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KINGSBERG• P.O. Box 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92247 COMMUNITY SAFETY DIVISION HOME OCCUPATION PERMIT Permit Number: 09-00004653 (760) 777-7050 FAX (760) 777-7011 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) BRADLEY SCOTT KINGSBERG Property address: 51805 AVENIDA JUAREZ Phone: (760) 289-631 D a Mailing address: 51805 AVENIDA JUAREZ J Property owner: BRADLEY SCOTT KINGSBERG AuL 24 Type of business: Personal Training G6As:ll8r�;,� rief description of how the business will operate: Square footage of usable floor area in house (exclude garage) 2000 Location and square footage of area of business activity in home (Example: Bedroom — 125 sq ft.) Master Bedroom Suite, 400 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 OCC IS ALLOW D. (Conditions Attached) /0c/A I ANT I N U TE If applicant is other than the property owner, authorization of owner or rental/leasing agent is required. Your inspection has been scheduled for Home Occupation Inspection between Thursday 07/30 @ 1:00-1:30 PM. Your inspector will be.11 tKuftb' w •------------------------------------------INSPECTOR USE ONLY--- ❑ APPROVED ❑ DENIED Inspector Signature Date CE HP • 47 Otw 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: 09-00004653 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) BRADLEY SCOTT KINGSBERG Property addresg: 51805 AVENIDA JUAREZ hone: (760) 289-6319 Mailing address: 51805 AVENIDA JUAREZ -� Property owner: BRADLEY SCOTT KINGSBERG Type of business: Personal Training rief description of how the business will operate: o b 1 i n c,(t �- �► �., Q c1TY GF , CE A 7 �'� niL\t.�. - Square (footage ofCL �usable floor area in C. house fexclud gar ge) 2000 Location and square footage of area of business activity in home (Example: Bedroorn — njCp Description of machinery, equipment, and supplies being used in the business operation: �40G1.,F! m `-0 i/D. ,. R' (pn10e O I HAVE READ, UNDERSTAND, AND AGREE WITH THE CONDITIONS BY WHICH A HOME PATION IS ALLOW E ,.(Conditions Attached) � 1- -d- i-; v h 0o� DATE If applicant is other than the , authorization of owner or rental/leasing agent is required. Your inspection has been schedue-d for Home Occupation Inspection between Thursday 07/30 @ 1:00-1:30 PM. Your inspector will be Anthony Moreno. 0 ------------------------------------------ IN �C USE ONLY------------ ---------------------------------------- 9, APPROVED�4 DENIED Inspector Sig4ature Date CE HP l 30�09��r(oV�K Ieet Se� Pl�a0 See pbrse P00 P.O. Box 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 (760) 777-7000 FAX (760) 777-7101 APPLICATION FOR HOME OCCUPATION OF A BVSSI�VESS 9.PV FEE $70.00 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 �gr4 PROPERTY ADDRESS: s' r 8 D5 A t/�e, MAILING ADDRESS: 771-..4 PROPERTY OWNER: (P,// DIFFERENT FROM ABOVE) I / C 10--, TYPE OF RESIDENCE, (SINGLE, MULTIPLE, MOBILE H ME, ETC.): ✓ h9 TYPE OF BUSINESS: ltf S10)10.1 T�� rI I n BRIEF DESCRIPTION OF HOW THE BUSINESS WILL n J_ NUMBER OF PERSONS INVOLVED IN BUSINESS: ' TE: t' s 4-1i:&;y 0 �j m4e 1 �-1 0. j 0.4 lv two SQUARE FOOTAGE OF USABLE FLOOR AREA IN HOUSE (EXCLUDE GARAGE): D a 912 (a)( I IV LOCATION AND SQUARE FOOTAGE OF AREA OF BUSINESS ACTIVITY IN HOME- (EX. BEDROOM - 125SQ FT.): L4 0 ® Xy jz.-g JC If DESCRIPTION OF MAC INERY, UIPMENT, A SUP LIES BEIM USED IN BUS SS OPERATION: Tf"M r r I HAVE READ, DERSTAND, AND AGREE WITH THE CONDITIONS BY WHICH A ME OC UP ION ALLOWED. (CONDITIONS ATTACHED). Ll Q PLC DATE • IF APPLIO&T IS OTHER AN PROPERTY OWNER, AUTHORIZATION OF OWNER OR RENTAL/LEASING AGEIN N,o .J • 0 -7 0 O RE DA AGENT COMPANY NAME CONTACT PH. # DATE 01PORTANT: 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 0 40 40 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 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 AfJD EXPIRATION DATE FOR WORKER'S COMPENSATION IS REQUIRED TO PRO,TS I 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 ertificate copy within ten (10) days of the change in requirements. lid /07 APPL C T I TURIU DAT • WARNING: 'In to secure Worker's Compe ation 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 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 MY SIGNATURE BELOW INDICATES THAT I HAVE READ, UNDERSTAND AND AGREE TO COMPLY WITH ALL OF THESE CONDITIONS: 3 e9o9 DATE Office Copy — White Customer Copy — Yellow