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Quintero, Leon, & McIntyre-48 TUE 21:53 FAX 760 777 7112 Bldg &.Saftey FEE $70.00 Q 003/007 ! II'llll'llllllllll'I Z 60 P.O. Bax 1504 78-495 CALLE TAMPICO (760) 777.7000 LA QUINTA, CALIFORNIA 92253 FAX (7,,600/))77/77-7101 APPLICATION FOR HOME OCCUPATION OF A BUSINESS �G:�%.� 2-30504W, 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. E,PPLICANT NAMES: (List all owners, partners, and/or corporation officers M ISO Qui �l S FROPERTY ADDRESS: %5S(9S L e-eA L(j C, rr o (" PHONE: 0� 00 b AILING ADDRESS: P` 0 '15 ox Oro o �-o�1 �l &(in) (IF IrUtEW FIIOM ABOVE) FROPERTYOWNER:lSL&�—v e-_� _ G c. -i /,--E-e./t:> TYPE OF RESIDENCE, (SINGLE, MULTIPLE, MOBILE HOME, ETC.): 5 ►- I YPE OF BUSINESS: --c9 •E RIEF. DESCRIPTION OF HOW THE BUSINESS WILL OPERATE: A UMBER OF PERSONS INVOLVED IN BUSINESS: SQUARE FOOTAGE OF USABLE FLOOR AREA IN HOUSE (EXCLUDE GARAGE): LOCATION ANRSQUARE FOOTAGE OF AREA OF BUSINESS ACTIVITY IN HOME (EX. BEDROOM - 125 SQ FT.): L ESCRIPTION OF MACHINERY, E UIPMENT, AND SUPPLIES BEING USED IN THE BUSINESS OPERATION: _ Pjnu-A 42tti �e / ►� C+o o u .r1., i v.Q 0;x,7 j u n n I P I HAVE READ, UNDERSTAND, AND AGREE WITH THE CONDITIONS BY WHICH A E[OME OCCUPATION IS ALLOWED. (CONDITIONS ATTACHED). APPLI ' S SI TURE DATE E' APPLICANT IS OTHER THAN THE PROPERTY OWNER, AUTHORIZATION OF OWNER OR PENTALILEASING AGENT IS REQUIRED. U NOV 10 2003 CITY OF LA QUINTA FINANCE DEPT. -3 TUE 21:55 FAX 760 777 7112 Bldg & Saftes • 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 CJ ?j 005/007 • • • • 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 as 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. • V 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: Oq(a'00Expires:_)—Dl ::321-( 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. P CANT SIGNATURE 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. O R/AGE GNATURE Go Go 6 um- 4e, Ti c AGENT COMPANY NAME DATE 906-16157 1It)&--tea 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. # C] C J SPECIAL CONDITIONS DATE CERTIFICATE OF DATE (MM/DDIYY) LIABILITY INSURANCE :; olum PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HRH Ins Sery of So Califomla HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR License Number 0684503 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. 7764 Country Club Dr. £401 COMPANIES AFFORDING COVERAGE Palm Desert CA 92211 COMPANY A Stale Compensation Ins. F INSURED COMPANY Go Go Gunite, Inc. B COMPANY PO Box 960 Thousand Palms CA 92276 C COMPANY [COVERAGES D THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUEO TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED, NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. 00 TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATIONLTR LIMITSDATE (MM/DD/YY) DATE (MM/DD/YY) GENERAL LIABILITY GENERAL AGGREGATE $ PRODUCTS - COMP/OP AGG $ COMMERCIAL GENERAL LIABILITY CLAIMS MADE r � OCCUR PERSONAL & ADV INJURY $ EACH OCCURRENCE $ OWNER'S & CONTRACTOR'S PROT FIRE DAMAGE (Any one fire) $ MED EXP (Any one person) $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ ANY AUTO ALL OWNED AUTOS BODILY INJURY $ SCHEDULED AUTOS (Per person) HIRED AUTOS BODILY INJURY $ NON -OWNED AUTOS (Per accident) PROPERTY DAMAGE $ GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $ OTHER THAN AUTO ONLY: ANY AUTO EACH ACCIDENT $ AGGREGATE $ EXCESS LIABILITY EACH OCCURRENCE $ AGGREGATE $ UMBRELLA FORM $ OTHER THAN UMBRELLA FORM WORKERS COMPENSATION AND X TRY LIMITSR A EMPLOYERS' LIABILITY 046-0010618.03 01/01/03 01/01/04 EL EACH ACCIDENT $ 1,000,000 EL DISEASE - POLICY LIMIT $ 1,000,000 THE PROPRIETOR/ INCL PARTNERSIEXECUTIVE RX OFFICERS ARE: EXCL EL DISEASE - EA EMPLOYEE $ 1,000,000 OTHER This certificate is issued as a matter of information only and confers no rights upon the certificate holder. This DESI RIPpIIONaOFi OOPERATIONS/LOCATIONSIVEHICLES/SPECIAL ITEMS AA II UU Certi icate does not amend, extend or alter the coverage afforded by thepolicies mentioned. CERTIFICATE- HOLDER. _ _ _ _ _ CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE AftsV of La Qulnta EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO MAIL 8105 Calle Estado 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, La Quanta CA 922M BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPIDN THE COMPAN , ITS AGENTS OR REPRESENTATIVES. AUTHORIZED REP SENT VE n / 1 6 •, Sal Sandoval ACORD 25-S (1195) LICENSE 06843 © ACORD CORPORATION 1988 t✓zu 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 9.160 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. ' 09. 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: uc e It e i5qzce PRIN AME 61 NA URE DATE V/� / ffic� Copy -White Customer Copy -Yellow V l u r— UNITED STATES POSTAL SERVICE First -Class Mail Postage & Fees Paid USPS Permit No. G-10 ; ' • Sender'. Please print your name, address, and ZIP+4 in this box • i t 1 CITY OF LA QUINTA BUILDING & SAFETY DEPARTMENT ODE ENFORCEMENT/ANIMAL CONTROL C i 78-495 CALLE TAMPICO P.O. BOX 1504 I LA CIONTA, CA 92233 4 lilt, - w '■ Complete items 1, 2, and 3. Also complete A. S' a4ure - I Rem 4 if Restricted Delivery is desired. ,liP1.rint ° ❑ Agent your name and address on the reverse ❑Addressee { So that we can. return the card to you. liliAlece, ttach this card to the back of the mailpiece, p g, eceived by (Printed Name) at of elivery + oyF14on the front if space permits. C 1 ?Article Addressed to: D. Is delivery address different from hem 1? ❑ Yes If YES, enter delivery address below: ❑ No j -Go—Go Gunite 7;8865 Wakefield Cir `La Quinta , CA 92253 { i I 3. S Kis Type i rtifiad Mail ❑ F%press Mail t I Registered 0 Return Receipt for Merchandise r i ❑ Insured Mail ❑ C.O.D. 4. Restricted Delivery? (Extra Fee) ❑ Yes 7002 3150 00,04 ;1489 9520; ;MA ' f PS Form 3811, August 2001 Domestic'Return Receipt02595-o2-M--1540" i �oOFFICIAL USE r-1 Postage $ 66 CA CertlBed Fee 0\��N, O cIMRReturn Reclept Fee Q 4n:* C3 W (Endorsement Required) O Restricted Delivery Fee u'1 (Endorsement Required) s r-1 $ _ USP M Total Postage & Fees OSe Q(,[ _ fAp r or PO Box No. 4 --!!!:-----------••-----=- i city, rar zi Postal ServiceTM r RTIFIED MAILTM RECEIPT estic Mail Only; No Insurance Coverage Provided) �oOFFICIAL USE r-1 Postage $ 66 CA CertlBed Fee 0\��N, O cIMRReturn Reclept Fee Q 4n:* C3 W (Endorsement Required) O Restricted Delivery Fee u'1 (Endorsement Required) s r-1 $ _ USP M Total Postage & Fees OSe Q(,[ _ fAp r or PO Box No. 4 --!!!:-----------••-----=- i city, rar zi • 0 T4hf 4 4 4" P.O. BOX 1504 COMMUNITY SAFETY DIVISION 78-495 CALLE TAMPICO (760) 777-7050 LA QUINTA, CALIFORNIA 92253 FAX (760) 777-7011 August 23, 2003 Go -Go Gunite 78865 Wakefield Circle La Quinta, CA 92253 Subject: City of La Quinta Home Occupation Permit. Dear Ms Bazua or Mr. Quintero: If you reside in La Quinta, any business that you own that is not being run from a commercial location is required to obtain a Home Occupation Permit prior to the processing of your business license. Please find the following paperwork for a Home Occupation Permit. After we receive the completed Home Occupation paperwork and one-time fee of $70.00, we can schedule a time for a home inspection (usually the next business day between 9:30 a.m. and 4:00 p.m.). We will try to schedule it at a time that is convenient for you. It takes about 10 to 15 minutes and we will schedule a half-hour window for the inspection time. If you are leasing the residence, please obtain either the owner's or property manager's signature on the Home Occupation Permit giving you approval to run the business. After your Home Occupation Permit approval, I will complete the processing of your business license renewal. If I can be of assistance, please do not hesitate to call me at (760).777-7050. Sincerely, Gina McElroy Counter Technician/Code Compliance Department • 0 : e TAY " October 13, 2 P.O. Box 1504 78-495 CALLE TAMPICO PQU A,CALIFORNIA 9225. Go -Go Gunite 78865 Wakefield Circle La Quinta, CA 92253 Subject: City of La Quinta Home Occupation Permit and Business License Dear Mr. Quintero: IMMUNITY SAFETY DIVISION (760) 777-7050 FAX (760) 777-7011 We have received your business license renewal paperwork. When you reside in La Quinta, any business that you own that is not being run from a commercial location is required to obtain a Home Occupation Permit prior to the processing of your business license. Please find the enclosed paperwork that I am returning. We sent a certified letter on 8/27/03 and also faxed a request to obtain the home occupation permit. After we receive the completed Home Occupation paperwork and one-time fee of $70.00, we can schedule a time for a home inspection (usually the next business day between 9:30 a.m. and 4:00 p.m.). We will try to schedule it at a time that is convenient for you. It takes about 10 to 15 minutes and we will schedule a half-hour window for the inspection time. After the approval of your home occupation permit, you may resubmit your business license renewal paperwork for processing. If I can be of assistance, please do not hesitate to call me at (760) 777-7050. Sincerely, Gina McElroy Counter Technician/Code Compliance Department 0