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RECEIVED MAY 302017 ' CIiY OF LA QUINTA `L. COMMUNITY EVRLOPVELOPMENT P.O. Box 1504 78-495 CALLS TAMPICo LA QUINTA, CALIFORNIA 92253 (760) 777-7000 FAX (760) 777-7101 APPLICATION FOR HOME OCCUPATION OF A BUSINESS �-�n 4 ul / - a� FEE $70.00 INSPECTION DATE: 6/1 S 1-7_ 1 D 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 Jt?h'D S -717- Y/E? MissioN oRive w�sT PROPERTY ADDRESS: Z-A v i A.-7 J - c ,4 PHONE: f-----��253 MAILING ADDRESS: -S A M E (11T DIFFERENT FROM ABOVE) PROPERTY OWNER:.0 TYPE OF RESIDENCE, (SINGLE, MULTIPLE, MOBILE HOME, ETC.): TYPE OF BUSINESS: f/ /? 4 Al C E A G E N C Y S"�NG�E BRIEF DESCRIPTION OF HOW THE BUSINESS WILL OPERATE; C L'E�/�,AL vy D R K /-RoA /i/U fI/-5 oMM's G/V— s i NUMBER OF PERSONS INVOLVED IN BUSINESS: - -- y 1r 141X 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 FT.): C 7A o FFi Gzl- - / o DESCRIPTION OF MACHINERY, EQUIPMENT, AND SUPPLIES BEING USED IN THE 13USMSS OPERATION: SAVER S M ,4 64 (' 0 4�d SC A /V�lN CVSro/$1 /9fi/1- T • �N i%ES,4e a&/a-� ,ZN S-TA LCiW I VE READ, NDERSTAND, AND AGREE WITH THE CONDITIONS BY WHICH A D CCUPATIO LS ALLOWED. (CONDITIONS ATTACHED), ICANT:13 NATURE VATE RENTAL/LEASING AGENT IS REQUIRED. AGENT COMPANY NAME CONTACT PH. # DATE 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 J""� DENIED SPECIAL CONDITIONS OFFICER I.D. # < DATE f; " / - " 1 PLEAS ' A ? 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 Aye]) UNDERSTANDTHIS l HIS STATEMENTr r HOME OCCUPATION CONDITIONS AND CRITERIA ALL HOME OCCUPATIONS SHALL COMPLY WITH THE FOLLOWING CONDITIONS AND REQUIREMENTS: 1. 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. 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. It. 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 Home 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 9.21 0 DATE(MM/DD/YYYY AC) `C CERTIFICATE OF LIABILITY INSURANCE 5/24/2017 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT - EMS NAME: Howard S. Lewis Insurance Svcs, Inc PHONE 714=6f2=88 PAX {A2c.NRF�W' No : 79-418 Mission Drive West E-MAFI. La Quinta, CA 92253 ADD SS: License #OD34019 1NSURER($)_AFPORDING COVERAGE NAIC N aE fe�moensa't{on ns. Fund INSURED Howard S. Lewis Ins Svcs Inc 79-418 Mission Drive West La Quinta; CA 92253 INSURER A INSURER B : INSURER D : r COVERAGES CERTIFICATE NUMRFR lu, I ru REVISION NUMRFR! THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED 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. INSR F ADDL SUBR POLICY EFF POLICY EXP LTR TYPE OF INSURANCE WVD POLICY NUMBER /DDIYYY DDJY Y LIMITS COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ CLAIMS -MADE OCCUR DAMAGE TO RENTED pREM.,SUJto ocdlmeno $ MED EXP (Any oneperson) $ PERSONAL & ADV INJURY $ GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ POLICY E PRO ❑ LOC JECT P]+F: PRODUCTS - COMP/OP AGG $ $ R AUTOMOBILE LIABILITY COMBINED'SINGI,E LIMIT aodd $ BODILY INJURY (Per person) $ ANY AUTO OWNED SCHEDULED AUTOS ONLY AUTOS BODILY INJURY (Per accident) $ pROPERTYDAMAGE Per accident $ HIRED NON -OWNED AUTOS ONLY AUTOS ONLY UMBRELLA LIAB OCCUR EAC.H.OCCUR ReNCE $ AGGREGATE $ EXCESS LIAB CLAIMS -MADE DED RETENTION $ $ ,q WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y 1 N ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? N I A 1965597-2017 4/01 /2017 4/01 /2018 X PER OTH- EL EACH ACCIDENT $ 1000,000 E.L. DISEASE - EA EMPLOYE $ 1 (Mandatory In NH) If yes, describe under E.L DISEASE - POLICY LIMIT $ DESCRIPTION OF OPERATIONS below DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached If more space Is required) C:FRTIFIrATF mni nFR rAAIrFI I ATInKI City of La Quinta SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE P. Box 1504 Ti IE—EXPIRATION [DATE TI E, FEE WILL BE�3EMVERE0—iN ACCORDANCE WITH THE POLI Y P I NS. La Quinta, CA 92253 AUTHORIZED REPRE8ENTATaEl ©1 0'r ffCORD CORPORATION. All rights reserved. ACORD 25 (2016103) The ACORD name and logo are registered mark f ORD HOME OCCUPATION CONDITIONS ADDRESS: 79418 Mission Drive H.0.2017-0022 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 9.60 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 orders sales, nor there the maintenance of an office opened 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 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 devised 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 reasonable 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, UNDERTAND AND AGREE CONDITI , ONS_ PRINT COM VrY I WITH ALL OF THESE OFFICEWSIGNATURE OF API ROYAL 6, DATE ** OFFICERS SIGNATURE INDICATES HOME OCCUPATION APPROVAL