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BICCS11111111111111111111 P.O. Box 1504 78-495 CALLE TAMPICO [\ LA QUINTA, CALIFORNIA 922 APPLICATION FOR HOME I)' db aw 000O $N3 5 CO&C # ! S/1 97 FAX (760) 777-7101 BUSINESS �✓ecfi�:�s%.t. � FE $70.00 INSPECTIO DATE: -. ease 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. 7 `��S_ A07 fak (/' 'RQNE: 76o MAILING ADDRESS: �h'�'lt� A-&.4i3ev Ls (Imoo %%i �VE (IF DIFFERENT FROMM AA /BOVE) PROPERTY OWNER: R-i+N JO GI TYPE OF RESIDENCE, (SINGLE, MULTIPLE, MOBILE HOME, ETC.): f5/IU6 LLC .IC -54' • TYPE OF BUSINESS: BRIEF DESCRIPTION OF HOW THE BUSINESS WILL OPERATE: NUMBER OF PERSONS INVOLVED IN BUSINESS:_ SQUARE FOOTAGE OF USABLE FLOOR AREA IN HOUSE (EXCLUDE GARAGE):/ZV O LOCATION AND SQUARE FOOTAGE OF AREA OF BUSINESS ACTIVITY IN HOME (EX. BEDROOM - 125 SQ FT.):IV ?,e -Ow 5-f OF f1bK6- DESCRIPTION OF MACHINERY, EQUIP NT, AND SUPPLIES BEING USED IN THE BUSINESS OPERATION: mil Oki g: I HAVE READ, UNDERSTAND, AND AGREE WITH THE CONDITIONS BY WHICH A HOME OCCUPATION IS ALLOWED. (CONDITIONS ATTACHED). 6 3� -o C' - APPLICANT'S SIGNATURE DATE IF APPLICANT IS OTHER THAN �EE THPROPERTY OWNER, AUTHORIZATION OF OWNER OR CO VAR j )�rp1ED. • HOME OCCUPATION APPROVED INITIAL g�� .1 `i 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 DMSION: APPROVED DENIED SPECIAL CONDITIONS OFFICER 1 1 I.D. # DATE I 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. ignature I] 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 ori 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% 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. 08'. 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, 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. 11 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: V 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: p r 4J Policy Number: ( �3 02 — acz�C— 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. l- a -off SCANT SIGNATURE D 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 3,706 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, Runes, 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•.'_'5tllw� - -�6/ W P T —1y7� •=KATURE DATE Office Copy -White Customer Copy - Yellow • Case# 14177 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 IReceived By How Received Complaint 6/29/2005 Cindy Fowlkes Counter Contact Location At residence P.N kddress 54425 Avenida Martinez Reporting Party Name IPIone Reporting Party Address Sharon Bills 564-7820 or 777-83 Same Description Home Occupation. Codes Violated is Fuzf.gl� cer Assigned n Fisher esday, June 29, 2005 Date Closed Approved By Page.1 of 2 0 se# 14177 Events ,7 ficer Assigned Date Closed Approved By gFisher ,,Man nesday, June 29, 2005 Page 2 of 2 V. � City `of La Quinta 78-495 Calle Tampico - La Quinta, California 92253 Case# 14177 PH: (760)777-7000 FAX: (760)777-7011 TDD: (760)777-1227 Date Reported eceived By ow Received lComplaint 6/29/2005 Cindy Fowlkes Counter Contact Location At residence APN Oddress 54425 Avenida Martinez Reporting Party Name hone eporting Party Address Sharon Bills 564-7820 or 777-83 M4-7820 Same Description Home Occupation. /' es Violated Officer Assigned Date Closed Approved By �n Fisher Wednesday, June 29, 2005 F riday, July 01, 2005 Page I of 2 0# 14177 Events ction Taken 6/29/2005 Wednesday Case Initiated I performed a home occupation inspection during the hours of 11:00 - 11:15 am for Sharon Bills at 54425 Avenida Martinez: The proposed business activity and facilities comply with city standards. Computer and office work with no foot traffic will be performed within a 200 square foot space inside the residence. Mrs. Bills agreed to all the home occupation conditions listed in the contract. I observed no business related signs or storage on the property. I approved the permit without any special conditions. • Officer Assigned Date Closed Approved By ®n Fisher Wednesday, June 29, 2005 ��ftlay, July 01, 2005 Page 2 of 2