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Begley�A 46 ra'u, Cj A& 6. alif r', 05 P.O. Box 1504 78-495 CALLE TAMPICO (760) 777-7000 LA QUI NTA, CALIFORNIA 92253 FAX (760) 777-7101 r--'""'• A� PP CATION FOR HOME OCCUPATION OF A BUSINESS a $70.00 INSPECTION0 Sip U TUU T DATE: v, �v ±sexr�ead�eachTcondit'on listed on the attachment in this packet to see if the proposed ,,ceac v�tyycom•plre with the City's Home Occupation Regulations. APPLICANT NAMES: (List all owners, partners, and/or corporation officers Alle"I'O5L V— .(E i PROPERTY ADDRESS: SS•97S 721AAN2ZSRZ Gii3OV PHONE: ( 6a) '77/' 9y7 y MAILING ADDRESS: SO (IF DIFFERENT FROM ABOVE) PROPERTY OWNER:[G- TYPE OF RESIDENCE, (SINGLE, MULTIPLE, MOBILE HOME, ETC.): 5 TYPE OF BUSINESS: • BRIEF DESCRIPTION OF HOW THE BUSINESS WILL OPERATE: 71i',5 /►�/�i^iilrti°�id = O�F�I� .7 �� .nr G'O/1�7�.o�i}`. 1 i4M y�� pN�y ,Er�73toy1�Ar�rcvfrl��%c �'�d•�'!/S/.�G Co/y17�(/7� , NUMBER OF PERSONS INVOLVED IN BUSINESS: / SQUARE FOOTAGE OF USABLE FLOOR AREA IN HOUSE (EXCLUDE GARAGE): LOCATION AND SQUARE FOOTAGE OF AREA OF BUSINESS ACTIVITY IN HOME (EX. BEDROOM - 125 SQ FT.): ei ;r;rA DESCRIPTION OF MACHINERY, EQUIPMENT, AND SUPPLIES BEING USED IN THE BUSINESS OPERATION: 7W o 0 WP&1_-5G T '• =,i X , GO.a/� /L .i Two ��yo �v S I WAVE READ, UNDERSTAND, AND AGREE WITH THE CONDITIONS BY WHICH A HOME OUPATION IS ALLOWED. (CONDITIONS ATTACHED). °s O y DATE IF APPLICANT IS OTHER THAN THE PROPERTY OWNER, AUTHORIZATION OF OWNER OR RENTAL/LEASING AGENT IS REQUIRED. v4Wv,*! FR&1,=:STE_VE HELLBERG FAX N0. :8438860385 Sep. 01 2004 11:50PM P1 ' 89/01/2004 17;12 760-771-9875 PENINSULA PARK PAGE 03 O AGE SIGNA / A7 �� - • AGENT COMPANY NAMECONTACT PH. # DATE IMPORTANT: FALSE OR MISLEADING INFORMAT10N SHALL BE GROUNDS FOR DENYING YOUR.HOw OCCUPATION; FAILURE TO COMELY % TH TM COND,MONS LISTED ON TH$ ATrACRED PAGE SHALL BR GRourfp6 FOR REVOCA-noIN Olr pERMU. txtl:It*k&4tit►ty�w;sRPA##ii/tRMi##�tiitt###�#t;i»is##t#x,�kttit*yRx�R#R�l�tiii#M,i#tiir#�###*##*iq BUILDING AND SAFETY DEPARTMENT/CODE OOMPL7ANCB DIVISION, APPR OV D DENIED —,- SPECIAL CONDMONS OFFICER I.D. # –4Q— DATE 0 r r1 L_J 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 Signature 40 5 .. 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. 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. 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, hones, 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: PRINT SIGNATURE ' Office Copy -White ?-y:0 y DATE Customer Copy -Yellow Parcel Owner CoOwner Site Mail Xfered Price LoanAmt Lender VestTyp Use Plat Census S: Bedrms :3 BthFull : 1 Bth3Qt :2 BthHalf : 1 Cnt1Ht :Yes Cnt1A/C : Yes E MetroScan /Riverside (CA) 767 550 014 Pos Int Ref APN : 000 000 000 Hellberg Stephen C/Carissa 55675 Turnberry Way La Quints 92253 55735 Turnberry Way La Quints Ca 92253 12/30/2002 Doc # :787150 $1,050,909 Full Deed : Grant Deed $840,000 Loan : Conventional Washington Mutual Bank IntTyp : Adjustable Married Persons • Owned : 100 R01 Res,Single Family Residences Tax Area : 20-059 285 03-04 Tax :$11,343.96 Tract :456.03 Block : 5 T R Q :.26 Year Built Stories :1 Acres Fireplace : Yes LotSgFt Pool : Yes Bldg SF RmAddtns : Yes AddOnSF AddPkgTyp GarSgFt Roof Type : Tile Gar Type 1415 01 IR rH/A5!p r01 AS56N[NI e•R05[5 M INI llunui IS IsSW[x r01 IX[ AC[OxA007 IN[ OAIA SNOUI. MAPS PA60[l 411 N01 WOO YIIX l0ul A01•Yl❑ Oi NI101X0 711( 0d01'"OM POR.SE 15 T.6S–UE CITY OF LA OUINTA Land : $400,000 Struct : $650,000 Other Total : $1,050,000 Exempt Type • Imprvd : 62 • Owned : 100 Tax Area : 20-059 03-04 Tax :$11,343.96 Map Grid : 5530 E4 OwnerPh :843-886-0383 Tenant Ph . :.26 Year Built : 2001 : 11,325 Street Type : Paved :3,593 Waterfront Gas Service : Developed 650 Water Source : Developed Attached Sewer Type : Developed Agri Preserve I.H.A. 070-059 767-55 767-33 O o�o�,o_�o—o--o__o__.o—o--o—o-�o—o—o._o— o—o--O� 2 � W TURNBERRY efQs� .^^ +�v ✓g, R R � i � A � R• R~ F^ �•, � � ' O 4 O ASSSSS07'5 YAP 9(767 PG.55 61..i. id. G.rxig. QUI. SDI ❑® V8 285/60.64 TRACT IN NO. 29347P " 2000 Avg 7000 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. I