at any time. 9. There shall be no use of any mechanical equipment, appliance, or motor outside of the enclosed building or which generated noise detectable from outside the building in which it is located that is related to the business. 10. There shall be no signs or other devices identifying or advertising the home occupation. 11. In no way shall the appearance of the building or lot be so altered, or the home occupation be so conducted, that the lot or building may be reasonably recognized as serving a non-residential use (either by color, materials, construction, lighting, sounds, vibrations, etc.) 1 12. No Home Occupation shall create a nuisance by reason of noise, odor, dust, vibration, fumes, smoke, electrical interference, traffic, or other causes. 13. The use shall meet reasonable speciaw conditions as established and made of record in the Home Occupation Permit; as may be deemed necessary to carry out the intent of this section. 14. Listed below are special conditions which shall be considered a part of the conditions directly related to this application and this permit: MY SIGNATURE BELOW INDICATES THAT I HAVE READ, UNDERSTAND AND AGREE TO COMPLY WITH ALL OF THESE CONDITIONS: Office Copy -White JCS--- DATE Customer Copy - Yellow