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SARRAZIN0 - - - 111111 II25 III IIII CV IIII (7 60) 777-7000 FAX (760) 777-7101 APPLICATION FOR HOME OCCUPATION OF A BUSINESS FEE $70.00 INSPECTION DATE: 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 corporation officers F -le Eo t ✓1 , e- '41yo ��✓r//E SAaQ ✓l �92IA/ PROPERTY ADDRESS.- 5V& f q [J4 K TitE F . L.a PHONE: 511,1 -t --37c MAILING ADDRESS: PROPERTY OWNER: Fwd 5- ye i c.. Aid 611ALw 5/4- R,4 21 DIFFERENT FROM ABOVE) TYPE OF RESIDENCE, (SINGLE, MULTIPLE, MOBILE HOME, ETC.): 51^16 LF Frame, ,1-31 2eA� TYPE OF BUSINESS: 'Rgi� Til i L • BRIEF DESCRIPTION OF HOW THE BUSINESS WILL OPERATE: e4d r 4s -r4,.1< n/ AN(i P/lo%cT 7cL�,.,y� t� 0-r 7—,j,46 0&1- L.Ae-E G -r NUMBER OF PERSONS INVOLVED IN BUSINESS: L /,-?,P0 SQUARE FOOTAGE OF USABLE FLOOR AREA IN HOUSE (EXCLUDE GARAGE): LOCATION AND SQUARE FOOTAGE OF AREA OF BUSINESS ACTIVITY IN HOME (EX. BEDROOM - 125SQ FT.): /JPO 3Q DESCRIPTION OF MACHINERY EQUIPMENT, AND SUPPLIES BEING USED IN THE BUSINESS OPERATION:-7—OA/EZ YZ G��K�TR i L1G S ialtel0 644 &�d I HAVE READ, UNDERSTAND, AND AGREE WITH THE CONDITIONS BY WHICH A HOME OCCUPATION IS LOWED. (CONDITIONS ATTACHED). 3/ APPLICANT'S SIGNATURE DAT IF APPLICANT IS OTHER THAN THE PROPERTY OWNER, AUTHORIZATION OF OWNER OR RENTAL/LEASINQ AGENT IS REQUIRED. • i`°f • OWNERIAGENT SIGNAT DATE AGENT COMPANY NAME CONTACT P.H. # DATE IMPORTANT: FALSE OR MISLEADING INFORMATION SHALL BE GROUNDS FOR DENYING YOUR HOME OCCUPATION; FAILURE TO COMPLY WITH THE CONDITIONS LISTED ON THE ATTACHEDYAGE SHALL BE GROUNDS FOR REVOCATION OF PERMIT. BUILDING AND SAFETY DEPARTMENT/CODE COMPLIANCE DIVISION: APPROVED DENIED SPECIAL CONDITIONS OFFICER _�� I.D. # d DATE 5--kS� • • 1 . OWNER/AGENT SIGNA DATE AGENT COMPANY 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 ATTACHEDYAGE SHALL BE GROUNDS FOR REVOCATION OF PERMIT. ******************************************************************************************** BUILDING AND SAFETY DEPARTMENT/CODE COMPLIANCE DIVISION: APPROVED OFFICER C] 0 DENIED SPECIAL CONDITIONS I.D. # DATE • 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. Signature 0 0 HOME OCCUPATION CONDITIONS AND CRITERIA �LL HOME OCCUPATIONS SHALL COMPLY WITH THE FOLLOWING CONDITIONS AND REQUIREMENTS: 1. No one, other that 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% 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 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 for the off-street parking or 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 Marshal 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. 08. 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 maybe 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 ofhoise, odor, dust, vibrations, 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. CITY OF LA QUINTA MUNICIPAL CODES: 9.60.110, 9.160, and 9.210:060 • L' • 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 cerci- icate 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: Expires: — 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. APPLICANT SIGNATURE 7/,3 / /zvs DAH WARNING: Failure to secure Worker's Compensation coverage is unlawful, and shall subject an employer to criminal penalties and civil fines up to S100,000. 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. • Case# 13427 City of La Quinta 78495 Calle Tampico - La Quinta, California 92253 PH: (760) 777-7000 FAX: (760)777-7011 TDD: (760)777-1227 Date Reported eceived By ow Received lComplaint 4/14/2005 gina mcelroy Counter Contact Location N kddress 54684 Oak Tree Reporting Party Name hone eporting Party Address Frederic Sarrazin 760-564-6370 54684 Oak Tree Description Home Occupation Permit requested for retail sales. Codes Violated CJ Officer Assigned Moises Rodarte Thursday, April 14, 2005 0 Date Closed Approved By Page I of 2 Case# 13427 4/14/2005 Thursday Case Initiated Home Occupation Permit Inspection has been scheduled for Friday, April 15, 2005 between 12:30 & 1:00 p.m. grm. • Officer Assigned Moises Rodarte Thursday, April 14, 2005 • Date Closed Approved By Page 2 of 2 MetroScan /Riverside (CA) Parcel : 775 081 037 Pos Int Ref APN : 000 000 000 Owner : Sarrazin Frederic R/Connie R Land : $50,075 09 CoOwner Struct : $135,392 Site : 54684 Oak Tree #A99 La Quinta 92253 Other Mail : 2240 Shelter Island Dr San Diego Ca 92106 Total : $185,467 Xfered : 03/30/2001 Doc # : 131567 Exempt Price : $175,000 Full Deed : Grant Deed Type LoanAmt : $110,000 Loan : Conventional % Imprvd : 73 Lender : Cmg Mortgage IntTyp : Fixed % Owned : 100 VestTyp : Joint Tenant Tax Area : 20-025 Use : R02 Res,Condominiums Or Pud's 04-05 Tax : $2,377.76 Plat Map Grid : 5530 B3 Census : Tract : 456.03 Block : 3 OwnerPh S T R Q Tenant Ph Bedrms : 2 Stories : 1 Acres :.04 Year Built : 1985 BthFull : 1 Fireplace : No LotSgFt : 1,742 Street Type : Paved Bth3Qt : 1 Pool : No Bldg SF :1,330 Watetfront BthHalf : RmAddtns : Yes AddOnSF Gas Service : Developed CntlHt : Yes AddPkgTyp GarSgFt :400 Water Source : Developed CntlAIC : Yes Roof Type : Tile Gar Type : Detached Sewer Type : Developed Agri Preserve T C. A. 020-025 81 54 1h - - f-: _- —_ p O 06 j," I'�gt 081 0 4 N 2 SEC. /6 r. 6S. R. 7E. 772 32 I,. .d CM 56//40-149 ».Jn / C..M56/150-/57„u., Ch156//56-/66,,.,,. /6• CM57/75-65 ..... RiG.i/ii ei.+l• ` • i \ CM. 57/97- /04 ,,.s ,. .._•. - CM60/40-5OAmemd6d,,.,.. 775-08 769-3/ AVE. g I I LO �I ILpp /O -ill ..• 767 �• 400 �f Ir 32 a c (u Oz— b�`II.I d� n __-Me.�:i ri •'J---' ..sue -- � $ y iil v /B f „�s'LLI REYIJ.OxJ. . crus -�yWI om.vo .aw,•o �• PM /29/49-55 Po—/ Map 20426 M9/53/60-96 rrocl NA. Z0717 - U8.10155 -59 r—I No. 207/7-4 MB /72/64-94 2/640 PM /97/BO-81 Poke/ Mop 29799 FEB• 0 9'2004 ASSESSQ4'S NAP BX. 775 Fe 06 AUG. 96 RAFRS/OE COUNTY CALIF Information compiled from various sources. Real Estate Solutions makes no representations or warranties as to the accuracy or completeness of information contained in this report. 9 bJ 09 +t H I,. .d CM 56//40-149 ».Jn / C..M56/150-/57„u., Ch156//56-/66,,.,,. /6• CM57/75-65 ..... RiG.i/ii ei.+l• ` • i \ CM. 57/97- /04 ,,.s ,. .._•. - CM60/40-5OAmemd6d,,.,.. 775-08 769-3/ AVE. g I I LO �I ILpp /O -ill ..• 767 �• 400 �f Ir 32 a c (u Oz— b�`II.I d� n __-Me.�:i ri •'J---' ..sue -- � $ y iil v /B f „�s'LLI REYIJ.OxJ. . crus -�yWI om.vo .aw,•o �• PM /29/49-55 Po—/ Map 20426 M9/53/60-96 rrocl NA. Z0717 - U8.10155 -59 r—I No. 207/7-4 MB /72/64-94 2/640 PM /97/BO-81 Poke/ Mop 29799 FEB• 0 9'2004 ASSESSQ4'S NAP BX. 775 Fe 06 AUG. 96 RAFRS/OE COUNTY CALIF Information compiled from various sources. Real Estate Solutions makes no representations or warranties as to the accuracy or completeness of information contained in this report. 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: iLk cS✓alf04 q2i"'r- PRIN NAME Aty �S �S IGNATURE ATE W�arraztNf Office Copy -White Customer Copy -Yellow 5 q�aq oaj<