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Habash-76a- ace, 0"tra --CIM NH.v 04A]uT--- HOME OCCUPATION OF A BUSINESS ARDI'c-fw,ll c.-IJl 4v �•.titc �.ppf PERMIT#�� 002.S INSPECTION DATE TIME Please read each condition listed on the attachment in this packet to see if the proposed home business complies with the City's Home Occupation regulations. NEW APPLICATION $75.00 LOCATION CHANGE $40.00 Applicant Names: Address: 191 Phone: Email: 1,��, I Type of residence: Square Foota r ox. 12-00 Type of Business: 0 o� St(V 1 Brief Description of the Business Operation: Location and Square Footage of Business in Home: (Ex. Bedroom 120 SF) bdcnom Number of Persons Involved in Business: 1 Description of Machinery, Equipment, and Supplies Being Used: yx baft sr&. as-�o - �0� \hx, �j P)w ,. f I - I HAVE READ, UNDERSTAND, AND AGREE WITH THE ATTACHED CONDITIONS BY WHICH A HOME OCCUPATION PERMIT IS ALLOWED. Ryl -0,� hwo--,Y� APPLICANT'S SIGNATURE DATE .4I11I1,-b- 78495 CALLE TAMPICO - LA QUINTA, CA 92253 - 760-777-7000 3 com WWW.LAQUINTACA.GOV HOME OCCUPATION CONDITIONS ADDRESS P$7 vy-Q f L_(� 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 some 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 tames. 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 COMPLY WITH ALL CONDITIONS. PRINT NAME F C R SIGNATURE Si; NATURE DATE Conditions Per Lo Quinta Municipal Codes: 9.60.110, 9.160, 9.210.060 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 comntete and sign a declaration that states the foll in : WORKER' OMPE NSATION 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. APPLICANT SIGNATURE /� � \� DAT 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. -� MFREDENDALL ACC7/?L7 "' DATE (MMIDD/YYYY) INSURANCE BINDER 5/29/201� THIS BINDER_ IS A TEMPORARY_.; INSURANCE CONTRACT, SUBJECT TO THE CONDITIONS SHOWN ON PAGE 2. OF THIS FORM. _ 4GENCY COMPANY BINDER# NBA Insurance Ohio Security Insurance Company 0 13304 Philadelphia St - - 3uite 200 DATE EFFECTIVE -n— 4AI EXPIRATION T Nhittier, CA 90601 I X AM X 12:01 AM 6/29/2018 12:01 �� 6/28/2018 NOON ac° 0 , (562) 789-5704 (qIC• NoJ; (562) 789-5804 THIS BINDER IS ISSUED TO EXTEND COVERAGE IN THE ABOVE NAMED COMPANY 1029460 PFR FXPIRINC; PCII ICYS BIGHORN-01 INSURED AND MAILING ADDRESS %Bt� Horn Pool Care 78T45 La Palma Dr. La Quinta, CA 92253 DESCRIPTION OF OPERATIONS I VEHICLES I PROPERTY (Including Location) Workers Compensation Insurance nnvPRdCFC I IMITC TYPE OF INSURANCE COVERAGE,/FORMS PROPERTY CAUSES OF LOSS BASIC BROAD L_ : SPEC GENERAL LIABILITY 1 CO II COMMERCIAL GENERAL LIABILITY J CLAIMS MADE 'OCCUR RETRO DATE FOR CLAIMS MADE I O40UC BLE __COWS% 'AMOUNT EACH OCCURRENCE _ $ $ DAMAGETO TED PREMISE$ MED EXP_jAny one};`sm PERSONAL &ADVJNJURY GENERAL AGGREGATE PR DUCTS - OMP/O A VEHICLE LIABILITY ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS HIREDAUTOS NON -OWNED AUTOS COMBJNED SLNGLE LIMIT BOA_ILY INJURY:jPerp—one BDDILY INJURY (Per accideN . PROPERTY DAMAGE_ M EDICAL PAY M E. NTS PERSONAI. I NJ U RY PROT UNINSURED .l4(OTORIST { $ 4` $ $ VEHICLE PHYSICAL DAMAGE DED COLLISION: OTHER THAN COL: _ ALL VEHICLES I SCHEDULED VEHICLES ACTUAL CASH VAWE $ STATEDAM UNT. GARAGE LIABILITY ANY AUTO AUTO ONLY - EA ACCIDENT $ $ $ OTHER THAN AUTO NLY. EACHACCIDENT AGGREGATE EXCESS LIABILITY UMBRELLA FORM OTHER THAN UMBRELLA FORM RETRO DATE FOR CLAIMS MADE: EACH OCCURRENCE $ _ $ $ AGGREGATE SELF -INSURED RETENTION WORKER'S COMPENSATION AND EMPLOYER'S LIABILITY X ' PER STATUTE E L EACH ACCIDENT $ 1,000,00 _E-L_ OISEASE - EA EMPLOYEE E-L.MVASE-POLICY LIMIT $ 1,000,00 $ 1,000,00 SPECIAL CONDITIONS I OTHER COVERAGES FEES TAXES ESTIMATED TOTAL PREMIUM S. S MORTGAGEE _ ADDITIONAL INSURED _.LOSS PAYEE_ LOAN #. AUTHORIZED REPRESENTATIVE k Page 1 of 2 ©1993-2013 ACORD CORPORATION. All rights reserved. ACORD 75 (2013/09) The ACORD name and logo are registered marks of ACORD AGENCY CUSTOMER ID: BIGHORN-01 MFREDENDALL CONDITIONS This Company binds the kind(s) of insurance stipulated on page 1 of this form. The Insurance is subject to the terms, conditions and limitations of the policy(ies) in current use by the Company. This binder may be cancelled by the Insured by surrender of this binder or by written notice to the Company stating when cancellation will be effective. This binder may be cancelled by the Company by notice to the Insured in accordance with the policy conditions. This binder is cancelled when replaced by a policy. If this binder is not replaced by a policy, the Company is entitled to charge a premium for the binder according to the Rules and Rates in use by the Company. Applicable in Arizona Binders are effective for no more than ninety (90) days. Applicable in California When this form is used to provide insurance in the amount of one million dollars ($1,000,000) or more, the title of the form is changed from "Insurance Binder" to "Cover Note". Applicable in Colorado With respect to binders issued to renters of residential premises, home owners, condo unit owners and mobile home owners, the insurer has thirty (30) business days, commencing from the effective date of coverage, to evaluate the issuance of the insurance policy. Applicable in Delaware The mortgagee or Obligee of any mortgage or other instrument given for the purpose of creating a lien on real property shall accept as evidence of insurance a written binder issued by an authorized insurer or its agent if the binder includes or is accompanied by: the name and address of the borrower; the name and address of the lender as loss payee; a description of the insured real property; a provision that the binder may not be canceled within the term of the binder unless the lender and the insured borrower receive written notice of the cancellation at least ten (10) days prior to the cancellation; except in the case of a renewal of a policy subsequent to the closing of the loan, a paid receipt of the full amount of the applicable premium, and the amount of insurance coverage. Chapter 21 Title 25 Paragraph 2119 Applicable in Florida Except for Auto Insurance coverage, no notice of cancellation or nonrenewal of a binder is required unless the duration of the binder exceeds 60 days. For auto insurance, the insurer must give 5 days prior notice, unless the binder is replaced by a policy or another binder in the same company. Applicable in Maryland The insurer has 45 business days, commencing from the effective date of coverage to confirm eligibility for coverage under the insurance policy. Applicable in Michigan The policy may be cancelled at any time at the request of the insured. Applicable in Nevada Any person who refuses to accept a binder which provides coverage of less than $1,000,000.00 when proof is required: (A) Shall be fined not more than $500.00, and (B) is liable to the party presenting the binder as proof of insurance for actual damages sustained therefrom. Applicable in Oklahoma All policies shall expire at 12:01 a.m. standard time on the expiration date stated in the policy. Applicable in Oregon Binders are effective for no more than ninety (90) days. A binder extension or renewal beyond such 90 days would require the written approval by the Director of the Department of Consumer and Business Services. Applicable in the Virgin Islands This binder is effective for only ninety (90) days. Within thirty (30) days of receipt of this binder, you should request an insurance policy or certificate (if applicable) from your agent and/or insurance company. ACORD 75 (2013/09) Page 2 of 2