WALTERFEE $70.00
CALIFORNIA 92253
7,
X760) 777-7000
FAX (760) 777-7101
APPLICATION FOR HOME OCCUPATION OF A BUSINESS :�— -
INSPECTION DATE:
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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.
LICANT NAMES: (List all owners, partner and/or corporation officers
AP
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PROPERTY __1_...r7()
MAILING ADDRESS: (IF DIFFERENT FROM ABOVE)
PROPERTY OWNER: „Au
TYPE OF RESIDENCE, (SINGLE, MULTIPLE, MOBILE HOME, ETC.):
TYPE OF BUSINESS: Vtovi 2I my-crhyu I
• BRIEF DESCRIPTION OF HOW THE BUSINESS WILL OPERATE:
NUMBER OF PERSONS INVOLVED IN BUSINESS:
SQUARE FOOTAGE OF USABLE FLOOR AREA IN HOUSE (EXCLUDE GARAGE): C
LOCATION AND SQUARE FOOTAGE OF AREA OF BUSINESS ACTIVITY IN HOME (EX. BEDROOM -
125 SQ FT.):
DESCRIPTION,QF MACHINE Y�EMEVM, IEl3tBE
ING U, Sf D IN THE BUSINESS
OPERATION: Adm
I H,01
E ND AND AGREE WITH THE CO DIT HNS BY WHICH A
H ME OC A IITI
?L (CONDITIONS ATTACHED).
v V v
JPLIC 'S S ATURE DAIE
IF APPLICANT IS OTHER THAN THE PROPERTY OWNER, AUTHORIZATION OF OWNER OR
NTAL/LEASING AGENT IS REQUIRED.
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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 LISTED ON THE
ATTACHED PAGE SHALL BE GROUNDS FOR REVOCATION OF PERMIT.
********************************************************************************************
BUILDING AND SAFETY DEPARTMENT/CODE COMPLIANCE DIVISION:
APPROVED. DENIED SPECIAL CONDITIONS
OFFICER J� I.D. # '2� DATE r �% 6 -C23
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OWNER/AGENT SIGNATURE DATE
AUENT 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 OF PERMIT.
********************************************************************************************
BUILDING AND SAFETY DEPARTMENT/CODE COMPLIANCE DIVISION:
APPROVED DENIED SPECIAL CONDITIONS
OFFICE I.D. # �� DATE / Clb -03
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•
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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.
•
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 sign 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 PLICATION.
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.
DATE
ARNING: Failure to secure Worker's Compensation coverage is unlawful, and shall subject an employer
Onterest,
criminal penalties and civil fines up to $100,000. In addition to the cost of compensation, damages,
• 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.
M. 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
WI HALL OF �T/H(ES C�ITIOS-
t
.VE READ, UNDERSTAND AND AGREE TO COMPLY
Office Copy -White Customer Copy - Yellow
•
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Parcel
Owner
CoOwner
Site
Mail
Xfered
Price
LoanAmt
Lender
VestTyp
Use
Plat
Census
S:
Bedrms :4
BthFull : 3
Bth3Qt
BthHalf
CntlHt :Yes
Cnt1A/C : Yes
11
MetroSean /Riverside (CA)
649 470 054 Pos Int
Walter Timothy C/Julie A
79640 Desert Willow St La Quinta 92253
79640 Desert Willow St La Quinta Ca 92253
04/23/2002 Doc # :209659
$163,000 Full Deed : Grant Deed
$160,481 Loan : Fha
Washington Mutual Bank IntTyp : Fixed
Married Persons
ROI Res, Single Family Residences
278
Tract : 451.11 Block : 1
T R Q
RmAddtns : Yes
AddPkgTyp
Roof Type : Tile
RefAPN : 000 000 000
Land
: $30,600
Stories
:1
Fireplace
: Yes
Pool
: No
RmAddtns : Yes
AddPkgTyp
Roof Type : Tile
RefAPN : 000 000 000
Land
: $30,600
Struct
: $69,000
Other
:1,920
Total
: $99,600
Exempt
:500
Type
: Attached
• Imprvd
:69 '
• Owned
:100
Tax Area
:20-120
02-03 Tax
:$1,534.54
Map Grid
: 849 J3
OwnerPh
:760-564-1623
Tenant Ph
Acres
:.13
LotSgFt
:5,662
Bldg SF
:1,920
AddOnSF
:
GarSgFt
:500
Gar Type
: Attached
Year Built
: 2001
Street Type
: Paved
Waterfront
Gas Service
: Developed
Water Source
: Developed
Sewer Type
: Developed
Agri Preserve
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10 19 278/8"D TA NO 23601-1 n.� 1999
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.dry 111999
Information compiled from various sources. Real Estate Solutions makes no representations
or warranties as to the accuracy or completeness of information contained in this report.
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PROPERTY USE VERIFICATION FOR
REGISTRATION SERVICE LICENSE
Instructions: This form is to be completed (in ink) by an official of the agency responsible for property use
in your area, pursuant to Government Code Section 65850, and submitted with your application for license
to a department Inspector.
In connection with an application for a Registration Service License to be submitted to the Department of
Motor Vehicles by:
1 hereby - that the property boated above is (check one of the following):
Approved for the operation of a Registration Service business
(office and sign mandatory)
❑ Not approved for the operation of a Registration Service
business.
CX 139 (REV. MAW) www