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78-495 CALLS TAMPICO
LA QuiNTA, CALIFORNIA 92253
(760) 77 7 -700 0
FAX (760) 777-7101
APPLICATION FOR HOME OCCUPATION OF A BUSINESS
FEE $70.00 INSPECTION DATE:
Please read each condition fisted on the attachment in this packet to see if the proposed
activity complies with the City's Home Occupation Regulations. l -
APPLICANT NAMES: (List all owners, partners, and/or corporation officers
G-./ P7 1Arm
PROPERTY
MAILING ADDRESS:
PROPERTY OWNER
rl�W
PHONE: 7YY-Xd,7-,. P 6 J Z
DIFFERENT FROM ABOVE)
TYPE OF RESIDENCE, (SINGLE, MULTIPLE, MOBILE HOME, ETC.): J -1 1//GTYPE OF BUSINESS: % Ce,
BRIEF DESCRIPTION OF HOW TBE BUSINESS WILL OPERATE:�c � � w:�� P4- Zi
NUMBER OF PERSONS INVOLVED IN BUSINESS:
SQUARE FOOTAGE OF USABLE FLOOR AREA IN HOUSE (EXCLUDE GARAGE): 9
LOCATION AND SQUARE FOOTAGE OF AREA OF BUSINESS ACTIVITY IN HOME (EX. BEDROOM -
125 SQFr.): a 42 � /:)' - -
DESCRIPTION OF MAC }I RY, EQUIPME AND SUPPLIES V..INP USED IN THE BUSINESS
OPERATION: ' _ �Iu �I�, K� C N+ � � �; G—.kms /f4-"
_; elp— J-
I HAVE READ, UNDE TAND, AND AGREE WITH THE CONDITIONS BY WHICH A
HOME OCCA' LOWED- (CONDITIONS ATTACHED).
APPLIC 'S SIGNATURE A
IF AP151 TCANT IS OTHER THAN THE PROPERTY OWNER, AUTHORIZATION OF OWNER OR
RENTAL/LEASING AGENT IS REQUIRED.
g�c9
OWNER/AGENT SIGNATURE
AGENT COMPANY NAME CONTACT PH. #
DATE.._._... �-- -
E"PORTANT: 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
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.
Sig�tatu
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 Cgvecage 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 goveromrcnt Code or Section 7284 of the Revenue and Taxation code sIiall complete and sib
�eclautipjLthat staiga the
)NOR:KER'S COMPENSATION DE, CLARATION
I hereby afI•irm 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 REQUIItED TO
PROCESS TIM APPLICATION.
I that in theperformance of an business activities for which this license is
certify iat y
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.
Z
APPLICANT S1 URE DA
WARNIl�iG: 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.
HOME OCCUPATION CONDITIONS AND CRITERIA
ALL HOME OCCUPATIONS SHALL COMPLY WITH THE FOLLOWING CONDITIONS AND REQUIREMENTS:
L' No one, other that 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% 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 of
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 by the State Fire Marshal 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, vibrations, fumes, smoke, electrical
interference, traffic, or other causes.
13. The use shall meet reasonable special conditions as established and made of record in the Horne Occupation Permit, as
may be deemed necessary to carry out the intent of this section.
CITY OF LA QUINTA MUNICIPAL CODES: 9.60.110, 9.160, and 9.210.060
Page 1 of 2
Subj: RE: 55-455 Medalist
Date: 12/2/2015 8:54:33 A.M. Pacific Standard Time
From: KARI.MARTiNCutmanagementfrust.com
To: IBKLONTZ@aol.com
Thank you Mr. Klontz. Please see the image below of the CC&R's, Section 10.1, page 74, Commercial Use
don't see it being a problem that you practice from your home. O
Section 10.1.. - Conuncreial Subject to the subsection entitled "Construction and
Sales" of the Section entitled " Easemei% for Construction and Ntarkuting" of the Article
entitled'Tasernents zinc] (tights" of this 1),eclarution, no part of a Separate friteresi shrill be
used or caused to be used or allowed or authorized in Any way, directly or indircetly, for
any business or commercial activities , except that a Separate Interest may be used by
Declarant and Participating Builder far the purposes set fo&j in this Declaration. The
foregoing restriction shall not prohibit any Owner from engaging, in an, occupation or
business in A Separate Interest that does not interfere with the residential nature of the
Association or quiet enjoyment by other Owners, provided that all applicable laws,
ordinances, and zoning regulations are satisfied and that there is no external evidence
of any such occupation, such as increased traffic or an unreasonable number of visitors.
Kari Martin I Assistant Manager - PGA WEST Fairways Association
The Management Trust
39755 Berkey Drive, Suite A • Palm Desert, California 92211
P: (760) 776-5100 x 6334 1 F: (760) 776-5111
Please tell us about your experience with our company. Take our survey at
www.surveymankey.com/r/TMTCARES
From: IBKLONTZ@aol.com [ma iIto: IBKLONTZ@aol.com]
Sent: Tuesday, December 01, 2015 7:44 AM
To: Kari Martin
Subject: Re: 55-455 Medalist
Kari
I am closing up my practice in Orange county and semi retiring in La Quinta. I am retaining a small CPA practice
of approximately 25 business clients that I will continue to handle remotely from my office in my home at PGA
West at the Greg Norman Estates. I expect to have very little contact with my clients and virtually all work will be
done my mail/email and telephone. All of my clients businesses are in the LA/Orange county area.
Sincerely,
Richard E. Klontz, CPA
In a message dated 11/30/2015 5:01:23 P.M. Pacific Standard Time, KARI. MARTIN mans ementtrust.com
writes:
Per our recent telephone conversation, please reply to this email. Thank you!
Kari Martin I Assistant Manager - PGA WEST Fairways Association
Wednesday, December 02, 2015 AOL: IBKLONTZ
Date Paid: Friday, December 11, 2015
Paid By: RICHARD KLONTZ
Cashier: SGU
Pay Method: CHECK 116
Printed: Friday, December 11, 2015 3:12 PM 1 of 1
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