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HERNANDEZIE Fee 135.00 29 78-495 CALLE TAMPICO — LA QUINTA, CALIFO A 92253 0 C 7-7050 77-7011 APPLICATION FOR JUL 151997 HOME OCCUPATION OF A BUSINESS CITY OF L?k ,tlkTft- Read each condition listed on the attachment to this form to see if the proposed activity complies with the City's Home Occupation Regulations. I PROPERTY A BUSINESS NA A ES ist a I owners, par ners and/or corporation officers) PHONES'/ —094K PROPERTY OWNER h � +- . I . G�R SS 'f different from business address)�� � TYPE OF RESIDENCE (single, multiple, mobile home, etc.) S� TYPE OF BUSINESS BRIEF DESC TION F HE BYSINESS NUMBER OF PERSONS INVOLVED IN BUSINESS LIST NAMES OF PERSONS EMPLOYE v► n -c OPERATE 7 SQUARE FOOTAGE OF USABLE FLOOR AREA IN HOUSE (exclude garage) LOCATION AND SQUARE FOOTAGE OF AREA OF BUSINESS ACTIVITY IN HOME (example, "bedroom - 125 sq. Ft.VO DESCRIPTIOtj OF MACHINERY, EQU PMENT, AND SUPPLIES BEING USED IN THE BU INESS OPERATION O� ®u9 e s 66 -4- L- c ✓1 MAILINOJADDRESS - Wo. bOX 1504 -' LA OUINTA, CALIFORNIA 92253 S • I HAVE- READ, UNDERSTAND, AND AGREE WITH THE CONDITIONS BY WHICH A HOME OF.CUPATION S ALLOWED (con0itions attached). Applicant's Signature Date��— IF APPLICANT IS OTHER THAN PROPERTY OWNER, AUTHORIZATION OF OWNER OR RENTAL/LEASING AGENT IS REQUIRED, Date Owner/Agent Signature Date Agent Company Name. Agent/Owner Contact Phone # 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. countera APPROV DENIED SPECIAL CO DITI NS ATTACHED 7 1. D. # / DATE HOME OCCUPATION CONDITIONS AND CRITERIA ALL HOME OCCUPATIONS SHALL COMPLY WITH THE FOLLOWING CONDITIONS AND REQUIREMENTS: 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 & 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 by 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 and criteria directly related to this application and permit. J• �F-TtV;--Cp WORKER'S COMPENSATION 10 c � 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. your company has employees, a copy of the workman's If you do not have employees, please check the last line on the first 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 used. If you have any questions, please contact the Code Compliance Division at 777-7050. Every employer who applies for any license or a 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 sian 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. 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 work er�p nsation insurance carrier and policy number: Carrier: Policy Number: C- / 1/7-g A "COPY' OF SAID POLICY OR CERTIFICATE OF CONSENT SHOWING THE AMOUNT OF COVERAGE AND EXPIRATION DATE FOR WORKER'S COMPENSATION IS REQUIRED TO 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, 1 will provide the City with a policy or certificate copy within ten (10) days of the ch nge in requlkments. Date: Applican . WARNING: Failure to secure worker's compensation coverage is unlawful, and shall subject a • employer to criminal penalties and civil fines up to $100,000. In addition to the co of compensation, damages, interest, and attorney's fees.may be assessed to you as provided in Section 3706 of the Labor Code. AC RD CERTIFICATE OF LIABILITY INSURANCkID JC DATE(MM/DD/ INKI0YY) 2 01/14/97 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION r' ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE Goodman Insurance Agency, Inc. HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 28202 Cabot Road, Suite #110 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Laguna Niguel CA 92677-1248 COMPANIES AFFORDING COVERAGE COMPANY o. 714-365-8700 Fa:No. A CALIFORNIA COMPENSATION INVIMED COMPANY B COMPANY Pink Inc. C PO BOX 1012 Palm Desert CA 122M72 2 irl COMPANY D COVERAGES THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED, NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACTOR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED. BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. CO LTR TYPE OFINSURANCE POLICY NUMBER POLICY EFFECTIVE DATE (MM/DD/YY) POLICY EXPIRATION DATE (MM/DD/YY) LIMITS GENERAL LIABILITY GENERAL AGGREGATE f COMMERCIAL GENERAL' LIABILITY CLAIMS MADE r—] OCCUR PRODUCTS -COMP/OPAGG f PERSONAL & ADV INJURY f EACH OCCURRENCE f OWNER'S d CONTRACTOR'S PROT FIRE DAMAGE (Any one fire) _ MED EXP (Any one person) f AUTOMOBILE LIABILITY ANY AUTO COMBINED SINGLE LIMIT f ALL OWNED AUTOS SCHEDULED AUTOS BODILY INJURY (Per person) f HIRED AUTOS NON -OWNED AUTOS BODILY INJURY f (Per accident) PROPERTY DAMAGE f GARAGE LIABILITY AUTO ONLY - EA ACCIDENT f ANY AUTO OTHER THAN AUTO ONLY: EACH ACCIDENT f AGGREGATE f EXCESS LIABILITY EACH OCCURRENCE f UMBRELLA FORM AGGREGATE f OTHER THAN UMBRELLA FORM f WORKERS COMPENSATION AND EMPLOYERS' LIABILITY O S LIMI O R EL EACH ACCIDENT f 1 million A THE PROPRIETOR/ INCL PARTNERS/EXECUTIVE REXCLI G96A147856 10/30/96 '10/30/97 EL DISEASE - POLICY LIMIT $1 million EL DISEASE - EA EMPLOYEE $1 million OFFICERS ARE: OTHER DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/SPECIAL ITEMS CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE + - EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL410009p. "AIL } `' .`• �� ` ` • *30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, nanny AUTHORQED RESENTATIVE All Cl--I- ACORD 25-S (1/95) ©ACORD CORPORATION 1988