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SCOTTENI� • 77 APPLICATION FOR HOME OCCUPATION OF A BUSINESS // FEE $70.00 INSPECTION DATE: 1 '6 4v` (�v (760) (760) �—I 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 i 6\ & PROPERTY ADDRESS: _L41015 lanA O CW -A- PHONE:( -76-0) 5 l- Ll -6 619 MAILING ADDRESS: (IF DIFFERENT FROM ABOVE) PROPERTY OWNER: 5 1 A c,ticA TYPE OF RESIDENCE, (SINGLE, MULTIPLE, MOBILE HOME, ETC.): S`i titer e TYPE OF BUSINESS: �� �oY �"���� 6 e c-� 1�0 �C� �c�✓ 6cQ i " Cc;S 0 (, .\9, • BRIEF DESCRIPTION OF HOW THE BUSINESS WILL OPERATE: d i�l� Cows-�� de p1J3 j C ") NUMBER OF PERSONS INVOLVED IN BUSINESS: I SQUARE FOOTAGE OF USABLE FLOOR AREA IN HOUSE (EXCLUDE GARAGE): LOCATION AND SQUARE FOOTAGE OF AREA OF BUSINESS ACTIVITY IN HOME (EX. BEDROOM - 125 SQ FT.): 1 Z- S T C I- f DESCRIPTION OF MACHINERY, EQUIPMENT, AND SUPPLIES BEING USED IN THE BUSINESS OPERATION: (I o wx ,o A -P -r I HAVE AD, UNDERSTAND, AND AGREE WITH THE CONDITIONS BY WHICH A OCC ATI'Ng Ng S ALLOWED. (CONDITIONS ATTACHED). - -- 30 APPLICA T'S SI ATURE ATE IF APPLICANT IS OTHER THAN THE PROPERTY OWNER, AUTHORIZATION OF OWNER OR RENTAL/LEASING AGENT IS REQUIRED. C] mAw,uw, �J • 9RIAGEN)FSI4GN'T�URE • 0 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 ATTACHED PAGE SHALL BE GROUNDS FOR REVOCATION OF PERMIT. ******************************************************************************************** BUILDING AND SAFETY DEPARTMENT/CODE COMPLIANCE DIVISION: APPROVED OFFICER DENIED I.D. # 0 SPECIAL CONDITIONS DATE • PRJAGENT SIGN ' TURE 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 ATTACHED PAGE SHALL BE GROUNDS FOR REVOCATION OF PERMIT. ******************************************************************************************** BUILDING AND SAFETY DEPARTMENT/CODE COMPLIANCE DIVISION: APPROVED DENIED SPECIAL CONDITIONS OFFICER 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. 0 HOME OCCUPATION CONDITIONS AND CRITERIA ALL HOME OCCUPATIONS SHALL COMPLY WITH THE FOLLOWING CONDITIONS AND REQUMEMENTS: 1. -No one, other than the resident of the dwelling shall be employed on the premises in the conduct of the Home Occupation. (Spouses are okay) 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 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 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. 08. No vehicles or trailers, except those normally incidental to residential use, shall be parked at the residence at any time. 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 and criteria directly related to this application and this permit: • CITY OF LA QUINTA MUNICIPAL CODES: 9.60.110; 9.160, and 9.210.060 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 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: 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 7S 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. IPLICANTYSIGNAT RE DATE 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 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: ?,I r P T NAME 8-1-03 SIGNATURE DATE a va��� Clot - Office Copy - White Customer Copy - Yellow a P • v P.O. Box 1504 78-495 CALLS TAMPICO (760) 777-7000 f� LA QUINTA, CALIFORNIA 92253 FAX (760) 777-7101 APPLICATION FOR 116E OCCUPATION OF A BUSINESS 40� 103 V" FEE $70.00 INSPECTION DATE: Please read each condition listed 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 officerss4;_�aC-, '1_;Lnn ICA PROPERTY ADDRESS: yq-5--,n S.O.C. lg!ONE MAILING ADDRESS: oo CSL y" _ C ry p (IF DIFFERENT FROM ABOVE) PROPERTY OWNER: axlo\ , TYPE OF RESIDENCE, (SINGLE, MULTIPLE, MOBILE HOME, ETC.): flsvrcl • TYPE OF BUSINESS: BRIEF DESCRIPTION OF HOW THE BUSINESS WILL OPERATE: NUMBER PERSONS INVOLVED IN BUSINESS: 0 SQUARE FOOTAGE OF USABLE FLOOR AREA IN HOUSE (EXCLUDE GARAGE): 2Q 0-0 —4-t LOCATION AND SQUARE FOOTAJE OF AREA OF BUSINESS ACTIVITY IN HOME (EX. BEDROOM - 125 SQ FT.): ^71 DESCRIPTION OF F CHINERY, EQUIPMENT, AND SUPPLIES BEING USED 1N THE BUSINESS OPERATION: [ZV rrn n Arm `n Q��}„ _ C L -r-., 1Zi Ir- A1C ./ I HAVE READ, UNDERSTAND, AND AGREE WITH THE CONDITIONS BY WHICH A HOME OCCUPATION IS ALLOWED. (CONDITIONS ATTACHED). S& , & \,�) - ��� e, 1. n i C) APPLICANT'S SIGNATURE DATE IF APPLICANT IS OTHER THAN THE PROPERTY OWNER, AUTHORIZATION OF RENTAL/LEASING AGENT IS REQUIRED. MAY 14 1003 CITY of LA ou,.,. -O Ll • • OWNER/AGENT SIGNATURE 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 ATTACHED PAGE SHALL BE GROUNDS FOR REVOCATION OF PERMIT. ******************************************************************************************** BUILDING AND SAFETY DEPARTMENT/CODE COMPLIANCE DIVISION: APPROVED DENIED SPECIAL CONDITIONS OFFICER �/�'"GC�uO I.D. # 7 DATE • • r 1 U 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 is 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 MY SIGNATURE BELOW INDICATES THAT I HAVE READ, UNDERSTAND AND AGREE TO COMPLY WITH ALL OF THESE CONDITIONS: S G,VeA;1" -); r PRINT NAME ��--- 3 SIGNATURE DATE 60 Office Copy - White Customer Copy - Yellow R r - •1 • 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 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: 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 - 1115— /_'� \ ) C)_--�, DATE 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. 4 April 29, 2003 �3 63 Sheila Bloom �. Yours -By Design 49-530 Rancho Las Mariposas La Quinta, CA 92253 t Subject: Business License Renewal. Dear Ms. Bloom: y We have received your City of La Quinta Business License renewal and have noted that you have a new address. You have an approved Home Occupation Permit approval for your previous location on Pebble Beach, but will be required to obtain a new Home Occupation Permit at half-price ($35.00) for this new location. • After we receive the completed Home Occupation paperwork and $35.00 fee, we can schedule a time for a home inspection (usually the next business day between 9:30 a.m. and 4:00 p.m.). We will try to schedule it at a time that is convenient for you. It takes about 10 to 15 minutes and we .will schedule a half-hour window for the inspection time. After the permit has been approved, we will update our records and complete your city business license renewal. If I can be of assistance, please do not hesitate to call me at (760) 777-7050. Sincerely, Gina McElroy Counter Technician/Code Compliance Department • 0 Postal MAIL RECEIPT (DomesticCERTIFIED I i� I . n 70 "FIF I C I A L ru rU O Postage $ c� �" 0co rO Certified Fee RetuReturnRece( t Fee (Endorsement Required), r 0 f1 stmark 6P (� v } �D C3 p Restricted Delivery Fee (Endorsement Required) co U15 / O Total Postage S Fees $ C j —0� J M To Stree No.; --•••• C3or OC/;, Iti ,Apt. PO Box No. State, ZIP tl '/ll Gi% CZ / A \ 11 i ' /.. .......••... • 0 ■ Complete items 1, 2, and 3. Also complete iterft°4-if Restricted Delivery is desired. ■ Prirft°your name and address on the reverse so that -we can return the card to you. ■ Attach:this card to the back of the mailpiece, or ori the front if space permits. 1. Article Addressed to: 7� Shei^la Bloom Yours -by -Design 49530 Rancho Las Mariposa La, -,Quinta , CA 92253 A. Signature X �2� ❑Agent Addressee B. Received by ( Print N/amd)ate of Delivery D. Is delivery address frr�nt from ite`r;,i [I� Yes If YES, enter delive �91i s belowG r No 3. Service Type 42T'Cgrtified Mail ❑Express Mail Registered t2 0EReturn Receipt for Merchandise ❑ Insured Mail ❑ C.O.D. 4. Restricted Delivery? (Extra Fee) F7001, -0360j0000:. 4802. 2511 PS Form 3811, August 2001 Domestic Return Receipt 11 1 11111 1111 4 1111 111 1 4 1 ❑ Yes 102595-02-M-0835 UNITED STATETAL SERVICE First -Class Mail Postage & Fees Paid t USPS Permit No. G-10 i • Sender: Please print your name, address, and ZIP+4 in this box • CITY OF LA QUINTA BUSING & SAFETY DEPARTMENT WDE ENFORCEPPIENVANIMAL CONTROL 78-495 PALLE TANI PICO P.O. BOX 1504 I:A QUINTA, CA 92253 *----------?------------------• MetroScan / Riverside (CA) Owner -;Matson Trading Ltd Parcel :775 132 027 Site :56012 Pebble Bch La Quinta 92253 Xfered :04/18/2002. Mail :56012 Pebble Bch La Quinta Ca 92253 Price :$350,000 Full Use :R02 Res,Condominiums Or Pud's Phone �edrm:2 Bath:3.00 TotRm: YB:1988 Pool:No B1dgSF:2,596 Ac:.07 is • 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.