TONNIGEShaw
P.O. Box 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92247
57
COMMUNITY SAFETY DIVISION
HOME OCCUPATION PERMIT
r»�� tiy'T 44
s
Permit Number: 08-00003363
(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) STEVE TONNIGES
Property address: 79235 VIOLET CT - Phone: (760) 831-1122
Mailing address: 79235 VIOLET CT
Property owner: STEVE TONNIGES D A
Type of business: PERSONAL TRAINING FITNESS JUN 112008
Brief description of how the business will operate: CITY OF LAQUINTA I
• FINANCE DEPT. �J
Square footage of usable floor area in house (exclude garage) 1600
Location and square footage of area of business activity in home (Example: Bedroom – 125 sq ft.) GARAGE,
200
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)
ZZ
O
APPLICANT SIGNATURE 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 between4MON.06/16 9 —440A
DELREY. Your inspector will be
-------------------
❑ APPROVED
DENIED
CE -HP
--- IN CTOR USE ONLY --------------------------------
IVOWWnativire Date
---------------------
/-)-o8-11"
0w.
P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92247
COMMUNITY SAFETY DIVISION
HOME OCCUPATION PERMIT
Perrtlit Number: .08-00003 3 63
(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) STEVE TONNIGES
Property address: 79235 VIOLET CT Phone: (760) 831-1122
Mailing address: 79235 VIOLET CT
Property owner: STEVE TONNIGES U U
Type of business: PERSONAL TRAINING FITNESS JUN 1 1 2098
Brief description of how the business will operate: CITY OF LA quINTA
• FINANCE DEPT.
Square footage of usable floor area in house (exclude garage) 1600
Location and square footage of area of business activity in home (Example: Bedroom— 125 sq ft.) GARAGE,
200
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)
O
APPLICANT SIGNATURE 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.MON 06/16 9f
DELREY. Your inspector will be
--------------------------
.-------------------------------------=----INSP CTOR USE ONLY---
--------------,----
❑ APPROVED A Iz
DENIED I nature Date
CE HP
FEE $70.00
P.O. Box 1504
78-495 CALLS TANipico '(760) 777-7000
LA QUiNTA, CALIFORNIA 92253 FAX (760) 777-7101
APPLICATION FOR HOME OCCUPATION OF A BUSINESS
INSPECTION DATE:.
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. klx�
APPLICANT[NAMES: (List all owners, partners, and/or corporation officers
PROPERTY ADDRESS: PHONE:_ 76'6
-MAMING ADDRESS: (IF.DHTERENT FROM ABOVE)
PROPERTY OWNER --r
TYPE OF RESIDENCE.- (SINGLE, MULTIPLE, MOBU HOME, ETC.):
• TYPE OF BUSINESS: e, /`a Ss
BRIEF DESCRIPTION OF HOW THE BUSINESS WILL OPERATE:
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 Fr.):
A r-gt:
DESCRIPTION O`F�,CHINERY, EQUIPMENT, AND SUPPLIES B USED IN THE BUSINESS
OPERATION. e
rGS U-
12- 'a ,
I HAVE READ, UNDERSTAND, AND AGREE WITH THE CONDITIONS BY WHICH A
-115�C.CUPATION IS ALLOWED. (CONDITIONS ATTACHED)..'
APPLICANT'S SIGNATURE DATE
IF APPLICANT IS OTHER THAN THE -PROPERTY OWNER, AUTHORIZATION OF OWNER OR
RENTAL/LEASING AGENT IS REQUIRED. -
M
OWNER/AGENT SIGNA
AGENT COMPANY NAME CO ACT PH. DATE
IlVIPORTANT: FALSE OR MISLEADING TION SHALL BE GROUNDS FOR DENYING
YOUR HOME OCCUPATION; RAIZ. COMP WITH THE CONDITIONS LISTED ON THE
ATTACHED PAGE SHALL BE GRO S FOR REVD�TIOOF PERMIT.
BUILDING AND S DEPARTMENT/CODE COMPLIANCE DIt
APPROVED DENIED SO ITIONS
OFFICE I.D. # DATE
-�
�7L
•
PLEASE READ!
Please contact your Homeowner's Association prior to paying for your Home
Occupation Permit. Your Home'ow:n . er's Association may restrict or prohibit
home based businesses.
I HAVE READ AND UNDERSTAND THIS
STATEMENT.
Signature
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.
APPLICANT SIGNATURE DA E
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.