Loading...
HILARIO• 0 40" 02 P.O. BOX 1504 COMMUNITY SAFETY DIVISION 78-495 CALLE TAMPICO (760) 777-7050 LA QUINTA, CALIFORNIA 92247 FAX (760) 777-7011 HOME OCCUPATION PERMIT Permit Number: 07-00000890 Please read each condition listed on.the attachment in. this packet to see if the proposed activity complies with the City's Home Occupation Regulations. Applicant name(s): (List all owners, partners,. and/or corporation officers) GARZA HILARIO Property address: 52190 AVENIDA CORTEZ . Phone: (760) 564-2376 Mailing address: 52190 AVENIDA CORTEZ Property owner: GARZA HILARIO D as Type of business: Landscape FEB 113 Brief description of how the business will operate: OF LA► QUINTa► FI A . Dart r Square footage of usable floor area in house (exclude garage) 1286. Square Feet Rai b' ►d Location and square footage of area�of business activity in home (Example: Bedroom —1 5 sq ft.) Diningroom & Garage, 420 Square Feet . Description of machinery, equipment, and supplies being used in the business operation: I HAVE READ, UNDERSTAND, AND AGREE WITH THE CONDITIONS BY WHICH A HOME OCCUPATION IS ALLOWED. (Conditions Attached) APPLICANT SIG ATURE DA E If applicant is other than the property owner, authorization of owner or rental/leasing agent is required. d� �l Your inspection has been scheduled for Home Occupation Inspection between 9:30-10:00 A.M.. Your inspector will 'be K&In MW(;i,j f . --------------------------------------------INSPECTOR USE ON ------ ---------------------------------------------- •PPROVED O DENIED Inspector Sfgnature Date CE HP P.O. Box 1504 F10 78-495 CALLE TAMPICO (/ (7 60) 777-7000 LA QUINTA, CALIFORNIA 92253 FAX (760) 777-7.101 APPLICATION FOR HOME OCCUPATION OF A BUSINESS FEE $70.00 INSPECTION DATE: Please read each condition listed on the attachment in this packet to see if the proposed activity complies with the City's Home Occupation Regulations. APPLICANT NAMES: (List all owners, partners, and/or corporation officers PROPERTY ADDRESS: 6�ZI �b 411-c ?0 T/ PHONE: C-76. 6) 6_6 � 2 MAILING ADDRESS: �.,�5 �/I ��� (IF DIFFERENT FROM ABOVE) ^ PROPERTY OWNER: TYPE OF RESIDENCE, INCL MULTIPLE, MOBILE HOME, ETC.): TYPE OF BUSINESS: c IBRO r_, Nl k BRIEF DESCRIPTION OF HOW THE BUSINESS WILL OPERATE: S 4 F I- NUMBER OF PERSONS INVOLVED IN BUSINESS: T SQUARE FOOTAGE OF USABLE FLOOR AREA IN HOUSE (EXCLUDE GARAGE): O C sa) LOCATION AND SQUARE FOOTAGE OF AREA 125 SQ FT.): a_ph da ip-r/ — DESCRIPTION OF MACHINERY, EQUIPMENT OPERATION: 44 ti/ 1'J /Vl U W %L 5 3USINESS,ACTIVITY IN HOME (EX. BEDROOM - SUPPLIES BEING USED IN THE BUSINESS I HAVE READ, UNDERSTAND, AND AGREE WITH THE CONDITIONS BY WHICH A HOME OCCUPATION IS ALLOWED. (CONDITIONS ATTACHED). 6 If` �� ��� APPLICANT'S GNATURE DATE IF APPLICANT IS OTHER THAN THE PROPERTY OWNER, AUTHORIZATION OF OWNER OR • RENTN AL/LEASING AGENT IS REQUIRED. Fro]'* OWNER/AGENT WNATURE DATE AGENT COMPANY NAME CONTACT PH. # DATE IWORTANT: FALSE OR MISLEADING INFORMATION SHALL BE GROUNDS FOR DENYING YOUR HOME OCCUPATION; FAILURE TO COMPLY WITH THE CONDITIONS LISTED ON THE ATTACHED PAGE SHALL BE GROUNDS FOR REVOCATION OF PERMIT. BUILDING AND SAFETY. DEPARTMENT/CODE COMPLIANCE DIVISION: APPROVED DENIED SPECIAL CONDITIONS OFFICER I.D. # DATE • PLEASE READ! Please contact your Homeowner's AsZciationprior to paying for your Home Occupation Permit. Your Homeo er's Association may restrict or prohibit home based businesses. I HAVE READ AND UNDERSTAND THIS STATEMENT. Signature .40 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...... 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.Divisibn at 777-7050. 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 complete and sign a declaration that states the following: WORKER'S COMPENSATION DECLARATION I 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 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: 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. 2 -2G -di APPLICANT SIGN URE 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.