HOFFER44Ju�;H,tw
FEE $35.00
. I IIIIII VIII IIII IIII
CITY OF LA QUINTA 56
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 1��ti'"'�`/�rc't°�^"��r��" PHONE
PROPERTY OWNER2C CcJ : p PHONE
PROPERTY ADDRESS- 5 u&Vown/ -�
MAILING ADDRESS
TYPE OF RESIDENCE (single, multiple, mobil home, etc.) /"J� z c
TYPE OF BUSINESS ,moi -1 0Q4Z--IZ-
BRIEF ESCRIPTION OF HOW TH BUSI�NESS WILL OPERATE
��l�
NUMBER OF PERSONS,INVOLVED IN BUSINESS
LIST NAME OF PERSONS EMPLOYED A-0,12 e
SQUARE FOOTAGE OF USABLE FLOOR AREA
• IN HOUSE ( EXCLUDE GARAGE)
LOCATION AND SQUARE FOOTAGE OF AREA
OF BUSINESS ACTIVITY IN HOME
(EXAMPLE, "BEDROOM -125 S.F.")
C7
DESCRIPTION OF MACHINERY, EQUIPMENT, AND SUPPLIES BEING USE IN THE
BUSINESS OPERATION �8,^pu '�, �S �S� C �t"11"CCe F 6 D/'�t,-'
I HAVE READ, UNDERSTAND, AND AGREE WITH THE CONDITIONS BY WHICH A
H07UPAT O IS ALLOWED (CONDITIONS ATTACHED).
/
APP -1-1 NATURE DATE
IF APPLICANT IS OTHER THAN PROPERTY OWNER, AUTHORIZATION 0 OWNER
OR AGENT IS REQRED.
( i r6L�T &A 3
OWNER/AGENTOWNER/AGENT SIGNATURE ITE
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
13y
IENIED CONDITIONS ATTACHED
14
T-i'T 4 4a Q"
78-495 CALLE TAMPICO — LA OUINTA, 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 of perjury, 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"
IS APPLICATION.
POLICY SHOWING THE AMOUNT OF COVERAGE AND
S COMPENSATION I
V 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.
Date: _�'{�'�l (4 Applicant: )�
WARNING: Failure to secure workman's compensation 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
L,
MAILING ADDRESS P.O. BOX 1504. - LA OUINTA, CALIFORNIA 92253 ��
LA QUINTA PALMS HOMEOWNERS ASSOCIATION
c/o J. & W. Management Co.
P.O. Bog 1398
• Palm Desert, CA 92261
(619) 568-0349
March 14, 1996
Andy and Shelly Hoffer
44-165 E. Sundown Crest Dr.,
La Quinta, CA 92253
Dear Mr. and Mrs. Hoffer:
The Board of Directors of the La Quinta Palms Homeowners Association have reviewed your
request for permission to operate a business in your home at La Quinta Palms. Your request was
approved unanimously by the board, with the following conditions:
No employees are permitted on site
No customers will be permitted to visit your home
No loud noises
We certainly wish you success in your new venture.
• Sincerely,
LA QUINTA P MS HOMEOWNERS ASSOCIATION
For the Bo QUINA
irectors.
Jim McP
Property