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BruderJUL 2 7 2021 DD HOME OCCUPATION OF A BUSINESS CITY OF LAQI�INTA DESIGN & DEVELOPMENT DEPARTMENT PERMIT#_.'Hi714Z1—Ct (p INSPECTION DATE____ Please read each condition listed on the attachnient in this packet to see if the proposed home business complies with the City's Home ()Leupalion regulations. NEW APPLICATION $105.00 u:)CATION CRANGE $55,00 Applicant Names: MARS BRUD1 Address: STREET LA QL1lNTA CA 9225 79585 BAYA Phone: Email: 310-829-2222 brude Type of residence: Square Footage: Single Famil T)ve of Business: S D�RP�RATI�N Brief Description of the Business ()peradnn: FILM DISTRIB[JTION Location and Square F Dotage of Business in Home: (Ex. Bedroom 120 5F) BEDROOM 150 SF Number of Persons Involved in Business: brivideo.com 6escription of Machinery, Equipment. and Supplies Being Used: COMPUTEi�,._TELEPHONE INTERN T 2815 I HAVE READ, UNDERSTAND, AND AGREE WITH THE; ATTACHED CONDITIONS BY WHICH A HOME OCCUPATION PERMIT IS ALLOWED. APPLICANT SIGNATURE t)12 � 711 DATE 78495 CALLE TAMPICO — LA QUINTA, CA 92253 — 760-777-7000 WWW.LAQUINTACA.GOV IF APPLICANT IS O'1i'MR THAN THE f RUPBUY OWNER, A SIUKED AU'I HORILKI'iUN FROM OWNER OR RENT�L.IX kSING AGENT REQUIRED. OVvNf: AGE I URE DATI 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. I MPORTANCT: FALSE OR MISLEADING INFORMATION SHALL BE GROUNDS FOR DFNYING YOUR APPLICATION; FAILURE 'TO C omPLY WITH THE CONIJITIONS LIISTED ON THE. A'I`I-ACHED PAGE SHALL BE GROUNDS FOR REVOCATION OF THIS PERMIT I HAVE READ AND UN TAND IS STATEMENT. SIGNATURE -- CODE COMPLIAN(.'E USE ONLY a a a a a a s a s■■ a a a a■■■■ a w F a a a a a a a a a is a a a a a I APPROVED DENIED SPECIAL CONDITIONS OFFICER - - DATE 78495 CALLS TAMPICO - LA QUINTA, CA 92253 - 760-777-7000 WW W.LACTf_I NTACA.GOV HOME OCCUPATION CONDITIONS ADDRESS 179585 BAYA STREET 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 shalt 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 soles. 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 law, or that the home occupation has changed or is different from that authorized when the permit was issued. Special Conditions: BY SIGNNINnG THIS DOCUMENT I AGREE THAT I HAVE READ, UNDERSTAND AN WILL CO P WITH ALL C7.1 ONS. I d PRINr NAME ICER SIGNATORE SIGNATUIRr DATE 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 7284 of the Revenue and Taxation Code, shall complete and si n a declaration that states the following: I herebyaffirm under penalty of perjury, one of the following deciarations: 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: THE HARTFORD Policy Number:13WECAC9LAO Expires:03/09/22 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. 07/16/21 APPLICANT SIGNATURE DATE WARNING: Fallure to secure Worker's Compensation coverage is unlawful, and shall subject an employer to criminal pensl0m and civil fines up to $100,000. In addition to the cost of compensation, damages, Interest, and attorneys fees may be asaass+nd to you as provided in Section 3706 of the Labor Code. 78495 CALLE TAMPICO " LA QUINTA, CA 92-253 — 760-777-7000 WWW.LAQUINTAC.A.GOV THE HARTFORD BUSINESS SERVICE CENTER THE 3600 WISEMAN BLVD HARTFORD SAN ANTONIO TX 78251 City of La Quinta California 78-495 CALLE TAMPICO LA QUINTA CA 92253 Account Information: Policy Holder Details, i BRUDER RELEASING, INC July 26, 2021 VQ Contact Us Business Service Center Business Hours: Monday - Friday (7AM - 7PM Central Standard Time) Phone: (866) 467-8730 Fax: (888) 443-6112 Email: agency.servicespthehartford.com Website: htt s:llhusiness.thehartford.com Enclosed please find a Certificate Of Insurance for the above referenced Policyholder. Please contact us if you have any questions or concerns. Sincerely, Your Hartford Service Team WLTRO05 DATE (MM"DIYYYY) CERTIFICATE 4F LIABILITY INSURANCE oT2612021 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. If SUBROGATIONIS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). CONTACT PRODUCER ME: AGENCY RESOURCESIPHS PHONE (866) 467-8730 (8881443-6112 13651027 (A/C, No: Ezt): (NC, No): The Hartford Business Service Center E-MAIL 3600 Wiseman Blvd ADDRESS San Antonio, TX 78251 1INSURER(S) AFFORDING COVERAGE NAIL# INSURER AHanford Casualty InSUranCe INSURED BRUDER RELEASING, INC INSURER 2020 BROADWAY FL 2 INSURER C : SANTA MONICA CA 90404-2910 INSURER D INSURER E : INSURER F; COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES, LIMITS SHOWN MAY HAVCEyBE N REDUCED IP COMMERCIAL GENERAL LIABILITY —1 CLAIMS -MADE ❑OCCUR GEN'L AGGREGATE LIMIT APPLIES PER: POLICY PRO LOG OTHER JECT AUTOMOBILE LIABILITY ANY AUTO ALL OWNED R SCHEDULED AUTOS AUTOS HIRED NON -OWNED AUTOS AUTOS UMBRELLA LIAR EXCESS UAB CLAIMS - MADE EO I RETENTION $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY A PROPRIETOR/PARTNER/EXECUTIVE OFFICERJMEMSER EXCLUDED? (Mandatory in NH) It yes, describe under NIA 1 1 13 WEC AC9LAG 1 03/09/2021 1 03/09/202, LIMITS BY PAID CLAIMS POU INS ADDL SUER POUCYNUMBER TYPE OF INSURANCE ,uca u n COMMERCIAL GENERAL LIABILITY —1 CLAIMS -MADE ❑OCCUR GEN'L AGGREGATE LIMIT APPLIES PER: POLICY PRO LOG OTHER JECT AUTOMOBILE LIABILITY ANY AUTO ALL OWNED R SCHEDULED AUTOS AUTOS HIRED NON -OWNED AUTOS AUTOS UMBRELLA LIAR EXCESS UAB CLAIMS - MADE EO I RETENTION $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY A PROPRIETOR/PARTNER/EXECUTIVE OFFICERJMEMSER EXCLUDED? (Mandatory in NH) It yes, describe under NIA 1 1 13 WEC AC9LAG 1 03/09/2021 1 03/09/202, EACH OCCURRENCE rsAMAGE TO RENTED c^ MED EXP (Any one person) PERSONAL& ADV INJURY GENERAL AGGREGATE PRODUCTS - COMP%OP AGG COMM NED SINGLE 1I11 � M1 BODILY INJURY (Per person) BODILY INJURY (Per accident) PROPERTY DAMAGE -jar accident) EACH OCCURRENCE AGGREGATE X PER 57A rU 7 E E.L. EACH ACCIDENT $1.000,000 E.L. DISEASE -EA EMPLOYEE $1,000,000 11 EL. DISEASE -POLICY LIMIT $1,000,000 DESCRIPTION OF OPERATIONS /LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, maybe attached if more space is required) Those usual to the Insured's Operanons. CERTIFICATE HOLDER CANCELLATION City of La (�uinta California SHQULR ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED 78-495 a QuinLLE TAMPICO BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. LA QUINTA CA 92253 AUTHORIZED REPRESENTATIVE ACORD 25 (2016/03) I �GcdZt/7 � l� C%aZlGi/LGG� 1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD DESCRIPTION OF OPERATIONS /LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, maybe attached if more space is required) Those usual to the Insured's Operanons. CERTIFICATE HOLDER CANCELLATION City of La (�uinta California SHQULR ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED 78-495 a QuinLLE TAMPICO BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. LA QUINTA CA 92253 AUTHORIZED REPRESENTATIVE ACORD 25 (2016/03) I �GcdZt/7 � l� C%aZlGi/LGG� 1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD