Steiner & Barter (2)•
P.O. Box 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92247
COMMUNITY SAFETY DIVISION
HOME OCCUPATION PERMIT
Permit Number: 09-00003057
(760) 777-7050
FAX (760) 777-7011
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) ARMIN & PEGGY
STEINER/C.BARTER
I,
Property address: 51753 EL DORADO DR Phone: (760) 771-1913 MAY -11 ZOOS-
Mailing
OOS Mailing address: P.O. BOX 720
CITY OV a,AQ;xtw'IA
Property owner: ARMIN. AND PEGGY STEINER -
Type of business: Bookkeeping
Brief description of how the business will operate:
Square footage of usable floor area in house (exclude garage) 3600 square feet
Location and square footage of area of business activity in home (Example: Bedroom — 125 sq ft.) casita, 250
square feet
Description of machinery, equipment, and supplies being used in the business operation:
I HADE READ, UNDERSTAND, AND AGREE WITH THE CONDITIONS BY WHICH A HOME
PINCUPATION IS 6L-LQWED. (Conditions Attached)
APPLIC/ANVS'IGNATURE
�� Lo
DATE
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 9:30-10:00 a.m: on.l .
Your inspector will be Michael Morris.
------------------------------------------INSPE�C� TOR USE ONLY--------------------------- ------------------------
VAPPROVED
CE -HP lV 13I v
•
•
P.O. Box 1504
78-495 CALLS TAmpico (760) 177-7000
LA QUINTA, CALIFORNIA 92253 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. -
- A ni
APP L ANT NAMES: (List all owners, I
MAILING ADDRESS: _
PROPERTY OWNER--
TYPE
WNER:TYPE OF RESIDENCE,
TYPE OF BUSINESS:
BRIEF DESCRIPTION OF
MULTIPLE, MOBILE HOME, ETC.): -z-_Q i
WILL OPERATE:
u.: v
NUMBER OF*PERSONaVOLVED IN BUSINESS: 3
SQUARE FOOTAGE OF USABLE FLOOR AREA IN HOUSE (EXCLUDE GARAGE): 46co
LOCATION AND SQUARE F ' TAGE OF AREA' OF BUSINESS ACTIVITY IN HOME (EX. BEDROOM
- .. 125 SQ FT.): GFf L .oZ5b Fr
DESCRIPTION OF 1v�CHINERY, EQUIPMENT, ANDS PLIE SING USED IN /iPS
OPERATION: (( uob
I HAVE RE , UNDERSTAND, AND AGREE WITH THE CONDITIONS BY WHICH A
OCCUP O ALLOWED. (CONDITIONS ATTACHED)..
dvo
APP" S MATURE DATE
IF APPLICANT IS OTHER THAN THE PROPERTY OWNER, AUTHORIZATION OF OWNER OR
RENTAL&EASING AGENT IS REQUIRED.'
Nj%
M
O.,WNEFJ GENT SIGNATURE DATE
AGENT COMPANY NAME CONTACT PH..# ATE
IMPORTANT: FALSE OR MISLEADING INFORMATION BE GROUNDS FOR DENYING
YOUR HOME OCCUPATION; FAILURE TO COMPL THE CONDITIONS LISTED ON THE
ATTACHED PAGE gTTAT.T. AF. CRnTTNDR RnR R of ATTnN nW lPVlR "
BUILDING AND SAFETY.
APPROVED
OFFICER
;eTMENT/CODE COMPLIANCE DIVISION:
DENIED SPECIAL CONDITIONS
I.D. # DATE
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 READUNDERSTAND THIS
STATEMEN .
Signa re
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
declaration that states the following:
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 mpensation ' carrier and licypumbe
PolicyNumber: 7 b� xpires: a�
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 3700,1 will provide the City with a
copy within ten (10) days of the change in requirements.
DA E
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.
17J