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P.O. BOX 1504 COMMUNITY SAFSTY D1VIBION
73.495 CALLB.TAMPICO (760) 777-7050
LA QUINTA. CALIFORNIA 92247 FAX (760) 771-7011
HOME OCCUPATION PERMIT
Permit Number; l 0-00004428 .
Please read each eondltion listed an the attachment In this Pik" to see It the proposed activity complies
with the City's Home Occupation Regulations.
Applicant name(s): (List all owners, partners, and/or corporation officers) RALpjj H et CAROLE J HUNTER
Property address: 44890 LOS MANo3 DR Phone: (760) 360-6631
Mailing addr®s: PO BOX 6299
Pmoperiy owner: RALPH 1481 CAROLE. J HUNT1rR
Typo of business: CONSTRUCTION
Brief description of how the business will opsrato: ,
quare footage of usable floor area in house (e IWO garage) 2000
Location and square footage of area of business'activily in home (Example: Bedroom —125 ■q f3.)
EX BEDROOM, 12S
.Descrlpaon of machinery, equipment, emd lies being used in the business operation:
UNDERSTANDy AND AGREE WITH') = CONDITIONS BY WIEIICR A BOM$
OCCUPATION IS ALLOWED. (Caaditions Attached)
PL CANT SIGNA4a;Z� DATE
1( applicant is other than the property owner. aathQ6=tion of owner or rentaUleasing agent is required.
Your Inspection has boon scheduled for Home Occupation Inspection between THURS. 026/10 @
--"--- - ------INS EC OR USE ONLY--------_---
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APPROVED . , �6
0 DENIED l p Date
axed
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P.O. Box 1504
78-495 CALLE TAMPIco
LA QUINTA, CALIFORNIA 92253
APPLICATION FOR HOME O
AUG 13 2010
CITY
INSPECTION DATE:
(760) 777-7000
X (760) 777-7101
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 NAMES: (List all owners, partners, and/or r_orporation officers _hA In P ��► � e �I�-
�A \ � 1� \�\Ik �l \ e �' ••� (-,\A %n A' O U 1 l 11 Ti I.,
PROPERTY ADDRESS: ? 4f'r'S 9 6 PHONE: -3 L - le 4.3 J
MAILING ADDRESS: .0 , 'a .191 L4,0%1 tl • /�� RENT FROM ABOVE)
PROPERTY OWNER:�����1Q`u�� Y+
TYPE OF RESIDENCE, (SINGLE, MULTIPLE, MOBILE HOME, ETC.): i 1.9 G1 e -
TYPE OF BUSINESS: A_ ,
•
BRIEF DESCRIPTION OF HOW THE BUSINESS WILL OPERATE: `
NUMBER OF PERSONS INVOLVED IN BUSINESS:
SQUARE FOOTAGE OF USABLE FLOOR AREA IN HOUSE (EXCLUDE GARAGE): to
LOCATION AND SQUARE FOOTAGE OF AREA OF BUSINESS ACTIVITY IN HOME (EX. BEDROOM -
125 SQ FT.): sic�ytiQ Qyyy
DESCRIPTION OF MACHINERY, EQUIPMENT, AND SUPPLIES BEING USED IN THE BUSINESS
OPERATION:
Ota ear
I HAVE READ, UNDERSTAND, AND AGREE WITH THE CONDITIONS BY WHICH A
HOME PL�IC
CC OCCUPATION IS ALLOWED. (CONDITIONS ATTACHED).
iANT'S S�NAAIGTURE/
DATE —T
4`
IF APPLICANT IS OTHER THAN THE PROPERTY OWNER, AUTHORIZATION OF OWNER OR
RENTAL/LEASING AGENT IS REQUIRED.
•
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��A g•�%fes
OWNER/AGENT SIGNATURE DATE
AGENT MPANY 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:
APPROVED DENIED SPECIAL CONDITIONS
OFFICER I.D. # DATE
W
•
PLEASE READ!
Please contact your Ho eowner's Association prior to paying for your Home
Occupation Permit. Your Homeowner's Ass ciation may restrict or prohibit
home based businesses.
I HAVE READ AND UNDERSTAND THIS
STATEMENT.
Signature
•
L�
TWIt 4.4--QU&M
Finance Department
(760)777.7000
FAX (7601777-7106
WORKER'S COMPENSATION DECLARATION
IF
YOUR BUSINESS IS BEING OPERATED FROM A PRIVATE RES/OENCE W/iHJN LA QUJNTA, A HOME
OCCUPA 7'/ON PERMI T IS REQUIRED BEFORE A BUSINESS L /CENSE CAN BE ISSUED,
Every ennPloyes who applies fora Business license or License renewel which is to be issued pursuant to Section
37101 of the Government Code or Section 7284 of the Revenue and T
A DECLARATION 'THAT STATES ONE OF THE FOLLOWING. axation Cade SHALL COMPLETE AND SIGN
1 HEREBY AFFIRM. UNDIrR'PENALTY OR PERJURY. ONF OF THE FOLLOWING DECLARATIONS:
(Check Onal
Have and WM maintain a Certificate of Consent to Self -Insure for Worker's Compensation.
Provided by Section 3700 for the duration of any business conducted for which a Business License
Is issued.
I Have and will maintain Worker's ComPonsadon Insurance, as tagwred by Section 3700 for the
duration of any business conducted for which a Business License is Issued.
WORKER'S COMPENSATION INSURANCE CARRIER:
POLICY NUMBER; EXPIRATION DATE: P
(IF YOU DO NOT HATE ANY EMPLOYEES. PLEASE INITIAL BELOW)
I Certify thar in the Performance oI any Bus/nesS a, t - >or which a Business
s(mil rlof 6WW10y any person 41 any Mannar so es to becorn® ars t reense /$ iSaaed, /
/.sws o/ the state of Cal M;fi�, and �,, bJect to the Worker's Coarpwsadon
ecgree .rJt t..Jf.l atrpule 4*.;gme_suii0ct to the .Worker's
CamlDehsab'an provisioaa of Section 3�dt7, I WOProUMe the &ivy With a.Aokcy or Certilicsfo Whhln
ten 1101 days of the change in 1egaJraments.
M*�ika4aiia��!lt4�s♦F►»��YIFE�arY!•♦ilrMiYlRi•Mat+lv}1R�tiMif•f�►aa•aala��s•a•�♦�Erta
kppUcant. Date: -7
1ARNINQ; FAILURE TO SECURE WORKER'S COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN
MPITION TO CRIMINAL PENALTIES ANN CIVIL FINES UP TO is 100,000. IN ADDITION TO FINES AND PENALTIES,
DOnT10NAL COMPENSATION CODE.DAMAIES- (MTEAEST AND ATTORNEY'S FEES MAY BE ASSESSED TO YOU AS PROVIOED IN
E:cnonr 3�oe of THE LABOR CODE.
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2 abed TE9909E09LI 0NI 1 aWH 99 WdBT:T 0102 91 Znd
HOME OCCUPATION CONDITIONS
00 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
0 . 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
ITH ALL OF THESE CONDITIONS:
MINT NA
SIGNATURE DATE
Office Copy -White Customer Copy -Yellow