NETTIMI (2)Illillllllllllllllll � �
- . 62 71 .
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P�4� Box 1504
7�-95 CALLE TAM PI CO
•� � . � � � (760) 777-7000
® kLA Q\INTA, CALIFORNIA 92253 FAX (760)7JJ77-7101
,A'% PLICATION FOR HOME OCCUPATION OF A BUSINESS 1 "OLX
' -70.00 INSPECTION DATE:�a
Please read each condition listed on the attachment in this packet to see if the proposed
n activity complies with the City's Home Occupation Regulations.
APPLICANT NAMES: (List all owners, partners, and/or corporation officers
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PRO E1� ADDRESS:
W- ,B -i Grp
MAILING ADDRESS:
PROPERTY OWNER:
TYPE OF RESIDENCE, (SINGLE, MULTIPLE, MOBILE HOME, ETC.):
BRIEF DESCRIPTION OF HOW THE BUSINESS
NUMBER OF PERSONS INVOLVED IN BUSINESS:
DIFFERENT FROM ABOVE)
Z2 -s
SQUARE FOOTAGE OF USABLE FLOOR AREA IN HOUSE (EXCLUDE GARAGE):
LOCATION AND SQUARE FOOTAGE OF AREA OF BUSINESS ACTIVITY IN HOME (EX. BEDROOM -
125 SQ FT.): f % C � (S� L
DESCRIPTION OF MACHINERY EQU]I MENT, AND SUPPLIES BEING USED IN THE BUSINESS
OPERATION: ( J,, E,Qu,aui
I HAVE READ, UNDERSTAND, AND AGREE WITH THE CONDITIONS BY WHICH A
HOME OCACUPATION IS ALLOWED. (CONDITIONS ATTACHED).
( (3 2 0 0
APPLICANT'S DA
IF APPLICANT IS OTHER THAN THE PROPERTY OWNER, AUTHORIZATION OF OWNER OR
RENTAL/LEASING AGENT IS REQUIRED.
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O ENT SIGNATURLr--
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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 SAFETY DEPARTMENT/CODE COMPLIANCE DIVISION:
APPROVED `V -DENIED SPECIAL CONDITIONS c I
OFFICER a I.D. # I DATE
II
f
AGENT COMPANY NAME
) . DA\3)o-�
DATE I
. 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
C7
I.D. #
DATE
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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.
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I HAVE READ AND UNDERSTAND THIS
STATEMENT.
Signature
�" HOME OCCUPATION CONDITIONS AND CRITERIA
kL 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 accessorystructure. 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
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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 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.
APPLICANT SIGNATURE
DATE
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.
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Of / /- --�, �� - --) --2-) L�
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City of La Quinta
Business License List
November 2002
03046 DESERT CITIES CONSTRUCTION
D6149 DESERT CITY PATROL "
D2917 DESERT COMMUNITIES CONCRETE CONSTR
D3550 DESERT CONCRETE BORDERS AND CURBS
D2872 DESERT CONCRETE PUMPING
01886 DESERT D.J.'S ,
D4325 DESERT DAYS
D0176 DESERT FIRE EXTINGUISHER CO INC
30090 DESERT FIRST REAL ESTATE CORP
D0392 DESERT, HAULING
D2466 DESERT ISLES LANDSCAPE INC"'
D5512 DESERT JANITOR COMPANY
D6430 DESERT LENDERS INC
35042 DESERT MASSAGE ASSOCIATES, INC.
34346 DESERT MOON POOL CARE
30801 DESERT OUTLETS
36458 DESERT PALMS POOLS
30519 DESERT PERSONNEL SERVICE, INC.
D1513 DESERT PIPELINE INC i
35264 DESERT POOL SPECIALISTS
33241 DESERT PROTECTION INDUSTRIES INC
04275 DESERT ROOFING '
D0354 DESERT SAGE II, LLC
05538 DESERT SCENERY
06710 DESERT SPRINGS PUBLISHING
D4841 DESERT TAKE FIVE INC
D4693 DESERT VALLEY, RESTORATION
D6753 DESERT VALLEY YOUTH TRAINING
D4722 DESERT VIEW TREE SERVICE
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41555 YUCCA LANE f
"" BERMUDA DUNES
12380 PALM DRIVE, SUITE D
DESERT HOT SPRING
.77804 WILDCAT DRIVE, #C
PALM DESERT l
705 DESERT WAY
PALM SPRINGS -
"30220 LAS FLORES WAY
THOUSAND PALMS
82812 CHARLESTOWN AVENUE
INDIO
78075 CALLE NORTE
LA OUINTA
558 INDUSTRIAL PLACE
PALM SPRINGS
78435 HIGHWAY 111, SUITE A
LA QUINTA`
-41685 LIMAHALL ROAD
BERMUDA DUNES
40260 GALINDO COURT
BERMUDA DUNES
752 WILLIAMS ROAD
PALM SPRINGS
78401 HIGHWAY 111, SUITE F
LA QUINTA
74121 HIGHWAY 111
PALM DESERT
81533 SANTA INEZ AVENUE
INDIO
54170 AVENIDA OBREGON
LA QUINTA
53378 CALLE BONITA
COACHELLA
73350 EL PASEO, #205
PALM DESERT "
P.O. BOX 2786
INDIO
78705 LA PALMA
LA QUINTA .
78740 VIA SONATA
LA QUINTA k
_
41910 BOARDWALK B-3
PALM DESERT
78085 AVENIDA LA FONDA
LA QUINTA
83921 HOPI AVENUE
INDIO
75 ALCONBURY WAY
NOVATO
44330 CAMINO LAVANDA
LA QUINTA
31910 AVENIDA ALVERA, SUITE A
CATHEDRAL CITY
79381 SIERRA VISTA
LA QUINTA
72894 SIERRA VISTA DRIVE
PALM DESERT
81358 AVENIDA GAVIOTA
INDIO
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License Holders : Page 1 of 1
Search Results for Psychologist (incl. Reg. Psych.
and Psychological Asst.)
The information on this page is updated five days a week (Monday - Friday).
To see all the information for a licensee, click on the highlighted name. This will also include
disciplinary actions if any are present.
Name
Type Number Status Address
City
Zip County Actions?
NETTIMI
PSB 29120 Cancelled 55475 SANTE
YUCCA
92286 SAN No
BALAJI
FE
VALLEY
BERNARDINO
NETTIMI
PSB 29573 Inactive 73567 FRED
PALM
92260 RIVERSIDE No
BALAJI WARING DR DESERT
Records 1 to 2
First Previous
Disclaimer
All information provided by the Department of Consumer Affairs on this web page, and on its other web
pages and internet sites, is made available to provide immediate access for the convenience of interested
persons. While the Department believes the information to be reliable, human or mechanical error
remains a possibility, as does delay in the posting or updating of information. Therefore, the
Department makes no guarantee as to the accuracy, completeness, timeliness, currency, or correct
sequencing of the information. Neither the Department, nor any of the sources of the information, shall
be responsible for any errors or omissions, or for the use or results obtained from the use of this
information. Other specific cautionary notices may be included on other web pages maintained by the
Department. All access to and use of this web page and any other web page or internet site of the
Department is governed by the Disclaimers and Conditions for Access and Use as set forth at California
Department of Consumer Affairs' Disclaimer Information and Use Information.
Back Return to Main License Listing
http://www2.dca.ca.gov/pls/wllpub/YVLLQRYNA$LCEV2.ActionQuery
12/16/2004
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License Holders :
BOARD OF PSYCHOLOGY
Licensee Name: NETTIMI BALAJI
License Type: PSYCHOLOGICAL ASSISTANT
License Number: PSB29573
License Status: INACTIVE Definition
Page 1 of 1
REGISTRATION TERMINATED UPON REQUEST Definition
Expiration Date: January 31, 2004
Issue Date:
September 23, 2002
Address:
73567 FRED WARING DR
City:
PALM DESERT
State:
CA
Zip:
92260
County:
RIVERSIDE
Actions:
No
Supervisor Information
This registrant may only practice psychology under the direct supervision of a licensed psychologist or
board-certified psychiatrist. The supervisor(s) is/are identified as:
No records returned
Public Disclosure
Administrative Disciplinary Actions
No records returned
Administrative Citations Issued
No records returned
Disclaimer
All information provided by the Department of Consumer Affairs on this web page, and on its other web
pages and internet sites, is made available to provide immediate access for the convenience of interested
persons. While the Department believes the information to be reliable, human or mechanical error
remains a possibility, as does delay in the posting or updating of information. Therefore, the
Department makes no guarantee as to the accuracy, completeness, timeliness, currency, or correct
sequencing of the information. Neither the Department, nor any of the sources of the information, shall
be responsible for any errors or omissions, or for the use or results obtained from the use of this
information. Other specific cautionary notices may be included on other web pages maintained by the
Department. All access to and use of this web page and any other web page or internet site of the
Department is governed by the Disclaimers and Conditions for Access and Use as set forth at Cali ornia
Department of Consumer Affairs' Disclaimer Information and Use Information.
Back
http://www2.dca.ca.gov/pls/wllpub/VVLLQRYNA$LCEV2.QueryView?P_LICENSE N... 12/16/2004
• Regarding the Home Occupation Permit request for 53820 Eisenhower Drive.
Per Balaji Nettimi:
His business includes setting appointments with customers to provide Hypnotherapy by phone
for physiological and psychological problems. He will provide anodyne (pain control) at
customer residences. This does not involve equipment.
He will provide copies of his certifications regarding this training and will provide, by mail, his
Doctorate in.psychology for the file.
•
:7
Gina McElroy
From: Deby Conrad
*ent: Thursday, December 16, 2004 2:49 PM
0: Gina McElroy
Subject: RE: hypnotherapy home occ
Put the burden of proof on the applicant. If he can provide us with information which states he is not
required to be licensed by the state or that indeed he does have a license (not working under someone else's)
we will be happy to provide him with an inspection and business license. If he can not, we will need to refund
his money.
Deby
•
-----Original Message -----
From: Gina McElroy
Sent: Thursday, December 16, 2004 11:42 AM
To: Deby Conrad
Subject: RE: hypnotherapy home occ
No problem.... but the plot sickens ... I found Balaji in the medical board/board of psychology and he had an assistant
license to practice under direct supervision of a licensed psychologist or board-certified psychiatrist. The expiration
date on his license was 1/31/04. How would you like me to handle this one?
-----Original Message -----
From: Deby Conrad
Sent: Thursday, December 16, 2004 10:47 AM
To: Gina McElroy
Subject: RE: hypnotherapy home occ
As the stomach turns... Thanks for doing the research
-----Original Message -----
From: Gina McElroy
Sent: Thursday, December 16, 2004 10:41 AM
To: Deby Conrad
Cc: Anthony Moreno
Subject: hypnotherapy home occ
finally got ahold of someone at the CA State Medical Licensing Board. I was told that any type of medical
practices requires an MD license from them. I will go back to the website and print out some information. I
knew this one was gonna be strange.
Gina McElroy
From: Anthony Moreno
*ent: Friday, December 17, 2004 8:52 AM
0: Gina McElroy
Subject: RE: home occ for the hypnotherapy
Gina:
As discussed this morning, I had a discussion with Deby yesterday. Her instructions to me were specific. Her position was
if the Department of Consumer Affairs requires a certain license, we will require the applicant provide that license in
processing their business license/home occupation permit. After discussion this morning, she reconfirmed her position
and indicated we will utilize the Department of Consumer Affairs and not any affiliates or other organizations for the
determining factor.
I appreciate the research you did on this case and that you shared your findings to educate us on this type of business that
is not common place. Please assist .the applicant in obtaining his permit and license under the conditions of the permit in
accordance with our Municipal Codes.
Thank you.
Anthony Moreno
-----Original Message -----
From: Gina McElroy
Sent: Thursday, December 16, 2004 3:06 PM
To: Anthony Moreno
Subject: home occ for the hypnotherapy
Deby, wants to put the burden of proof on Balaji Nettimi to either provide proof that he doesn't need a license from the
•State or provide a valid license. We will either put a hold on his home occ, etc. and/or refund his $70.00. 1 left him a
message.
LJ
Gina McElroy
From: Deby Conrad
0ent: Thursday, December 16, 2004 2:49 PM
0: Gina McElroy
Subject: RE: hypnotherapy home occ
Put the burden of proof on the applicant. If he can provide us with information which states he is not
required to be licensed by the state or that indeed he does have a license (not working under someone else's)
we will be happy to provide him with an inspection and business license. If he can not, we will need to refund
his money.
Deby
is
r1
U
-----Original Message -----
From: Gina McElroy
Sent: Thursday, December 16,.2004 11:42 AM
To: Deby Conrad
Subject: RE: hypnotherapy home occ
No problem.... but the plot -sickens ... I found Balaji in the medical board/board of psychology and he had an assistant
license to practice under direct supervision of a licensed psychologist or board-certified psychiatrist. The expiration
date on his license was 1/31/04. How would you like me to handle this one?
-----Original Message -----
From: Deby Conrad
Sent: Thursday, December 16, 2004 10:47 AM
To: Gina McElroy '
Subject: RE: hypnotherapy home occ
As the stomach turns... Thanks for doing the research
-----Original Message -----
From: Gina McElroy
Sent: Thursday, December 16, 2004 10:41 AM
To: Deby Conrad
Cc: Anthony Moreno
Subject: hypnotherapy home occ
I finally got ahold of someone at the CA State Medical Licensing Board. I was told that any type of medical
practices requires an MD license from them. I will go back to the website and print out some information.
knew this one was gonna be strange.
HOME OCCUPATION CONDITIONS
iALL HOME OCCUPATIONS SHALL COMPLY WITH THE FOLLOWING CONDITIONS:
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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
WITH ALL 0",
INDICATES THAT I HAVE READ, UNDERSTAND AND AGREE TO COMPLY
53%ao 5N rc o - White
DATE
Customer Copy - Yellow