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CALIFORNIA
HOME OCCUPATION OF A BUSINESS
PERMIT#):!M �INSPECTION DATE IDI[to. TIME11-
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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 APPLICATI0ON1-1"7.00
NV
LOCATION CHANGE $57.00
Applicant Names: L,c4nrle
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Phone: b Email:
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Type of residence: Squ
a Footage:
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Type of Business:
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Brief Description of the business Operatio
Lora#ion and Square Footage of Busine - in Home: (Ex. Bedroom I20 SF)
Number of Persons Involved in Business:
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Description ofMachinequipment, and Supplies Being Used:
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I HAVE READ, UNDERST, AND AGREE WITH THE ATTACHED CONDITIONS WHICH A HOME
OCCUPATION PERM)-T ALU)WED.
APPLICANT ,MNATURE
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DATE
IF APPLICANT IS OTHER THAN THE PROPERTY OWNER, A SIGNED AUTHORIZATION FROM
OWNER OR RENTA SING AGENT IS REQUIRED.
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0 W N E E SIGNATURE DATE
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A ENT 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 AN DERSTAND THIS
l� STATEMENT.
CODE COMPLIANCE USE ONLY
APPROVED DENIED SPECIAL CONDITIONS
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HOME OCCUPATION CONDITIONS
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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:, Ke%Cg'DES Q1WTr_ :
BY SIGNING THIS DOCUMENT I AGREE THAT I HAVE READ, UNDERSTAND AND WILL COMPLY WITH ALL CONDITIONS.
OFFICER SIGNATURE
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DAPIE
�uiIUILIU 5 rer Lu WUInta 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
of
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 gomlRllete and sign a declaration that staftes thc.
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
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
ecti n 3700, I will provide the City with a policy or certificate copy within
to (0) days of the change in requirements.
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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.
La Quinta Municipal Code 3.28.030 Business License Required
Subject to the provisions of this chapter, all businesses engaged in or carried on in the city
shall pay for an annual business license.
It is unlawful for any person to initiate, transact, engage in, or carry on any business in the city
without first having obtained and paid for a valid business license, and for not meeting all
other requirements.
La Quinta Municipal Code has a provision in Chapter 3.28 where a person, group, or
organization can deny by a sworn statement given to the collector that he or she is not
conducting a business in the city.
By signing below, I declare that I am not conducting business in La Quinta and am not
providing, selling, trading or bartering goods or services for money or other consideration, as
a source of revenue with an identifiable value, monetary or otherwise.
I am providing this declaration voluntarily and truthfully and understand that I can be subject
to Administrative Citation, and other legal remedies if found conducting business without a
business license by local authorities.
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