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78-495 CALLE TAMPICO — LA QUINTA, CALIFORNIA 92253 - (619) 777-7050
FAX (619) 777-7011
APPLICATION ' FOR
Fee $35.00 HOME OCCUPATION OF A BUSINESS
IN A
GATED COMMUNITY
Read each condition listed on the attachment 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)
PROPERTY ADDRESS -76- b05 U IC't-1 �dA o✓ PHONE 33LI2�
• BUSINESS NAME r ---r
PROPERTY OWNER kari n �ZQ V--, t 'L Z
MAILING ADDRESS (if different from business address) a00 Pa r i5 Lv - 3 l 3
TYPE OF RESIDENCE (single, multiple, mobile home, etc.) Si
TYPE OF BUSINESS � nSU� ' �R I Pe53
BRIEF DESCRIPTION OF HOW THE BUSINESS WILL OPERATE 4- 5L 1lp S
w , t L Ie- 5-+z� "-.ci 0 C Kan d. a._ t- 0-n a SSe b (I -k-
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6GI.ZS 4- SJrn.z U -Q k 0-00r Jf3✓5�rlssS ci4rxCluc�°�zc�
NUMBER OF PERSONS INVOLVED IN BUSINESS FEB 2 8 1997
LIST NAMES OF PERSONS EMPLOYED /J. [A CITY OF LA QUINTA
SQUARE FOOTAGE OF USABLE FLOOR AREA IN HOUSE (exclude garage) 114010 Gq" 4
• LOCATION AND SQUARE FOOTAGE OF AREA OF BUSINESS ACTIVITY IN HOME (example,
"bedroom - 125 sq. Ft.) J �
air—
MAILING ADDRESS - P.O. BOX 1504 - LA QUINTA, CALIFORNIA 92253 ��(
•
DESCRIPTION OF MACHINERY, EQUIPMENT, AND SUPPLIES BEING USED IN THE BUSINESS
OPERATION
I HAVE READ, UNDERSTAND, AND AGREE WITH THE CONDITIONS BY WHICH A HOME
OCCUPATION IS ALLOWED (conditions attached)..
Sign ure
,0 v w_b, Date 1
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.
DA d"4",Y,
Applicant's Signature—�
IF APPLICANT IS OTHER THAN PROPERTY
RENTAL/LEASING AGENT IS REQUIRED.
I
caner/AgentvSigna ure
Date V_ ) q, Iq 7
OWNER, AUTHORIZATION OF OWNER OR
Date N7
Agent Company Name 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.
APPROVED
6.4AIV
4
DENIED
SPECIAL CONDITIONS ATTACHED
I . D. # 5 1/ DATE:
I
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.
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.
AVAIL PROP MGMT 619+5620324 P.01
park la quinfia
PARC LA QUINTA HOMEOWNERS ASSOCIATION
AVAIL.PROPERTY MANAGEMENT
P.O. BOX 1032
PALM DESERT, CA 92261
(619) 568-2717
February 25, 1997 SENT BY PAX
Karin Radzewicz
78-505 Via Melodia
La Quinta, CA 92253
RE: Home Business Approval
Dear Mrs. Radzewicz:
Your request for an in home business. -,permit was reviewed by
• the Board of Directors.
Your request has been approved with the following conditions:
You abide by your written description'' -of the business regarding
no traffic or deliveries, outside sale, no modification to the
exterior of your house. Further, no commercial vehicles may be
parked in view of the street. You must also abide by the restric-
tions from the city regarding operation of businesses.
Should you violate any of the'agreed upon terms of this business,
the association has the right to contact the city and ask that
the permit not be renewed.
Thank you for your cooperation in this matter.
Sincerely,
avv_� C
�.4l.41�r,�
Cam Anderson
Project Manager
•
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, p.lease contact the Code Compliance Division at 777-7050.
Every employer who applies for an.y 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.
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, 1 will provide the City with a policy
or certificate copy within ten (10) days of the change in requirements.
Dater A lican . �1�
PP ,
•WARNING: Failure to secure worker's compensation coverage is unlawful, and s ell 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.