STINNETT (2):R
I IIIIII VIII IIII IIII80
78-495 CALLE TAMPICO — LA QUINTA, CALIFORNIA 92253 - (619) 777-7050
FAX (619) 777-7011
APPLICATION FOR
Fee.$35.00 HOME OCCUPATION OF A BUSINESS
IN A
GATED COMMUNITY
JAN 0 3 1997
CITY OF LA QUINTA
Read each condition listed on the attachment to this form to see if the proposed activity
complies with the City's Home Occupation Regulations.
APPLICANT NAMES (List all owners, partners and/or corporation officers)
118123 alts Sc=,e19-Av*s (41/9)
PROPERTY ADDRESS �k:6MLyj2gaL53 PHONE 7`7/—U9'�61
• BUSINESS NAME
PROPERTY OWNER ' JOSE?4oi L 2ALI-- 2 AAZO
MAILING ADDRESS (if different from business address) it "
TYPE OF RESIDENCE in , multiple, mobile home, etc.)
TYPE OF BUSINESS . F'
e
BRIEF DESCRIPTION OF HOW THE BUSINESS WILL OPERATE/� V .&X0eC1SE 10,4
llbmE S FD SL -w 8,7y ! Gc - O
NUMBER OF PERSONS INVOLVED IN BUSINESS 5�L(
LIST NAMES OF PERSONS EMPLOYED 1( NO IVF
S
SQUARE FOOTAGE OF USABLE FLOOR AREA IN HOUSE (exclude garage) 11.65 A&A Z0010011 -
LO CATION
OO,p011-
LOCATION AND SQUARE FOOTAGE OF AREA OF BUSINESS ACTIVITY IN HOME (example;
"bedroom - 125 sq. Ft.) cLrz .o- k�2fiJee �1d�K9 r060ut ell dirn. R06011c,
�.�f) I,
MAILING ADDRESS - P.O. BOX 150 - LA QUINTA, CALIFORNIA 92253 ��
c
I
DESCRIPTION OF MACHINERY, EQUIPMENT, AN�SUPPLIES BEING USED IN THE BUSINESS
OPERATION Cella -t GHQ
� R Qats ICs �
AIV
I HAVE READ,. UNDERSTAND, AND AGREE WITH THE CONDITIONS BY WHICH A HOME
OCCUPATION IS ALLOWED (conditions attached).
Signature `
Applica is
OCCUPATION IS ALLOWED (conditions attached).
Date 0/-03-97
It is required that all applicants who reside in a gated community and are regulated by a
Home Owners Association must provide an original letter on letterhead stationery, stating the
approval of the business operation at the residence by the current management company
and/or directly from the Board of Directors of staid association.
Initial home inspection, prior to application approval, will not be required unless requested
by the management company or the board of directors.
--` Date 03-`t'Z
• Appl' ant's Signature
IF APPLICANT IS OTHER THAN PROPERTY OWNER, AUTHORIZATION OF OWNER OR
RENTAL/LEASING AGENT IS REQUIRED.
Date
Ow Agent Signature
Agent Company Name Agent/Owner Contact Phone #
D/ -D3 -`T7
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 & SAFETY DEPARTMENT/CODE COMPLIANCE DIVISION
APPROVED DENIED SPECIAL CONDITIONS ATTACHED
BY: # DATE: �� i
,i HOME OCCUPATION
CONDITIONS AND CRITERIA
ALL HOME. OCCUPATIONS SHALL COMPLY WITH THE FOLLOWING CONDITIONS AND
REQUIREMENTS:
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
& shall not occupy more than 25 percent of the total area of the structure.
I 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 li.e.
pool, chlorine, paint thinner, etc.) Unless the hazardous materials are" stored in a manner
approved by 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.
1.1. 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 and criteria
directly related to this application and permit.
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.
your company has employees, a copy of the workman's
If you do not have employees, please check the last line on the first 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 used.
If you have any questions, please contact the Code Compliance Division at 777-7050.
Every employer who applies for any license or a 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 following:
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
is 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:
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, 1 will provide the City with a policy
or certificate copy within ten (10) days of the change in requirements.
Date: O/-03—?7 Applicant: ,
•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.
Laguna De La Paz
P. O. Box 799
Rancho Mirage, CA 92270
(619) 564-8864
FAX (619) 564-8867
October 3, 1996,
Kenneth W. Stinnett
48-123 Calle Seranas _
La Quinta, CA 92.253 -
Re: Business License
Dear Mr. Stinnett:
The Board of Directors reviewed your letter requesting approval
from the Homeowner's Association for a Home
Occupation Business License.
The Board of Directors approved your request at the October
2, 1996 Study Session as long as you .abide by your letter and
there is not foot traffic or evidence of a business being
operated out of your home..
• If I can be of additional assistance please feel free to contact
me at 619-564-8864. __....
Sincerely,
Bonnie Hagerman
Association Manager
Laguna De La Paz HOA
0
T,,d4t
BUS. LIC. NO
1997 BUSINESS LICENSE APPLICATION FORM L C
iii.iii•iiiiiiiiiiiiii,moi„iiiiiiiri,,,,,, �,,,r,,,,,,iiiiiiiiiiiiiiii
COMMERCIAL ZONING & SIGN CLEARANCE APPROVED BY DATE=3 -%
BUSINESS LICENSE APPROVAL APPROVED BY DATE
PROOF OF WORKER'S COMPENSATION INSURANCE IS -REQUIRED PRIOR TO ISSUANCE
1. IS THIS BUSINESS LOCATED AT YOUR HOME:
2. Business Name: /1 ENA/C—C7`j4✓' Gc'
481 "z j 00_GGcC-7 a v4,.s
3. Business Address: ��ucnfzL� �i¢ 9a,2 s34
5. Business Phone: C`�9) 7'7/-05'50
YES NO
Mailing Address:
6. Owned By: CORPORATION _ PARTNERSHIP _ INDIVIDUAL
7. If Corporation or Partnership: TAX I.D.# Nfl�
8. IF Individual Owner: Social Security # 5419 - 7`V -.,2 7,5- 9
9. Name of Owner /%x�E�,y (.�• �7�i�y�v�ft Title:
• or Officers
10. Type of Business: F/fNCss dd At-rU .Q t�%k 0' ,
11. IF YOU ARE A FOOD VENDOR, DO YOU HAVE A COUNTY HEALTH PERMIT: 1v/,4
YES NO
12. SBERsale Number: u AA
13. BUSINESS LOCATED WITHIN THE CITY OF LA QUINTA (Does Not Apply To Building Y ,
Contractors): (; /
A. Estimated Gross Business Receipts for New Business Only:
g 3 b 000. 0o fa io oo& 00 \ ,�
B. Previous Year Gross Receipts for Establishsd-8iAkipesses;
$
GOOD ONLY FOR JANUARY 1, 1997' HROIJOK,AECEMBER 31, 1997
I HEREBY CERTIFY that all the information supplied by me:is-correct..and any licenses. required by the
County, State or Federal Government .have been issued to me and are in full force and effect.
Sale {�.eo ,ei �-�a,� 01 _D3 -9G
Signature Title Date
Send Completed Form To. PAID
• CITY OF LA QUINTA
BUSINESS LICENSE DIVISION
78-495 Calle Tampico
P. 0. Box 1504 - CITY OF LA QUINTA
La Quinta, CA 92253