THILLENS & HOLLIDAY0
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78-495 CALLE TAMPICO — LA QUINTA, CALIFORNIA 92253 - (619.) 777-7050
FAX ( 1..) 77-7011
APPLICATION FOR 27,1997
Fee $35.00 HOME OCCUPATION OF A BUSINESS
Read each condition listed on the attachment to this form to see if the proposed activity
complies with the City's Home Occupation Regulations.
APPLICANT NAMES (List all owners, partners and/or corporation officers)
DGn 1 S. TI•i�11�,nS , �ld�.i �-C�; tllPx,s . le -so i S, -Inll � Ha Ka+fnl��v, 1� Il�da i
PROPERTY ADDRESS 52-9-C) Avenida Rubi-� PHONE -1-11 -nL (o
BUSINESS NAME E I i 1c, InGbnol oA IFS
PROPERTY OWNER 'br mt ! �r'>iel `Th�IlPris
• MAILING ADDRESS !if different from business address)
5� �� ��t-,►►n�+nn S+- (' -2C) ( Quin+
TYPE OF RESIDENCE (single, multiple, mobile home, etc.)
TYPE OF BUSINESS 1nS-t-a1I ta- IOn 4 Soks O -C d c4-rc5niC- )-1 nen+
BRIEF DESCRIPTION OF HOW THE BUSINESS WILL OPERATE %6ld rnfck
NUMBER OF PERSONS INVOLVED IN BUSINESS
LIST NAMES OF PERSONS EMPLOYED -O
SQUARE FOOTAGE OF USABLE FLOOR AREA IN HOUSE (exclude garage)
LOCATION AND SQUARE FOOTAGE OF AREA OF BUSINESS ACTIVITY IN HOME (example,
"bedroom - 125 sq. Ft.) -130 N. f+-
DESCRIPTION OF MACHINERY, EQUIPMENT, AND SUPPLIES BEING USED IN THE BUSINESS
OPERATION 5uojn Gly 11 a56(y--)5 , GIrnA m- �I,Ii-).cS
-stA�jie s -
7�
MAILING ADDRESS - P.O. BOX 1504 - LA QUINTA, CALIFORNIA 92253
.1'
I HAVE ' READ, UNDERSTAND, AND AGREE WITH THE CONDITIONS BY WHICH A HOME
OCCUPATION IS ALLOWED (conditions attached).
• Date l D/r� Z27
Appli ant's Signature
IF APPLICANT IS OTHER THAN PROPERTY OWNER, AUTHORIZATION OF OWNER OR
RENTAL/LEASING AGENT IS REQUIRED.
Date
Owner/Agent Signature
Date
Agent Company Name Agent/Owner Contact Phone #
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.
BUILDINGAFETY DEPARTMENT CODE COMPLIANCE DIVISION
P VED DENIED SPECIAL CONDITI N' ACHED
•
BY: I.D. # s' DATE
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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.
2. The Home Occupation shall be conducted entirely within the enclosed area of the main building & 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 by the State Fire Marshall
or any other regulating agency.
7. There shall be no dispatching of persons orequipment 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 and criteria directly
related to this application and permit.
C]
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.
your company has employees, a copy of the workman's
If you do not have employees, please check the last line on the first 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 used.
If you have any questions, please contact the Code Compliance Division at 777-705G.
Every employer who applies for any license or a 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:
A "COPY' OF SAID POLICY OR CERTIFICATE OF CONSENT SHOWING THE AMOUNT OF
COVERAGE AND EXPIRATION _DATE FOR WORKER'S COMPENSATION IS REQUIRED TO
V_ 1 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, 1 will provide the City with a policy
or certificate copy within ten (10) days of the change in requirements.
Date: 90 % Applicant:
isWARNING: 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.
.The' Desert Sun
°f4 (`THURSDAY, OCTOBER 23, :1997
!10.4634
" CT/TIOUS BUSINESS i
F;•.:• „ NAME STATEMENT
'file No.1972268
(a The following .person Is
doing businefslas:
`` _ .' Elite TochnBlogfes
_ 52920 Avendia Rubio
La Quinta CA 92253 '
,Full name of Registrant:
Dpniel Scott Thillens, _
52920 Avendia Rubio
La Quinta CA 92253
. Dewey Stephen
.Holliday
54355 Avendia
Bermudas
La Quinta CA 92253
Yvette Lynn Thillens
52920 Avendia Rubio
La Quinta CA 92253
Kathleen Francis
Holliday
54355 Avendia
Bermudas
La Quinta CA 92253
This business is conduct-
ed by: a .General
t Partnership.
eglstrant has not yet
;.begun to transact bust-
tr'ness under the fictitious
E business name or names
listed herein.
/s/ Daniel Scott Thillens
NOTE: This statement
exppires 5 years from the
filing date. The filing of
this statement does not
i of Itself authorize the
use in this state of a Fic-
titious business name in
violation of the rights of
another under Federal,
• State, or Common Law
(sec.14400 et. sec. B&P)
This statement was filed
OCT 14 1997
J. BRIDGES, ACTING,'
i'Riverside County Clerk
By: R. Uribes, 'Deputy
S Pub 10/23, 30, 11/6,
13,1997. —
BD OF EOUALIZATION-RANCHO MIRAGE 619-341-1196 Oct 29,97 15:37 No .001 P.01
TO:
STATE BOARD OF EQUALIZATION
RANCHO MIRAGE OFFICE
4E-700 BOB NOa£ oRIvE SUITE 301
RANCHO M Y RAGE, CA. 42270.
(6 19 ) 346-6096
FACSIMILE COVER SHEET
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DATE SENT. 17
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WOMMENTS:
cuatnts aCcospanying this telecopy transmission
Trig dcr
mation bolo ging to the sande
rmntaicustntfidentiil "for
wnicn is legally Privileged• The information is intt_nded
only for th1 ease of tht individual or entity nased aboyo. If
you ari not the - i"tondod reeipient you are hereby notified
that any digClOst:ro, Copyi,%q, distribution or the taking of
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this. teleCcpy in errors pleast immediately notify us by
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US.
ANY AaoHLG;Ns EHouLv 8E REPORTED TO THE STATE BOARD . OF
•�a:At..I SAT I GN
BD OF EQUALIZATION—RANCHO MIRAGE 619-341-1196 Oct 29,97 15:37 No.001 P.02
TARGM001 - TAR Taxable ActiVity Registration System
CTSNMO17 Inquiry Partners
TIN Nt 0089921
Entity Type: P Names
Accessi Search:
pistrict Filter: County Filters
Aatn Rel Type Name
M I DANIEL SCOTT THILLENS
0 I DEWEY STEPHEN HOLLIDAY
ENTER-PFI---PF3--- PF5--- PF7---PFB
HELP RETN BKWD FRWD
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10/29/97
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