KreedmanRECEIVES,
SEP 18 2020 Qw�a AUG 2 5 2020
CITY OF LA QUIN'fA CAUFORNIA CITY OF LA QUINTA
DESIGN & DEVELOPMENT DEPARTMENT DESIGN AND DEVELOPMENT DEPARTMENT
I IOME OCCUPATION OF A BUSINESS
PERMIT# tAo? 2-0 - Da -7 I INSPECTION DA'
T] ME:
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:
Barbara Kreedman,
Phd. Lcsw
Address:
50706 Cereza
Phone:
Email;
760-340-1114
a4therapy@gmail.com
Type of residence:
Square Footage:
single family
2800
Type of Business:
Psychotherapy
Brief Description of the Business Operation: 1' C y l-�
Individual, couples psychother y-43 years
Location and Square Footage of Business in Home: (Ex. Bedroom 120 SID
120 S F _
Number of Persons Involved in Business:
1
Description of Machinery, Equipment, and Supplies Being Used:
none
I HAVE READ, UNDERSTAND, AND AGREE WITH THE ATTACHED CONDITIONS BY WHICH A
HOME OCCUPATION PERMIT IS ALLOWED.
APPLICA T SIGNATURE p E
CJ
78495 CALLE TAMPICO - LA QUINTA, CA 92253 - 760-777-7000
IF APPLICANT IS OTHER THAN THE PROPERTY OWNER_ A SIGNED AUT14ORIZATION FROM OWNER
OR RENTAWLEASING A ENT IS REQUIRED.
f
O 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 HOMEBASED 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 U TAND THIS STAT { NT.
SIGN TURF
CODE COMPLIANCE USE ONLY
a r a r■■■ a a a a m m a■■ a a a a m r■ a a■■■ m a a a r r a■■ m
APPROVED
OFFICER
00I p
DATE
SPECIAL CONDITIONS
78495 CALLE TAMPICO N LA QUINTA, CA 92253 N 760-777-70W
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:
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 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.
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 copy within ten
(10) days of the change in requirements.
n �21
APPLICANT IGNATURE 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.
78495 CALLE TAMPICO "' LA QUINTA, CA 92253 "' 760-777-7000
W W W. LAQU I NTACA. G OV
From: Jack Lima jlima@laquintaca.gov B
Subject: City of La Quinta Business Lioense
Date: September 23, 2020 at 3:29 PM
To: A4THERAPY@GMAIL.COM
Good Afternoon Ms. Kreedman, PHD, LCSW
We are processing your business license application. Please sign the
attached conditions sheet for the home occupation business permit. Once
complete, you may email it back to me for processing. Please let me
know if you have any questions. Thank you!
Respectfu I ly,
Jack Lima I Permit Technician _
City of La Quinta .
78495 Calle Tampico - La Quinta, CA 92253 .
760.777.7195 _
jlima@1aauintaca,99�i' -
PLEASE NOTE: City Hall is now open on a limited basis by advanced
appointment only. Information on types of appointments being accepted,
how to schedule and City -implemented safety measures are available at
HUB AR --ointments.
Aid in Future COVID-19 Relief Funding and Get Your Community Countedl Take the 2020 Census Online Here-
https://my202Ocensus.gov/, Everyone Countsl
ALL MOM OCWATIItM 51t4LL LGl�1lLY t#I�N fNE t�Wpf#Ig115Cq�RfQlilit
1. The estobiishment and conduct of of home Occupations shalfi be on Incidental and accessory use and
sha# not charw the prdnc(pal charocter or arse of cite d"fing urA k►vowed.
2. Ordy rtesident8 4fthe dwetihag Unk may be engorged In the home occupation.
3. A home occupatfan shall be conducted only wbtr(n the enclosed Wing oreo of the principal dwveH€ng
Bnk or within the goroge provided no garage spore required fOr off' -street parking isusesl. The tome
accupotfan SWU rOt occupy row r+e thm twenty-five percent of the cornbinW fim area at the house and
garage.
4. A hotm accupation shall nat be conducted within *detached occessowry structure, ciftugh rnuterWs
mov be stared in such astnxtufe.
S. There shall be no signs, outdaar storage. parked vehicles or other maeriar evidence of the conduct of
the home occupotloo. Neither &Pe dwelling nor the lot sha# be ultered in appeam"ce so that it appears
other than a residence. either by color, materWs, conasruction, t*&A% sounds, Abbrations or odd
chorocteristk&
6. EEettricol or mechanical equipment which Creates interference in radio, television Af telephone
receivers at reuses fluctuations in line voltage outsWe the dwelling unit OWN be pWhihited.
i. The home occupation shalt not Create dust noise or odor In excm-of that narrrtolty nssociatand w ih
resklentiol use.
S, No sates activity shall be conducted from the dwelling except for moil order soles- it* dwelling unit
shall not be the paint of Customer pickup or delivery of products or serti cm nor shoo a home occupation
Create greater vehiCutur or pedestrian troth[ than narrnal for the dtshict. in which k is located. Exception;
Muskat tnstructbon and awdemlc tutoring where flat r (We than two students are present at**
residence at tM swmtkft Zoll be permitted.
!. Medical, dental air SI MNOr occupation$ in which patients am see n tits the home are prarr'bited-
10 AR conditions attached to the clam occupation permit shotd be fully cosnpiFed with at at tip.
Revocation ar Su"Mdoo yFtfnrrlit. The director otbuilding and solety ajoyrovowar suspend rrx+rmrt for a
horne occupation if the AirMot determines that tarty of d* perrwnwnce and devekvwn erK storad(xds Wed Fp
subsection C of this section Rave been at ores being viuroted, thg Mw aacutpotion auth"ixed by then pertti* k ar has
t'e+itt conducted in violounn of wV stator statette t r city lot, at tom# the horror acceywtian hers ctmnged or its d[f ferent
frorn that authorized vAwn the pefrmk was Issued.
sjir W Conditions-
5t6ttIiifi neeiav[tr er t THAti i NAirc Rom, UNMRSTANDANDWBI CWKY Wn" MCA "IN"
PR1W NAB 777�
CwQrWft"" niter W OUnta Atrxtdripar Codes: 9.61317:tii,9 ,9.21GASO