HAZELTONFEE $70.00
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P.O. Box 1504
78-495 CALLE TANITIC (760) 7'77-7000
LA QUINTA, CALIF IA 3 FAX (7 60) 777-7101
APPLIC ' (O CCUPATION OF A BUSINESS
�pC S d3
INSPECTION DATE:
Please read each con i e attachment in this packet to see if the proposed
activity complies with he Cit ��; ome Occupation. Regulations.
APPLICANT NAMES: (List all owners, partners, and/or corporation officers Q-a"re'y moi+°
PROPERTY ADDRESS: 79.05C) Lo—eluc' D ! • PHONE:1� o� 3
Lei Q \.k; nArc— C/A �q 9:> 3
MAILING ADDRESS: i (IF DIFFERENT FROM ABOVE)
PROPERTY OWNER:
TYPE OF RESIDENCE, (SINGLE, -MULTIPLE. N40BILEHOME, ETC.):
TYPE OF BUSINESS:
BRIEF DESCRIPTION OF HOW THE BUSINESS. -WILL OPERATE: QUL".. 50u -r
NUMBER OF PERSONS INVOLVED IN BUSINESS:
SQUARE FOOTAGE OF USABLE FLOOR AREA IN HOUSE (EXCLUDE GARAGE): a5 o S
LOCATION AND SQUARE FOOTAGE OF AREA OF BUSINESS ACTIVITY IN HOME (EX. BEDROOM -
125 SQ FT.):
DLa_ telt' tON iJr 1viA��rit.�.Ei �ZY I ^ `r
�: ♦, _„l.l....l,, .sUl':fL1i5
OPERATION:
I HAVE READ, UNDERSTAND, AND. AGREE WITH THE CONDITIONS BY WHICH A
HOME OCCUPATION IS LOWED: (CON:DITIONS ATTACHED).
10C A�
APPLI NTS S16KATbRE DATE
IF APPLICANT IS OTHER THAN THE PROPERTY OWNER, AUTHORIZATION. OF OWNER OR
RENTAL/LEASING AGENT IS REQUIRED.
g�c�
• � � AGEN S�i T � � DATE
t� "G qr"-AONTACT
84-14/ by oZAGENT COMP NAME PH. # DATE
IWORTANT: 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
OFFICER I.D. #
•
0
SPECIAL CONDITIONS
DATE
40 7
• O AGEN S DATE
G � to Q- a4 -1y 9/a oz -
AGENT COMP 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:
APPROVE // DENIED SPECIAL CONDITIONS
OFFICERn A,/ fa,1/�G�- I.D. # � � DATE 9' /0 - 03
0
u
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.
r
Signature
Please sign even if you do not live in a gated
community.
0
•
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: (Q,.Y,aerN��.. Cwd!
r,
Policy Number: 1 `7O �l t7
8 -JL Expires: k i - O 1 - -IL 00 3
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.
4-LICAWS1X11KRE
D
D 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.
IMPORTANT . THIS IS NOT A BILL, SEND NO MLaN[Y UNLESS STATEMENT IS ENCLOSED.
�ST'ATr= HOME OFFICE SAN FRANCISCO POLICY DECLARATIONS
CN S U AANL
;IR CE CALIFORNIA WORKERS' COMPENSATION AND EMPLOYER'S LIABILITY POLICY
'FUND: THESE DECLARATIONS ARE A PART OF THE WORKERS' COMPENSATION POLICY INDICATED HEREON.
rr
THIS INSURANCE IS EFFECTIVE FROM
12:01 A.M., PACIFIC STANDARD TIME CONTINUOUS POLICY 1705318-02
11-09-02 TO 11-01-03 AND SHALL
AUTOMATICALLY RENEW EACH 11-01
UNTIL CANCELLED
DATA PAQ DEPOSIT PREM TUM $637.00
PO SOX 0622
LA QUINTA, CALIF 92253 MINIMUM PREMIUM $200.00
PREMIUM ADJUSTMENT PERIOD QUARTERLY
N SK
NAME OF EMPLOYER -
TRADE NAMES-
LOCATIONS- 001
HAZELTON, CAREY
(AN INDIVIDUAL EMPLOYER AND NOT
JOINTLY WITH ANY OTHER EMPLOYER)
DATA PAQ
79030 LADERA DR
L,A QUINTA CA 92253
• 1. WORRERS' COMPENSATION INSURANCE - PART ONE OF THIS POLICY APPLIES TO THE
WORKERS' COMPENSATION LAWS OF THE STATE OF CALIFORNIA..
2. PbMLOYER'S LIrABILITY INSURANCE - PART TWO OF THIS POLICY APPLIES TO
LIABILITY UNDER THE LAWS OF THE STATE OF CALIFORNIA. THE LIMIT OF OUR
LIABILITY INCLUDING DEFENSE COSTS UNDER PART TWO IS,
$1,000,000
CODE NO. PRINCIPAL WORK AND RATES EFFECTIVE FROM 11-09-02 TO 11-01-03
INTERIM
Bms BILLING
RATE RATE*
5191 COMPUTER OR COMPUTER SYSTEM INSTALLA- 7.06 7.06
TION, rNSPECTION, ADJUSTMENT OR REPAIR
-SHOP AND OUTSIDE.
********stumAU NOTE INFORMATION********
FEIN 260027912
•
TOTAL ESTIMATED ANNUAL PREMIUM $2,124,
COUNTE',Z,1 'AD WS •OWSUED AT SAN FPtAXCISCO NO'VEteER 16, 2002F
Pr- ""
NdO"'"
-
:o' ZOE V •03a
•
L_J
IMPORTANT • THIS 16 n0T A SILL. SEND NO MpNE`e' UNLEES STATEMENT 16 IiNCLoSED,
STATE HOME OFFICE SAN FRANCISCO POLICY DECLARATIONS
GN 5 U R AAON NiC E CALIFORNIA WORKERS' COMPENSATION AND EMPLOYEWS LIABILITY POLICY
FUND THESE DECLARATIONS All A PART OF THE WORKERS' COMPENSATION POLICY INDICATED HEREON.
PAGE 2
CONTINUOUS POLICY 1705318-02
* INTERIM BILLING RATES WILL BE USED ON PAYROLL REPORTS. THEY TAIM INTO ACCOUNT
RATING PLAN CREDITS (OR DEBITS) WHICH WILL APPLY AT FINAL BILLING AND AN
ESTIMATE OF YOUR PREMIUM DISCOUNT AS DETAILED BELOW.
RATING PLAN CREDITS (DEBITS) EMCTIVE FROM 11-09-02 TO 11-01-03
RATING PLAN MODIFIER 1.00000
ESTIMATED PREMIUM DISCOUNT MODIFIER 1.00000
COMPOSITE FACTOR APPLIED TO BASE RATES TO DERIVE
INTERIM BILLING RATES 1.00000
*********tw,k**ie****r!*****t+L,k,k*,4#*ir,►#r*******,k*,k*****�*it*+�,rwww****�,tk*k*�,t***w*w**
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* PREMIUM DISCOUNT SCHEDULE EFFECTIVE FROM 11-09=02 TO 11-01-03
* ESTIMATED MODIFIED PREMIUM IS DISCOUNTED ACCORDING TO THE FOLLOWING SCHEDULE;
* FIRST ABOVE
* $2,500 $2,500
* 0.0$ 17.5$
* *'
THE ESTIMATED PREMIUM DISCOUNT IS BASED ON AN ESTIMATE OF YOUR PAYROLL. ACTUAL
PREMIUM DISCOUNT APPLIED AT FINAL BILLING WILL BE BASED ON THE ACTUAL PAYROLL
REPORTED ON YOUR POLICY AND SUBJECT TO AUDIT_
C0]Z/i d� ti6�5 'QN'SUED AT; SAN FRANCISCO NOVEMBER 1B, 2002 Pd�j` 6 Flood •Z` .1 —L
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.
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 BELOW INDICATES THAT I HAVE READ, UNDERSTAND AND AGREE TO COMPLY
WITH ALL OF THESE CONDITIONS:
PRINT NAME
3/3 / 03
• SIGNATURE J DATE
csob I
Office Copy - White Customer Copy - Yellow