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Gonyier09/16/2004 THU 1:20 FAX 760 777 7112 Bldg & Saftey FEE $70.00 9001/005 P.O. Box 1504 IIIIIIIIITIIIIIIII 76-495 CALLE TAMPICo 16 (760) 777-7000 LA QUINTA, CALIFORNIA 92253 - - - FAX (760) 777-7101 APPLICATION FOR HOME OCCUPATION OF A BUS j6 D`r' i INSPECTION DATE: 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 NAMES: (List all owners, partners, and/or corporation officers PROPERTY ADDRESS:WI I y7 3GZ7 AVP , ('0t PHONE: (on • t/ -x2,50 � MAILING ADDRESS ®• clays# �l �ry,1��aa�p TT DIFFERENT FROM ABOVE) PROPERTY OWNER: CT CGL TYPE OF RESIDENCE, (SINGLE, MULTIPLE, MOBILE HOME, ETC.): TYPE OF BUSINESS: - U - • BRIEF DESCRIPTION. OF HOW THE BUSINESS WILL OPERATE: Q) NUMBER OF PERSONS INVOLVED IN BUSINESS: ( ti SQUARE FOOTAGE F Q O USABLE FLOOR AREA IN HOUSE (EXCLUDE GARAGE): � (� LOCATION ANDSQUARE FOOTAGE OF AREA OF BUSINESS ACTIVITY HOME (EX. BEDROOM - j 125 SQ FT.): 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). APPLICANT'S SIGWAO DATE IF APPLICANT IS OTHER THAN THE PROPERTY OWNER, AUTHORIZATION OF OWNER OR RENTALILEASING AGENT IS REQUIRED. U.7/ LU/ 4VU'! IIIA L. LU rr%A I OU 1 1 t 1114 DLLLr, OG 7tll Ley • OWNER/AGENT SIGNATURE DATE AGENT COMPANY NAME CONTACT PK # 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 OFFICERkL I.D. # to DATE • 0 09/16/2004 THU 1:20 FAX 760 777 7112 Bldg & Saftey IA002/005 • OWNER/AGENT SIGNATURE DATE AGENT COMPANY NAME . CONTACT PK # 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 • is 09/16/2004 THU 1:20 FAX 760 777 7112 Bldg & Saftey 003/005 • 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. p�r 5 I HAVE READ AND UNDERSTAND THIS STATEMENT. �.an cf Signature 0 I7 09/16/2004 TBU 1:20 FAX 760 777 7112 Bldg & Saftey HOME OCCUPATION CONDITIONS AND CRITERIA • ALL HOME OCCUPATIONS SHALL COMPLY WITH THE FOLLOWING CONDITIONS AND REQUIREMENTS: 1. No one, other that the resident of the dwelling shall be employed on the premises in the conduct of the Home Occupation Q004/005 2. 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. 3. 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. 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 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. 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.. Thereshall 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, 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 CITY OF LA QUINTA WORKER'S COMPENSATION DECLARATION If your company has compensated employees, a copy of your WORKMAN'S COMPENSATION POLICY must accompany your BUSINESS LICENSE APPLICATION, showing the dates of coverage, including the expiration date, and the dollar amount. THIS PROOF OF COVERAGE MUST BE RECEIVED BEFORE YOUR BUSINESS LICENSE CAN BE PROCESSED. IF YO UR B USINESS IS BEING OPERATED FROMA PRIVA TE RESIDENCE WITHIN LA QUINTA, A HOME OCCUPA TION PERMIT IS REQUIRED BEFORE A BUSINESS LICENSE CAN BE ISSUED. Every employer who applies for a Business License or License renewal which is to be 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 ONE OF THE FOLLOWING• I HEREBY AFFIRM, UNDER PENALTY OF PERJURY, ONE OF THE FOLLOWING DECLARATIONS: (Check One) • 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 conducted for which a Business License is issued. . I Have and will maintain Worker's Compensation Insurance, as required by Section 3700 for the duration of any business conducted for which a Business License is issued. WORKER'S COMPENSATION INSURANCE CARRIER: POLICY NUMBER: EXPIRATION DATE: (IF YOU DO NOT HAVE ANY EMPLOYEES, PLEASE INDICATE BELOW) r I Certify that in the performance of any Business activity for which a Business License is issued, I sha not employ any person in any manner so as to become subject to the Worker's Compensation Laws of the state of California, and I 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 -AT, I Date t d 7 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 FINES AND PENALTIES, ADDITIONAL COMPENSATION DAMAGES, INTEREST AND ATTORNEY'S FEES MAY BE ASSESSED TO YOU AS PROVIDED IN SECTION 3706 OF THE LABOR CODE. N • J -4 P.O. Box 1504 -..: - 78-495 CALLS TAMPICO (760) 777-7000 �-�� LA QUINTA, CALIFORNIA 92253 FAX (760) 777-7101 CITY OF LA QUINTA WORKER'S COMPENSATION DECLARATION If your company has compensated employees, a copy of your WORKMAN'S COMPENSATION POLICY must accompany your BUSINESS LICENSE APPLICATION, showing the dates of coverage, including the expiration date, and the dollar amount. THIS PROOF OF COVERAGE MUST BE RECEIVED BEFORE YOUR BUSINESS LICENSE CAN BE PROCESSED. IF YO UR B USINESS IS BEING OPERATED FROMA PRIVA TE RESIDENCE WITHIN LA QUINTA, A HOME OCCUPA TION PERMIT IS REQUIRED BEFORE A BUSINESS LICENSE CAN BE ISSUED. Every employer who applies for a Business License or License renewal which is to be 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 ONE OF THE FOLLOWING• I HEREBY AFFIRM, UNDER PENALTY OF PERJURY, ONE OF THE FOLLOWING DECLARATIONS: (Check One) • 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 conducted for which a Business License is issued. . I Have and will maintain Worker's Compensation Insurance, as required by Section 3700 for the duration of any business conducted for which a Business License is issued. WORKER'S COMPENSATION INSURANCE CARRIER: POLICY NUMBER: EXPIRATION DATE: (IF YOU DO NOT HAVE ANY EMPLOYEES, PLEASE INDICATE BELOW) r I Certify that in the performance of any Business activity for which a Business License is issued, I sha not employ any person in any manner so as to become subject to the Worker's Compensation Laws of the state of California, and I 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 -AT, I Date t d 7 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 FINES AND PENALTIES, ADDITIONAL COMPENSATION DAMAGES, INTEREST AND ATTORNEY'S FEES MAY BE ASSESSED TO YOU AS PROVIDED IN SECTION 3706 OF THE LABOR CODE. N 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. 09. 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 ALL OF THESE CONDITIONS: lean PRINT NAME --gj - Q0 /a— , ', '. ? ��. SIGNATUR DATE Office Copy -White Customer Copy - Yellow 5qS3(t4rrp.ro., MetroScan /Riverside (CA) Parcel : 774 251 002 Pos Int Ref APN : 000 000 000 Owner : Gonyier Sandra J Land : $33,736 @/0 J CoOwner 020-062 Struct :$101,215 Site : 54300 Avenida Herrera ( No Mail ) La Quints 92253 Other 020-069 Mail :54300 Avenida Herrera (No Mail) La Quinta Ca 92253 Total : $134,951 Xfered : 12/09/2003 Doc # : 962155 Exempt Price 020-069 020-/02 Deed : Grant Deed Type LoanAmt : $176,250 Loan : Conventional % Imprvd : 75 1 Lender : Miscellaneous IntTyp : Adjustable % Owned : 100 VestTyp : Unmarried Person Tax Area : 20-089 Use : RO1 Res,Single Family Residences '03-04 Tax :$1,877.22 Plat : 20 Map Grid : 879 F3 Census : Tract : 451.09 Block : 2 OwnerPh IJ / i S T R Q Tenant Ph �oai /@OM Bedrms :3 Stories : 1 Acres :.11 , Year Built : 1993 BthFull : 1 Fireplace : Yes LotSgFt :4,791 Street Type : Paved Bth3Qt : 1 Pool : No Bldg SF :1,633 Waterfront l4 2 BthHalf : RmAddtns : Yes AddOnSF Gas Service : None CntlHt : Yes AddPkgTyp GarSgFt :464 Water Source : Developed CntlAIC : Yes Roof Type : Tile Gar Type : Attached Sewer Type : None /6 3 3 4 - Agri Preserve 774-25 Emst0 Esm Elm _® s®® spm® �Q1°�Sffi1 020-096 TR. A. 020.-0/5 POR. N. 112 SEC. 13 T65 R. 6E. e TICS M4P ,: FOA 020-050 @/0 J 020-062 ASSESSMENE PU@POSES 0.vCY 020-069 020-076 020-069 020-/02 2/ 22 EAGLEa- r"2'°iS? I 4p I] / > 1& /O IJ / i Su 24 © / �oai /@OM It Se 216 r4 2 2 O l4 2 23 /] 2 /7 02 /) 2 Z r " 22 3 q 3] I©3 q 22 O 4 3 2 ~ /6 3 3 4 - R P �• 2/Do@ © 4 Q 4 O r"@4.°ea 11004 E 150 .. 4�°cr MI � R W LAI—011, 20Q v 50 17 ` 20 ® a® _ Y1c /4 Q� eS ' 252 ....° 'S 253 — m 54 nl25/ r] Nyro/9 3 6 © /B 6 6+0 BY /9 n, /3 0 G _i� 6 JULY /967 3S 3e SANTA CARMEL/TA Ar VALE LA OU/NTA ow NO. 26 MB 20/50 O <: WW N0. 27M9 19182 2B Asn ASSESSOR'S MAP BRJAN 19 1998. 770 PO. PS R/VERS/Of COUN7Y CAL/F. TK Information compiled from various sources. Real Estate Solutions makes no representations or warranties as to the accuracy or completeness of information contained in this report. 7 0 e O @/0 J 12 3S 3e SANTA CARMEL/TA Ar VALE LA OU/NTA ow NO. 26 MB 20/50 O <: WW N0. 27M9 19182 2B Asn ASSESSOR'S MAP BRJAN 19 1998. 770 PO. PS R/VERS/Of COUN7Y CAL/F. TK Information compiled from various sources. Real Estate Solutions makes no representations or warranties as to the accuracy or completeness of information contained in this report.