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RyanDescription: MOBILE PET GROOMING IType: HOME OCCUPATION Subtype: STND Status: SUBMITTED Applied: 7/31/2014 SKH Approved: Parcel No: 77326SO06 Site Address: 52370 AVENIDA VELASCO LA QUINTA,CA 92253 ,Subdivision: SANTA CARMELITA VALE LA QUINTA Block: 85 Lot: 6 Issued: +� �� UNIT 10 3 2014 Lot Scl Ft: 0 Building Scl Ft: 0 Zoning: Finaled: OFL4 Valuation: $0.00 Occupancy Type: Construction Type: Expired: AFTA �T No. Buildings: 0 No. Stories: 0 No. Unites: 0 -� Details: FINANCIAL INFORMATION SEQID INSPECTION TYPE INSPECTOR SCHEDULED COMPLETED RESULT REMARKS NOTES DATE DATE HOME OCCUPATION MRO 8/1/2014 10:00-10:30 Printed: Thursday, July 31, 2014 3:02:05 PM 1 of 2 YSTEMS I1 FINAL" I MRO 1 8/1/2014 1 1 1 1 ATTACHMENTS Printed: Thursday, July 31, 2014 3:02:05 PM 2 of 2 r"5YSTEnAS T+r,E S 70.00 P.O. Box 1504 78-495 CALLE TAMPICO (760) 7 7 7 - 7 0 0 0 LA QUINTA, CALIFORNIA 92253 FAX (760) 777-7101 APPLICATION FOR HOME OCCUPATION OF A BUSINESS INSPECTION DATE: _ 1 0,x) 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 1 \ bSogLI rq p M C M A NJ V5 PROPERTY ADDRESS: a37� ✓G►`� l p� G ONE: / 6d - R� T -4, o D S^ MAILING ADDRESS: _(IF DIFFERENT FROM ABOVE) PROPERTY OWNER: oS� �� �A me 1�'1 �4ni S -� EyL-'Tf KYA N/ TYPE OF RESIDENCE, (SINGLE, MULTIPLE, MOBILE HOME, ETC.): TYPE OF BUSINESS: IV1 D-B I LE (2,. 1P-00 f/( )NCs BRIEF DESCRIPTION OF HOW THE BUSINESS WILL OPERATE: 101tl- C U _ CLI FN -ko tq6 0 GP-oo o S NUMBER OF PERSONS INVOLVED IN BUSINESS: SQUARE FOOTAGE OF USABLE FLOOR AREA IN HOUSE (EXCLUDE GARAGE): - O 0 LOCATION AND SQU�FOOTAGE OF AREA OF BUSINESS ACTIVITY IN HOME (EX. BEDROOM - 125 SQ FT.): DESCRIPTION OF MACHINERY, EQUIPMENT, AND SUPPLIES BEING USED IN THE BUSINESS OPEnRnATTII,1O�,N�� � : � r ' 1 yW(/ 1QbIIxl � V / e(Vl - I HAVE READ, UNDERSTAND, AND AGREE WITH THE CONDITIONS BY WHICH A O E OCCUPATION IS ALLOWED. (CONDITIONS ATTACHED). 'P . A ' S SIGNATURE DATE 1 IF APPLICANT IS OTHER THAN THE PROPERTY OWNER, AUTHORIZATION OF OWNER OR RENTAL/LEASING AGENT IS REQUIRED. ' JUL 31 2014 JU C�i cITYUFLAWINTA J �� OMMUNITY DEyELOPhgCNT C7EPAR T11E �di OWNER/AGENT SIGNATURE AGENT COMPANY NAME DATE CONTACT PH. # DATE IMPORTANT: FALSE OR MISLEADING INFORMATION SHALL BE GROUNDS FO ENYING YOUR HOME OCCUPATION; FAILURE TO COMPLY WITH THE CONDITIONS STED ON THE ATTACHED PAGE SHALL BE GROUNDS FOR REVOCATION OF PERMIT. BUILDING AND SAFETY DEPARTMENT/CODE COMPLIANCE APPROVED DENIED ECIAL CONDITIONS OFFICER I.D. # DATE PLEASE READ! Please contact your Homeowner's Association prior to paying for your Home Occupation Permit. Your Homeowner's Association may restrict or ohibit home based businesses. 1TAND THIS 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. I VSIGNAATU"- 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.