JAMIESON�v0
FEE $X00
oG
P.O. Box 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
o7fCQo
lull,
11111111111111111111
34
2/9
(7 60) 777-7000
0 FAX (760) 777-7101
APPLICATION FOR HOME OCCUPATION OF A BUSINESS
INSPECTION DATE: ,s -1 (i -d 5__ /D % 30
I r ;o04f"--
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. Dartners_ and/or comoration officers
PROPERTY ADDRESS:
7 72 - t 7 7
MAILING ADDRESS: � r A � A ; _zDIFFEF�NT FROM ABOVE)
/'1 /1 /7
PROPERTY OWNER
TYPE OF RESIDENCE, (SINGLE, MULTIPLE, MOBILE HOME, ETC.):
TYPE OF BUSINESS:
BRIEF DESCRIPTION OF HOW THE BUSINESS WILL OPERATE: 14iG lam(
NUMBER OF PERSONS INVOLVED IN BUSINESS:
SQUARE FOOTAGE OF USABLE FLOOR AREA IN HOUSE (EXCLUDE GARAGE):
LOCATION AND SQUARE FOO
125 SQ FT.): -goo jetl TAGE OF AREA OF BUSINESS ACTIVITY IN HOME (EX. BEDROOM -
DESCRIPTION OF
OPERATION:
AND SUPPLIES BEING USED IN THE BUSINESS
I HAVE READ, UNDERSTAND, AND AGREE WITH THE CONDITIONS BY
OME OCCUPATI�N IS AI.i ,OWED. (CONDITIONS ATTACHED).
,� 6 " �6
4 171AVZAM 27�1 /I
APPLICANT'S. GNATURE r) Tl:
IF APPLICANT IS OTHER THAN THE PROPERTY OWNER, AUTHORIZATION OF OWNER OR
RENTAL/LEASING AGENT IS REQUIRED.
CJ
.n r .
OWNER/AGENT IG TUBE DATE
�7�r
AGO�COZANY NAME ONTAC 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 OF PERMIT.
********************************************************************************************
BUILDING AND SAFETY DEPARTMENT/CODE COMPLIANCE DIVISION:
APPROVED / ` DENIED SPECIAL CONDITIONS
OFFICER✓ 'r I.D. # DATE
•
C
.n r
OWNER/AGENT IG TURE D TE
r
® 4.93 1r os`
�7; AGENT COWANY tONTACT 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 OF PERMIT.
********************************************************************************************
BUILDING AND SAFETY DEPARTMENT/CODE COMPLIANCE DIVISION:
APPROVED DENIED SPECIAL CONDITIONS
OFFICER I.D. #
•
0
1�I
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.
ignature
0
0
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 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 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.
08.,
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, 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
0
• WORKER'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.
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 si n a
declaration that states the following_
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:
Policy Number: Expires:
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
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.
.11� r
tA,P�S
PLICANT SIGNA RE DAA
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.
MetroScan /Riverside (CA)
Parcel
: 604 280 041 Pos Int
Ref APN : 000 000 000
Owner
: Jamieson Christopher W/Michelle J
I.R.A. 020-055 604-28
Land : $45,818
vu ql mmr rnx lace al•uw a anmxa sal arolnuua.
CoOwner
CITY OF LA OUIRTA
Struct :$174,894
ao1•as
Site
: 45005 Desert Sand Ct La Quinta 92253
Other . .
39
Mail
: 45005 Desert Sand Ct La Quints Ca 92253
Total : $220,712
.
Xfered
: 04/30/1997 Doc # :
146912
Exempt
Price
: $164,000 Full Deed :
Grant Deed .
Type
¢
I 16141,
LoanAmt
:$131,150 Loan :
Conventional
%Imprvd : 79
4
Lender
: Norwest Mortgage IntTvp :
Fixed
% Owned : 100
, .L
VestTyp
: Joint Tenant
�i
Tax Area : 20-055
Use
: RO1 Res,Single Family Residences
04-05 Tax :$2,904.30
Plat
: 248 1
Map Grid :849 J1
a
Census
: Tract : 452.05 Block : 2
a
OwnerPh
S :
T : R Q
II ,r 6 n 1
Tenant Ph
Bedrms : 4
Stories : 1
Acres
:.25 Year Built
: 1997
BthFull : 2
Fireplace : Yes
LotSgFt
: 10,890 Street Type
: Paved
Bth3Qt : 1
Pool : Yes
Bldg SF
:2,468 Waterfront
BthHalf :
RmAddtns : Yes
AddOnSF
. Gas Service
: Developed
Cnt1Ht : Yes AddPkgTyp
GarSgFt
:576 Water Source
: Developed
CntlAIC : Yes Roof Type : Tile
Gar Type
:Attached Sewer Type
: Developed
Agri Preserve
O e
Information compiled from various sources. Real Estate Solutions makesno representations
or warranties as to the accuracy or completeness of information contained in this report.
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POR.SW 20 T.5S.,R.7E
I.R.A. 020-055 604-28
vu ql mmr rnx lace al•uw a anmxa sal arolnuua.
CITY OF LA OUIRTA
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191 223/29-29 TRACT 239351
ASS[SS07'S YAP 11601 MIA
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16 248/59-61 TRACT 239353 PAY 1 0 2001
119 249/92-94 TRACT 239354
rid, Calil.
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Information compiled from various sources. Real Estate Solutions makesno representations
or warranties as to the accuracy or completeness of information contained in this report.
HOME OCCUPATION CONDITIONS
0 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
WIJH A,L OF THESE CONDITIONS:
At G � A d T_a4 ��
TNAAR
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• GNATURE DAT
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