PAPPAS•
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39
P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92247
COMMUNITY SAFETY DIVISION
HOME OCCUPATION PERMIT
Permit Number: 12-00005200/
(760) 777-7.050
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) MICHAEL ROBERT PAPPAS
Property address: 47835 DANCING BUTTERFLY Phone: (760) 625-1302 c
Mailing address: 47835 DANCING BUTTERFLY
Property owner: MICHAEL ROBERT PAPPAS ,
Type of business: TELEPHONE.SALES F� �vieL44�
Brief description of how the business will operate:
� v
Square footage of usable floor area in house (exclude garage) 1348
Location and square footage of area of business activity in home (Example: Bedroom — 125 sq ft.) BEDROOM,
100
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'MON. 10-012:00-2:30P7
WATERCOL. Your inspector will beIKevin Meredith./
----------------------- --------------------INSPECTOR USE -ONLY ---
---- ----------------------------------------
• PROVED
❑ DENIED Inspector Signature Date
CE HP
•
P.O. Box 1504
78-495.CALLE TAMPIco (760) 777-7000
LA QUINTA, CALIFORNIA 92253 FAX (760) 777-710'1
APPLICATION FOR HOME OCCUPATION OF A BUSINE S
FEE $70.00 � INSPECTION I)ATE: O
Please read each condition listen on the attachment in. this -packet to see if•the p
-activity complies with the City's Home Occupation Regulations.
APPLICANT NAMES; (List all owners; partners, and/or corporation officers
3
�}�3S
PROPERTY ADDRESS: _L(
PHONE:
1 I •Ivy•. I �i a�a _• :•
wo 1- W Mw M M.1 -11 IV I E VM, 10 u9j, 116
TYPE OF RESIDENCE, (SINGLE, MULTIPLE, MOBILE HOME, ETC }: 1
TYPE OF BUSINESS: k4q�- 54' l , �-s .i• o D 9
BRIEF DESCRIPTION OF HOW TAE BUSINESS WILL OPERATE:- r&L- A!I[� L(,.lt5 IN i
NUMBER ORPERSONS INVOLVED INBUSINESS: .
SQUARE FOOTAGE OF USABLE FLOOR AREA IN HOUSE (EXCLUDE GARAGE):
LOCATION 4ND SQUARE FOOTAGE OF AREA OF BUSINESS ACTIVITY IN HOME (EX. BEDROOM -
125 SQ FT-}.0,0_)rzo - 1Fi O -3 & , I=i_ -
DESCRIPTION OF MACHINERY, EQUIPMENT, SUPPLIES BEING USED IN THE BUSINESS
OPERATION:
t
I HAVE READ, .UNDERSTAND, AND AGREE WITH THE CONDITIONS BY WHICH A
HOME. OCCUPATION IS ALLOWED. (CONDITIONS ATTAC$ED).
`APkJCANT' IGNA Z
DATE
IF APPLICANT IS OTHER THAN THE PROPERTY OWNER, AUTHORIZATION OF OWNER OR
RENTAL/LEASING AGENT IS REQUIRED.
SEP 2 4 2012
CITY OF LA
MR
OWNER/A SIGNATURE DATE
crl2
AGENT COMPANY NAME CONTACT-PH- # DATE
RKPORTANT: FALSE OR MISLEADING INFORMATION SHALL BE GROUNDS FOR DENYING
YOUR ROME OCCUPATION; FAILURE TO COMPLY WITH THE CONDITIONS LISTED ON THE*
ATTACHED PAGE SHALL BE GROUNDS FOR REVOCATION OF PERMIT.
BUILDING AND SAFETY DEPARTMENT/CODE COMPLIANCE DIVISION:
APPROVED DENIED SPECIAL CONDITIONS
OFFICER I.D. # DATE
ir
PEASE 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.
WORKER'S COMPENSATION
If your company has employees, -a copy of the Workman's Compensation Policy must accompany thebusiness
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.brain 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 7.77-7050.
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 Mete and sien a
ec the 11
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 ofany business activities conducted forwhich this license is
issued-
My
ssued
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 E)WIRATTON DATE FOR WORIKER'S COMPENSATION IS REQUIRED TO
PROCESS THIS APPLICATION.
_ I certify that in the pez mance 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, I will provide the City with a
Policy or certificate copy within ten (10) days of the change in requirements.
AP LICAN' ' SIGNATURE DATE
WARNING: Failure -to secure Worker's Compensation coverage is unlawful, and shall subject an employFr
to criminal penalties -and civil t'mes 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.
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: n
DAYE
Office Copy -White Customer Copy - Yellow