McMahonta QaiKra
HOME OCCUPA-1-I0N OF A BUSIIN t SS
PIAMIT l LOI l 0009—fNISPr~C'110' DA
TIME
D zA�, U
FEB 0 9 2022 JD
CITY OF LA QUINTA
DESIGN & DEVELOPMENT DEPARTMENT
Please read each condition listed cm the attachment in this packet to .sec If the proposed home bus6mms complies
with the City's Home Occupation regulatwons.
NEW APPLICATION 3105.00 LOCATION CHANGE $55.00
Applicant Names:
Addrm:
Phone:
(\'� A
Mo\klttN
N IVA _'d
- - Email:
_TT<� N
Type of resideure: Square Footage:
Type of Busisess;
C�
Brief bescriptim of the Simian* Operation:
1
_La titrA and 5geara I:t►otaV o Businea4 in Home, tEx. Bc&oom 120 SF)
M Lfo
lNumWr of Pen�wn s involved in ftoneas:
L
Descriptio.: of 41achiseq, lEgteipn ai, -a -ad Supplies Being Usp#
I HAVE READ, UNDERSTAND, AND AGREE, WITH THE ATTACHED CONDITIONS BY WHICH A
HOME OCCUPATION PERMIT IS ALLOWED,
AMICANT SIGNATURE DATE
78495 CALLE TAMPIC O LA QUINTA, CA 9nS3 " 7W777-7000
W W W , LA QU I NT A.CA. G OV
.S ,
IF WANT IS,0'lW THAN THi. PROVERTY OWNER. A SFGTdM AUlUORWATION FROM CfWNER
Au ASI [ Is IARED,
r
r-
ER: Ak!VQ F S e A iRF" DATE
AGENTCOAIPAAiY'NjAW-- MNTACT MONE
PLEASE coNTACT Yom H414TF.owmp'3' ASSOCIATION PRIOR TO PAYING FOR YOUR How
OOCUPATM PP-W. YOUR HOA MAY RESTRICT OR PROHIBIT A HOME -BASED BUSTNESS.
LMPORTA.ST'T': FALSE OR .NISI_€ADTNii INFORMAT ION SMAT.L SE GROUNIVS FOR DE24YING VM'R
APPI,ICATION: FAILURE TO COMPLY WITH THE C'IWWI IONS USTE.D ON THE ATTACHED PAGE
SHALL Bk (;ROUNDS FOR REVOCATION OF THIS PERMIT
I HAVE READ D UNDMIS •AND THIS STATEMENT.
Cis A
CODE. C C]}fP JANC:E USE ONLY
a a a a a a a■•■■• a a 0 a a a a■■ a a a a a a a' a:a il a ■, a a a a■
APPROVED— DENIED SPECLAJ C iAtDMONS—
c7FFit FR f TDATE
7949S CALLS TAMPKO "'M QUINTA. tA9ZW---"0-777-7000
YYWW.LAQU}PITe!; -fqp-v
WORKER'S COMPENSATION
If your company has employees, a copy of the Worlunan'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 Quints, 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 tamnlete and 7iWn it,
ft!aratipn that states the following
WORKER'S CDMPEN A I N DECLARATION
1 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 workers 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 Mirnber
Expires: _
A COPY OF SAID POLICY OR CERTIFICATE OF CONSENT SHOWING THE AMOUNT OF COVERAGE AND
EXPIRA71ON DATE FOR WORKER'S COMPENSATION IS REQUIRED TO PROCESS THIS APPLICATION.
r 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 workers compensation
laws of Calrfornia, 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 c nge aqui meets.
APPLICANT SIGNATU RE DATE
wARL1N-q. Failure to secure Workers Compensation overage Fs unlawful, and shall subject an employer to criminal
penaMa and dwil fines up to S100AW. In addition to the cost of compensation, damaaes, Interest, and attornetfs fees
may be assessed to you as provided In Section 3706 of the Labor Code.
78M CALLS TAMPICO - LA QUINTA, CA 92253 — 7ti0-777-7000
k4ME OCCWPAT{�k �4Nfl1TlOtV�S H.O.
ADDRESS I A�j Lev wr c 41 �i
ALL HOME OCCUPATIONS SHALL COMPLY WITH THE FOLLOWING CONDITIONS:
1. The establishment and conduct of a home occupation shalt bean incidental and accessory use and
shall not change the principal cnoracter 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 dweliing
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.
S. 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 cr delivery of products or services, nor shall a home occupation
create greater vehicular or pedestrian traffic thorn 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 of the some time shalt be permitted.
9. Medical, dental or similar occupations in which patients ore seen in the home are prohibited.
10. All conditions attached to the home occupation permit shall be fully complied with at all t(mes.
Revocation or Suspension of Permit. The director of building and safety may revoke or suspend any permit for o
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, UNDWSTANP 4.ND WILL 1111d tY�W[Th All CONDITIONS.
IJ I
P I HAMVF1CWS1,GkXT_kW0tL
DATE
Conditions Per La Quinta Municipal Codes: 9.60.110, 9.160, 9.210.060