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MUP 2013-1057City ojka Quinta Planning Department 78-495 Calle Tampico uinta, California 92253 1 �� "7_ 7125 FAX: (760) 777-1233 Clot 9 1 Abw Q3Aijh0ftION FOR MINOR USE PERMIT MINOR USE PERMIT applications are reviewed and approved by the Planni 9.210.020, of the Zoning Code. The purpose of the review is to ensure that land have an adverse impact on surrounding properties, residents, or businesses. APPLICANT OFFICE USE ONLY Case No. 1" , A P OO 7 Date Recvd.anh_ Fee: �' �• �� Related Apps.: Logged in by: OEC' nt to Section the permit do not (Print) MAILING ADDRESS Phone No. ---� cli CITY, STATE, ZIP:_ La� � T��ZZ �j Fax No. PROPERTY OWNER (If different):__ (Print) MAILING ADDRESS: CITY, STATE, ZIP: PROJECT LOCATION: Phone No. Fax No. PROPOSED USE AND/OR CONSTRUCTION (Including operational information): (attach sheets if needed) LEGAL DESCRIPTION (LOT & TRACT OR A.P.N.):=AA]O,,,j\e . Note: Ifyour activity requires an addition exceeding 200 square feet, a trailer, or electrical service, issuance of an MUP/TUP will be done concurrent with a Building Permit. PAApplicationsWinor Use Permit.doc 9 SUBMISSION REQUIREMENTS: ❑ Plot Plan, floor plans and elevation plans (as determined by Planning Department staff). Five (5) sets of plans on 8%" x l l" sheet or folded down to 8'/z" x 11". ❑ Filing fee for Minor Use Permit. If filing multiple applications, the most expensive, application will be charged full fee, with remaining related applications discounted 50% for each. This discount does not apply to Environmental Information form. NAME OF APPLICANT (Please Print) SIGNATURE OF APPLICANT ' DATE 5 NAME OF PROPERTY OWNER_'It7�r�'�Ir (Please Print) SIGNATURE OF PROPERTY OWNER(S) IF NOT SAME AS APPLICANT: (Signature provides consent for applicant to use site for proposed activity). DATE DATE (Separate written authority by owner to submit application may be provided) NOTE: FALSE OR MISLEADING INFORMATION GIVEN IN THIS APPLICATION SHALL BE GROUNDS FOR DENYING APPLICATION. PAApplicationsWinor Use Permit.doc PREPARED 5/16/13, 10:55:07 PAYMENTS DUE INVOICE CITY OF LA QUINTA PROGRAM PZ821L -------------------- ---------------------------------------------- PROJECT NUMBER: 13-00000112 MUP 13-1057 COTTAGE FOOD FEE DESCRIPTION AMOUNT DUE --------------------------------------------------------------------------- MUP (F) 75.00 TOTAL DUE 75.00 Please present this invoice to the cashier with full payment. • • 5 N P.O. Box 1504 LA QUINTA, CALIFORNIA 92247-1504 78-495 CAL.LE TAMPIco (760) 777-7000 LA QUINTA, CALIFORNIA 92253 FAX (760) 777-7101 August 15, 2013 Ms. Deborah Schrameck 78-365 Highway 111 #374 La Quinta, CA 92253 SUBJECT: MINOR USE PERMIT 2013-1057 COTTAGE FOOD OPERATION: 53-860 AVENIDA JUAREZ Dear Ms. Schrameck: The Community Development Department has reviewed your request for a Cottage Food Operation in your residence at 53-860 Avenida Juarez. This letter is to notify you that your request has been approved and is subject to the following Conditions of Approval: The cottage food operation shall be registered or permitted as a "Class A" or "Class B" operation by the Riverside County Department of Environmental Health, in accordance with Riverside County Ordinance 916 and Section 114365 of the California Health and Safety Code. Evidence of said registration or permit issuance by the Countv shall be provided to the Communitv Development Department prior to issuance of a Citv of La Quinta business license. 2. All cottage food operations require a City of La Quinta business license to be procured subsequent to, and in compliance with, approval of the minor use permit application and associated conditions of approval. 3. The cottage food operation shall be clearly incidental to the use of the structure as a dwelling unit, and shall not create dust, noise or odors in excess of that normally associated with residential use. 4. The cottage food operation shall not generate pedestrian or vehicular traffic in excess of that normally associated with residential use. 5. No direct sales or service from the residence or property on which the residence is located is permitted. The cottage food operation shall not be the point of customer pickup or delivery of products or services, nor shall a cottage food operation create greater vehicular or pedestrian traffic than normal for the district in which it is located. 6. Where a cottage food operation is permitted in a legal non -conforming residence, the cottage food operation shall not cause any such nonconforming situation(s) to be increased. 7. The cottage food operation shall be conducted solely within a primary residence. 8. Sign(s) identifying the cottage food operation are not permitted to be posted or displayed on the premises, nor on or within .anything located on the premises, except as may be required by any federal, state, and/or local permitting agency. Neither the dwelling. nor the property shall be altered to appear other than a residence, either by color, materials, construction, lighting, sounds, vibrations or other characteristics. 9. No more than one (1) cottage food employee, as defined by California Health and Safety Code Section 113758(b)(1), shall be employed by the cottage food operation, not including any residing family or household member. This minor use permit may be revoked for any violation of LQMC Section 9.60.11.5 or of Section 114365 et seq. of the California Health and Safety Code. The city may, for inspection purposes, access the permitted area of a private home where a cottage food operation is located if the city has, on the basis of any complaint(s), reason to suspect that the cottage food operation has violated the provisions of this Section and/or California Health and Safety Code Section 114365 et seq. Furthermore, the City may also conduct routine periodic inspections to ensure compliance with the provisions and conditions of the cottage food operation's minor use permit and City business license. This approval is final, but may be appealed by anyone to the Planning Commission provided the required forms and filing fee of $1,573.00 are filed with this office within fifteen (15) days of the date of this letter. Should you have,any questions, please call me at (760) 777-7067. Si YW U Asso ate Planner C. Riverside County Fire Department • COUNTY OF RIVERSIDE DEPARTMENT OF ENVIRONMENTAL .HEALTH Environmental Health Permit Non -Transferable - Non -Refundable [_Deborah Schrarneck E-Bar_-LJ.A ?�_0 FjV,iy 1 i #_:r1 La Q'-uirlta,:- Type Of Business 652 - Cottage Food Operation - Da=s B Facility #a FA004 1 9 Permit Expiration Date-. 015/33 ';2i District Nun-iberr: 0000 D Bi%: 52-16601x.;-venida _care L-= Quinta, CA 922252 Record ID#: PROCIG ISM This permit is granted for the business indicated on the condition that the business will comply with the laws, ordinances and regulations that are now or may hereafter be in force by the United States Government, the State of California, and the County of Riverside pertaining to the above mentioned business. This permit serves as a receipt for payment of fees for the above.listed programs. This permit must be renewed on or before the expiration date shown above. This permit may be suspended or revoked by the enforcement officer for cause. Inspection of this business may be conducted by a duly authorized representative of the Director of Environmental Health. THIS PERMIT IS NOT TRANSFERABLE OR REFUNDABLE. POST IN A CONSPICUOUS PLACE DEH -SAN -060 (Revised 8112 ) • DEPATAIENTOF E_XV1R.U�_1E_T_U HEALTH CALIFORNIA HOMEMADE FOOD ACT AB 1616 (GATTO) COTTAGE FOOD OPERATION (CFO) REGISTRATION / PERMITTING FORM FO Business Name: ate: FO Physical Address: FO City: CFO ZIP: cJ� AkAAR J"ez. i_.a Qur4m %53 Owner Name: ner Phone: Owner Cell: Mailing Address (if different): Mailing City: Mailing ZIP: 96.35 iii, Email Address: %1o+NAte rv-�aC . wrv-N Website: l%S4\• C;Cm 1 iffefl r• "Class A" (Direct Sales Only) "Class B" ( Direct & Indirect Sales) $145/year $290/year 2.Prohib6ted Items: Initial if you agree to abide by the following: Foods containing cream, custard, or meat fillings are potentially hazardous and are NOT ALLOWED. Only foods that are defined as "non -potentially hazardous" are approved for preparation by a Cottage Food Operation (CFO). These are food items that do not require refrigeration to keep them safe from bacterial growth that could be a cause of food-bome illness. 3."Class A" Self Certification Checklist: Checklist completed ("Class A" CFOs Only) Rev 1/2013 Page 1 of 6 • • 4. Products; Please check ALL of the items you will be preparing and/or selling. /Baked Goods Candy Churros Dried Mole Paste Trail Mix Fruit Empanadas Sweet Sorghum Syrup Other: Dried Pasta Dry Baking Mixes Waffle Cones Herb/Spice Blends Fruit Tamales/Pies Nut Butters Granola/Cereals Honey Mustard Tortillas Pizelles Nuts/Nut Mixes Dried Tea Popcorn Vinegar Fruit Butter Jams/Jellies*'` Dried Fruit Roasted -Coffee Chocolate Covered Nonperishable Food **These items must comply with standards described in Part 150 of Title 21 of the Code of Federal Regulations http://www.accessdata-fda.00v/scoots/cdrh!cfdocs/cfCFR/CFRSearch.cfm?CFRPart=150 Food descriptions: SnaLk bar- 5.Product Labefina: Initial if you agree to abide by the following: �S _ For a detailed description, see the CDPH document "Labeling Requirements for Cottage Food Products "AD cottage flood products must be properly labeled in compliance with the Federal, Food.,Drug, and Cosm.eticAct (21 U.S.C. Sec. 343 et seq.) The label must include: • The words "Made in a Home Kitchen' in 12 -point type. • The name commonly used to describe the food product. • Tm he CFO business nae, city, state and zip code of the cottage food operation which produced the cottage food product. if the firm is not listed in the current telephone directory then a street address must also be declared. (A contact phone number or email address is optional but may be helpful for consumers to contact your business. • The registration or permit number of the cottage food operation which produced the cottage food product and in the case of "Class B" CFOs, the name of the county where the permit was issued. • The ingredients of the food product, in descending order of predominance by weight, if the product contains two or more ingredients. Rev 1%2013 Page 2 of 6 The net quantity (count, weight, or volume) of the food product. It must be stated in both English (pound) units and metric units (grams). A declaration on the label in plain language if the food contains any of the eight major food allergens such as milk, eggs, fish, shellfish, tree nuts, wheat, peanuts, and soybeans. There are two approved methods prescribed by federal law for declaring the food sources of allergens in packaged foods: 1) in a separate summary statement immediately following or adjacent to the ingredient list, or Z) within the ingredient fist. If the label makes approved nutrient content claims or health claims, the label must contain a "Nutrition Facts" statement on the information panel. o The use of the following eleven terms are considered nutrient content claims (nutritional value of a food): free, low, reduced, fewer, high, less, more, lean, extra lean, good source, and light. Specific requirements have been established for the use of these terms. Please refer to the CCottaoe Food Labeling Gjideline for more details. o A health claim is a_ statement or message on the label that describes the relationship between a food component and a disease or health-related condition (e.g., sodium and "hypertension, calcium and osteoporosis). Please refer to the Cottage F-ood Labeling Guideline for more details. Labels must be legible and in English (accurately translated information in another language may accompany it). Labels, wrappers, inks, adhesives, paper, and packaging materials that come into contact with the cottage food product by touching the product or penetrating the packaging must be food -grade (safe for food contact) and not contaminate the food. Sample of label must be submitted prior to final approval. Example: -LSE P AL HOME, far, fm coanm: Riverside Cl @ rrin Gmm� 1n%i�a LSY &O—a IngM1(dM7t�-_ Fmcr- 11 -q ;V ff'O.>ra r. � hari. *MMT,-.rmzmmmax7h7 L UNI -WI M& fug Wit. &Xre '�693&L I& z 1!X1 s a�nc. �hu'wtcsr i7ign a: Ou, azurer- kr=fh (c it. mAMTK' ftG-r-a.- e-p-wis,. 3sIfC stir ara[ bf� tea-. bakme V%b. Cmadim VlwaL, e2�, milk, soy, NrMhuic Net IV,L3oz..0 6. Water Source: Please identify the water source to be used in Cottage Food Facility (Check one box) Rev 1/2013 Page 3 of 6 Name of Public Water System or Community Services District: If you use a Private Water Supaly*, identify the source (well, spring, surface, etc.): Private Water SU1212W Initial Water Quality Results Check boxes below if initial water testing has been completed. II testing must be done at a State Certified Laboratory. Attach a copy of the lab results and listthe results in the space provided next to type of test. Bacteriological Test (quarterly): Nitrate Test (yearly): Arsenic (yearly, if applicable': Fluoride (once): *Additional information may be required if food is prepared from a home with a private water supply — Check with our Department. 7. Disposal of Waste: Please check what type of treatment is used to dispose of.waste Pubic Sewer Service /Private Septic System In the event of septic system failure or plumbing problem, you are required to notify Riverside County Department of Environmental Health immediately and discontinue all cottage food operations until repairs are completed. 8. Food- Processor Course: Initial if you agree to abide by the following: 0-S -- Within 3 months of being approved to operate by the Environmental Health Department, please provide proof of completion of the required Califomia Department of Public Health (CDPH) food processor course*. Proof of completion may be faxed to our Department at (951)-358-5017. * See CDPH Vlkbsite for mone information: htto /Avww cdoh ca go v/programs/PaQes/fdbCottageFood asox Initial if you agree to -abide by the following: 13S ` I understand that I may not have more than one full-time equivalent cottage food employee, not including a family member or household member of the cottage food operator, working within the registered or permitted area of a private home where the cottage food operator resides and where,cottage food products are prepared or packaged for direct, indirect, or direct and indirect sale to consumers. 10. Gross Annual Sales: Initial if you agree to abide by the following: IDS I understand that I will lose my CFO status and will need to become permitted in 'a commercial facility, if my CFO business exceeds the following gross annual sales figures for the calendar years in the following table: Rev 1/2-013 Page 4 of 6 0 Calendar Year Gross Annual Sales In2013.................................................................. $35:000 In 2014.................................................................. $45,000 in 2015 and in subsequent years ..........................$50,000 11. Delivery Limitations, initial if you agree to amide by the foillawinal 1 understand that .I may accept orders and payments via the internet, mail or phone. However, all "Class A" & "Class B" CFO products must be delivered directly (in person) to the customer. The CFO products may not be delivered via US Mail, UPS, FedEx or using any other indirect delivery method as this is regulated/subject to CDPH registration and state and federal, requirements. 12. Zoning Requirements: Initial if you agree to abide by the following: I understand that I must comply with all applicable zoning requirements for the jurisdiction in which 1live.- I have attached documentation from the Planning office (if required) I, oc'C� &:6zwrC k , agree to grant access to the local health department to conduct an inspection of my cottage food operation (mark one): "Class A": In the event of a consumer complaint or reported food- borne illness "Class 13": For regular annual facility inspections and in the event of a consumer complaint or food-bome illness I, -, agree to notify Riverside County Department of Environmental Health prior to modifying my food list, type of operation, and/or method of selling, distributing, or otherwise providing my CFO products to the consumer or retailers, regardless of whether the product is sold, consigned, or given away. I& yOVID 4 , C _k 5 30 13 Owner's Signature Print Name I bate DRIVER'S LICENSE # EHS/OFRCE USE ONLY EXPIRATION DATE SAMPLE LABEL RECD BY (INITIALS OF EHS) COPY OF PLANNING APPROVAL RECD BY (INITIALS OF EHS) ONSITE OF CFO INPECTION COMPLETED ON Rev 112013 Page 5 of 6 BY (DATE) (INITIALS OF EHS) APPROVED BY EHS: (SIGNATURE) AMT RECD DATE RECD DATE OF PAYMENT PAYMENT TYPE: (1) CASH (2) CHECK (3) CREDIT/DEBIT CHECK# DATE OF CHECK INVOICE# OWNER # FACILITY # PROGRAM REC Rev " /' ' 113 Page 6 of 6 (DATE) Gr • Ingredients: Organic Med jool Dates, Pea Protein, Organic Cocoa, Peanuts, Organic Sesame Oil, Organic Sesame Seeds, Vanilla Extract Celtic Sea Salt, Star Anise Contains: Peanuts and Tree Nuts IS J � e1; s -� F^ w� t. Net Wt. 2.2 oz. (639) Chocolate Singer Deborah Schrameck www.E-Bars-USA.com 53860 Avenida Juarez, La Quinta, CA 92253 Chocolate Ginger Snack Bar Made in a Home Kitchen Permit.#: xxxxx Issued in County: Riverside Gr 0 Apr, cif "T x n IP Net Wt. 2 oz. (579) Chocolate Peanut Butter Deborah Schrameck www.E-Bm-s-USA.com 53860 Avenida Juarez, La Quinta, CA 92253 Chocolate Peanut Butter Snack Bar Made in a Home Kitchen Permit W. xxxxx Issued in County: Riverside Ingredients: Organic Medjool Dates, Pea Protein, Organic Peanut Butter (peanuts, salt), Peanuts, Organic Cocoa, Organic Sesame Seeds, Vanilla Extract, Celtic Sea Salt, Organic Ginger, Organic Cumin Contains: Peanuts and Tree Nuts f� t 'ryp. Net Wt. 2.2 oz. (63g) Chocolate Cranberry Deborah Schrameck www. E -Bars -USA. com 53860 Avenida Juarez, La Quinta, CA 92253 Chocolate Cranberry Snack Bar Made in a Home Kitchen Permit #'. xxxxx Issued in County: Riverside Ingredients: Organic Med jool Dates, Pea Protein, Organic Pumpkin Oil, Ingredients: Organic Med jool Dates, Pea Protein, Organic Olive Oil, Organic Flax Seeds, Organic Cocoa, Organic Pumpkin Seeds, Organic Organic Flax Seeds, Organic Hemp Seeds, Organic Cocoa, Organic Cocoa Nibs Crystalized Ginger (ginger, cane sugar), Vanilla Extract, Organic Ginger, Cranberries, Vanilla Extract, Celtic Sea Salt, Stevia, Organic Mace, Orqanic Celtic Sea Salt Ginger Contains: Tree Nuts Contains: Tree Nuts �'. t ..rt4�. t'�'h[ v IN LL xi l=f"S M1jJE r'�'F2; t f Net Wt. 1-75 oz (509) • 0- Apple Cinnamon Deborah Schrameck www.E-Burs-USA.com 53860 Avenida Juarez, La Quinta, CA 92253 Apple Cinnamon Snack Bar Made in a Home Kitchen. Permit #. xxxxx Issued in County: Riverside Ingredients: Organic Apples, Honey, Pea Protein, Organic Pumpkin Oil, Organic Lemon Juice, Organic Puffed Brown Rice, Organic Lemon Zest, Vanilla Bean, Organic Cinnamon, Organic Paprika, Celtic Sea Salt jr-t�� 7i�34 Net Wt. L75 oz (50g) Sweet Potato Chili Deborah Schrameck www. E -Bars -USA. com 53860 Avenida Juarez, La Quinta, CA 92253 Sweet Potato bili Snack Bar Made in a Home Kitchen Permit * xxxxx Issued in County: Riverside Ingredients: Organic Sweet Potato, Honey, Pea Protein, Organic Pumpkin Oil, Organic Lemon Juice, Organic Puffed Brown Rice, Organic Lemon Zest, Vanilla Bean, Organic Cinnamon, Organic Chili, Celtic -Sea Salt