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FitzpatrickNrtiI;�W CAI IR)RNIA -- HOME OCCUPATION OF A BUSINESS tto- PERMIT `0U61 INSPECTION DATE—D2- Ll r 23 TIME �■ 0��� 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 $117.00 LOCATION CHANGE $57.00 i ype or tusiness: S Brief Descr ption of the Business -hA,,-,Jt .ocation an DFFk(,ct kK 5-p-P-Vt ce-5 uare Footage of Business in 110 5 F ryumDer or Persons Involved in Business: Descriptl 6v\A 0AtV+x14v► AVv eF-VtCQ o1ps :—(Ex. Bed room 12o on of Machinery, Equipment, and Supplies Being Used: I HAVE READ, UNDERSTAND, AND AGREE WITH THE ATTACHED CONDITIONS WHICH A HOME OCCUPATION PERMIT IS ALLOWED. APPLICANT SIGNATURE DATE t1 _C6,4 IF APPLICANT IS OTHER THAN THE PROPERTY OWNER, A SIGNED AUTHORIZATION FROM OWNER OR RENTAL/LEASING AGENT IS REQUIRED. 7-Z-3 OWNER/"ENTSIGNATURE DATE AGENT COMPANY NAME 7/' ._ �)y- �,; z 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 IIS CODE COMPLIANCE USE ONLY APPROVED DENIED SPECIAL CONDITIONS Alw //Z- 7 1 i Z3 OFFICER DA E HOME OCCUPATION CONDITIONS ADDRESS 1 7 _, okP—k { j A 1. 1 I l�� t% 1� T A ) C 14 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. Special Conditions: BY SIGNING THIS DOCUMEN ]AGREE HAT I AVE READ, UNDERSTAND AND WILL COMPLY WITH ALL CONDITIONS. SIGNATURE OFFICER SIGNATURE Lik'a �'J .- 7 �a PRINT NAME 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 It 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 completC gnd sign a r esiaration that states the following: 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. 0 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 370 , I will provide the City with a policy or certificate copy within ten{1 )day of the change in requirements. APPLICANT SIGNATURE 240 2 3 DATE 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.