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REIDP.O. Box 1504 78-495 CALLE TAMP[CO LA QUINTA, CA1I- PO RSIA 9 (760) 777-7.000 FAX (760.) 777-7101 D APP T AOR H M CCUPATION OF A BUSINESS FEE $70.00 n`,� 1 INSPECTION DATE: / 4 Ob Please read each condi ion lis a attachment in this packet to see if the proposed:? activity complies with t ity's Home Occupation Regulations. APPLICANT NAMES: (List all owners, partners, and/or corporation officers (SAT -HT1 A46 Ll C _ 1iiDeVly�S ��tp C�,L�ST� IQitJJ PROPERTY ADDRESS:. 4iIqQ C0LpU00K LN, PHONE: (7%, -Zoo -9SQU MAILING ADDRESS: sAMP_ (IF DIFFERENT FROM ABOVE) PROPERTY OWNER: 7-koii4 45 if Cwt kr.,rE P -F -t p . .TYPE OF RESIDENCE, (SINGLE, MULTIPLE, MOBILE HOME; ETC.): S1l_1GLF S-roRy, 6!UuS TYPE OF BUSINESS: W AZ E4,>, T/ZuCi< Clq. • BRIEF DESCRIPTION OF HOW THE BUSINESS WILL OPERATE: LI/AZ� - RUCk S79,R f i CE rOR DuS?. !•16A7�►uENT �� C:�nI Sz2uCTIon1 SiTtFS NUMBER OF PERSONS INVOLVED IN BUSINESS: Z SQUARE FOOTAGE OF USABLE FLOOR AREA IN HOUSE (EXCLUDE GARAGE): ZO 1 O SQ LOCATION AND SQUARE FOOTAGE OF AREA OF BUSINESS ACTIVITY IN HOME (EX. BEDROOM - 125 SQ FT.): Z� Sa FT• DESCRIPTION OF MACHINERY, EQUIPMENT, AND SUPPLIES BEING USED IN THE BUSINESS OPERATION: ONE L-rA7-gA TyZt.tCK 7'D 'Ek- STvVt� C��-Sl� I HAVE READ, UNDERSTAND, AND AGREE WITH THE CONDITIONS BY WHICH A HOME OCCUPATION IS ALLOWED. (CONDITIONS ATTACHED). J01 �' s APPLICANT'S SIGNATURE DATE IF APPLICANT IS OTHER THAN THE PROPERTY OWNER, AUTHORIZATION OF OWNER OR • RENTAL/LEASING AGENT IS REQUIRED. OWNER/AGENT SIGNATURE AGENT COMPANY NAME CONTACT PH. # 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 OYPERMIT: > BUILDING AND SAFETY DEPARTMENT/CODE-COMPLIANCE DIVISION: APPROVED DENIED SPECIAL CONDITIONS OFFICER I.D. # DATE PLEASE READ! 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. I HAVE READ AND,UNDERSTAND THIS STATEMENT: Signature 0 • WORKER'S COMPENSATION Ifyour 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 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. If you have any questions, please contact the Code Compliance 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 sign a declaration that states the followine: 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 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: STATE CoMPE onj. N W IxE FcGu.b Policy Number: 1$2 R 3 R Z -O S Expires: i0 r o 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 theworker'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. APPLICANT SIGNATURE 104 6s DATE • 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. f HOME OCCUPATION CONDITIONS AND CRITERIA ALL HOME OCCUPATIONS SHALL COMPLY WITH THE FOLLOWING CONDITIONS AND REQUIREMENTS: 1. No one, other that the resident of the dwelling shall be employed ori 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% 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 of supplies in an accessory structure. Garage space maybe 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 or 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 by the State Fire Marshal 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.equipmeni, 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, vibrations, 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. CITY OF LA QUINTA MUNICIPAL CODES: 9.60.110, 9.160, and 9.210.060 STATE COMPENSATION INSURANCE FUND IN REPLY REFER TO: • /I 83 8a- os Dear Policyholder Thank you for placing your worker's compensation insurance witht State Co e ation In Fund. Your insurance is effective to Your ACTUAL POLICY will follow in about two io three weeks. Enclosed are some forms for you to use in case you have an injury. Please note that you must submit an EMPLOYER'S REPORT OF OCCUPATIONAL INJURY OR ILLNESS within five (5) days of the injury. There are also some pamphlets for your information and an example on how to fill out your PAYROLL REPORT.: Please call me if you have any questions about your policy. Sincerely, Customer Services C-] 6301 Day Street • Riverside, CA 92507-0902 (951) 656-8300 Policy Fax (951) 656-8359 Claims Fax (951) 653-1597 Mailing Address: P.O. Box 5025 • Riverside, CA 92517-5025 • 0 06-1) 6,5-6- X55` STATE COMPENSATION BARBA BARNES INSURANCE Customer Service Representative FUND qsi .(909T697-7443 Certificates (877) 405-4545 Other Services (909) 656.8300 6301 Day Street Riverside, California 92507 • 0 • • Tihf 4 4 a" P.O. Box 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92247 COMMUNITY SAFETY DIVISION (760) 777-7050 FAX (760) 777-7011 HOME OCCUPATION PERMIT Permit Number: 05-00001959 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) REID THOMAS M Property address:. 45440 COLDBROOK LN • Phone: Mailing address: *NOT ON FILE Property owner: REID THOMAS M Type of business: water truck company Brief description of how the business will operate: Square footage of usable floor area in house (exclude garage) 2010 Location and square footage of area of business activity in home (Example: Bedroom — 125 sq ft.) den, 125 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 1:00 - 1:30pm. Your inspector will be Maria Torres. CE HP ❑ APPROVED ❑ DENIED -----INSPECTOR USE ONLY Inspector Signature Date i5s P.O. Box 1504 78-495 CALLE TAMPICO (7 60) 777-7.000 LA QUINTA,CA R 1A 9 FAX (76 0.) 777-7101 APP T RHOM CUPATION OF A BUSINESS FEE $70..00.INSPECTION DATE: T&e-& 06 Please read each cond ion lis e -attachment in.this packet to see if the proposed:° activity complies with t -ity.'s Home'Occupatioi! Regulations. e'gulAtiohs. APPLICANT NAMES: -(List all owners, partners, and/orc6rpor'atio . n officers rs. Ld A T -Ek -rl M6 LI -(Z, CELESME� PF -14's PROPERTY ADDRESS:. �YYQ C04-bU00k LN, PHONE: (74oa Zoo -9590 MAILING ADDRESS: -(IF . DIFFERENT FROM ABOVE PROPERTYOWNER: 774o 1 C_ZLjgs7;E q_ftb. TYPE OF RESIDENCE; (SINGLE, MULTIPLE, MOBILE HOME, ETC.): !&jhJGL5_S-roky TYPE OF BUSINESS: _WA7_� TkL4g< CO, • BRIEF DESCRIPTION OF HOW THE BUSINESS WILL OPERATE: W AZ-FRLtC4< S'gR\Jic_C VbR c;aNs-rkuC-rf0pj S (7F -S NUM[BER. OF PERSONS INVOLVED IN BUSINESS: SQUARE FOOTAGE OF USABLE FLOOR AREA IN HOUSE (EXCLUDE GARAGE)- 2010 LOCATION AND SQUARE FOOTAGE OF AREA OF BUSINESS ACTIVITY IN HOME (EX. BEDROOM IZIF <,a - 125 SQ FT.). FT. DESCRIPTION OF MACHINERY, EQUIPMENT, AND SUPPLIES BEING USED IN THE BUSINESS OPERATION: ONE UWA710-A -r3044CK 7-0 13k-- `,--nVE2> OFj=—S/Tr'_ I HAVE READ, UNDERSTAND, AND AGREE WITH THE CONDITIONS BY WHICH A HOME OCCUPATION IS ALLOWED. -(CONDITIONS ATTACHED).* )0 Z1,V10S APPLICANT'S SIGNATURE DATE IF APPLICANT IS OTHER THAN THE PROPERTY OWNER, AUTHORIZATION OF OWNER OR RENTAL/LEASING AGENT IS REQUIRED.- OWNER/AGENT SIGNATURE DATE AGENT COMPANY NAME CONTACT PH. # DATE IMPORTANT: FALSE OR MISLEADING INFORMATION SHALL BE GROUNDS FOR DENYING YOUR='HOME OCCUPATION; FAILURE TO COMPLY WITH THE CONDITIONS tiISTED ON THE: ATTACHED PAGE SHALL BE GROUNDS.FOR-REVOCATION OYPERMIT: BUILDING AND SAFETY DE ARTMENT/CODE COMPLIANCE DIVISION: APPROVED DENIED SPECIAL CONDITIONS OFFICER I.D. # DATE • 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 WITH ALL OF THESE CONDITIONS: -TUM 2G I b PRINT NAME C�%'J L SI 'NATURE DA E Office Copy — White Customer Copy — Yellow