GILHOUSENIIIII IN IIII
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P.O. Box 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92247
COMMUNITY SAFETY DIVISION
HOME _OCCUPATION PERMIT
Permit_Number_:-.0900006414 j
(760) 777-7050
FAX (760) 777-7011
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 name(s): (List all owners, partners, and/or corporation officers) SANDRA M GILHOUSEN
Property address: 47585 VIA MONTESSA Phone: (314) 304-1620
Mailing address: 47585 VIA MONTESSA n A n
Property owner: SANDRA M GILHOUSEN U U
Type of business: DESIGNER JEWELRY & ACCESSORIES OCT 155 2009
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Brief description of how the business will operate: Cf iY OF LA -5-1N A
F4I;,cty�r WEPT
Square footage of usable floor area in house (exclude garage) 3200
Location and square footage of area of business activity in home (Example: Bedroom — 125 sq ft.)
GARAGE/OFFICE, 400
Description of machinery, equipment, and supplies being used in the business operation:
I HAVE READ, UNDERSTAND, AN AGREE WITH THE CONDITIONS BY WHICH A HOME
OCCUP TION IS ALLOWEP. (C itions Attached)
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ARPMANT SIGNAT RE DATE
If applicant is other than the property owner, authorization of owner or rental/leasing agent is required.
Your inspection has been scheduled for Home Occupation In pection between THURS 10/22 @ 1-130 LAKE
LQ. Your inspector will be Michael Morri
-------------------------------------------INPECTOR ONLY -------
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. 0 APPROVED 41 � U5 Ug ,
❑ DENIED inspector Signature Date
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P.D. Box 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92247
CO,MMUNIT'Y SAFETY DIVISION
HOME OCCUPATION PERMIT
Peri urri er 60-60-0-06414
(760) 777-7050
FAX (760) 777-7011
Please read each condition listed on the attachment in this packet to see if the proposed -activity complies
with the City's Home O.ccupa"tion Regulations.
Applicant name(s): (List all owners, partners, and/or corporation officers) SANDRA M GILHOUSEN
Property address: 47585 VIA MONTESSA Phone: (314) 304-1620
Mailing address: 47585 VIA MONTESSA
Property owner: SANDRA M GILHOUSEN
Type of business: DESIGNER JEWELRY & ACCESSORIES
Brief description of how the business will operate:
Square footage of usable floor area in house (exclude garage) 3200
Location and square footage of area of business activity in home (Example: Bedroom — 125 sq ft.)
GARAGE/OFFICE, 400
Description of ,machinery, equipment, and supplies being used in the business operation:
I HAVE READ, UNDERSTAND, A AGREE WITH THE CONDITIONS BY WHICH A HOME
OCCUP TION IS ALLOW . (C itions Attached)
A2PUtANT SIGNAT RE( DATE
If applicant is other than the property owner, authorization of owner or rental/leasing agent is required.
Your inspection has been scheduled for Home Occupation Inspection between THURS 1130 LAKE
LQ. Your inspector will be Michael Morris. le)41�01-
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0 APPROVED
0 DENIED
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----INSPECTOR USE ONLY ----------------------------------------------------
Inspector Signature
Date
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P.O. Box 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
(7 60) 777-7000
FAX (760) 777-7101
0
APPLICATION FOR HOW OCCUPATION OF A BUSINESS
FEE $70.00 &��/' /
FECTION DATE: 4
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/
,Qr corporation officers
PROPERTY ADDRESS:
MAILING ADDRESS:
a
PHONE:
PROPERTY OWNER
TYPE OF RESIDENCE, (SINGLE, MULTIPLE, MOBILE HOME, ETC.):
TYPE OF BUSINESS:
BRIEF DESCRIPTION OF HOW THE BUSINESS WILL
NUMBER OF PERSONS INVOLVED IN BUSINESS:
SQUARE FOOTAGE OF USABLE FLOOR AREA INHOUSE (EXCLUDE GARAGE):
w 3�0
LOCATION AND SQUARE FOOTAVE OF OF BUSINESS A TY IN HO1�(EX. BEDROOM -
125 SQ FT.): �Q,I�GLQ D
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DESCRIPTION
OPERATION:
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I HAVE READ, E TAND, AND AGREE WITH THE CONDITIONS BY WHICH A
OCCUPATION S ED. (CONDITIONS ATTACHED).
I
CANT'S SIG DA
IF APPLICANT IS OTHkR'THAN THE PROPERTY OWNER, AUTHORIZATION OF OWNER OR
RENTAL/LEASING AGENT IS REQUIRED.
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O R/AGENT SIG NA
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AGENT COMPANY NAME CONTACT PH. # DATE
IMPORTANT: FALSE OR MISLEADING INFORMATION SHALL BE GR UNDS FOR DENYING
YOUR HOME OCCUPATION; FAILURE TO COMPLY WITH THE ;NDITIONS LISTED ON THE
ATTACHED PAGE SHALL BE GROUNDS FOR REVOCATP? .PERMIT.
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BUILDING AND SAFETY DEPARTMENT/CODE COMPLIANCE DIVISION:
APPROVED DENIED
OFFICER I.D. #
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SPECIAL CONDITIONS
DATE
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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
4ZTATFX4F1VT
WORKER'S COMPENSATION
If ,your company has employees, a copy of the Workman's Compensation `Policy must ace , a ly the business
license application, indicating dates of coverage and dollar amount. This proofof erage mustbe received
before the business license can be processed.
If you do not have employees, ,please check the last section on tlgrrfiage: "I Certify that......"
If your business is being operated from your home in uinta, a Home .Occupation Pe m- is required before a
'business license is issued.
If you have any questions, please contact a Code Compliance D,ivisio:n.at'777-7050.
Every employer who applies :for y license or renewal�of any license for a business issued pursuant to'Section
371.0:1 of the government , _ e or Section 7284 of the Revenue and Taxation code shall complete and sign a
WORKER'S COMPENSATION DECLARATION
I 'hereby affirm under penalty of perjury, one of ,the following
I have and will maintain a certificate o nsent to self -:insure for Worker's
Compensation, as provided by S on 3700 for the duration of any business activities
conducted for which this li a is issued.
{have and will. twin Worker's Compensalion'Insurance, as required by Section
3700 for the ration 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 OUNT OF
COVERAGE AND EXPIRATION DATE FOR WORKER'S COMPENSATIO S REQUIRED TO
PROCESS TRIS APPLICATION.
1 certify that in the performance of any b ess activities for which this license is
issued, I shall not employ any person i any manner so as to become subject to the
worker's compensation laws of tfomia, and agree that if 1 should become subject to
the worker's compensation visions of Section 3700, I will _provide the City with a
policy o rtificate cowithin ten (10) days of the change in .requirements.
. LICANT SIGNAT 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.
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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.:-50 of the
Zoning Ordinance. L'
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:
O
Office Copy — White
4 DAT
Customer Copy — Yellow