BEATTY•
P.O. BOX 1504
78-495 CALLE TAMPICO
LA'QUINTA, CALIFORNIA 92247
iuiuniiiiuinui
COMMUNITY SAFETY DIVISION
HOME OCCUPATION PERMIT
Permit Number: 11-00004194
(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) RON BEATTY
Mario,
Property address: 57385 CAMINO PACIFICA Phone: (760) 399-9673
Mailing address: 57385 CAMINO PACIFICA CODE COMPLIANCE DIVISION
Property owner: LA QUINTA 57 ESTATES INC HOME OCCUPATION APPROVED
Type of business: concrete contractor
Brief description of how the business will operate: INITIAL OJOWYAL&ou��'�
Square footage of usable floor area in house (exclude garage) 3030
Location and square footage of area of business activity in home (Example: Bedroom — 125 sq ft.) , 125 sq ft
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
OC"P TION IS LOWED. (Conditions Attached)
*5Z74100
wy
APPLIC T SIGN DAtFE
If applicant is other than the property owner, authorization of owner or rental/leasing agent is required.
Your ' s e tion has been scheduled for Home Occupation Inspection betweent • IYour inspector will
be •evin�
--------------------------------------------INSPECTOR USE ONLY ----------------------------------------------------
A APPROVED - 4/,-//
• O DENIED Inspe o Signature Date
CE HP
P6'-B6x 1b04 ....
F o 78-495 CALLE T-AMprco (960) 777=7000
LA QUINTA, GAirposN1A 92253 FAX (760) 77 7 -7101
APPLICA.TION'FOR HOME OCCUPATION OF A BUSINESS
FEE $70.00 INSPECTION DATE
r Please lead each.condiUon listed on the attachinent in - this packet to see if the proposed
uctivitycomplies:with;the City's'Horrie OccupationBegulafion
APPLICANT NAMES:: (List all. owners, partners, and/or corporntion officers T`
PROPERTY ADDRESS: 5 3�S L4YVj 22l rtiGPHONB _ �r3
MAILING ADDRESS: ! J cI t) wL`YL, .DI 2M- qT FROM ABOVE,
PROPERTY OWNER 1lAGl X
::tTXEE:OF RESIDENCE, (SINGLE, MULTIPLE, MOBILE HOME, ETC.):
l
-TYPE OF�BUSINESS:
BRIEF DESCRIPTION OP HOrW THE BUSINESS WILL OPERATE: Gc,
7f3 }oF,I(':ALLE 1'nDfP..t:CO',.a' ) ,i
r NUMBER OF PERSONS INVOLVFtiD IN BUS§:
_--....._....�.;,a,r.�.•;t�wl.'�'+ I'�.1'C1 l/.1'Lr� v� r T. r =. , ll?:'t :): ,1._t'EJ ,I 1:}'..•,� _, r
SQUARE FOOTAGE.OF USABLE FLOOR AREA IN HOUSE (EXCLUDE GARAGE); ` Z�
LOCAZTON��Q�UARE FOOTAGE O,E AREA OF BUSINESS ACTIVTT7 IN HOME (EX. BEDROOM -.
125 SQFT.): (ft-f�.Ct,— 1,)5'-.S - 4-
bESCRIP'TION O MA�'ftlg AND SUPP S B G USED1N THE BUSINESS
OPERATION r1l't'!;t ai`'tl(•V;1v t;q:11,P$t1.O.rrllaS, !)8 tf1C�5,; II(LOtCW-Y.i) ilUUrtfll 1LCI;,.--- • ..... •`_.._ i
ANDAGRE WITH•THECONDM- ONS;BYi�VHICHA--
�. iI ME'O CUX' ON IS AL +D. (CONDIT'IONS ATTACHED).,
PLICANT' SIA : ! r DATE I r
G TU
IF APPLICANT IS OTHER THAN THE -PROPERTY OWNER, AUTHORIZATION OF OWNER OR
' ! RENTAIJLBASI1�Ci AGEDTI'+YS REQ . �; M(Jtril,I� I;iG;:tr:,1 1 L /. _.. ✓ �, r! �1.4..�.;
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tiWORKER'.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,
c°
'Ifyou 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::_.:'.:.,:.r
If you have any questions, please contact the Code Compliance Divisidn 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 khat states the following; ''
WORKER'S COMPENSATION DECLARATION
I hereby affirm under penalty of perjury, one of the following-declarations:
I have and willmaintain a certificate of consent to self-insure for Worker's
Compensation, as provided by-Section 3700 for the duration of any business activities
-
Ji -..,conductedfo*hich'this.license.'is.issued.;-'_�'
-4-have and will maintain Workers Compensation Insurance, as required by Section
+!1 , lr,l;i :'rul,n, l lk� J. •!13700 for*the duration of any business activities conducted for which this license is
pl : ; . „ lr,:N, Y:riilile,}'ry WorkQQ��1s'Coinp 'pu-insurance erand policy number:
'l I •Carrier: d�►♦Di� (AM�
tJ,n: but,uress of tr 'n1; oiPolicy'Number:� LU _ : ''I'l'r'' xpires:' r. Inu„i i;_.•
A COPY OF SAID POLICY OR CERTIFICATE OF CONSENT SHOWING THE AMOUNT`OF k -- ----- '
'COVERAGE•AND EXPIRATION DATE FOR WORKER'S COMPENSATION IS REQUIRED TO
PROCESS THIS APPLICATION.
tI certify that`in the performance of any business activities for which this license is
issued,11shall 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
j;ilie"worker's comp ensation;piovisiozis of. Section 3700,,A will provide the City with a
policy or certificate copy within ten (10) days of the change in requirements.
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APPLICANT SI N ”" r' DATE
(CuctW lbr-Whicll Itua
WARNING: Failure to secure Worker's Compensation coverage is unlawful, and shall subject an employer
to criminal penaltics'and civil•fines iip�to'S100,000. "'addition;to the cost of compensation', damages,
interest, and attorney's fees m$ybe°assessedtotyou`'as provided iiiSectiou'3706 of the Labor Code:'1 11 tLWd
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ME OCCUPATIONil? To Co THE CONDM -LISTED ON THEATTA.:
ONS
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ki-Mkd AND SAiBilt.DEPARTUENTICODE COAWLLANCE DIVISION:
APPROVED- DEN11315 i.
SPECIAL COMMONS
OFFICER I.D. 11 1 DATE'
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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.
• 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
wALL OF T'SE
h C. k KVA�C NS:
vi
SIGNA'
�4w
DA E
Office Copy -White Customer Copy - Yellow
ACORD
DATE(MM/DDNY)
.4
06/07/11
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.
THIS CERTIFICATE DOES NOT AFFIRMATIVELY, OR. NEGATIVELY -AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE
POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S),
UTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER.
IMPORTANT: If the certificate, holder ls_'an'ADDITIONALINS�URED, the policy(les) must be endorsed. If W
SUBROGATION ISAIVED_...
subject to the terms and c6ndlilons':,6f'the-'p611i:y�certii6-'golicies miy-require an endorsement.'A statement on thiscert1fi64_:1-
does not confer rights to the certificate holder In lieu of Such endorsement(s).
PRODUCER
COMPANIES AFFORDING'COVERAGE
PAYCHEX INSURANCE AGENCY, INC.
150 SAWGRASS DRIVE
COMPANY NORGUARD INSURANCE COMPANY
A
ROCHESTER, NY 14620
COMPANY
B
INSURED
RON BEATTY
COMPANY
PO BOX 6043.
LA QUINTA, CA 92248
COMPANY
CM04E& Mg an 1 ;CER•a. M5 Jv M
THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD'
INDICATED, NOTWITHSTANDING ANY REQUIREMENT; ERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS
CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,
EXCLUSIONS AND CONDITIONS OF SUCH POLICIES, LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
co
TYPE OF INSURANCE
POLICY *NUMBER %__`
POLICY EFFECTIVE
POLICY EXPIRATION
LIMITS
IT
DATE (MM/DD/YY)
DATE (MM/DD/YY)
GENERAL LIABILITY
GENERAL AGGREGATE $
COMMERCIAL GENERAL LIABILITY
PRODUCTS -COMP/OP AGG $
=r LAIMS MADE =1OCCUR
PERSONAL & ADV INJURY $
OWNER'S & CONTRACTORSI 'PROT
-; Zvt,1
1! 4-1�
&-" I ... , I -
C_
r
•EACH
OCCURRENCE t_ $..
Is J'i alA 1-1 C -IR Z)F h,;,
FIRE DAMAGE (Any one fire),: $
o
MED EXP An one person) $
I") i
.1 1 111 il,
AUTOMOBILE LIABILITY
ANY AUTO
COMBINED SINGLE LIMIT $
11
'160 is'111,91JIIJI I IONAL INS0141.
1), 1110 i101IC
I
ALL OWNED AUTOS,... ki'l
oosi (of 016 pk0licyl ccl-06 policit,
61 Ilily rocil fit i
SCHEDULED AUTOS t
HIRED AUTOS --
to,ipae holfler in lieu uf such
—i
I. ..—T.
. � _�
0" �A_WIFS' Af-
(PaBODILY INJURY $
n)
NON-OWNED AUTOS F Acil" I
I
Y; IIx;. I
I
BODILY INJURY $
(P.er.accident) ,
I i!i (.vt
Aj1`
PROPERTY DAMAGE $
4
is
.
GARAGE LIABILITY
i
........
AUTO ONLY - EA ACCIDENT I$
ANY AUTO
OTHER THAN AUTO ONLY:
EACH ACCIDENT $
AGGREGATE $
EXCESS LIABILITY
�U,7t _ATE 'NU, Bit]::,
V
EACH OCCURRENCE' $
AGGREGATE .. . $
UMBRELLA FORM
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CII 0I INSi!MANCI I IS I EJ) BIJ O"J
, �
I IAVt ift FN ISul
1111 IN:'Oki 'I
OTHER THAN UMBRELLA F
FORM
12,! 01 M '11 P10 OR ("rINI-P!ION
01 ANY i.oN I i
Nr- I j,I,? O 111
N I I', 1 't
WORKER'S COMPENSATION AND•
WC SrTA—
X I TO ER
A
EMPLOYERS' LIABILITY
ROWC238997 t 1 %11 ", SI I(W01 N1.
04/20/11 I.N 11"
04120/12
EL EACH ACCIDENT $ 1,000,000.00
THEPROPRIET6111'"
INCL
130 CYNUMBER
101 1" e I -F I r.q rivi
(MM00rVYY)
I I Al 11., 1 �Itl
• 0A M
_+ ' :.: .-1,000,000.00
PARTNERS/EXECI.IiIVE
YLI
ELDISEASE-POLIC MIM- $
OFFICERS ARE: i^tFX7 EXCL
j
EL DISEASE - EA EMPLOYEE $ 1,000,000.00
OTHER 14
DESCRIPTION OF OPERATIONS I LOCATIONS VEHICLES (Attach
ch ACORD 101, Additional
Remarks Schedule, If more space Is required)
:il, lo",
CIEFUTIMAIE-W-d
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION
DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY
PROVISIONS, BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR
LIABILITY OF ANY KIND UPON THE COMPANY, ITS AGENTS OR REPRESENTATIVES.
AUTHORIZED REPRESENTATIVE
vwmrwr I
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