DOMINGUEZ,8
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P.O. Box 1504
78-495 CALLE TAMP►CO
LA QUINTA, CALIFORNIA 92247
COMMUNITY SAFETY DIVISION
HOME OCCUPATION PERMIT
Permit Number: 13-00000445
(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) ALBERTO DOMINGUEZ
Property address: 51325 AVENIDA VELASCO Phone: (760) 98P-7349
Mailing address: 51325 AVENIDA VELASCO 4
Property owner: MERCADO JOSE DEJESUS
Type of business: Moving & Delivering
Brief description of how the business will operate:
quare footage of usable floor area in house (exclude garage) 1200sgft
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APR 2 2 2013
CITY OF LA QUINTA
FINANCE DEPT.
Location and square footage of area of business activity in home (Example: Bedroom — 125 sq ft.) 125 sq ft,
125sq ft
Description of machinery, equipment, and supplies being used'in the business operation:
I RAVE READ, UNDERSTAND, AND AGREE WITH THE CONDITIONS BY. WHICH A HOME
OCCUPATION IS ALLOWED. (Conditions Attached)
APPLICANT 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 April 23rd 10:00a.m-10:30a.m.
Your inspector will be Elizabeth Escatel.
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PPROVED ?/ DENIED Xswctor Signature D `t'
C E I -I P
P.O. Box 1504
7.8.-495 CALLS TATv7P[CO.
LA QUINTA, CALIFORNI4.92253 (760.) 777-'1000
FAX (760) 777-7101
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. ION OF A BUSINESS
•
FEE. 570..00 INSPECTION DATE:
Please read each condition listed on the attachment in this packet to.see if 4he proposed:.
activity complies with the City's .Home. Occupation -Regulations.
APPLICANT NAMES: (List all owners, partner$, and/or corporations officers
51 (VQ. (,1c
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PROPERTY ADDRESS: 1Ci (• PHONE: -ILr °i'� `!i ^1 3 C)_
MAILING ADDRESS:�jp (I17 DIFFERENT FROM ABOVE)
PROPERTY OWNER: -
TYPE .OF RESIDENCE; (SINGLE, MULTIPLE, -MOBILE HOME,
TYPE OF BUSINESS: V .�,Y' ;
BRIEF DESCRIPTION OF HOW THE BUSINESS WILL: OPERATE:. .
NUMBER OF PERSONS INVOLVED IN BUSINESS:_
SQUARE FOQTAGE.O
(aU0
F.UABLE FLOOR AREA IN HOUSE (EXCLUD$,GARAGE� .
:LOCATION AND SQUARE FOOTAGE. OF AREA QFBUSINESS ACTIVITY IN HOME (EX. BEDROOM
125 SQ FT is --
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DESCRIPTION OF
OPERATION: f�
USED IN THE BUSINESS
I HAVE. READ, UNDERSTAND, AND AGREE. WITH THE CONDMONS BY W .HIGH A:
ROUTE OCCUPATION IS ALLOWED. (CONDITIONS ATTACHED),
APPLICANT'.S`SI�NATUItE _ DATE "—
T'AP.PLICAN`;C IS,QTHER THAN M E PROPERTY OWNER, AUTHORI ATION OF OWNER OR
RENTAULEASING AGENT IS REQUIRED.
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WORKER'S CON2ENSA.TION'
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
Wore -the business license can be processed.
Ifyou do riot have"eiinp7oyees; please check the last sectionon 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.Complia-rce Division at 777-7.050.
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
declaratiion that states thefollowing
WORKER'S COMPExSAMN DECLARATION
: Lliereby.affiiin.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)WIRATION DATE,FOR WORKER'S COMPENSATION IS REQUIRED TO
PROCESS. THIS APPLICATION.
I certify that in the peiformance-of any business activities..for which .this license is
. issued, I shall not employ rson in .
p y any person any manner so. as to become subject to the
worker's compensation laws of Califomia, and agree that if I should become subject to
the worker's compensation provisions of Section 3700, Iw01 provide the City witli-''a
policy or .certificate copy within. ten (10) days ofthe change in requirements:.
A.1 b-YIA, oc" a
APPLICANT SIGNATURE
DATE
WARNING: Failure:fo secure Worker's Compensation coverage is unlawful;: and shall subject an employer
to criminal penaities:and civil fines up to $100,900. In addition to the cost.of compensation, damages,
interest, and atforney's fees may be assessed to you as provided in Section 3706 of the Labor Code. .
HOME OCCUPATION CONDITIONS
ALL HOME OCCUPATIONS SHALL COMPLY WITH THE FOLLOWING CONDITIONS:
I . 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 9.60 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 person's 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, 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 A� I L OF THESE CONDITIONS:
\�'cJ�•-E
PRINT NAME
SIGNATURE DATE
Office Copy — White Customer Copy — Yellow