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CAI IFORNIA -
HOME OCCUPATION OF A BUSINESS
PERMIT !L? QwQ1 ~ D INSPECTION DATE V /d d2, I 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:
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Address:
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Phone: Email:
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Type of residence: C Square Footage:
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Type of Business:
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Brief Description of the Business Operation:
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Location and Square Footage of Business in Home: (Ex. Bedroom 120 S
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Number of Persons Involved in Business:
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Description of Machinery, Equipment, and Supplies Being Used:
I HAVE READ, UNDERSTAND, AND AGREE WITH THE ATTACHED CONDITIONS WHICH A HOME
OCCUPATION PERMIT IS ALLOWED.
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DATE
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.
Conditions Per La Quinta Municipal Codes: 9.60.110, 9.160, 99.210.060
IF APPLICANT IS OTHER THAN THE PROPERTY OWNER, A SIGNED AUTHORIZATION FROM
OWNER OR RENTAL/LEASING AGENT IS REQUIRED.
Ow'K6K/AGtNT IGNATURE 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 UNgERSTAND
STATEMENT.
SIGNATURE
CODE COMPLIANCE USE ONLY
APPROVED DENIED
OFFICER
THIS
SPECIAL CONDITIONS
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DATE
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 coml2lete and sign a declaration that states the
following:
WORKER'S COMPENSATION DECLARATION
I hereby affirm under penalty of perjury, one of the following declarations:
0 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
COM ; NSATION IS REQUIRED TO PROCESS THIS APPLICATION.
I certify that in the performance of any business activities for which this
r 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
ction 37 0, I will provide the City with a policy or certificate copy within
J n(10),,days of the change in requirements.
NATURE
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W KNING: 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.