Ramos - Space 44R7`0N'D
NOV 18 2021
CITY OF LA QUINTA
DESIGN AND DEVELOPMENT DEPARTMENT
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HOME OCCUPATION OF A HUSINGSS
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NOV 2 9 2021
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P nr-vF[,0PMF-NT or-.11ARTMENT
PURNIrrR r a��Z —d0?L'7 INSPECTIONDA-I1=_.
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Please mad arch LOW ilion hslcd an the att achrncaal in Ihis picker lu We if Ill: Propa'cxl I1aatae busirkss wngalits
with [tic C'ily's Homc (kcul> itwil regulations.
NFW APPLICATION Stll50( LOCATION MANGE, $55 no
Applicant Names:
Address:
J4(09[ ) b01re PEA m5 94 A qW l a CA,;,){a CA , G 2253
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Tjpr of residrAre: Sgruarc Foarule:
Tylrc of Business:
13rier Description of The Business Ouc�'auam.
I.araIion and Square FooIWgg of Bu4ntxs in liomc: (I~r. BCdrn4nl 120 SFI
Number of Persons Involved in Business:
Dweripdod of h aarhincrv. Equipment, and$upplies Being tlsed:
I HAVE READ, UNDERSTAND, AND AGREE WITH THE ATTACHED CONDITIONS BY WHICH A
HOME OCCUPATION PERMIT IS ALLOWED.
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APPLICANT SIGNATURE
Snf� /Q
DATE
78495 CALLE TAMPICO " LA QUINTA, CA 922S3 - 76D-M-7000
NWWAACLUINTACA.GOV
fF APPLICANT IS OTHER TITAN TI IF PROPERTY OWNER, A SIGNED AUTHORIZATION FROM OWNER
OR R[' T'AL!!.[:A5}NG AGCjNT IS REw7UCREI). ',, I,,
O L3AGI_N1'$IGNA"I1R!? DATF
AG[:N7' (Y)hINANI' NAh11: 4Y1N 1 ('[' P>• N
PLEASE CONTACI' YOUR HOMEOWNER'S ASSOCIATION PRIOR T'O PAYING FOR YOUR HOME
OCCUPATION PERMIT. YOUR HOA MAY RESTRICT OR PROI IIHIT A HOME -BASED BUSINF.SS-
INTPORTANT rALSE OR MISLEADING INFORMATH)N SHALI. RELiROUND5 FOR Df4NYING YOUR
APPLICATION. FAILURE TO COMPLY WTI'f I TIM (X)NDI'I'fONS LISTED qN THE API'mfir ) PAGE
SHALL_ BE GROUNDS FOR REVOCATION OF "PHIS PERMIT
I HAVE READ AND UNDERSTAND THIS STATEMENT.
�Ifi'layc L•'
CODE COMPLIANCE USE ONLY
. . . • . . • ■ . . ■ • ■ . . . . • . • • . • • . • . . . . . . . . . . . . . .
APPROVED- DENIED- SPECIAL CONDITIONS
OFFICER
DATE
79495 CALLS TAMPICO - LA QUINTA, CA 92253 " 760.777-7000
W W W :iAgUf NTACA.GQ�`
IF APPLICANT IS OTHER THAN THE PROPERTY OWNER, A SIGNED AUTHORIZATION FROM
OWNER ORjRENTKOLEA�SINGGENT ISREQUIRE
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OWNER/AGENT SIGNATURE DATE
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APPROVED
CONTACT PHONE
4SSOCIATION PRIOR TO PAYING FOR YOUR HOME
STRICT OR PROHIBIT A HOME -BASED BUSINESS.
ORMATION SHALL BE GROUNDS FOR DENYING
DLY WITH THE CONDITIONS LISTED ON THE
iR REVOCATION OF THIS PERMIT
ND UNDERSTAND THIS
_ _ ATEMENT.
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!C� SIGNATURE ov
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��S t NESS I-N LENSs gWUCANi
OFFICER DATE
'IAL CONDITIONS
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ADDRESS K�.±1�_.i�ur�c �a`ms �`�I $q`I LA_l76r,VGlr
ALL HOME OCCUPATIONS SHALL COMPLY WITH THE FOLLOWING CONDITIONS:
1. The establishment and conduct of ci home occupation shall be on inc.idNntal and accessory use and
shall not change the principal characth'r or use Of the dwelling uiiil involVQd,
2. Only residents of tli(� dweiiinq unit may be engaged in the hon'ie occuprtion.
1 A home Occupation shall be conclUCted only within the enclosed living ores of the principal dwelling
unit or within the garage provided no garage space required far off street parking is used, [tie 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 stared 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 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 SIGNING THIS DOCUMENT I AGREE THAT I HAVE READ, UNDERSTAND AND WILL COMPLY WITH ALL CONDITIONS.
I` mea- i aynm
PRINT NAME OFFICER SIGNATURE
I ► h-sal_
S GNATURE DATE
Conditions Per Lo Quints Municipal Codes: 9.60.110, 9.160, 9.210.060
7
WORKER'S COMPENSATION
If your company has employees, a copy of the Woikman's Compensation Policy must
accompany the Business License application, indicating dates of coverage and dollar
amount. This proof of coverage n-iust 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
EwImilm.
�I`here�by jaffirm under penalty of perjury, one of the following declarations:
L-�--_J 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
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, I will provide the City with a policy or certificate copy within
ten(10) days of the change in requirements.
APPLICANT SIGNATURE 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.