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BOBBITT• FEE $35.00 CITY OF LA QUINTA 78-495 Calle Tampico, P. O.Box 1504, La Quinta, CA 92253 HOME OCCUPATION PERMIT Read each condition listed on the attachment to this form to see if the proposed activity can comply with the City's Home Occupation Regulations. BUSINESS NAME ►tt rK+e-yipV 16e3 PHONE PROPERTY OWNER PHONE PROPERTY ADDRESS MAILING ADDRESS ori TYPE OF RESIDENCE (single, multiple, mo it home, etc.) ,�. TYPE OF BUSINESS BRIEF DESCRIPTION OF HOW THE BUSINESS WILL E TE ;� NUMBER OF PERSONS INVOLVED IN BUSIN SS e - LIST NAME OF PERSONS EMPLOYED SQUARE FOOTAGE OF USABLE FLOOR AREA . IN HOUSE (EXCLUDE GARAGE) AC%p0 e� LOCATION AND SQUARE FOOTAGE OF AREA a% OF BUSINESS ACTIVITY IN HOME ,/ `''_`"o.�� D bQ i�� ( EXAMPLE, "BEDROOM -125 S.F.") K� +D / DESCRIPTION OF MACHINERY, EQUIPMENT, AND SUPPLIES BEINP USED IN THE BUSINESS OPERATION e. 9. at-12are ✓ I HAVE READ, UNDERSTA , AND AGREE WITH THE CONDITIONS BY WHICH A �► HOME OCCITJQX) IfiaO,DWED (CONDITIONS. ATTACHED) . �� n APPLfANT SIGNATURE DATE IF APPLICANT IS OTHER THAN PROPERTY OWNER, AUTHORIZATION OF OWNER OR AGENT IS REQUIRED. OWNER/AGENT SIGNATURE DATE IMPORTANT: FALSE OR MISLEADING INFORMATION SHALL BE GROUNDS FOR DENYING YOUR HOME OCCUPATION; FAILURE TO COMPLY WITH CONDITIONS LISTED ON THE ATTACHED PAGE SHALL BE GROUNDS FOR REVOCATION OF PERMIT. • Buil in and Safet-Department APPRQVED DENIED CONDITIONS ATTACHED 'L G� 3 Y � ,I IVIII'VIIIIII I � IIII I 30 30 j - �- - - -J • FEE $35.00 CITY OF LA QUINTA 78-495 Calle Tampico, P. O.Box 1504, La Quinta, CA 92253 HOME OCCUPATION PERMIT Read each condition listed on the attachment to this form to see if the proposed activity can comply with the City's Home Occupation Regulations. BUSINESS NAME ►tt rK+e-yipV 16e3 PHONE PROPERTY OWNER PHONE PROPERTY ADDRESS MAILING ADDRESS ori TYPE OF RESIDENCE (single, multiple, mo it home, etc.) ,�. TYPE OF BUSINESS BRIEF DESCRIPTION OF HOW THE BUSINESS WILL E TE ;� NUMBER OF PERSONS INVOLVED IN BUSIN SS e - LIST NAME OF PERSONS EMPLOYED SQUARE FOOTAGE OF USABLE FLOOR AREA . IN HOUSE (EXCLUDE GARAGE) AC%p0 e� LOCATION AND SQUARE FOOTAGE OF AREA a% OF BUSINESS ACTIVITY IN HOME ,/ `''_`"o.�� D bQ i�� ( EXAMPLE, "BEDROOM -125 S.F.") K� +D / DESCRIPTION OF MACHINERY, EQUIPMENT, AND SUPPLIES BEINP USED IN THE BUSINESS OPERATION e. 9. at-12are ✓ I HAVE READ, UNDERSTA , AND AGREE WITH THE CONDITIONS BY WHICH A �► HOME OCCITJQX) IfiaO,DWED (CONDITIONS. ATTACHED) . �� n APPLfANT SIGNATURE DATE IF APPLICANT IS OTHER THAN PROPERTY OWNER, AUTHORIZATION OF OWNER OR AGENT IS REQUIRED. OWNER/AGENT SIGNATURE DATE IMPORTANT: FALSE OR MISLEADING INFORMATION SHALL BE GROUNDS FOR DENYING YOUR HOME OCCUPATION; FAILURE TO COMPLY WITH CONDITIONS LISTED ON THE ATTACHED PAGE SHALL BE GROUNDS FOR REVOCATION OF PERMIT. • Buil in and Safet-Department APPRQVED DENIED CONDITIONS ATTACHED 'L G� 3 Y • PGA WEST RESIDENTIAL ASSOCIATION, INC. ' March 1, 1995 Mr. John E. Bobbitt 80-432 Pebble Beach La Quinta,'CA 92253 Re: 80-432 Pebble Beach PGA West Dear Mr. Bobbitt: Thank you for your letter requesting permission to operate a business from your home at PGA West. • It is understood that there will be no visual or audio signs of this business being operated from your home as well as no additional foot or vehicular traffic. 'There will be no on site solicitation or on site storage as well. • At this time, I can foresee no reason why you would not be granted permission. Therefore, you may apply for your -business license. The next Board of Directors meeting will be -held on March 30, 1995 at 8:00 AM. Your request for permission to operate a business out of your home will officially appear on the agenda and will be considered. The Board of Directors reserves the right to revoke this decision. Sincerely, Michael Walker Property Manager PGA West Residential Association•Inc. P.O. Box 1:0.60, La Quinta; California 92253, Telephone 61119-771 -123.4 Fax 6.19-771-5125. • T -,,ay 4 4a Qalam 78495 CALLE TAMPICO — LA QUINTA, CALIFORNIA 92253 - (619) 777-7000 FAX (619) 777-7101 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 ofperjury, one of the following declaration: 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 THE POLICY SHOWING THE AMOUNT OF COVERAGE AND EXPIRATION DATE FOR WORKMEN'S COMPENSATION IS REQUIRED TO PROCESS THIS APPLICATION. • 4oI certify that in the performance of any business activities 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 ectio 37 0. ` Date: Applicant: WARNING:' Failure to secure workman's o pensation coverage is unlawful, and shall subject an employer to'criminal penalties and civic fines up to $100,000. In addition to the cost of compensation, damages as provided for in Section 3706 of the Labor Code, interest, and attorney's fees. bus.fac MAILING ADDRESS - P.O. BOX 1504 - LA OUINTA, CALIFORNIA 92253•