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CUMMINGSIIIIII IIIII IIII IIII • P.O. Box 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92247 COMMUNITY SAFETY DIVISION HOME OCCUPATION PERMIT Permit Number: 13-00000636 (760)777-7050 FAX (760) 777-7011 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 narne(s): (List all owners, partners, and/or corporation officers) MOLLY CUMMINGS Property address: 79269 PASEO DEL REY Phone: (760) 834-4051 Mailing address: 79269 PASEO DEL REY Property owner: DENNIS AN DMOLLY CUMMINGS o Type of business: Massage Business FICITY Brief description of how the business will operate: MAY 2 9 2013 OF LA GiU-. T�► re footage of usable floor area in house (exclude garage) 2008 square feet Location and square footage of area of business activity in home (Example: Bedroom — 125 sq ft.) home office, 80 square feet Description of machinery, equipment, and supplies being used in the business operation: I HAVE READ, UNDERSTAND, AND AGREE WITH THE CONDITIONS BY WHICH A HOME OCCUPATION IS ALLOWED. (Conditions Attached) � 3 Z MIJ APPLICA T SIGNA RE DA E If applicant is other than the property owner, authorization of owner or rental/leasing agent is required. Your inspection has been scheduled for Home Occupation Inspef4ion.�etween 2:30-3:00. Your inspector will be Kevin Meredith. -------- --------------- - =------------------INSPECTOR U,SE • PPROVED � � O DENIED Inspector Signatui ------------------------------------- ------------ S�-3o Date CE ,f-IP P.O. BOX 1504 7,8.-49k CnLLE- TAB Fl 10 (760.) 777-7000 LA vVINTA, CALIFORNIA: 9225'$ FAX -(7-60) 71.7-7101 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'Regitiations., APPLICANT NAMES:. (List all owners, partners, and/or cbrporatioll'officers C PROPERTY ADDRESS.:% PHONB: D 7 ' 0SI MAILING ADDRESS; P es a W P.J (IF DIFFERENT FROM ABOVE) PROPERTY OWNER:&.(/►; T a v,,lt vv3iII4.C(.Q.Gv� 1�-► iiv, 9 .0 TYPE OF RESIDENC ; (S GL , MULTIPLE, MOBILE HOME, ETC.): -TYPE-OF-BUSINESS: La ei bl, 1 n BRIEF DESCRIPTION. OF HOW THE BUSINESS WILL OPERATE: 0 e l� .. ���� �•• (�Lci7 � .ass -: NUMBER OF PERSONS INVOLVED IN BUSINESS: ' . ZOOS' yq SQUARE FOOTAGE. OF USABLE. FLOOR AREA T1ViOIJSE (EXCLUDE. GARAGE), . . LOCATION SQUARE FOOTAGE: OF AREA OF BUSINESS ACT%VTY IN HOME (EX. BEDROOM = . 125 SQ FT.): O DESCRIPTION; OF MACHINERY, EQUIPMENT, I PLIES, BEIl�G ED IN THE BUSINESS OPERATION, a S S (Is / �9 5 I HAVE. READ, UNDERSTAND, AND AGREE wITH THE CO.NDITIQNS BY WHICH A; HOME OCCUPATION IS ALLOWED. (CONDI'Y'IONS ATTACHED). APPLIC '.S SI _ ATURE DATE IF -'APPLICANT- IS: UTHER THAN THE PROPERTY OWNER, AUTHORIZATION OF OWNER OR RENTAL/LEASING AGENT IS REQUIRED. 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 37101of the government Code 'or Section 7284.of the Revenue and Taxation code shall complete and sign . declaration that states the following : WORKER'S COMMSATION DECLARATION I hereby agirm' under penalty of perjury, one ofahe 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 nducted;for.whici> 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 -EXPI;RATION,DATE;.FOR WORKER'S COMPENSATION IS REOUIRRD TO PROCESS. THIS AP ICATION. — 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 3700,1will provide the City with a. policy or .certificate copy within. ten (10) days of the change in requirements.. APPLICANT SIGNATftEDA. WARNING: Fallure.io secure Worker's Compensation coverage is unlawful; -and shall subfect an employer to criminal p.enalties:and civil fines up to.S10o;00o. In addition to the cost .of compensation, damages, . interest, and attorneys fees may be assessed to you as provided in Section 3706 of the Labor Code. . 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 9.60 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. k 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 NA E SIGNATURe ) E Office Copy — White Customer Copy — Yellow