Gleeson & Camargo•
P.O. Box 1504
78-495 CALLS TAMPICO
LA QUINTA, CALIFORNIA 92247
COMMUNITY SAFETY DIVISION
HOME OCCUPATION PERMIT
Permit Number: 13-00000424
(760)777-7050
FAX (760) 777-701 1
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) THOMAS R/MARIA SYLVIA
GLEESON
Property address: 45270 DESERT FOX DR Phone: (760) 345-7482 .
Mailing address: 45270 DESERT FOX DRIVE 0
Property owner: THOMAS R/MARIA SYLVIA GLEESON T
J
Type of business: Jewelry & collectible sales
3rief description of how the business will operate:
46
Square footage of usable floor area in house (exclude garage) 2400 square feet
Location and square footage of area of business activity in home (Example: Bedroom — 125 sq ft.) livingroom,
150 square feet
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 ALLO ED. (Conditions Attached)
/%
,�\PPL1L I SI ATURE ATE
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 10:00-10:30 on 4/22/13. Your
inspector will be Stephanie Khatami.
•------- ------------------------------------ SPECTOR USE ONLY ----------------------------------------------
APPROVED
C1: I H,
•
•
P.O. Box 1504
78-495 CALLE TAMPICo
LA QUINTA, CALIFORNIA 92253
(760) 777-7000
FAX (760) 777-7101
APPLICATION FOR HOME OCCUPATION OF A BUSINESS
.FEE $70.00 INSPECTION DATE:.
Please read each condition listed on the attachment in this packet to see if the proposed
activity complies with the City's Home Occupation Regulations. -
APPLICANT NAMES: (List all owners, partners, and/or corporation officers IIa MY 5
i U t
PROPERTY ADDRESS: `-CSO� �-S'el^TQ�C PHONE: %6 0, ? Y-5" % 18 Z
MAILING ADDRESS: (IF DIFFERENT FROM ABOVE)
PROPERTY OWNER
TYPE OF RESIDENCE, (SINGLE, MULTIPLE, MOBILE HOME, ETC.):
TYPE OF BUSINESS:
BRIEF DESCRIPTION OF HOW THE BUSINESS WILL OPERATE:
SQUARE FOOTAGE C
LOCATION SQU
- .. 125 SQ FT.):
DESCRIPTION OF Mt.
OPERATION: WD
0
INVOLVED IN BUSINESS: 64, I eL
USABLE FLOOR AREA IN HOUSE (EXCLUDE GARAGE):
D
AREA OF BUSINESS
e
USED
A AA-V . A R Cl_0Cx, - U
I HAVE READ, UNDERSTAND, AND AGREE WITH THE CONDITIONS BY WHICH A
HOME CCUPATI N IS D. (CONDITIONS ATTACHED),
APPLICANT'S SIGNATURE DATE
IF APPLICANT IS OTHER THAN THE PROPERTY OWNER, AUTHORIZATION OF OWNER OR
RENTALILEASING AGENT IS REQUIRED_'
W,
. ` i
WORKER'S CONTENSATION
•. If your company has employees,.a copy of the-Workman's Com ensation.Poli p cy must accompany the business
license application, indicating dates of coverage and dollar amount. This'proof of overage must be received
before -the business license can be processed.
If you do riotTiave-ennpToyees; please .check the last section on this. page: "I Certify that......"
If your business is being operated from your home in La Quinta, a Home 000pation Permit is required before a
business license is issued.
,If you have.any questions, please contact the Code.ComplianceDivision at 777-7050.
Leery: employer who applie$ for any license.or renewal of any license for a business issued pursuant to Section
37104 of -the government -Code or Section 7284.of the Revenue and Taxation code shall complete and 51M. a
declaration that states the following
WORKER'S CON[PENSA�'ION D CLA EON
I. hereby affirin. under. penalty of perjury, one' of.the tollowing 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.
Thave and will maintain.Worker's Compensation Insurance, as required -by Section .
3700 'for the duration of any business activities conducted for which this.lcense is
issued.
My Worker's Compensation insurance carrier and policy number:
Carrier:
Policy Number xpires:
A COPYOF SAID POLICY OR CERTIFICATE 'OF CONSENT SHOWING THE AMOUNT OF
COVERAGE AND -EXPIRATION DATE,FOR WORKER'S COMPENSATION IS REQUIRED TO
PROCESS. ,THIS APPLICATION.
t ! I certify that in the iformance'of an l� y business activities .for which..this license is
issued, I shall not eniploy arty person in any manner so.as to become subject to the
worker's compensation la, vs'of California, and agree that'if I should become subject to
the worker's compensation provisions of Section 3700, Twill provide the City. with.a.
polity or .certificate copy within: ten (10) days of the change in requirements. .
APPLICANT SIGNATURE DATE
WARNING: Failure.fo seciire Worker's Compensation coverage is unlatiwful;:and shaltsubject an employer
to criminal penalties:and civil finesup to $100,000. In addition to the cost.of compensation, damages,
interest, and attorney's tees may be assessed to you as provided in Section 3706 of the Labor Code.
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
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 9.60 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.
IL
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:
PRINT NAME
Mn"
SIGNATURE
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ATE
Office Copy — White Customer Copy — Yellow