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P.O. Box 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92247
COMMUNITY SAFETY DIVISION
HOME OCCUPATION PERMIT
Permit Number: 08-00000369
(760) 7 77-705 0
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) DANIEL & KARLI HARDING
Property address: 78795 BIRCHCREST CIR Phone: (949) 291-1353
Mailing address: 78795 BIRCHCREST CIR
Property owner.- KENNELLY .JAMES D
.Type of business: Moblie small engine repair
Brief description of how the business will operate:
Square footage of usable floor area in house (exclude garage) 1566 square feet
Location and square footage of area of business activity in home (Example: Bedroom —125 sq ft.) Home
Office, 400 square feet
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)
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 -10:00-1.0:-30 a.m. on 01/29/08. 7
Your inspector will be Jackie Misuraca.
------------------------------------------INS EC OR USE ONLY---------------------------------------------
APPROVED G rig- l _D
❑ DENIED n ct r ignature Date
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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: 08-00000369
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) DANIEL & KARLI HARDING
Property address: 78795 BIRCHCREST CIR Phone: (949) 291-1353
Mailing address: 78795 BIRCHCREST CIR O Q JINT
Property owner. KENNELLY JAMES DJAN 2 9 Z.Type of business: Moblie small engine repairCITY OF LAgUBrief description of how the business will operate: FINANCE DE
Square footage of usable. floor area in house (exclude garage) 1566 square feet
Location and square footage of area of business activity in home (Example: Bedroom — 125 sq ft.) Home
r
Office, 400 square feet
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)
APPLICANT SIGNAftURE 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 10:00-10:30 a.m.. an 01/29/0.8
Your inspector will be Jackie .Misura aJ J
•
--------------------INSPECTOR USE ONLY
❑ APPROVED
❑ DENIED
Inspector Signature
HOME OCCUPA
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P.O. Box 1504
78-495 CALLE TAMPICo
LA QUINTA, CALIFORNIA 92253
(760) 777-7000
FAX (760) 777-7101
APPLICATION FOR HOME OCCUPATION OF A BUSINESS
FEE $70.00 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. -
f c
- APPLICANT NAMES: (List al . owners, partners, and/or corporation officers �� � � jor-11 � M
PROPERTY ADDRESS: !� i 7S i_,1 � Gn[ (�PHONE: (9 ZYq) 2 w- �35�
MAILING ADDRESS: �Ll� / 2L5 —(IF DDYERENT FROM ABOVE)
PROPERTY OWNER
TYPE OF RESIDEN(M, (SINGLE, MULTIPLE, MOBILE HOME, ETC.):
TYPE OF BUSINESS:. C1 !1 ,-n�c4 d_ � c l�, P/
BRIEF DESCRIPTION OF HOW THE BUSINESS WILL OPERATE: / )rl li/�
NUMBER OF PERSONS INVOLVED IN BUSINESS:
SQUARE FOOTAGE OF USABLE FLOOR AREA IN HOUSE (EXCLUDE GARAGE): ( �
LOCATION AND SQUARE FOOTaOSE OF AREA BUSINESS ACTIVITY IN HOME (EX. BEDROOM
its SQ Fr.): - 4uo l o i ca—
bBSCRIPTION OF MA x, EQUIP AND SUPPLIES BEING SED IN
OPERATION: 7J S� rl��ri �� L)ItT ' , / ire c fov
I HAVE READ, UNDERSTAND, AND AGREE WITH THE CONDITIONS BY WHICH A
HOME OCCUPATION IS ALLOWED_ (CONDITIONS ATTACHED).. - .
APPLICANT'S SIGNAXM
DATE
IF APPLICANT IS OTHER THAN THE-PROPERT)C OWNER, AUTHORIZATION OF OWNER OR
RENTAL/LEASING AGENT IS REQUIRED.
RESULTS TO RIVERSIDE COUNTY GIS QUERY
Page 1 of 1
Riverside County GIS
• This information is made available through the Riverside County- Geographic Information
g tY gra P
System. This information is for reference purposes only. It is intended to be used as base level
information only and is not intended to replace any recorded documents or -other public records.
Contact appropriate County Department or Agency if necessary. Reference to. recorded
documents and public records may be necessary.
GIS inquiry for APN = 604411008 ... Request = OWNER
• parcel number : 604411008
• parcel _owner: KENNELLY JAMES D
• mail to :
• mail _to_street: 48405 CASITA DR
• mail _to_city: LA QUINTA CA
• mail—to—zip : 92253
For further information or, questions, please contact ...
Riverside County Assessors Office
•
(909) 955 - 6200
4080 Lemon Street
Riverside , CA. 92501
C]
http://vvww.tlma.co.riverside.ca.us/cgi-bin/gisquery3.cgi?APN=604411008&REQUEST=... 1/28/2008
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77
AGEKT I TURF DATE
760 g�1 X700
AGENT COMPANY NAME CONTACT PH..# DATE
MORTANT: FALSE OR NUSLEADING INFORMATION SHALL BE GROUNDS FOR DENYING
YOUR HOME OCCUPATION; FAII.URE TO COMPLY WITH THE COMMONS LISTED ON THE
ATTACHED PAGE SHALL BE GROUNDS FOR REVOCATION OF PERIM.
s**�sssstattwttts***s*ss*at*s***sssw*ttttttwtwtat*t*t*stsststttttt**asst*sawatttttw*t*st**** .
BUMMING AND SAFBTY.DEPAR7MENT/CODE COMPLIANCE DIVISION:
APPROVED DENIED SPECIAL CONDITIONS
OFFICER I.D. # DATE
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.
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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 proud of coverage mmst be received
beforethe-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 Quints, a Home Occupation Permit is required before a
business license is issued.
If yon have any questions,' please contact the Code Cornpliance 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 sigg_a
dectaraiion that states the following:
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 m=tain 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 mariner 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.
l� APPLICANT S�— E —
DATE
WARNING-. Failare to secure Worker's Compensation coverage is unlawful, and shall subject an employer
to criminal penalties'and civil Imes up to 5100,000. 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.
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Supplemental so the Home Occupation Permit
0 1) No projects lasting over 10 days.
2) Properly dispose of petroleum products.
3) No clients may come to the residence.
4) No servicing vehicles at your residence.
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