TalleyHOW OCCUPATION OF A BUSLNESS
PER.VUT# F-N5FE=0N IAA
TJ
Please read each cond.iitwo li sted on the attachment is this packet �0 sce if the proposed home business complies
with the City's Home Occupaton regwlat ons.
NEW APPLICATION S f 05-00 LOCATION CHANGE S55.00
Ap�y t l as : Inc.Ro[
c 1 i Iin ,
Adds' e
0 Ilia Pavia
Imo"'. End:
60- nik igro rig. rn
Type of r€Qdcnu-. Square Footage:
jingle 2700
TjW of BR%Nem-
event rigging
Brief Description of the lausiilam Comvdam-
temporary special evert and theatrical rigging
Lacatiu F3 auil Square Footage of Saebwu in Homm 033L Bedbor m 120 SF)
bedroom (office), 120 sf
rNumber of Persons Involved In Bmdne&:
G
Description of Machinery, Fquipment, and Suppkin Being Used:
offioe co rnputerslprinters Dn sqe; truss and motors for rigging kept off site at s!oraga facility in Bermuda Durres
I HAVE READ, lJ D1E]ELSTA]YD, A.I'D AGREE %TM THE ArTACEOED CONDTITONS BY WJE CH A
HOME OCCUPATION PEWMIT IS ALLOWED.
Nikki Talley bada_2022irOol 781NBW Talley
7--. 9--06W
APPUCANTSr NATURE
1/18/2022
DATE
78495 CALLE TAM FMCO- LA QUINTA, CA 92253 Y 7W777-7a00
WWW.LAQUINTACA.GOV
IF APPLICANT` IS OTTIER THAN 7HE P O TY OWbMP, A Sl qM) AUTHORIZATION FROM OWNER
OR REZQTAJ-JT-EASrNG AGENT ISR URD.
DATE
AGENT CO1+iPANYNAME
CONZ'ACTPHDN"E
PLEASE CONTACT YQL'R HO OWNER'S ASSOCIATION PRIOR TD PAYING FOR YOUR HOIa
OCCUTATION PER-MM YOUR HOA MAY RESTFUCT CAR PROHIBIT A HOM&BASED BUSINESS.
IMPORTANT, FAI R OR 2WSLEADLNG fNTOKMATION SHALL BE GROUNDS FOR DENYING YOUR
APPLICATION; FAELURE TO CO.V2LY WTFH TIE CONDITIONS LISTED ON THE ATTACHED PAGE
SHALL BE GROUNDS FOR REVOCATTON OF THIS PER ri,
I HAVE READ AND UNDERSTAND THIS STATENT.
Nikki Talley 7k: Tna
SIGNATURIE
CODE COM LLA- CE USE ONLY
s ■ ■ ■ ■ ■ ■ ■ ■ w ■ ■ ■ s ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ q ■ ■ ■ i r ■ ■ ■ ■ ■ ■ ■ ■
APPROVED D iffiD SPECIAL CONDMONS
OFFICER DATE
78495 CALLE TAMPICO - LA MINTAk, CA 92253 - 760-Tn-7000
WORKER"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 end dollar amount. This proof of Coverage must be received
before the Business License tarp 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 Cade Carr pliance Division at 760.777.7063_
Every employer who applies for any license or renewal Qf any license for a business issued p-ursua,)- to Sect: on
37101 of -he government code or Section 7284 of the Revenue and 7axa#ion Code, shall corn plete a nd s[ n
declaration that skates the foIlowdm;
I hereby affirm under penafty of penury, one of the fotlowing declarations;
I have and will maintain a certificate of consent to self -insure for Woricer's Compensation, as
provided by Section 3700 for the duration of arty business activities conducted far which this
license is issued.
I have and will maintain Workers Com pensaticn Insurance, as required by Section 3700 for
the duration of any business act:nrities c❑nducted for which this license is issued -
My Worker's Com pensation Insura n c e carrier and policy number are:
Carrier: State Compensation Insurance Fund
Policy Number 90784 - 1 Expires: 11/9/2022
A COPY OF SAID POLICY OR CERTIFICATE DF CONSENT SHOWING THE AMOUNT OF COVERAGE AND
EXPIRATION DATE FOR WORKER'5 CCMPENSATION IS REQUIR.E0 TO PRDCESS THIS APPUCA110N.
I certify that in the performance of any business activities for which this license is issued, 1 shall
not employ any person in any Manner so as to become subject to the worker's compensation
laws of CaIifomia, 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.
ikki Taller 817;18,21 �, . 01118/2022
APPLICANT SIGNATU RE .� DATE
WARNING: Failure to secure Worker's Compensation coveraige is unlawfuJ, and shall subject an employer to criminal
penalties and civil fines up to $100,0W. In addition to the cost of wmpen sation, damages, Interest, and attorneys fees
may he assessed to you as Pmvided in Section 3706 of the Labor Code,
78495 CALLE TAMP1CD " LA QUINTA, CA 92253 " 7543L-777-7000
WV1 [ ,LAQUINTAC.kGQV
HOME OCCUPATl NODNDMONS
H.O. #
ADDRESS 78W Via Pavion La Quinta, CA 92253
ALL HOME OCCUPATIONS SHALL COMPLY WrT14 THE FOLLOWING CONDITIONS:
1, The establishment and conduct of a hone occupation shod be an incidental and accessory use and
shall not change the principal character of use of the dwelling unit involved,
2. Only residents of the dwelling 1init moy be erigoged 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 horne
occupatlofi shall not occupy mare than twerxty-five percent of the combined floor area of the house and
garage.
4. A home accu potion 5hcR not be conducted within a detached accessory structure, olthough materials
may be stored in such a structure.
5. There shnit be no signs, outdoor storage, porked vehicles or other exterior evidence of the conduct of
the harm occupation. Neither th-e dwelling nor the lot shall be altered in oppe ronce so that it appea rs
other than a residence, either by color, materials, construct ion, lighting, sounds, vibratioris or other
characteristics.
6. Electrical or mechunicaI egtjipment which creates interference in radio, television or telephone
receivers or causes fluctuations in tine voltage outside the dwelling unit small be pro hibited.
7_ The borne occupotion shall not create dust, noise or odors in excess of that normally associated with
residential use_
8. No soles activity shall be conducted from the dwelling except for mail order sales. The dwelling unit
shalt mK be the point of customer pickup or delivery of products or services, nor shall o home occupation
create greatef vehicular or pedestrian ttoflic 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 shalt be permitted.
9. Medical, dentat or similar occupations in which patiants are seen in the home are prohibited.
10, All conditions attached to the horse occupation permit shalt be fully complied with at alt tirnes.
Revacatkm or Suspension erf Permit. The director of building and safety may revoke or suspend any Permit for 0
home occupation if the director determines that any of the performance and devOopment standards listed in
subsection C of th is section have been or are being vioiatK that the occupation a uthofized by the permit is or has
been conducted In violation of any state statute or city low, or that the home =upotion has changed or is different
from that a uthorized when the permit was issued.
Special Conditions:
BY SIGNING T1415 DDCUM£NTI AGREE THAT I HAVE REAR, UNDE#ISTAND AND WILL COMPLY WITH ALL CONDITIONS.
Nikki Taller
PRINT NAME OFFICER SIGNATURE
MOW owndbyW*;Ta"
Nikki Talley 0�z=ZL -lift un-MxuI
SIGNATURE
DATE
Conductions Per La Quinta Municipal Codes 9M.110, 3160, 9,210AU