EDWARD•
06/01/2004 TUE 0:50 FAX 760 777 7112 Bldg & Saftey
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0
P.O.. &ox 1504-
778-4-95
5047-5-4.95 _CA1LLE TAMPICO
LA QUINTA, C,A-1;FFOItNi-A 9-2253-
I IIII'I II'II "II II'I Q001/005
10 OS �� VO
(760) 777-7000
FAX (760)-777-71-01
APPLICATION FOR HOME OCCUPATION -OF A BUSINESS-
. � .dao
F31E $70:00- INSPECTION IIATE, AW
Plensff read each -condition listed on the attachment in this pacltet to see if the proposed
activity complies with the City's Home Occupation Regulations.
APPLICANT. NAMES: (List. all -owners, parmers, and/or corporation -officers.
PROPERTY ADDRESS: yLIS$D MiE'61JE i LQ 2m—PHONE: 7xo 7`72- 9272
MAILING ADDRESS: S�i'1€ (IF DIFFERENT -FROM ABOVE)
PROPERTY OWNER: A66 LM -W Awl) &MA IlAleie 14AAAW -
TYPE OF RESIDENCE, (SINGLE; MULTIPLE, MOBELE HOME; ETC.): 3111KIL
TYPE OF BUSINESS:. 00_MS 044M&z
BRIEF DESCRIPTION OF HOW THE BUSINESS WILL OPERATE: USE M_6120ZE 70 CG3e(�
Coysrrz.nAAG �4�fbi�tr�.SA
NUMBER OF PERSONS INVOLVED IN BUSINESS: 7,_
SQUARE iNOOTAGE-OF-USA13t RFLOOR AREA IN HOUSE (EXCLUDE GARAGE): ?_300
LOCATION AND SQUARE FOOTAGE OF AREA OF BUSINESS ACTIVITY IN HOME (EX" BEDROOM -
125 SQ FT.): ISO
DESCI EMGN CHINERY, EQU MENT. ANI?SUPPLIES-BEtNG USED -IN THE BUSINESS-
OPERATION:GEaI �'%iFS GF�ffD,c/
I HAVE READ, UNDERSTAND, AND AGREE WITH THE CONDITIONS -BY WHK
HOME A I$- ITIONS i1<'FTACHED}
CANT'S SIGNATURE DATE
- IF -APPLICANT IS -OTHER T4 AN T-HE-PROPERT_Y"OWNER, AUTHORIZATION -OF OWNER Of
RENTAL/LEASING AGENT IS REQUIRED.
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_SIGNAT I jRE -DATE
s'oturiaf/f'�l�,o�/LS wE�T i,�/� .7bo 77Z-xyzM
AGENT COMPANY NAME CONTACT PH. # DATE
IIVWO RTANT FALSE OR MISLEADING INFORMATION SEALL BE GROUNDS FOR DENYING
'YOUR HOME OCCUPATION; FAILURE TO COMPLY WITH THE CONDITIONS LISTED ON THE
ATEACHMPAGE-SHALL"SE"GIROUNDSFOR "REVOCATION OFPEIRNIIT.
**�-«*******z*sa***********#*s**a.***s:R�********r:►s*s*4¢s*«t*:r***s�**ss*�*t�*«««*�**s****s#* .
BUILDING AND SAFETY DEPARTMENT/CODE COMPLIANCE DIVISION: .
!/
--DENIED .-SPECiA CONDITIONS
OFFICER I.D. # _ DATE,
r 1
L-A
06/01/2004 TUE 0:51 PAX 760 777 7112 Bldg & Saftey
1000
AGENT_S1GNATURE -DATE -
s&vrioA/PRo ,66AS
AGENT COMPANY NAME CONTACT PH. # DATE
E%WORTANi. FALSE OR MISLEADING INFoRmATION SHALL BE GROUNDS FOR DENYING
-YOUR HOME OCCUPATION; FAILURETO COMPLY WITH THE CONED111ONS LISTED ON THE
ATTACiMjrYAGXSMjML BYGROUNIDS FUR REVOCATION OF PERMIT.
BUILDING AND SAFETY DEPARTMENT/CODE COMPLIANCE DIVISION:
AFPRO�IED - --DENIED-$PECiAL-COMB-K)NS
OFFICER . I.D. # DATE
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U002/005
06/01/2004 TUE 0:51 FAX 760 777 7112 Bldg & Saftey
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PLEASE READ!
Please contact your Homeowner's Association prior to paying for. your Home
Occupation Permit. Your Hoxneorrner'.s.Associati6n_ may,restrict or prohibit
hom- bzseed in mss_.._
HAi�E 1 AD AND-UNDERS'TANU THIS
STATEMENT.
Si a4ure
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Z 003/005
Ufi/01/20U9 TUE -0:61 -RAX 760 777 7112 -Bldg & Saftey Ql004/005
ROME OCCUPATION CONDITIONS-AND-CIRITERIA
AI,i'HONM OCCUPATIONS SHALL COMPLY WITH THE FOLLOWING CONDITIONS AND REQUIREMENTS:
1. No-one-, other -that the'residenrofthe dwelling shall -be employed -ori the premises in the conduct of the Iiome
Occupation.
2. "The -Home Occupation shall be conducted entirely within the enclosed area of the. main building and shall not. occupy
more than 251/676f the total'area of structure.
3. A Home Occupation shall not be conducted within an accessory structure. There may be storage of equipment of
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 forth& off-street parking or vehicles required by Chapter 9.160 of theZoning
Ordinance.
.4. .There-shaii-beno-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.
8. There -shall -be -no supply -of -hazardous -materials -stored -on the'premises at any given time (i:e. pool; chlorine, paihf-
thinner, etc.), unless the hazardous materials are stored in. a manner approved by the State Fire. Marshal or any other
regulating agency.
7. There shall -be no dispatching -ofpersons-or equipment to or from the subject property, including the use -of vehicles
-which operate to -and iromthepremises_
8.. -No vehicles or trailers, except those normally'incidental to residential use, shall be parked of 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. Irmo way shall •the -appearance -of the buHiogorlotbe-so-altered; or•the-home-occupation-be so conducted; that-dre lot
oibifilding ihAybe reasonably recognized as serving a non-residential use (either by color, materials, construction,
lighting, sounds, vibrations, etc).
12: No-Home70ccupation shall create a nuisance by'reason of noise, odor, dust, vibfations, fumes, smoke; electrical
interference, tragic, or other causes.
73. 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.
CIT`>' OF LA QUINTA MLWICIPAL CODES: 9.60-110,9.160, and 9.210.060.
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• . W0RfMWS C0MTENSATION
If your coalpany has employees, a copy of the M;orkman's Compensation Policy must accompany the business
license application, indicating dates of covcragc and dollar amount. This proof of coverage must be received
before, the Business license can be processed:
If you do'not have empCoyees, please check"the last section on this page: " I Certify that......
If your business is being operated:ffom your home iii La Qiiiinta, a Home Occupation Permit is required before a
-business -license is -issued.
Ifyou stave any -questions, -please contact the Code Compliance Division at 777=7030.
Every.Employer. who applies.foranylicense or_renewal. of.any-license for•a-business-issuediursuant-to Section
37101 of the -government Code or -Section 7-294-.0f the •Revemte-and-Taxation-code-shaH-comp%te-and-sign a
edaration that states the following:
WO1tiCER'S COMPENSATION (DECLARATION
....I.herebyaffirm under_penalty_of-perjluy,..one.of.the following.declarations:
fimeand-wiHmmmtaina-mTtificm-af consent -to -s f insuiefof-Worker's
Compensation, aspruvided-by-Sectiorr3700 for the diaration of any businessactivities
-conducted-forwhich-this iicerwis•issaed.
_--I-+&ve•and-will•maintain-Worker's Compenmtion-tnsuramce, as -required by Section
3700, for the'duration of 'any business aetivitie's condncted,for which this license is .
• "issued. -
-NIy Wotkef's Compensation insurance carrier and policy number:
Carrier:-
_ PolicyNuiiiber: Expires:
_ 11-COPY'OF SA P - PbL1C MI-CEER`IMCA'I'E-OF-CONSENTSHOWING-ME AMOUNT -OF
COVERAGE ANWEXPIRATION-DATE l?(?R-VVORYE"-COWENSAM1'4'IS-RLQII)'RE•D TO
._PROCESS THIS APPLICATION.
' -I certifythaviri W'peffonmance of any -business activities for which this license is
issued; I -shall not employ -any person-irrany-manner so as to becom*subject to the
-Worker.'scoutpeasatioit-laws-of-California;-and-agree-that-if I -should become subject to
the-worker's.compensation-provisionsof.Section.3.700,.1-will.provide-the City.witIva -.
policy or certificate copy within ten, (10) days -of the.ehange-inrequirements.
6'-/- y
_ A T SIGNii�' 9U, DATE
—WAI WG:-Failurc-t6 securiMbAec's-Compensation coverage is ikilaivf'ul, and shall stiblect an employer
to crhubmtpeaaitierand-civfffnuuwto-sloo,,000. 7is-addiii6st to the cost of-compeasat9on, dainagea;
interest; and attorney's-fees-maylbe'assessed to you as proveaea'iii'Sectiun 370 of fhe�ibos Code.
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Ia005/005
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 tQ this
MY SIGNATURE BELOW INDICATES THAT I HAVE READ, UNDERSTAND AND AGREE TO COMPLY
WITH ALL OF THESE CONDITIONS:
Office Copy
40
DATE
Customer Copy -Yellow