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HOME OCCUPATION OF A BUSINESS --_�
PERMIT# _ O2 Q� 0 INSPECTION DATE.Wf?d TIME
Please read each condition listed on the attachment in this packet to see ifthe propo home business complies
with the City's Home Occupation regulations.
NEW APPLICATION $75.00
LOCATION CHANGE $40.00
A plicant Names:
IN
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Address:
Phone: Email:
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Type of resi ence: Square Footage:
Type of Business:
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Brief Description of the Business Operation:
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Location and Square Footage of Business in Home: (Ex. Bedroom 120 SF)
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Number of Persons Involved in Business:
Description of Machinery, Equipment, and Supplies Being Used:
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I HAVE READ, UNDERSTAND, AND AGREE WITH THE ATTACHED CONDITIONS BY WHICH A
HOME OCCUPATION PERMIT IS ALLOWED.
4PLSIGNATUIC�l I7 Tis
78495 CALLS TAMPICO - LA QUINTA, CA 92253 - 760-777-7000
WWW.LAQUINTACA.GOV
WORKER'S COMPENSATION
If your company has employees, a copy of the Workman's Compensation Policy must accompany the business
license application, indi ting dates of coverage and dollar amount. This proof of coverage must be received
before the business licenscan be processed.
If you do not have employees)�lease check the last section on this page: "I Certify that.,,._"
If your business is being operated m your home in La Quinta, a Home dr�cupation Permit is required before a
business license is issued.
If you have arty questions, please contact a Code Compliance Divis n at 777-7050.
Every employer who applies for any license o enewaI of any li nse for a business issued pursuant to Section
3.7101 of the government Code or Section 7284 the Reven and Taxation code shall cgrnnlete and sim a
del r fious a,[ simcs Clic 1°rrll—
I hereby affirm under penalty of perjury, 96e of the%pllowing declarations:
1 have and will 194intain a certificate o consent to self -insure for Worker's
Compensation s provided by Section 3 0 for the duration of any business activities
conducted fo which this license is issued.
I have an coil! maintain Worker's Compensate Insurance, as required by Section
3700 fo the duration of any business activities ducted for which this license is
MVI orker's Compensation insurance carrier and polinumber:
rrier:
olicy Number: Expires:
A COPY OF SAID P CY OR CERTIFICATE OF CONSENT SHOWING TOE IOUNT OF
COVERAGE AND IRATION DATE FOR WORKER'S COMPENSATION IS QUIRED TO
PROCESS THIS PLICATION.
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 3700,1 will provide the City with a
policy or certificate couv within ten (10) days of the change in requirements.
Q 2//
DATB
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.
IF APPLICANT IS OTHER THAN THE PROPERTY OWNER, A SIGNED AUTHORIZATION FROM OWNER
OR RENTAL/LEASING AGENT IS REQUIRED.
OWNER/AGENT SIGNATURE
Seasons At Miraflores
47-747 Gertrude Way
AGENT C 253
allics _ _
DATE
9L,eo - S -64 99q7.
CONTACT PHONE
PLEASE CONTACT YOUR HOMEOWNER'S ASSOCIATION PRIOR TO PAYING FOR YOUR HOME
OCCUPATION PERMIT. YOUR HOA MAY RESTRICT OR PROHIBIT A HOME BASED BUSINESS.
IMPORTANT: FALSE OR MISLEADING INFORMATION SHALL BE GROUNDS FOR DENYING YOUR
APPLICATION; FAILURE TO COMPLY WITH THE CONDITIONS LISTED ON THE ATTACHED PAGE
SHALL BE GROUNDS FOR REVOCATION OF THIS PERMIT
I HAVE READ AND UND RSTAND THIS STATEMENT.
LAk
SIG ATU
CODE COMPLIANCE USE ONLY
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APPROVED DENIED SPECIAL CONDITIONS
O • CER DATE
78495 CALLE TAMPICO — LA QUINTA, CA 92253. - 760-777-7000
W W W. LAQU I NTACA.GOV
ADDRESS 47877 Gertrude
HOME OCCUPATION CONDITIONS
H.0.2018-0008
ALL HOME OCCUPATIONS SHALL COMPLY WITH THE FOLLOWING CONDITIONS:
1. The establishment and conduct of a home occupation shall be an incidental and accessory use and
shall not change the principal character or use of the dwelling unit involved.
2. Only residents of the dwelling unit may be engaged in the home occupation.
3. A home occupation shall be conducted only within the enclosed living area of the principal dwelling
unit or within the garage provided no garage space required for off-street parking is used. The home
occupation shall not occupy more than twenty-five percent of the combined floor area of the house and
garage.
4. A home occupation shall not be conducted within a detached accessory structure, although materials
may be stored in such a structure.
5. There shall be no signs, outdoor storage, parked vehicles or other exterior evidence of the conduct of
the home occupation. Neither the dwelling nor the lot shall be altered in appearance so that it appears
other than a residence, either by color, materials, construction, lighting, sounds, vibrations or other
characteristics.
6. Electrical or mechanical equipment which creates interference in radio, television or telephone
receivers or causes fluctuations in line voltage outside the dwelling unit shall be prohibited.
7. The home occupation shall not create dust, noise or odors in excess of that normally associated with
residential use.
8. No sales activity shall be conducted from the dwelling except for mail order sales. The dwelling unit
shall not be the point of customer pickup or delivery of products or services, nor shall a home occupation
create greater vehicular or pedestrian traffic than normal for the district in which it is located. Exception:
Musical instruction and academic tutoring where not more than two students are present at the
residence at the same time shall be permitted.
9. Medical, dental or similar occupations in which patients are seen in the home are prohibited.
10. All conditions attached to the home occupation permit shall be fully complied with at all times.
Revocation or Suspension of Permit. The director of building and safety may revoke or suspend any permit for a
home occupation if the director determines that any of the performance and development standards listed in
subsection C of this section have been or are being violated, that the occupation authorized by the permit is or has
been conducted in violation of any state statute or city law, or that the home occupation has changed or is different
from that authorized when the permit was issued.
Special Conditions:
BY SIGNING THIS DOCUMENT I AGREE THAT I HAVE READ, UNDERSTAND AND WILL
FICER 3IGNA
7/x/35
YWITH ALL CONDITIONS.
Conditions Per Lo Quinta Municipal Codes: 9.60.110, 9.160, 9.210.060