NUGEN4Quiffrw
58
P.O. BOX 1504 COMMUNITY SAFETY DIvISION
78-495 CALLE TAMPICO (760) 777-7050
LA QUINTA, CALIFORNIA 92247 FAX (760) 777-7011
HOME OCCUPATION PERMIT
Permit Number: 07-00001590
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.
Applicant name(s): (List all owners, partners, and/or corporation officers) JAMIE NUGEN
Property address: 53860 AVENIDA HERRERA Phone: (760) 777-1164
Mailing address: 5A60 AVENIDA HERRERA
Property owner: JAMIE NUGEN
Type of business: Computer Repair
Brief description of how the business will operate:
Square footage of usable floor area in house (exclude garage) 1635 square feet
Location,and square footage of area of business activity in home (Example: Bedroom — 125 sq ft.) kitchen and
dining room, 250 square feet
Description of machinery, equipment, and supplies being used in the business operation:
I HAVE READ, UNDERSTAND, AND AGREE WITH THE CONDITIONS BY WHICH A HOME
OCCUPATION IS ALLOWED. (Conditions Attached)
/
APPL C NT SIGNAT10RP, 0 DATE
Lf4pplicant is other than the property owner, authorization of owner or rental/leasii a��g%%
P pent is required.
Your inspection has been scheduled for Home Occupation Inspection betweenA00 30-a.m.. Your inspector
will be Moises Rodarte.
--------------------------------------------I41e
T JS O ------------------------ ------------=-------
is APPROVED
DENIED r Signature Daiel
CE HP
_ V
P-O..-Box.15'
.04
0 �Fro,17 ..7'849'5-.CALLE-TAMP.ICO
wll
LA QUINTA,. CALIFORNIA 92263 (7 60) 7 7.7 - 7 0 0 0
FAX (760) 777-7101
APPLICATION H FOR ONE OCCUPATION OF A BUSINESS
FEE $70.00
INSPECTION DATE:
Please read each -condition listed on the attachment in tlli§, pa
cket to gee if the proposed
Activity- complies with the City's Home Occupation Regulations.
AP
PLICANT .ANT NAMES: (List all owners, partners, and/or corporation officer's
PROPERTY ADDRESS:
0) -7-h - I (Pq
PHONE
MAILING ADDRESS:
F DIFFERENT FROM ABOVE)
PROPERTY OWNER:
5 CLAOP
TYPE OF RESIDENCE, (SINGLE, MULTIPLE, MOBILE HOW ETC.):
TYPE OF BUSINESS: Jd/ 57-7-J-6'\-j< 5�1`— - Y1A 12,o644, �'
BRIEF DESCRIPTION OF HOW THE BUSINESS WILL OPERATE:
NUMBER OF PERSONS INVOLVED IN BUSINESS:
SQUARE FOOTAGE OF USABLE FLOOR AREA IN HOUSE (EXCLUDE
LOCATION AND SQUARE FOOTAGE OF F AREA OF BUSINESS ACTIVITY IN HOME (EX.
.125 SOFt.); -/) qO jj/7,,(-j.0 -,L- rz i > I_, , i I A -,
DESCRIPTION OF MACHINERY; EQUIPMENT, AND SUPPLIES BEING USED IN THE BUSINESS
_SS
I HAVE READ, UNDERSTAND, AND AGREE WITH THE CONDITIONS BY WHICH A.
CCUPAT 'ON IS ALLOWED
HOME CCUPATION IS. ALLOWED. (CONDITIONS ATTACHED).
'S
APPLI_Wy l �CL/ ��
CANT'S SIGNA
PLI
DATE
L2PLICANT IS OTHER THAN TjJF-
PROPERTY OWNER, AUTHORIZATION OF OWNER OR
RENTAL/LEASING AGENT IS REQUIRED.
Y5)6�rb
vt— .
� �// V-6-5 S
kl6me�s'
• OWNER/AGENT SIGNATURE
DATE
?83�%z Z
AGENT COMPANY NAMECONTACT 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 CO ITIONS
OFFICER I.D. # DATE
•
WORKER'S COMPENSATION
If your company has employees, a copy ' -of the Workman's Compensation Policy must accompany tl�e 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 Permitis;required before.a
business license is issued.
If you have any questions, please contact the Code Compliance Division at 777-7650.
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 followin
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 THISPL ATION.
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:
APP/LI ANT SIG, TURE 4)DTE
WARNING: Failure to secure Worker's Compensation coverage is•unlawful, and shall subject an employer
to criminal penalties and chil fines up to $160,000. In addition to tlic 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
` 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.)
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 AL OF THESE CONDITIONS:
�tiE/1
PRINT NA __&4
SIG AT ATE
Office Copy -White Customer Copy - Yellow