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COMMUNITY SAFETY DIVISION
78-495 CALLE TAMPICO (760) 777-7050
LA QUINTA, CALIFORNIA 92253 FAX (760) 777-7011
HOME OCCUPATION PERMIT
Permit Number: 13-00000797
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) SHAFFER CAMERON
Property address: 78510 AVENIDA TUJUNGA Phone: (408) 891-2520 \
Mailing address: RAUNELL PACKWOOD 78510 AVENIDA TUJUNGA
Property owner: SHAFFER CAMERON 6
Type of business: SOFTWARE ENGINERRING SERVICES O 10TO
Brief description of how the business will operate:
Square footage of usable floor area in house (exclude garage) 2200 SQUARE FT
Location and square footage of area of business activity in home (Example: Bedroom —125 sq ft.) OFFICE
AND BEDROOM, 300 SQ FT
Description of machinery, equipment, and supplies being used in the business operation:
I HAVE D, UNDERSTAND, AND AGREE WITH THE CONDITIONS BY WHICH A HOME
OCC TI N IS ALLOWED. (Conditions Attached)
T SIGNATURE 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 . Your inspector will be Philip
Juarez.
----------------------------------------WSpector
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APPROVED /
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❑ DENIED gnature Da 4e
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P.O. Box 1504
78-495 CALLS TAMPICO
LA QUINTA, CALIFORNIA 92253
(760) 777-7000
FAX (760) 777-7101
APPLICATION FOR HOME OCCUPATION OF A BUSINESS
FEE VON 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.
APPLICANTNAMES: Ist all o ers, partners, and/or corporation officers
Cameron Shaffer V�/� U h.Qi7 {%(�Ck� 6 0
PROPERTY ADDRESS: 78510 Avenida Tujunga _ pHONE: (408) 891-2520
MAILING ADDRESS: (IF DIFFERENT FROM ABOVE)
PROPERTY OWNER: , Cameron Shaffer
TYPE OF RESIDENCE, (SINGLE, MULTIPLE, MOBILE HOME, ETC.): Single
TYPE OF BUSINESS- Software Engineering Services
BRIEF DESCRIPTION. OF HOW THE BUSINESS WILL OPERATE:
'support and maintain software programs installed at customer sites i
NUMBER OF PERSONS INVOLVED IN BUSINESS: 2
SQUARE FOOTAGE OF USABLE FLOOR AREA IN HOUSE (EXCLUDE GARAGE): 30 Ft SS
LOCATION AND SQUARE FOOTAGE OF AREA OF BUSINESS ACTIVITY IN HOME (EX. BEDROOM -
125 SQ FT.):.Office and 1 bedroom approx. 150sa ft each
DESCRIPTION OF MACHINERY, EQUIPMENT, AND SUPPLIES BEING USED IN THE BUSINESS -
OPERATION:
Personal computers, routers, modems, scanners, printers
�VE READ, UNDERSTAND, AND AGREE WTTH THE CONDITIONS BY WHICH A
no**YU ATION LS ALLOWED. (CONDITIONS ATTACHED).
6/20/2013
AP ANT'S SIGNATURE DATE
IF APPLICANT IS OTHER THAN THE PROPERTY OWNER,, AUTHORIZATION OF OWNER OR
RENTAL/LEASING AGENT IS REQUIRED.
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AGENT SIGNATURE
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06/20/2013
DATE
On -Time Software, Inc. (408) 891-2520 06/20/2013
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.
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BUILDING AND SAFE DEPARTNIENT/CODE CoNeLIANCE DMSION:
APPROVED DENIED SPECIAL CO ND ON
OFFICER �� I.D. # DATE / 7
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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.
Signa
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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 cooplete and sien a
declaration that crates the fo to
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 AND EXPIRATION DATE FOR WORKER'S COMPENSATION IS REQUIRED TO
PROCESS THIS APPLICATION.
X I certify that in the'
performance of any business activities for which this license is
issued, I shall not employ airy 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.
06120/20.13
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.
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.
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 ate 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 of from the subject property", including the use of vehicles
which operate to and from the premises.
• 8. No.vehicles or trailers, except thosc,normally incidental4o residentiaFuse, 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 itis located that is related to the. business.
10.. There shall be no signs or other devices identifying or advertising the home occupation.'
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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