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78-495 CALLE TAMPICO — LA QUINTA, CALIFORNIA 92253 - (619) 777-7050
FAX' (619) 777-7011
APPLICATION FOR '
HOME OCCUPATION OF A BUSINESS
N. A
GATED COMMUNITY
Read each condition listed on the attacbment to this form to see if the proposed activity
complies with the City's Home Occupation Regulations.
APPLICANT NAMES (List all owners, partners and/or corporation officers) t
PROPERTY ADDRESS `S t� �� I�//�-/1/C/t/%-G' PHONE
• BUSINESS NAME 4
PROPERTY OWNER AtVVA/toc,4t- Z�M
MAILING ADDRESS (if different from business address)
TYPE OF RESIDENCE (single, multiple, mobile home, etc.) 5'�o✓�Gl�
TYPE OF BUSINESS GeAl, r.....
BRIEF DESCRIPTION OF HOW THE BUSINESS WILL OPERATE
NUMBER OF PERSONS INVOLVED IN BUSINESS d71Z C --
LIST NAMES OF PERSONS EMPLOYED LSE CSl�iv7��
SQUARE FOOTAGE OF USABLE FLOOR AREA IN HOUSE (exclude garage) l
•
LOCATION AND SQUARE FOOTAGE OF AREA OF BUSINESS ACTIVITY IN HOME (example,
"bedroom - 125. sq. Ft.)
MAILING ADDRESS - P.O. BOX 1504 - LA QUINTA, CALIFORNIA 92253 ®(_,
DESCRIPTION OF MACHINERY, EQUIPMENT, AND SUPPLIES BEING USED IN THE BUSINESS
I HAVE READ, UNDERSTAND, AND AGREE WITH THE CONDITIONS BY WHICH A HOME
OCCUPATION IS ALLOWED (conditions attached).
Signa re
�4Date
Applicant's
OCCUPATION IS ALLOWED (conditions attached).
It is required that all applicants who reside in a gated community and are regulated by a
Home Owners Association must provide an original letter on letterhead stationery, stating the
approval of the business operation at the residence by the current management company
and/or directly from the Board of Directors of said association.
Initial home inspection, prior to application approval, will not be required unless requested
by the management company or the board of directors.
Date
Applicant's Si
• PP nature 9
•
IF APPLICANT IS OTHER THAN PROPERTY OWNER, AUTHORIZATION OF OWNER OR
RENTAL/LEASING AGENT IS REQUIRED.
Owner/Agent Signature
Agent Company Name
Date
Agent/Owner Contact Phone #
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 & SAFETY DEPARTMENT/CODE COMPLIANCE DIVISION
APPROVED DENIED SPECIAL CONDITIONS ATTACHED
BY: )16-n I . D. # DATE:
HOME OCCUPATION
CONDITIONS AND CRITERIA
ALL HOME OCCUPATIONS SHALL COMPLY WITH THE FOLLOWING CONDITIONS AND
REQUIREMENTS:
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
& 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 by 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.
0
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 and criteria
directly related to this application and permit.
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.
your company has employees, a copy of the workman's
If you. do not have employees, please check the last line on the first 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 used.
If you have any questions, please contact the Code Compliance Division at 777-7050.
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 declarations:
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 SAID POLICY OR CERTIFICATE OF CONSENT SHOWING THE AMOUNT OF
COVERAGE AND EXPIRATION DATE FOR WORKER'S COMPENSATION IS REQUIRED TO
PROCESS THIS APPLICATION.
1XI certify that. in the performance of any business activities for which this license is issued,
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, 1 will provide the City with a policy
or certificate copy within ten (10) days of the change in requirements.
Date: —O� I — % % Applic nx•
•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.
I
T � ,
Laguna De La Paz
P.O. Box 799 Rancho Mirage, CA 92270 (619) 564-8864 FAX (619) 564-8867
17 March 1997
Larry Gumtz
48-529 Via Encanto
La Quinta, CA 92253
Re: Request for Home Occupation Permit
Pursuant to a meeting with the Board of Directors of the Laguna
De La Paz HOA, the Board has no objection to your being issued
a Home Occupation Permit and a Business License issued by the
City of La Quinta with the following restrictions:
There is to be no foot or vehicle traffic to and from your
home and no deliveries of materials to your. home and ,the
work must be performed on the job site and not on your
property. Storage of materials may not interfer with »t,
• the parking of your vehicles) in your garage .as required
by Association Rules and Regulations.
Any and all restrictions imposed by any City Permit or
Ordinance must be obeyed.
A current copy of the City issued Home Occupation Permit
and a current copy of the City License must be kept on
file in this office at all times.
.Any violation .of the above will be grounds for revocation of
the Homeowners permit to conduct a home occupation.'
If you require additional assistance, please do not hesitate
to contact me at 760) 564-8864.
Y
ORDER.OFT
BOARD OF DIRECTORS
Bonnie Hagerman
Association Manager
Laguna De La Paz HOA