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CITY OF LA QUINTA
DESIGN & DEVELOPMENT DEPARTMENT
HOME OCCUPATION OF A BUSINESS
PERMIT# k1ki v le� X0 INSPECTION DATE O 9 — N y I q TIME10 10; k 0 OM
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 $105.00 LOCATION CHANGE $55.00
Applicant Names:
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Address:
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Phone: Email:
Type of residence: Square Foothe:
Type of Business:
Brief Description of the Business Operation.
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Location and Square Footage of Business in Home: (ExfFfedroom 120 SF)
Number of Persons Involved in Business: / I�
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.
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APPLICANT SIGNATURE DAT
78495 CALLE TAMPICO - LA QUINTA, CA 92253 — 760-777-7000
3
WWW.LAQUINTACA.GOV
IF APPLICANT IS OTHER THAN THE PROPERTY OWNER, A SIGNED AUTHORIZATION FROM OWNER
OR RENTAULEASING AGENT IS REQUIRED.
OWNER/AGENT SIGNATURE
AGENT COMPANY NAME
DATE
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 UNDERSTAND THIS STATEMENT.
SIGNATURE
CODE COMPLIANCE USE ONLY
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APPROVED DENIED SPECIAL CONDITIONS
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OFFFICEJ DATE
78495 CALLE 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, 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 760.777.7063
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:
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 are:
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.
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 copy within ten
(10) days of the change in requirements.
/JL
APPLICANT SIGNATURE 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.
78495 CALLE TAMPICO - LA QUINTA, CA 92253 — 760-777-7000
WWW.LAQUINTACA.GOV
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 maybe 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.
Conditions Per La Quinta Municipal Codes: 9.60.110, 9.160, 9.210.060
78495 CALLE TAMPICO - LA QUINTA, CA 92253 - 760-777-7000
WWW.LAQUINTACA.GOV
HOME OCCUPATION CONDITIONS
ADDRESS 57542 Barristo Circle H.O. 2019-0065
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 COMPLY WITH ALL CONDITIONS.
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PRINT NAME 4OFFE7ReATLJ
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ATURE � - DATE
Conditions Per La Quinta Municipal Codes: 9.60.110, 9.160, 9.210.060