SPENCERA
I IIIIII VIII IIII IIII
19
4 Cv
78-495 CALLE TAMPICO — LA QUINTA, CALIFORNIA 92253 - (619) 777-7050
FAX (619) 777-7011
APPLICATION FOR ��i
Fee $35.00 HOME OCCUPATION OF A BUSINESS
N A APR 2 5 1997
GATED COMMUNITY CITVOF:f OL
Ilk
Read each condition 1isted on the attachment to this forme to see if the proposed activity
complies with the City's Home Occupation Regulations.
APPLICANT NAM)S (List all owners, partners and/or corporation officers)
�1A91 50efl cA411-
PROPERTY ADDRESS 7S ^7ZS. 1nlW+2 i CQt Wf_ PHONE
4-BUSINESSNAME JIM ��Cor R&ty- 6�xje4/7!i:�
PROPERTY OWNER
MAILING ADDRESS (if different from business address)
TYPE OF RESIDENC . (single, ultiple, mobile home, etc.)
TYPE OF BUSINESS 10ur (�90--nL&4
BRIE0' SCRIPTION ; J-1 yV THE BUSINESS WILL -OPERATE
�C NUMBER; OF PERSONS INVO+ ,ED INlBUSINESS 'a3e
. a'• .-OF Fl r
LIST NAMES OF PfERSONSf.EMPLOYED (9 ss1e
SQUARE FOOTAGE OF USS► Iltt ikd& AREA IN �i..,USE (exclude garage): -JG-
LOCATION AND SQUARE FOOTAGE OF AREA OF BUSINESS ACTIVITY IN HOME (example,
"bedroom - 125 sq. Ft.)-
MAILING ADDRESS - P.O. BOX 1504 - LA QUINTA, CALIFORNIA 92253
E
DESCRIPTION OF MACHINERY, EQUIPMENT, AND SUPPLIES BEING USED IN THE BUSINESS
OPERATION' wi a::S -&-y-
I HAVE READ, UNDERSTAND, AND AGREE WITH THE CONDITIONS BY WHICH A HOME
OCCUPATION IS ALLOWED (conditions attached).
S.1r9ture
41 Date 7i 7
Ap icant's
C
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.
y
Date �2s/� 7
A licant s Signature
IF APPLICANT IS OTHER THAN PROPERTY OWNER, AUTHORIZATION OF OWNER OR
RENTAL/LEASING AGENT IS REQUIRED.
Owner/Agent Signature
Agent Company Name
Date
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.
V APPR VED DENIED SPECIAL CONDITIONS ATTACHED
��-4d
BY: 1. D. # DATE:
" 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 part of the conditions and criteria
• directly related to this application and permit.
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.
l 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: _b5-i.AA9e, 6"Q eP)rQ&i4 _T15)-6-wce
Policy Number: o6(, ,1- 1:22
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,
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.
f
Date: �J �� Applicant: `�f1 .
• 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.
CONTRACTOR INFORMATION
'PLEASE COMPLETE WITH YOUR CURRENT INFORMATION
COMPANY NAME
COMPANY ADDRESS Oq, M OeS,ey-t rI ZZ60
MAILING ADDRESS V'u APAW VV CA QAA. Aq
PHONE NO. , bg3q 0 FAX NO.
CONTACT NAME
CONTRACTOR'S 'LICENSE NO. 591S2`6
TYPE OF CONTRACTOR'S LICENSE
Initial
• CONTRACTOR'S LICENSE EXPIRATION DATE — 3�'� by BLDG.
WORKER'S COMPENSATION INSURANCE 5(ATC- (gMl.�Wj4-figm
POLICY NO. _ ()G?) q 117
POLICY EXPIRATION DATE
CITY BUSINESS LICENSE NO.
AUTHORIZED PERSONS TO SIGN PERMITS
EXPIRES
NOTE: Your certificate of worker's compensation insurance must be presented at the
counter at the thine of license issuance.
PLEASE RETURN THIS FORM TO BUILDING & SAFETY
�M6
Initial
by BLDG.
Initial by
Finance
a
•
Jim Spencer
Floor Covering
78-725 Maracas Ct.
La Quinta, Ca.
92253
(619)564-3470
IaQu►nta-Real--Estate t
53-541 Martinez
M4/2197 L i:bb FIVI 1�G
3/13/97
Subtotal
disregard sut
$1,551.72
$0.00
$0.00
Order Total #######
� raec is QutnrrA HOMEOWNERS nssOCuAnoN
Avatc rRorExTr MANAGEMENT
P. D. BOX 1032
PALM DESERT; CA 92261
(ice 568-2717
May 30,1997
Mr & Mrs Jim Spencer
73-725 Maracas Court `
La Quinta, CA 92253 RE: In Hom Business Piernift
Dear Mr & Mrs Spencer:
The Board of Directors reviewed your request for in home business
approval at their meeting on May 27,1997.
The Board approved your request with the following conditions:
1. No commercial vehicles or inventory will be visible to the street at ariy
time.
2. No signage or other items of identification for the business will be visible
within the complex.
3. Your adherence to the CC&R's of the association and the guidelines
from the city regarding such business activities,
4. No visible signs of the operation of this business, including, but not
limited to, gathering of employees' vehicles parked in the steet while in
your employment of the business off premises, mass transportation of
employees to and from work daily, or any other appearance of the business
operation,
Should you have any questions regarding this approval, please contact this
office.
Sincerely,
Cam Anderson
Project Manager
PA®
w
APR 2 ` 1997
�
�' • . ��= 78-495 CALLE TAMPICO — LA QUINTA, CALIFORNIA 92253 - 7
� FAINT P 7"jqTNTA
1
APPLICATION FOR
Fee $35.00 HOME OCCUPATION OF A BUSINESS
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, artner and/or corporation officers)
141;k y 86&n_2 � br-&-.A
PROPERTY ADDRESS
d f //. 1 CZ_A1e_,, j 3- PHONE I --tlaS �
BUSINESS NAME �R0W
PROPERTY OWNER HMO-
PROPERTY
w
MAILING ADDRESS (if
gz,j� - 149
ifferent-from business address) SO_,4,T,r
nt aGG4l� 6- - l2_2J3
TYPE OF RESIDENCE (single, multiple, mobile home, 'etc.) SjA16LC-
TYPE OF BUSINESS
Ao;'&-tA -Wc6- A
BRIEF DESCRIPTION OF HOW THE BUSIN
-L M..>,Lrt-,-/_ //
NUMBER OF PERSONS INVOLVED IN BUSINESS ;
LIST NAMES OF PERSONS EMPLOYED
SQUARE FOOTAGE OF USABLE FLOOR AREA IN HOUSE (exclude garage)
LOCATION AND SQUARE FOOTAGE OF AREA OF BUSINESS ACTIVITY IN' HOME (example,
"bedroom - 125 sq. Ft.) :" /�S•
DESCRIPTION OF � MACHINERY, EQUIPMENT, AND SUPPLIES BEING USED IN THC 6UJ (NESS
OPERATION - Vaeu*' n a auym , T& . M
U �.
MAILING ADDRESS - P.O. BOX 1504 - LA QUINTA, CALIFORNIA 92253
I HAVE READ, UNDERSTAND, AND AGREE WITH THE CONDITIONS BY WHICH A HOME
OCCUPATION IS ALLOVYED (conditions attached).
Date&X/1,3—l
�A licants,Si nature
Pp ' 9
•
IF APPLICANT IS OTHER THAN PROPERTY OWNER, AUTHORIZATION OF OWNER OR
RENTAL/LEASING AGENT IS REQUIRED.
Owner/Agent Signature
Agent Company Name
Date
Date
Agent/Owner Contact Phone #
IMPORTANT: FALSE OR MISLEADING INFORMATION SHALL BE GROUNDS FOR DENYING
YOUR HOME OCCUPATION, FAILURE TO COlV1rLY WITH THE CONDITIONS LISTED ON THE
ATTACHED PAGE SHALL BE GROUNDS FOR REVOCATION OF PERMIT.
BUILDING & SAFETY DEP MENT DECOMPLIANCE DIVISION
P ROVED DENIED SPECIAL CONDITIONS ATTACHED
BY: 1. D. # DATE
countera
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.
I 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, matcr!a!s, 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 se^•ir!g a non-residentic! 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 and criteria directly
related to this application and permit.
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 APPLIrAVM.
1 certify that in the performance of any business activities for which this license is issued,
.1 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: 3Applicant:
C
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.