Bread Song BakehouseNOV 10 2020
f J CITY OF LA LJ
QUINTA
DESIGN & DEVELOPMENT DEPARTMENT
HOME OCCUPATION OF A BUSINESS
PERMIT# .[-LOL ?-JINSPEC-HON 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 $105.00 LOCATION CHANGE $55.00
Applicant Names:
Bread SongBakehouse
Address:
54550 Avenida Velasco
Phone: Email:
(760)485-5777 Breadsongbakehouse@gmail.com
Type of residence: Square Footage:
single family home 1250
Type of Business:
CFO Bakery
Brief Description of the Business Operation:
Home based bakery with a focus on sourdough breads.
Location and Square Footage of Business in Home: (Ex. Bedroom 120 SF)
Kitchen/Dining area 250sq ft
Number of Persons Involved in Business:
2
Description of Machinery, Equipment, and Supplies Being Used:
oven, mixer, pans, flour, etc
1 HAVE READ, UNDERSTAND, AND AGREE WITH THE ATTACHED CONDITIONS BV WHICH A
n HOME OCCUPATION PERMITIS ALLOWED.
APPLICANT S%NATURE
Z 71JLOZO
DATE
78495 CALLS TAMPICO - LA QUINTA, CA 922S3 - 760-777-7000
WWW OQUINTACA.GOV
IF APPLICANT IS OTHER THAN T14E PROPERTY OWNER, A SIGNED AUTHORIZATION FROM OWNER
OR RENTAULEASING AGENT IS REQUIRED.
` - 10/27/2020
OWNL:RAM; E:NT SIGNA I U R b DA i I.
_ (760)895-0162
AGENT COMPANY NAME: _ CONTACT PFIONP'
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 ANO UNDERSTAND THIS STATEMENT.
SI n r ICE
CODE COMPLIANCE USE ONLY
■ ■ ■ a ■ a • a • r r r a ■ ■ ■ ■ a r ■ ■ ■ ■ ■ • a ■ ■ a a w 0 r a ■ a ■ ■ ■ ■
APPROVED
OFFICER
DENIED
DATE
SPECIAL CONDITIONS
78495 CALLE TAMPICO ' LA QUINTA, CA 92253 — 760-777.7000
WWW.L g4INTACA.GOV
HOME OCCUPATION CONDITIONS
ADDRESS H.0.2020
ALL HOME OCCUPATIONS SHALL COMPLY WITH THE FOLLOWING CONDITIONS:
1, The establishment and conduct of a home occupation shall be on 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 sholl 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 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 low, 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 1 HAVE READ, UNDERSTAND AND WILL COMPLY WITH ALL CONDITIONS.
vn CXI _
RINT AME OFf1JC�ER_S1GNATURE
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Conditions Per La 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 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 7294 of the Revenue and Taxation Code, shall complete and sign as
declaration &hat 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 Workers 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.
CLJ1 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 workers compensation
taws of California, and agree that if I should become subject to the workers 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.
APPLICANT 516NATM 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 attorneys fees
may be assessed to you as provided In Section 3706 of the Labor Code.
79495 CALLE TAMPICO'" LA QUINTA, CA 922S3'" 760-777-7000
WWW.LAQU,INTACA.GOV
Jack Lima
From: Frank Caniza <breadsongbakehouse@gmail.com>
Sent: Thursday, October 29, 2020 6:39 PM
To: Jack Lima
Subject: Re: City of La Quinta Business License
EXTERNAL: This message originated outside of the City of La Quinta. Please use proper judgement and caution when opening
attachments, clicking links or responding to requests for information.
Hey Jack,
I do not actually have any employees. I put that it is two people because I have my wife listed as an owner with me for
the fictitious business license. She just handles the social media from time to time. I will go ahead and send you over the
inspection report and permit as soon as I have them.
Thank you
Frank
On Thu, Oct 29, 2020 at 2:36 PM Jack Lima <ilima@laquintaca.gov> wrote:
Good Afternoon Francisco,
We are processing your business license and home occupation applications. However,
the home occupation application indicates that 2 people are involved in the business
which requires worker's compensation insurance. Also, please email me a copy of your
health department inspection or permit once received from the County of Riverside.
Please let me know if you have any questions.
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 Appointments.
Respectfully,
i