PerryI IIIIII IIIII IIII IIII h
48
Twyl QUWC4(j
P.O. Box 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92247
COMMUNITY SAFETY DIVISION
HOME OCCUPATION PERMIT
Permit Number: 05-00002141
(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) PERRY BRADY L
Property address: 54645 AVENIDA RUBIO
Mailing address: 54645 AVENIDA RUBIO
Property owner: PERRY BRADY L
Type of business: FLOOR COVERING
Brief description of how the business will operate:
Phone: ('760). 0-7a — 6 a 57
a:
quare footage of usable floor area in house (exclude garage) 1750
Location and square footage of area of business activity in home (Example: Bedroom — 125 sq ft.) BEDROOM, .
150
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)
A)
`�PLTICAf SI NATURE DATE
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 4-4:30PM. Your inspector will
be Jackie Misuraca.
--------------------------------------------INS ECTOR USE ONLY-------------------------------- -------- ---------
• !�P ROVED p�
❑ DENIED 4ctGrT1,6ature D
CE HP
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.
H. 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:
y
RINT NA E _
/D d2 f OS
• ISK—N—ATUA DATE
Office Copy — White Customer Copy — Yellow
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: 05-00002141
Please read each condition listed on the attachment in this packet to see if the proposed activity compli6
with the City's Home Occupation Regulations.
Applicant name(s): (List.all owners, partners, and/or corporation officers) PERRY BRADY L
Property address: 54645 AVENIDA RUBIO Phone: C760 a7a — 6 of 57
Mailing address: 54645 AVENIDA RUBIO
Property owner: PERRY BRADY L
D Q
Type of business: FLOOR COVERING 2 4 2005
Brief description of how the business will operate: f IN OF LAgUINTA
GD (,L P� FIPIANCE DEFT.
@'U
quare footage of usable floor area in house (exclude garage) 1750
Location and square footage of area of business activity in home (Example: Bedroom — 125 sq ft.) BEDROOM, .
150
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)
0�klfl.71CA&f SI NATURE DATE
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 4-4:30PM. Your inspector will
be Jackie Misuraca.
-------------------------------
• O APPROVED
O DENIED
-INSPECTOR USE ONLY --------
Inspector Signature
Date
CE HP
R
FEE $70.00
P.O. Box 1504
78-495 CALLS TAMPICO (760) 777-7000
LA QUINTA, CALIFORNIA 92253 FAX (760.) 777-7101
APPLICATION FOR HOME OCCUPATION OF A BUSINESS
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
q
j� - b U��
PROPERTY ADDRESS:.5yGyS Ay6yl4 d Rug/U PHONE.` SGq `r 96 e6 �_7_ 7.- 6,1
MAILING ADDRESS: t® (IF DIFFERENT FROM ABOVE)
PROPERTY OWNER:
.TYPE OF RESIDENCE, (SINGLE, MULTIPLE, MOBILE HOME, ETC.):
TYPE OF BUSINESS: FL00, (fy-11Ce1AJG
BRIEF DESCRIPTION OF HOW THE BUSINESS WILL OPERATE: 9S/ 4F 6 f/S/aSs
W /L C. 3,5 DV T /,v .7 &6 FiE4A
NUMBER OF PERSONS INVOLVED IN BUSINESS:
_ J
SQUARE FOOTAGE OF USABLE FLOOR AREA IN HOUSE (EXCLUDE GARAGE):
LOCATION AND SQUARE FOOTAGE OF AREA OF BUSINESS ACTIVITY IN HOME (EX. BEDROOM -
125 SQ FT.): _�r S� le�f
DESCRIPTION OF MACHINERY, EQUIPMENT, AND SUPPLIES BEING USED IN THE BUSINESS
OPERATION: -T2 aU!2S . % 00e_ fLDCUe, cc p�cemot Sr�/✓�G/� S
I HAVE READ, UNDERSTAND, AND AGREE WITH THE CONDITIONS BY WHICH A
HOME OCCL4WrION LLOWED. (CONDITIONS ATTACHED).
'jqiPLICANT'S SIGNATURE DATE
IF APPLICANT IS OTHER THAN THE PROPERTY OWNER, AUTHORIZATION OF OWNER OR
RENTAL/LEASING AGENT IS REQUIRED.
•
Nmaggo,
t
•
OWNE 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 DIVISION:
APPROVED DENIED SPECIAL CONDITIONS
OFFICER I.D. # DATE
•
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 in be received
before the business license can be processed.
If you do not have employees, please check the last section on this page.- 1. 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 followine7
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 foi which this license is .
issued.
My Worker's.Compensation insurance carrier and policy number: .
Carrier: 7�C ,EvtiD
Policy Number: 6 7q— /_?6 y Expires: (o
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
theworker'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-115CANIT SIGNATURE
DATE
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 3706 of the Labor Code.
C]
0
C]
eE
a HOME OCCUPATION CONDITIONS AND CRITERIA
•
ALL HOME OCCUPATIONS SHALL COMPLY WITH THE FOLLOWING CONDITIONS AND REQUIREMENTS:
No one, other that 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% 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 anytime.
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
0
r'
POLICYHOLDER COPY
STATE P.O. BOX 420807, SAN FRANCISCO, CA 94142-0807
COMPENSATION
INSURANCE
FUND CERTIFICATE OF WORKERS' COMPENSATION INSURANCE
ISSUE DATE: 02-25-2005 GROUP: 000579
POLICY NUMBER: 1364-2004
CERTIFICATE ID: 9
CERTIFICATE EXPIRES: 02-01-2006
02-11-2005/02-01-2006
MEREDITH & SIMPSON.CONSTRUCTION CP.
83801 AVE 45
INDIO CA 92201
This is to certify that we have issued a valid Worker's Compensation insurance policy in a form approved by the California
Insurance Commissioner to the employer named below for the policy period indicated.
This policy is not subject. to -cancellation by.the.Fund .except upon 10 days advance written notice to the employer.
We will also give you10 days'advance°notice should this policy be cancelled pnorto Its normal expiration.
This certificate of insurance is not an insurance policy and does not amend, extend or alter the coverage. afforded by the
policy listed herein Notwithstanding .any requirement, term or condition of a iy.contract orother document with
respect to which this certificate of insurance may be issued or to which it may pertain the Insurance afforded by the policy
described herein_is subject to all the terms, exclusions, and conditions, of such'policy -
AUTHORIZED REPRESENTATIVE .. .. ..,.
, ._-,.PRESIDENT ,.
..,,;. , ..._, ,.....
EMPLOYER'S LIABILITY LIMIT
INCLUDING DEFENSE COSTS:
$1,000,000 PER OCCURRENCE.
EMPLOYER -
PERRY, BRADY (PARTNER) AND PERRY,
RANDALL (PARTNER) DBA:..PERRY'S FLOORS
54645 AVENUE.RUBIO
LA QUINTA CA 92253: [FMF,CS]
SCIF 10262E Accept this certificate only if you see a faint watermark that reads *OFFICIAL STATE FUND DOCUMENT'
PRINTED: 02-25-2005
PAGE 1 OF t