Fijaki
P.O. Box 1504
78-495 CALLE TAMPICO
LA QUINTA, .CALIFORNIA 92247
COMMUNITY SAFETY DIVISION
HOME OCCUPATION PERMIT
Permit Number: 06-00003959
(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 name(s): (List all owners, partners, and/or corporation officers) FIJAK JOSEPH J
Property address: 80772 SPANISH BAY Phone: (760) 564-0673
Mailing address: 80772 SPANISH BAY
Property owner: FIJAK JOSEPH J
Type of business: INSURANCE
Brief description of how the business will operate:
uare footage of usable floor area in house (exclude garage) 3500
C
O
®okp
CCVP '4 NCA Qr
Location and square footage of area of business activity in home (Example: Bedroom — 125 sq ft.) CASITA,
535
Description of machinery, equipment, and supplies being used in the business operation:
I "READ, UNDERSTAND, AND AGREE WITH THE CONDITIONS BY WHICH A HOME
C ATION IS + . (Con itions Attached)
APPLWANZI SIG A DATE
applicant is other than the property owner, authorization of owner or rental/leasing agent i req .red.
� 7ZLf.5 �%SC�� _ s
Your inspection has been scheduled for Home Occupation Inspection between 9:OOAM - 9:30AM Your
inspector will be Elizabeth Escatel.
--------------------------------------------INSPECTOR USE ONLY--------- ------------------------------
• l APPROVED J
(� DENIED 61n6spLor Signature Date
CE HP
^. t
JOSEPH J. FIJAK
CA INSURANCE LICENSE I
`>a #OB57001
INSURANCEIANNUITIES
A� a� ion j
0IYERSIFIED LIFELONG SECURITY
EF PLANNING SERVICES TO PRESERVE & PROTECT YOUR ASSETS .
6 I
L 001/005
80-772 SPANISH BAY, STE. C (760) 564-0673 a
LA QUINTA, CA 92253 FAX (760) 564-0962 J' Go (7 6 0) 7 77-7000
FNIA 92253 FAX (760) 777-7101
r �
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•
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 ProPed—� /G (FlJ
activity complies with the City's Home Occupation Regulations.
APPLICANT NAMES: (List all owners, partners,_and/or corporation officers.
PROPERTY ADDRES,
MAII,ING ADDRESS: (IF DIFFE/T M ABOVE)
PROPERTY OWNS C�� tsoxv . `'/ .✓L�-y l/r
TYPE OF RESIDENCE, (SINGLE, mTjLTIPLE, MOBILE HOME, ETC.):\,�/
TYPE OF BUSINESS;L�/L
BRIEF DES ION OF HOW THF,,BUSINESS WILL. OPERATE
NUMBER OF PERSONS INVOLVED IN BUSINESS:
SQUARE FOOTAGE OF USABLE FLOOR AREA IN HOUSE (EX(;LUDE GARAGE): ~�
LOCATION A S UARE FOOTAGE OF F BUSI?VESS A TY HOME.{EX_ BEDROOM -
125 SQ FT.)- %
• a
DESCRIPTIONfGHINEQ II;� IQT �ND�pUB�SED INiE� U/�— �— / eGr
OPERATION: �� 6G �
/L
I HAVE READ DERSTAND, D AGREE WITH THF CONDITIONS BY WHICH A
H t OCCUPA IS O 0,NDITIONS ATTACHED).
S S N DATE
APPLICANT IS OTHER THAN THE PROPERTY OWNER, AUTHORIZATION OF OWI' IER OR
RENTAL/LEASING AGENT IS REQUIRED.
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.
is
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
e*/sem
DA E
Office Copy - White Customer Copy - Yellow
P.O. BOX 1504 COMMUNITY SAFETY DIVISION
78-495 CALLE TAMPICO (760) 777-7050
LA QUINTA, .CALIFORNIA 92247. FAX (760) 777-7011
HOME OCCUPATION PERMIT .
Permit Number: 06-00003959
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 name(s): (List all owners, partners, and/or corporation officers) FIJAK JOSEPH J
Property address: 80772 SPANISH BAY
Mailing address: 80772 SPANISH BAY
Property owner: FIJAK JOSEPH J
Type of business: INSURANCE
Phone: (760) 564-0673 .
Brief description of how the business will operate:
•
Square footage of usable floor area in house (exclude garage) 3500
Location and square footage of area of business activity in home (Example: Bedroom — 125 sq ft.) CASITA,
535
Description of machinery, equipment, and supplies being used in the business operation:
IREAD, UNDERSTAND, AND AGREE WITH THE CONDITIONS BY WHICH A HOME
C ATION InOO. (Con itions Attached)
1':;'
(APPL AN/ SIG A DATE
applicant is other than the property owner, authorization of owner or rental/leasing agent is -required.
—
/Wesi 56ro
Your inspection has been scheduled for Home Occupation Inspection between 9:OOAM - 9:30AM. Your
inspector will be Elizabeth Escatel.
•
�--------------
Ll APPROVED
❑ DENIED
CE HP
INSPECTOR USE ONLY---------------
qpe� - 6 � �o-ems
Inspector Signature )xr
eW/1s n6
Date
•
07/19/2006 WED 14:47 FAX
014 a"
P.O. Box 1504
78-495 CALLE TAMPICO (7 60) 777-'7000
LA QUINTA, CALIFORNIA 92253 FAX (760) 777-7101
[a 001!005
APPLICATION FOR HOME OCCUPATION OF A BUSIlITESS
FEE $70.00 6-
�5� INSPECTION DATE:
3o
Please read each condition listed on the attachment !�
ac ent In this packet to see d the prop ed . 5
activity complies with the City's Rome Occupation Regulations.
APP\LICANNT NAMES: (List atI owners, partners and/or corporation officers.
PROPERTY
MAILING ADDRESS:
PROPERTY
TYPE OF RESIDENCE, (SINGL]
e—/��
TYPE OFBUSINESS -
I A
-6z �1-e 6 �7 3 .
�_(EF D.7 OM.ABOVE)
�.✓�-�
"A
MULTIPLE, MOBILE HOME, ETC.):
• BRIEF DESC ION OF HOW BUSINESS WILL.
NU_.MBER OF PERSONS INVOLVED IN BUSINESS:
SQUARE FOOTAGE OF USABLE FLOOR AREA IN HOUSE (E_XCLUDE GARAGE): + �
LOCATION
125 SQ FT.)
DESCRIPTION_
OPERATION:
OF F BUSINESS
HOME (EX. BEDROOM -
BEING USED IN
I HAVE READ EItSTAND; D-AGREE"WITH THE CONDITIONS BY WHICH A
OCCUPA ISVXLO ONDITIONS ATTACI3(ED).
tAI)K'S S N DATE.
TF APPLICANT IS OTHER THAN THE PROPERTY OWNER, AUTHORIZATION OF OWNER OR
RENTAL/LEASING AGENT IS REQUIRED.
k - .
JOSEPH J. F11JAK
CA INSURANCE LICENSE
#OB57001
INSURANCE/ANNUITIES
Amcl PMemation
T�WERSJFIIED LIFELONG SECURITY
ES,7""'• PLANNING SERVICES TO PRESERVE & PROTECT YOUR ASSETS
80-772 SPANISH BAY, STE. C
(760) 564-0673
LA QUINTA, CA 92253 FAX (760) 564-0962
I
0
E
•
07/19/2006 WED 14:48 FAX
•
OWNER/AGENT SIGNATURE DATE
AGENT COMPANY NAME CONTACT PH. # DATE
IMPORTANT: FALSE OR MISLEADING INFORNIATION 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.
BUILDING AND SAFETY DEPARTMENT/CODE COMPLIANCE DIVISION:
APPROVED DENIED SPECIAL CONDITIONS
OFFICER I.D. # DATE
•
Ca 002!005
07/19/2006 WED 14:49 FAX Z003/005
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 TMS
STATEMENT.
0
•
•
FAIRWAYS ASSOCIATION
P.O. BOX 1690
La Quinta, Ca. 92247
Phone (760) 776-5100 Ext. 334 Fax (760) 776-5111
FAX COVER SHEET
DATE: July 21, 2006
TO: Mr. Joe Fijak
ATTN:
PAGES: 1
(including cover page)
FAX: 760.564.0962
FROM: Nancy Parkinson CMCA, CCAM
Operations Manager
RE: 80-772 Spanish Bay — Home business operation
Mr. Fijak-
Per our conversation on July 19"', 2006, there appears to be no
difficulty in you operating your business out of your home. You have
indicated that there will be no vehicular traffic and no clients actually
coming to the home.
Thank you for contacting the Association in this matter. If we may be
of future help, please do not hesitate to contact the Association office
at any time.
MyDoafformsTax
•
07/19/2006 WED 14:50 FAX
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 sigma
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 an; 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 AMOIINT OF ,
CO �GLND XPIRATION DATE FOR WORKER'S COMPENSATION IS REQUIRED TO
CESLICATION.
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.
D TE
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.
0
la 004!005