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COLVIN• 7=8-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 os� 07.E . (760) 777-7000 FAX (760) 777-7101 APPLICATION FOR HOME OCCUPATION OF A BUSINESS FEE $70.00 INSPECTION DATE: /Z— 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 / • A— , r I G - PROPERTY ADDRESS: e:�qty 4",, ddV(�Q�C�PHONE: � O 7:3-V eq T MAILING ADDRESS: (IF DIFFERENT FROM ABOVE) PROPERTY OWNER: TYPE OF RESIDENCE, (SINGLE, MULTIPLE, MOBILE HOME, ETC.): S l TYPE OF BUSINESS: P( -a kwatj lI waaw- `1t�aw BRIEF DESCRIPTION OF HOW THE BUSINESS WILL OPERATE: ark— n� (Of ley J1 A <0 . ►„ _ . o A — - U NUMBER OF PERSONS INVOLVED IN BUSINESS: SQUARE FOOTAGE OF USABLE FLOOR AREA IN HOUSE (EXCLUDE GARAGE): 160 O LOCATION AND SQUARE FOOTAGE OF 125 SQ FT.): 14:fO- ))VO( 030Y14 DESCRIPTION OF MACHINERY, OPERATION: NYIassam QF BUSII SS ACTIVITY IN HOME (EX. BEDROOM - 5-1 . M `j , AND SUPPLIES BEING USED IN I HAVE READ, UNDERSTAND, AND AGREE WITH THE CONDITIONS BY WHICH A HOME OCCUPATION IS ALLOWED. (CONDITIONS ATTACHED). a, -4A (,T -w a (ntt'� M- _og LICANT'S ONATtfRE DATE IF APPLICANT IS OTHER THAN THE PROPERTY OWNER, AUTHORIZATION OF OWNER OR • RENTAL/LEASING AGENT IS REQUIRED. 111111111111111111 ��� 29 11 WNER/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 do I OFFICER * I.D. # DATE /a 9 • , WNER/AGENT SIGNATURE DATE 46611 AGENT COMPANY NAME CONTACT PH. # DATE IWORTANT: 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 • 10 0 1 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. Signature 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. 8. No vehicles or trailers, except those normally incidental to residential use, shall be parked at the residence at any time. 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 • • • 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 f rom 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 followine: 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 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. &��, t" ;,,�,-- 4A LICANT SI NA RE 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. (9 • MetroScan I Riverside (CA) Parcel- : 774 163 011 Pos Int Ref APN : 000 000 000 Owner : Gilbert Richard I/Ann " " N0. 23 MB 20/25 Land : $40,545 CoOwner Struct : $121,635 Site : 53940 Avenida Vallejo La Quinta 92253 Other Mail : 1665 Federal Ave #102 Los Angeles Ca 90025' Total : $162,180 ®6 Xfered :03/29/2002 Doc'# :162582 Exempt Price : $160,000 Full Deed : Grant Deed Type ® 9 LoanAmt :$143,100 Loan :Conventional %Imprvd : 75 2 ti Lender : Accubanc Mortgage lntTyp : Fixed % Owned : 100 /4 O VestTyp : Married Persons // O Tax Area : 20-141 Use : RO1 Res,Single Family Residences ./3•� 03-04 Tax : $2,270.44 •� Plat : 20 Map Grid : 879 E3 Census : Tract : 451.09 Block : 1 OwnerPh S T : R Q Tenant Ph Bedrms :3 Stories : 1 Acres :.11 Year Built : 2000 BthFull : 2 Fireplace : Yes LotSgFt :4,791 Street Type : Paved Bth3Qt Pool : No Bldg SF :1,430 Waterfront BthHalf : RmAddtns : Yes AddOnSF Gas Service : Developed CntlHt : Yes AddPkgTyp :. GarSyFt : 500 Water Source : Developed Cnt1A/C : Yes Roof Type : Tile • Gar Type : Attached Sewer Type : Developed Agri Preserve 774-/6 25-60 J r.'C.A. 020-0/S POR. S. 1/2 SEC. /2 T.6S.R.6E. OZO-DSO iMIS 4AP B FO,p A556S1_'x7 RRP0.L'T DAf.I ARRO9A } t y. 210 !T / t 24®R / j 24 /C) /) •/ 0 i 240' O / t '(D, ,0,' .a 230 ®2 23A OZ 2301 ®2 2l OZ ®2. 202 ©2 a 220j ©3 22® ®3 2203 ©3 22© ©J NUJ ® Z10 /G 4 2/If 4 Z1@ ©4 h 21 (4) ©4 4 /©9 O R 2050 ©520 SO �O.reao Q 20Q) © 5 = 200 © 5 g i 53 ©5 V /9 © ®6 /63 Co /6 O ® 7 N /7 0g ® 6 /6 y0 9 a 158 @/0 W /5 Q ©ro Q 150 ®/0 /4 ®n o /4 n ®// 12 r v o t CALLE k, /9 © ® 6 z ., 6W) © 6 SANTA CARMEV U. Ar VALE LA OU/NTA UN/r NO. 22 MB 20/24 • " " N0. 23 MB 20/25 ASSESSOR'S MAP 6K. 774 PG. /6 R/VERS/D£ cawry CAL/P. ✓UNE /967 SIC Information compiled from various sources. Real Estate Solutions makes no representations or warranties as to the accuracy or completeness of information contained in this report. X . k, /9 © ® 6 z ., 6W) © 6 — aa�Ace n ®6 a ®e A /6 ®9 $ V 9 ® 9 y 2 ti J Q /0 m $ 2 h /4 O ©// // O u ® . J/2 ./3•� 0l2 •� /2 O/ - iCN/LLON ASSESSOR'S MAP 6K. 774 PG. /6 R/VERS/D£ cawry CAL/P. ✓UNE /967 SIC Information compiled from various sources. Real Estate Solutions makes no representations or warranties as to the accuracy or completeness of information contained in this report. X . PH: (760) 777-7000 • City of La Quinta FAX: (760)777-7011 78495 Calle Tampico - La Quinta, California 92253 TDD: (760)777-1227 .Case# 12595 Date Reported eceived By How Received Complaint 12/1/2004 Gina McElroy Counter Contact Location N kddress 53940 Avenida Vallejo Reporting Party Name hone eporting Party Address Lindsay Colvin (760) 771-1697 53940 Avenida Vallejo Description Home Occupation Permit requested for outcall massage odes Violated OfficOfficer Assigned . es Rodarte er December 01, 2004 Date Closed i Approved By Page 1 of 2 se# 12595 Events 12/1/2004 Wednesday Case Initiated Home Occupation Permit inspection scheduled for December 1, 2004 between 9:30 - 10:00 a.m. • Off icer Assigned ses Rodarte nesday, December 01, 2004 Date Closed Approved Av Page 2 of 2 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. is 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, furies, 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: bloas 0-a Ca I(�y PRINT AME SI TJ DATE CoLvlo D vauzr y-White Customer Copy -Yellow G'�) 9 q