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• FEE $35.00
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CITY OF LA QUINTA
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78-495 Calle Tampico, P. O.Box 1504, La Quinta, CA 92253
HOME OCCUPATION PERMIT
Read each condition listed on the attachment to this form to see if
the proposed activity can comply with the City's Home Occupation
Regulations.
BUSINESS NAME f")I101 Ih'}"PFiiuivE ��� Ll
PROPERTY OWNER S ;<6-rW6 PHONE
PROPERTY ADDRESS Ca Pre n2ck ca u I n4z i
MAILING ADDRESS G 1\
TYPE OF RESIDENCEingl ,1multiple, mobil home, etc.)
TYPE OF BUSINESS 4'
BRIEF DESCRIPTION OF HOW THE BUSINESS WI OPERATE
W000 (n 4'f.PJPil isI An ShaV-
NUMBER OF�PERSONS INVOLVED IN BUSINESS
LIST NAME OF PERSONS EMPLOYED .0'
• SQUARE FOOTAGE OF USABLE FLOOR AREA
IN HOUSE (EXCLUDE GARAGE) --- C:;)i;� Co
LOCATION AND SQUARE FOOTAGE OF AREA
OF BUSINESS ACTIVITY IN HOME n OO
(EXAMPLE, "BEDROOM -125 S.F.") cam`
DESCRIPTION OF MACHINERY, EQUIPME, AND S UPPLIES BEING USED IN,THE
BUSINESS OPERATION �0�( (J I
.I HAVE READ, UNDERSTAND, AND. AGREE WITH THE CONDITIONS BY WHICH A
HOME OCCUPATTGJ1 IS AWU'I;D ( CONDITIONS ATTACHED) .
APPLICAPT SIGNATUKr DATE
IF APPLICANT IS OTHER THAN PROPERTY OWNER; AUTHORIZATION OF OWNER
OR AGENT IS IRED.
.j;. ER/ GENT SMATURE DATE
FALSE OR MISLEADING, INFORMATION SHALL BE GROUNDS FOR
0N DEN1It�T`Y0UR HOME. OCCUPATION 4AILURE. TO COMPLY WITH CONDITIONS
Obi, THE ATTACHED PAGE S'1�. BE :GROUNDS FOR REVOCATION OF
., PERMfTL!'------------- r
--� Bui nq and-SafetyDepartment
APPROVED DENIED CONDITIONS ATTACHED
17
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78-495 CALLE TAMPICO — LA QUINTA, CALIFORNIA 92253 - (619) 777-7000
FAX .(619) 777-7101
Dear Business Owner:
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 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
issued. Approval of the Home Owners -Association is also required
if you.live in a gated community.
• If.you have any questions, please contact me.
Sincerely,
Ellie Shepherd
Building & Safety
• buslic.hoc
MAILING ADDRESS - P.O. BOX 1504 - LA. QUINTA,: CALIFORNIA 92253
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78-495 CALLE TAMPICO — LA QUINTA, CALIFORNIA 92253 - (619) 777-7000
FAX (619) 777-7101
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
declaration:
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:
A "COPY" OF THE
EXPIRATION DATE FOR N
THIS APPLICATION.
I
IF COVERAGE AND
IRED TO PROCESS
xI certify that in the performance of any business activities
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 Se io 700.
Date: % '—ZZ — (� Applicant: _
WARNING: 'Failure to secure workman's compensation coverage is
unlawful, and shall subject an employer to criminal penalties and
civic fines up to $100,000. In addition to the cost of
compensation, damages as provided for in Section 3706 of the Labor
Code', interest, and attorney's fees.
bus.fac
MAILING ADDRESS - P.O. BOX 1504 - LA OUINTA, CALIFORNIA 92253 �;(r.
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78-105 CALLE ESTADO - LA QUINTA, CALIFORNIA 92253 - (619) 564-2246
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 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 or display 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 more than .a one -day's' supply of hazardous
materials stored on the premises at any given time (i.e., pool
chlorine, paint thinner, etc.).
7. There shall be no dispatching of persons or equipment to or
from the subject property, including the use of commercial
vehicles. which operate to and from the premises.
8. No vehicles or trailers except those normally incidental to
residential use shall be stored or parked on the site..
MAILING ADDRESS P.O. BOX 1504 - LA QUINTA, CALIFORNIA 92253
V
Home Occupation
Page Two
9. There shall not be involved the use of commercial vehicles for
the delivery of materials or items to or from the premises,
other than a vehicle not to exceed a rated one -ton capacity.
10. There shall be no use of any mechanical equipment, appliance,
or motor outside of the enclosed building or which generates)
noise detectable from. outsidethe building in which it is
located.
11. There shall be no signs or other devices identifying or
-advertising the home occupation,.
12. 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.-).
13. No home occupation shall create a nuisance by reason of noise,,.
odor, dust,.vibration, fumes, smoke, electrical
interference,.traffic, or other causes.
• 14. 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.
•