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P.O. Box 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 9225
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D C 0Z00�8/
(7 60) 777-7000
,'�;®��� FAX (7 60) 777-7101
APPLICATION FOR HOME OCCUPATINESS
FEE $70.00 INSPECTION DATE:. 12-11—
Please read each condition listed on the attachment in this packet to see if the proposed
activity complies with the City's Home Occupation Regulations.*, I
w -
APPLICANT NAMES: (List all owners, partners, and/or corporation officers gRN E ST 4-tElaA I�j E j Z7
PROPERTY ADDRESS: 64Z95 Avf- OLa ftg17A PHONE: T%O -S n4' 794(o
MAILING ADDRESS: (IF DIFFERENT FROM ABOVE)
PRO PERTY.OWNER: EQN E� � E R. t-1�l 1 E'1�
TYPE OF RESIDENCE, (SINGLE, MULTIPLE, MOBILE HOME, ETC.): S 1 /,1 G Ll=
TYPE OF BUSINESS: -i=Ob T> V I -i by
BRIEF DESCRIPTION OF HOW THE BUSINESS WILL OPERATE: GTf2E ET FA 19 S
Fa STl VA i— S_ P ECI A L Ev1FA1TS
NUMBER OF PERSONS INVOLVED IN BUSINESS: 1
SQUARE FOOTAGE OF USABLE FLOOR AREA IN HOUSE (EXCLUDE GARAGE): 2
LOCATION AND SQUARE FOOTAGE OF AREA OF BUSINESS ACTIVITY IN HOME (EX. BEDROOM -
125 SQ FT.): ? D
DESCRIPTION OF MACHINERY, EQUIPMENT, AND SUPPLIES BEING USED IN THE BUSINESS
�OPEERATION:
Yet40o12 Eel l S -- K_i TGN E,-� V Tee C 1 1_ C _ M i cl I mL C� -
I HAVE READ, UNDERSTAND, AND AGREE WITH THE CONDITIONS BY WHICH A
HOME OCCUP TION IS ALLO (CONDITIONS ATTACHED).
P�Sfvs- C_ lO , 20 0 3
VAPPLICANr'r'§ SIGNATURE DATE '
IF APPLICANT IS OTHER THAN THE PROPERTY OWNER, AUTHORIZATION OF OWNER OR
• RENTAL/LEASING AGENT IS REQUIRED.
le'ume,
X
T
WNER/AGENT SIGNATURE DATE
�l EfC7 S SNR�r-tQ t.ACJYmA L 17--(c) -o?
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 PFETY DEPARTMENT/CODE COMPLIANCE DIVISION:
APPROVED V DENIED
OFFICE I.D. #
0
SPECIAL CONDITIONS
DATE
0
•
is
L
Tdut Wtd" tt 12 -)o -t7.3
--OWNER/AGENT SIGNATURE DATE
760--7►4(0 l2 -(O -03
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. # 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. '
'gnature
0
•
HOME OCCUPATION CONDITIONS AND CRITERIA
ALL HOME OCCUPATIONS SHALL COMPLY WITH THE FOLLOWING CONDITIONS AND REQUIREMENTS:
1.
-No one, other than the resident of the dwelling shall be employed on the premises in the conduct of the Home
Occupation. (Spouses are okay)
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 or 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.
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 of noise, odor, dust, vibration, 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.
14. Listed below are special conditions which shall be considered a part of the conditions and criteria directly related to
this application and this permit:
• CITY OF LA QUINTA MUNICIPAL CODES: 9.60.110, 9.160, and 9.210.060
• 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.
d-"", '"(A -- !.-. — /o — o 3
LICANT 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 $100,000. In addition to the cost of compensation, damages,
• interest, and attorney's fees may be assessed to you as provided in Section 3706 of the Labor Code.
•
DISPLAY CONSPICUOUSLYAT PLACE OF 13USINESS FOR WHICH ISSUED
CALI FORMA STATE BOARD OF EOUALIZATIO,U
SELLER'S PERMIT
fiC:C.C'rtJid'i !trt}:4,Tiiif
2/1/2003 -SR EH 100-160580
NIETO'S SHRIMP COCKTAIL
ERNEST HERMAN NI.ETO
54-295 AVE cARRANZA
LA QUINTAL CA'92253
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FORdENERAI TAX QUESTIONS, PLEASE TELEPHONE OUR INFORMATION CENTER AT 1-800-4004115:
tiat�iz-iTt�v. �stso�t:
NOTICE TOIND.MDUALS REGARDING
INFORMATION FURNISHED TO.THEZOARO.OF EQUALIZATION
•The tntormatton Pr$cos Act of 1977 and ttie Federa Frivacy.Act rewires this memy to prx,trtde ttte foiioacntx� nptir ra to' ttho arm arced by,::
the Stag Board of E itahon {Baud} to 'y arlfdtutrthon. imiuding the d 4swr3 ai the rr t says I seo+rrlry aoceurit rtutitber
IRrssvtctir£AS aAplyatg tor:'p r►�ts :cemttraitt�s, or licevws, or t ing tasc returns staiements, or otter tosm9 prescrkei4 by td's agency, art t V;' 'Ki ;
iildurie tl)e r s ;at seciai rtumtiers for': proper izitrcatiart.'I ritle:a2 l7ratec', States Code.Sectiar, 4�C lt�7tj.l It rrka>a;S xa (iuitisli ttte
aprxoprlafe iriforrrtatiort teca+e5t'b}'.apbtt:Catrts for registza tan,ppicaUora. for permits &.I- yes, talc retu:ms _�d ether relsteei: data: Failure to
omide all of tfse yegt* ed.information m4msted by an appication fcr L ,perrrtlt ry iitxnsQ couid.rtestrtC.in ywar riot tasutg issuEa a perrstrt or l sense trr'
'adcbtien; the Iava providos per�ties f� f�ure to fife �'returrt, fai3ure to hKnisit Hifi:: itf.;rrt>iitiixt r�JirnsE;:fi��r@ Viz► cuppty irstermatiert re�tare�i by ias� .
or or 166r hunish1tn 0-kightfent, iitfwywiom
:Nroviskins conWned in the fokWroo taws require persons meeting certain, reqtrirmr�tts .to.fila 5prs icatia�s for rt��atratio? �pGctiticns for: permits or.:
IicP�$0S, end talc: ra;rims sr reacxts in such :fcrrn is' presented by the State Board of:Equaliiati m- AlcoWic Bmvrage: Tax. Sembns .32 1) t-32�Sti;
t:hi rShood Lead PCxsoiidrig i'retirefrtiori fce. Sections 43001- 43661. Hsaittt & Safa4Y:Cp d9,.$ecli(xv% 105275- .:531 ;;Ciga me arid,Tobad.00 Pi�rcts::
ax. Sections. m. 1-31)481, De t,F", Tax, s> ons 6t7�A1-86709; Eizv�axsrtcyr tetepriane s.Sur a &ectlan, 4iD01-•41176. F1�e,t�,�:
Etesourres: Surchatrge, Secborts 4001)7-40216..Fiaztudtirs;Substartces iaxz trot7s 4:041=43F51. b}legrcreCillasts Mon. gement ftp SecW.a.
..'45001-45984: G1t8zn ,tse(i?3 frttn!' T�uc. AgreenD2rti,. Seciions 8,101-9433: hA cr Vehicle _Ftiei 'Ucarww Tax, Scc¢3sx►s 7301-84E6; O=patio ia< Lia,:
Poiscntitg :Preimintion Fee::Seciiats 4 01-43657, t ieatth B� Safety Cifta175 1 ty7 t1� SC�II R errSe, t'ra+t xlty t KI. A tt tsatratTs^
Fels. Se+:tipr►s.4U04146751, CoyeftxraPr.O.' e, Se6tions.8670f=t367053;:P tcTy.. a.ecf Properly, Sections 1840-16:1, Saks and Use. Tax;::
Sections 61791-7279 6: State Assns .ed prcperty. Sections 721-M 487646${} 5011-8014: Tax on tnwrer Sect orris �2J01-1 i 74: 'Timber' •Yr2±d TitX
Sections 38 41=38ggfi; Tint FtFGy'ckrtic� Fee: Sst;4cnS 550x1-55381,.Ptrb6c:Qa^.oirces,Cc?de; Sections A2E6 A289a ;Ur otmti Storoge Tark
tv7ainteriant a Fee, Sections 50101-50181; keatih $ S3ie;^; Code. SectiCns 252813 2c�299. , i3se.F.w T�tx% SEct s &601 �Y3:':5.:
The principal puepase for`ivt Bch ttie:reguesLE+d aninrirotrrt wit Iso t is es to adrt2iuster ttts.iawrs ids3rttitted iiz the three n9 p��gnaph.:Th s kl&1 les mt :
determinatlon and caection of'fhi':cwem.:a iojn of'tcax; InfOR1�tIGn ycv OwWsh to dw Board rri�iy/ be used, Jor the rwrp*ase.'W' ..c 6;%ng i�fji'
duxStaix&Rte tast:tidiiy.
As. authorized by Iain, intormatroat rc tresteo by an applicatiomllor a pernit or license could be ds'sc2aseai to o#w agencies; ittdr ur4ig, but not Timtear to ' .
the.prcper otfic iaJs of ttte fotioti mg .1) United Stated gw�crrvr>errta! agencies: U.S.;Attorrey's Office` Burt:3au of Alcofro± Totiacco.andFa rris; OepLs c>f
Aaticu#ture: f fence, Justice, Federal t;ur�u of :lnsll*r aii�+,.: Gemra! Aecautting :OfSre; drtteimiI T?Tann^eriiie. Sdrvica;. th6 tntersmto: Calmterrp
CormAissicn 2) State of t:ahfomia gwermienut agencies and pane ds Ak Resources 8varzf; int. , at Alcatarlrc. Bcvezage .Centro' A ict bneer
Commis om Errtplayment i7evabopment. [) rtrrreztt::Enew L'.oerxsgssacrr ! siposit r and Faux; Foot! Agricultrao; Board of Frarestiy; Forest Prodxts
Cotrttrt 3sicn; Franchise Tax Bm . .Clept. of:tteafth Services; H'#.aiy ixatrof. test of Housing B Csin mtaNty r opmwriC.0 itorr#a f eat;Lcc.3tcr; .
Service; 3) S'rstA agen;aes out^ide of Califar+tia leer. tax entarcecnent purpos-es; and q} city attorne rs anti city ^ut;�rs :cytrnty d+str ct. attc>Rt%s, .
sheriff departments:
AS.rir►:xidivieual. you ha4e the tig!nt to aTticess Gerstxrai in4orntatidrt abatis yru.iri iscords rsrain 2neci W ttse $tate 80ard.4t Com, iairation. Fteaso cQgt4E(
Y= Iocai Board office fisted in tbto r kite paw of yotn tetephme directory fc¢ zss tarr..ra. If We Loral Bowd office is um"to *6vkle thb ink m..tsoit`
sought you Wray also can t the.:l7sdobs re afore in SawwmI6 by tdephorso at {915} 445-2918. The Ba�cf t t: *ds resf: at5� for nt€ix►tainklg tl�S
• information rdno• can be. contacted by telephone at (016) 4.45.6464 are 'Salas and Use-Tair, Deputy Direct(x Safes arMi UsQ Tic Dtg)avnm)t 4i R.
Sheet tVi16.43, Sacrarnettto GA 98314 Ertciso Taxes, Fuel Taxes and Emiironmentaf Fees. Dep -4 Qtree , Speck Taxes Department. 4SO N
Street, NHC 31, Sa rartr►to. CA 9"i81 �3: Property Taxes. Uepcity fArector; Pro 7aoce i 0trttent,. 45A. v Stmt; tett b3, Stuantz�; CJa 9: $74. •:.
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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.
0
11
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 of noise, odor, dust, vibration, 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.
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
DV v
DATE
Customer Copy - Yellow