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78-495 CALLE TAMPICO — LA OUINTA, CALIFORNIA 92253 - (619) 777-7050
FAX (619) 777-7011
APPLICATION FOR r�
Fee $35.00 HOME OCCUPATION OF A BUSINESS
INA ocr ti 7
996
GATED COMMUNITY ?y
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Read each condition listed on the attachment to this form to see if the proposed activity
complies with the City's Home Occupation Regulations.
APPLICANT NAMES (List all owners, partners and/or corporation officers) O yeS
PROPERTY ADDRESS (FQ - o o a l��Nr„ , �4 o 6 PHONE 6119 5-6.9 'S'S6 Z,
BUSINESS NAME
PROPERTY OWNER (2atfa s V-
MAILING ADDRESS (if different from business address)
TYPE OF RESIDENCE (single, multiple, mobile home, etc.) a6n44&'1#1te1n
TYPE OF BUSINESS
BRIEF DESCRIPTION OF HOW THE BUSINESS WILL PERATE
)Mck s,T PlO G C 4 QL!
—NUMBER OF PERSONS INVOLVED IN- BU.S;INESS
LIST..NAMES OF PERSONS EMPLOYED
-SQUARE FOOTAGE OF USABLE FLOOR AR A IN HOUSE (exclude garage)'
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LOCATION ND SQUARE:FOOTAGE OF AREA OF BUSINESS AC�;WI'TY IN ^HOME' - :cam
"bedroom - 125 sq. Ft.)
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MAILING A RESS - P. BOX 1504 - LA OUINTA, CALIFORNIA 92253 `�(•
j DESCRIPTION OF MACHINERY, EQUIPMENT, AND SUPPLIES BEING USED IN THE BUSINESS
OPERATION pl. (7 o •-r vfi
64- " S ac so ay/e
I HAVE READ, UNDERSTAND, AND AGREE WITH THE CONDITIONS BY WHICH A HOME
OCCUPATION IS ALLOWED (conditions attached).
Sign ure
�E Date >a - a' - 9�
A icant's
OCCUPATION IS ALLOWED (conditions attached).
It is required that all applicants who reside in a gated community and are regulated by a
Home Owners Association must provide an original letter on letterhead stationery, stating the
approval of the business operation at the residence by the current management company
and/or directly from the Board of Directors of said association.
Initial home inspection,, prior to application approval, will not be required unless requested'
'by the management company or the board of directors.
• A icant's-Signature
•
Date /O C� _I
IF APPLICANT IS OTHER THAN PROPERTY OWNER, AUTHORIZATION OF OWNER OR
RENTAL/LEASING AGENT IS REQUIRED.
Date
Owner/Agent Signature
Agent Company Name Agent/Owner Contact Phone # 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.
VED DENIED SPECIAL CONDITIONS ATTACHED
BY: , A &- I.D.# 5 Z- DATE: Ly �, _JF 49'
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HOME OCCUPATION
CONDITIONS AND CRITERIA
•ALL HOME OCCUPATIONS SHALL COMPLY WITH THE FOLLOWING CONDITIONS AND
REQUIREMENTS:
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
& 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 pan: of the conditions and criteria
• directly related to this application and permit.
f
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.
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 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:
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 policy
or certificate copy within ten (10) days of the change in requirements.
Date: /a / 9 Applicant:
• 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.
•
The undersigned has read the release and waiver clause M the permit and hereby agrees to be bound by its terms.
Failure to comply with all'the rues and regulations will result in forfeiture of right to participate in future Mainstreet
Marketplace events/or removal from the event site.
Direct sales vendors must submit samples with their application. If the acutual samples cannot be submitted, or in
the case of food vendors, the reviewing committee may consider a dear, distinct photo (exceptions are made for
Farmer's Market). These samples will be available for pick-up the morning following the regularly scheduled
committee meeting.
If photos are to be returned, please include a self-addressed stamped envelope.
DATE 9//6
PRINT
FOOD VENDORS ONLY
PRIOR TO SUBMITTING THIS APPLICATION, YOU MUST GET APPROVAL FROM THE RIVERSIDE COUNTY DEPT. OF
HEALTH. APPLICATIONS WITHOUT THEIR SIGNATURE CANNOT BE CONSIDERED.
DATE
RIVERSIDE COUNTY HEALTH DEPARTMENT.
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AUTHORIZED SIGNATURE TELEPHONE NUMBER
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La Quinta Chamber of Commerce
P.O. Box 255
La Quinta, CA 92253
K 7
PGA WEST II RESIDENTIAL ASSOCIATION, INC.
P.O. Box 1282 • La Quinta; CA 92253
September 27, 1996
Jeanie Reyes
80-000 Hermitage
La Quinta CA 92253
Re: Request for In -Home Business
Dear Mrs. Reyes:
I am pleased to report that the Board of Directors of PGA West 11 Residential
Association have approved your request for an in-home business license, based on
the condition that no additional traffic to your residence at PGA West is created as
a result of your in-home business.
Thank you for your request, and feel free to present this letter to the City of La
Quinta as approval by the Association of your request.
Sincerely,
PGA WEST II RESIDENTIAL ASSOCIATION
John H. Handel
Association. Manager
cc: Unit File
HOA Chron File
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