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P.O. Box 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92247
COMMUNITY SAFETY DIVISION
HOME OCCUPATION PERMIT
Permit Number: 07-00005965
. (760)777-7050
FAX (760) 777-7011
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) EDUARDO & MARIA T. OJEDA
Property address: 52815 AVENIDA MARTINEZ Phone: (760) 564-6274
Mailing address: 52815 AVENIDA MARTINEZ
Property owner: EDUARDO & MARIA T. OJEDA
Type of business: Pool & Spa Contractor
Brief description of how the business will.operate:
Square footage of usable floor area in house (exclude garage) 2500 square feet
Location and square footage of area of business activity in home (Example: Bedroom —125 sq ft.) home office /
bedroom, 25 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)
4WffA—N—T SIGNATLXV DATE
1
If applicant is other than the property owner, authorization of owner or rental/leasing agent is required.
Your inspection has been scheduled for Home Occupation Inspection between 10:00-10:30 a.m. on 11/30/07.
Your inspector will be Moises Rodarte.
------------------------------------------INSPECTOR USE ONLY
❑ APPROVED
❑ DENIED Inspector Signature
CE HP
Date
4Qalftrw
P.O. Box 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92247
COMMUNITY SAFETY DIVISION
HOME OCCUPATION PERMIT
Permit Number: 07-00005965
(760) 777-7050
FAX (760) 777-7011
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) EDUARDO & MARIA T. OJEDA
Property address: 52815 AVENIDA MARTINEZ Phone: (760) 564-6274
Mailing address: 52815 AVENIDA MARTINEZ
Property owner: EDUARDO & MARIA T. OJEDA
Type of business: Pool & Spa Contractor
Brief description of how the business will.operate:
•
Square footage of usable floor area in house (exclude garage) 2500 square feet
Location and square footage of area of business activity in home (Example: Bedroom —125 sq ft:) home office /
bedroom, 25 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)
AP4M—ANT SIGNAT DATE
If applicant is other than the property owner, authorization of owner or rental/leasing agent is required.
Your inspection has been scheduled for Home Occupation Inspection between 10:00-10:30 a.m. on 11/30/07.
Your inspector will be Moises Rodarte.
------------------------------------------INS R US -- --------- ---------------------------------- ------
APPROVED
DENIED sector Signature Dat
CE HP
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P.O. Box 1504
78-495 CALLS TAMPICo
(7 60) 777-7000
LA 00INTA, CALIFORNIA 92253 FAX (760) 777-7101
APPLICATION FOR HOME OCCUPATION OFA 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.
AP ICANT NAMES: (List all owners, partners, and/or corporation officers
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PROPERTY ADDRESS:` I P j�(�M'�� HO��%1 �b Ir,O�� 7
MAILING ADDRESS [^ ��� . L'� (IF DIFFERENT FROM ABOVE)
PROPERTY OWNER: -tnl TI CACI (l l An aQf I o r P C o r
TYPE OF RESIDENCE, (SINGLE, MULTIPLE, MOBILE HOME, ETC.):
• TYPE OF BUSINESS:(
DESCRIPTION OF HOWTHE BUSINESS WILL OPERATE: _O(L L.� rnom
DA nnC f 0 `» s r t_) k (\,'A 0
NUMBER OF PERSONS INVOLVED IN BUSINESS:C
SQUARE FOOTAGE OF USABLE FLOOR AREA IN HOUSE (EXCLUDE GARAGE): _
LOCATION AND SQUARE.FOO AGE OF AREAOF BUSINESS ACTIVITY IN HOME (EX. BEDROOM -
125 SQ FT.): X3 -.sI
.DESCRIPTION
OPERATION:
USED Ill THE
I HAVE READ, UNDERSTAND, AND AGREE WITH THE CONDITIONS BY WHICH A
HO CCUPA�ONISALLOWED. (CONDITIONS ATTACHED).
laffs SIGNA DATE
•IF APPLICANT IS OTHER THAN THE PROPERTY OWNER, AUTHORIZATION OF OWNER OR
RENTAL/LEASING AGENT IS REQUIRED.
g��
iftWI�/AGfNT GA
• A i
(. Wo
DATE
Ln/o�
CONTACT PH. # 1 DA
IMPORTANT: 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 I
•
PLEASE READ!
Please contact your Homeowner's Association prior to paying for your Home
Occupation Permit. Your Homeowner's Association may restrict or prohibit
home based businesses.
I HAVE READ AND UNDERSTAND THIS
STATEMENT.
L 0-40A
ignature
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 requited before a .
business license is issued.
If you have any questions, please contact the Code Compliance Division 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 Sectiori 7284 of the Revenue and Taxation code shall complete and sign a
declaration that states the following:
WORKER'S COMPENSATION DECLARATION
I hereby affirmunderpenalty of perjury, one of the following declarations:
y I 4ave and will maintain a certificate of consent to self -insure for Worker's
Compensation, as provided by Section 3700 forrthe 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 Worke ' Com nation saran carrier and policy number:
Carrier: Z9 ,t
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.
7 LJ
APP CANT 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.