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HOME OCCUPATION OF A BUSINESk51GN&pU=*6RAQUINTA
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PERMIT# INSPECTION DATE r V TIME — —, r a
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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
Ap caa%nt Names:
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Address:
�S ea a�v.l L UI►� RP lione; Email:
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Type of residence: Square Footage:
homL 3166
Type of Business:
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Brief Description of the usiness O cratinn:
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Location and Square yootadie ofBusiness in Home. (Ex. Bed om 1 '0 SF)f a
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310 Ai
Number of Persons Involved in Bu in ss:
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Description of Machinery, Equipment, and Supplies Being Used:
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I HAVE READ, UND STAND, AND AGREE WITH THE ATTACHED CONDITIONS BY WHICH A
HOME OCCUPATION PERMIT IS ALLOWED., „n f
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APPLICAN S SIGNATU E DATE
78495 CALLE TAMPICO - LA QUINTA, CA 92253 - 760-777-7000
WWW.LAQUINTACA.GOV
IF APPLICANT IS OTHER THAN THE PROPERTY OWNER, A SIGNED AUTHORIZATION FROM OWNER
OR RENTAL/LEASING AGENT IS REQUIRED.
OWNER/AGENT SIGNATURE DATE
AGENT COMPANY NAME 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 R AND THIS STATEMENT.
SIGNATU
CODE COMPLIANCE USE ONLY
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APPROVED
DENIED
OFFICER DATE
SPECIAL CONDITIONS
78495 CALLE TAMPICO - LA QUINTA, CA 92253 - 760-777-7000
WWW.LA UINTACA.GOV
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 Senewal 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 coninicle and s'z 4
degl•ti iou 111, 11 ,y II►e I v' '�
)V1S t) KFR_S C'0 1'ENS—A-T , alE t�T N
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:
Cairier: —_ - —
Policy Number: Expires:
A COPY OF SAID POLICY OR CERTIFICATE OF CONSENT SHOWING THE AMOUNT OF
COVERAGE EXPIRATION DATE ICOR WORKER'S COMPENSATION IS REQUIRED TO
PROCESS TEA 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.
+f�
APPLICANT SI NATURE
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.
HOME OCCUPATION CONDITION
ADDRESS 46350 Bradshaw Trail H.0.2018-0039
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 Conditi
BY SIGNING THIS DOCUMENT I AGREE THAT I HAVE READ, UNDERSTAND AND WILL COMPLY WITH ALL CONDITIONS.
1
PRINTU." / OFFICER SIGNATURE
DATE
Conditions Per La Quinta Municipal Codes: 9.60.110, 9.160, 9.210.060