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KOOYENGAP.O. Box 1504 FL Ty- _��'_ 78-495 CALLE TAMPICO Flaq���('76�0)fi1777- 1000 LA QUINTA, CALIFORNIA 92253 FAX (760) 7-'77-7101 APPLICATION FOR HOME OCCUPATION OF A BUSINESS " 10FEE $70.00 INSPECTION DATE: t U �Loll } 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 CJ PROPERTY ADDRESS 5' �NE: -A to % 71 - 5-3 4 / 4-S4-�-57S17 MAILING ADDRESS:(IF DIFFERENT FROM ABOVE) PROPERTY OWNER: G. o es TYPE OF RESIDENCE, (SINGLE, MULTIPLE, MOBILE HOME, ETC.): • TYPE OF BUSINESS: LCA.Aa--Q <ItA Qlf-e" BRIEF DESCRIPTION OF HOW THE BUSINESS WILL OPERATE:�� G� NUMER O RSON BS INVOLVED IN BUS S : • SQUARE FOOTAGE OF USABLE FLOOR AREA IN HOUSE (EXCLUDE GARAGE): 0- D- a= a, LOCATION AND SQUARE FOOTAGE OF AREA OF BUSINESS ACTIVITY IN HOME (EX. BEDROOM - 125 SQ FT.): 10 X l a ---- DESCRIPTION OF MACHINERY, EQUIPMENT, AND SUPPLIES BEING USED IN THE BUSINESS OPERATION: -t D L I, k rlv�- O I HAVE READ, UNDERSTAND, AND AGREE WITH THE CONDITIONS BY WHICH A H M OCCUPATION IS ALLOWED. (CONDITIONS ATTACHED). APPLICANT'S SIGNATURA VDATE IF APPLICANT IS OTHER THAN THE PROPERTY OWNER, AUTHORIZATION OF OWNER OR RENTAL/LEASING AGENT IS REQUIRED. NLo'Ums, 62 P.O. Box 1504 FL Ty- _��'_ 78-495 CALLE TAMPICO Flaq���('76�0)fi1777- 1000 LA QUINTA, CALIFORNIA 92253 FAX (760) 7-'77-7101 APPLICATION FOR HOME OCCUPATION OF A BUSINESS " 10FEE $70.00 INSPECTION DATE: t U �Loll } 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 CJ PROPERTY ADDRESS 5' �NE: -A to % 71 - 5-3 4 / 4-S4-�-57S17 MAILING ADDRESS:(IF DIFFERENT FROM ABOVE) PROPERTY OWNER: G. o es TYPE OF RESIDENCE, (SINGLE, MULTIPLE, MOBILE HOME, ETC.): • TYPE OF BUSINESS: LCA.Aa--Q <ItA Qlf-e" BRIEF DESCRIPTION OF HOW THE BUSINESS WILL OPERATE:�� G� NUMER O RSON BS INVOLVED IN BUS S : • SQUARE FOOTAGE OF USABLE FLOOR AREA IN HOUSE (EXCLUDE GARAGE): 0- D- a= a, LOCATION AND SQUARE FOOTAGE OF AREA OF BUSINESS ACTIVITY IN HOME (EX. BEDROOM - 125 SQ FT.): 10 X l a ---- DESCRIPTION OF MACHINERY, EQUIPMENT, AND SUPPLIES BEING USED IN THE BUSINESS OPERATION: -t D L I, k rlv�- O I HAVE READ, UNDERSTAND, AND AGREE WITH THE CONDITIONS BY WHICH A H M OCCUPATION IS ALLOWED. (CONDITIONS ATTACHED). APPLICANT'S SIGNATURA VDATE IF APPLICANT IS OTHER THAN THE PROPERTY OWNER, AUTHORIZATION OF OWNER OR RENTAL/LEASING AGENT IS REQUIRED. NLo'Ums, V OWNER/AG�SIGNAU AGENT COMPANY NAME DATE -1�6771�L . 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 • 0 I Iv. • Lao OWNER/AGENT SIGNATUIIEU DATE -7�6 771- 6-3�7 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 OFFICER I.D. # • 0 SPECIAL CONDITIONS DATE *rr 'r3 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 0 • 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. (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. 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 of 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: 0 CITY OF LA QUINTA MUNICIPAL CODES: 9.60.110, 9.160, and 9.210.060 P.O. Box 1504 78-495 CALLE TAMPICO (760) 777-7000 LA QUINTA, CALIFORNIA 92253 FAX (760) 777-7101 CITY OF LA QUINTA WORKER'S COMPENSATION DECLARATION If your company has compensated employees, a copy of your WORKMAN'S COMPENSATION POLICY must accompany your BUSINESS LICENSE APPLICATION, showing the dates of coverage, including the expiration date, and the dollar amount. THIS PROOF OF COVERAGE MUST BE RECEIVED BEFORE YOUR BUSINESS LICENSE CAN BE PROCESSED. IF YOUR BUSINESSIS.BEING OPERATED FROMA PRIVATE RESIDENCE WITHIN LA QUINTA, A HOME OCCUPATION PERMIT IS REQUIRED BEFORE A BUSINESS LICENSE CAN BE ISSUED. Every employer who applies for a Business License or License renewal which is to be 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 ONE OF THE FOLLOWING: I HEREBY AFFIRM, UNDER PENALTY OF PERJURY, ONE OF THE FOLLOWING DECLARATIONS: (Check One) • 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 conducted for which a Business License is issued. I Have and will maintain Worker's Compensation Insurance, as required by Section 3700 for the duration of any business conducted for which a Business License is issued. WORKER'S COMPENSATION INSURANCE CARRIER: POLICY NUMBER: EXPIRATION DATE: (IF YOU DO NOT HAVE ANY EMPLOYEES, PLEASE INDICATE BELOW) ��I Certify that in the performance of any Business activity for which a Business License is issued, I shall not employ any person in any manner so as to become subject to the Worker's Compensation Laws of the state of California, and I 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. 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 FINES AND PENALTIES, ADDITIONAL COMPENSATION DAMAGES, INTEREST • AND ATTORNEY'S FEES MAY BE ASSESSED TO YOU AS PROVIDED IN SECTION 3706 OF THE LABOR CODE. Me, 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. I 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 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 WI/JZ'H AILL OF THESE CONDITIONS: 5(A- C10'r_C'_ F - 9 3 SIGNATURE DATE �V �C �N Office Copy -White Customer Copy -Yellow 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 WI/JZ'H AILL OF THESE CONDITIONS: 5(A- C10'r_C'_ F - 9 3 SIGNATURE DATE �V �C �N Office Copy -White Customer Copy -Yellow • MetroScan /Riverside (CA) Parcel : 646 290 008 Pos Int RefAPN : 000 000 000 Owner : Kooyenga Donald W/Victoria Land : $33,073 CoOwner : Yes Struct :$123,477 Site : 78535 Via Sonata La Quinta 92253 Other Pool Mail : 78535 Via Sonata La Quinta Ca 92253 Total : $156,550 Xfered : 05/13/2003 Doc # : 344440 Exempt : No Price Deed : rnant Deed Type , LoanAmt : $213,750 Loan : Conventional %Imprvd. -.79 Lender : Fremont Investments And LoantTyp : Adjustable % Owned : 100 VestTyp . : Married Persons Tax Area : 20-034 Use : RO1 Res, Single Family Residences 02-03 Tax :$2,191.62 Plat :211 Map Grid : 849 G5 Census : Tract : 451.11 Block : 1 OwnerPh S T R Q Tenant Ph Bedrms :4 Stories : 2 Acres :.17 Year Built : 1990 BthFull : 3 Fireplace : Yes LotSgFt : 7,405 Street Type : Paved Bth3Qt Pool : No Bldg SF :2,222 Waterfront BthHalf : RmAddtns : No AddOnSF : I Gas Service : Developed Cnt1Ht :Yes AddPkgTyp GarSgFt :441 Water Source : Developed Cnt1A/C : Yes Roof Type : Tile Gar Type : Attached Sewer Type : Developed Agri Preserve 7I!! YAI /! fOR ISlE!lYER/IVB/0![f WLY C� POR. S 11 SEC. 31, T. 55,R.7E. r.R.A. OZO-002 646-29 6/7-1B 0 0; I :KlO aO bl aQ „ O ,O Y da s,eb i taxa 5 m Y- Q 9� NI M B. 211 F59.61 riot! No. 21555 _ a �iVA5H1NB-,,, •, �� iyq T [ 300 ASSE551�P!'AfdP BK646 BK.29 /O t�•ne..w RIVERSIDE coUNry, "LIF SEP92 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.