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MATETl 11111111111111111111 48 FEE $35.00 y'3 � CITY OF LA QUINTA 78-495 Calle Tampico, P. O.Box 1504, La Quinta, CA 92253 HOME OCCUPATION PERMIT Read each condition listed on the attachment to this form to see if the proposed activity can comply with the City's Home Occupation Regulations. BUSINESS NAME AL<A MAP, /&, _ _ PHONE X 619) 56y- L1/ PROPERTY OWNERLPJE- ff'T PHONE ' $ - 4/6 ' PROPERTY ADDRESS o2 !/ C MAILING ADDRESS o2� TYPE OF RESIDENCE (single, multiple, mobi home, etc.) /Y TYPE OF BUSINESS e� %�. I df2� d� S CVS BR F ZSCRIPTION OF HOW E BUSINESS WIL 0 ERATE '1 //pt (-s /a4 s Gc �' per �= Coso��,' l NUMBER OF PERSONS INVOLVED IN BUSINESS LIST NAME OF PERSONS EMPLOYED SQUARE FOOTAGE OF USABLE FLOOR AREA IN HOUSE (EXCLUDE GARAGE) l LOO LOCATION AND SQUARE FOOTAGE OF AREA &AjZi-6� OF BUSINESS ACTIVITY IN HOME (EXAMPLE, "BEDROOM -125 S.F.") DESCRIPTION OF MACHINERY, EQUIPMENT, AND SUPPL ES BEING USED IN THE BUSINESS OPERATION I HAVE READ, UNDERSTAND, AND AGREE WITH THE CONDITIONS BY WHICH A HOME OCCUPATION �LLO� ONDITIONS ATTACHED)• APPLICANT SIGNA IF APPLICANT IS OTHER THAN PROPERTY OWNER, AUTHORIZATION OF OWNER OR AGENT IS REQUIRED. ©dam rIM447� OWNER/AGENT SIGNATURE (29 102-1 DATE IMPORTANT: FALSE OR MISLEADING INFORMATION SHALL BE GROUNDS FOR DENYING YOUR HOME OCCUPATION; FAILURE TO COMPLY WITH CONDITIONS LISTED ON THE ATTACHED PAGE SHALL BE GROUNDS FOR REVOCATION OF PERMIT. Building and Safety Department APPROVED DENIED CONDITIONS ATTACHED -4 s_ ,Na STnO-A-KC t OF L'.5 Lipp U L-�3- CW r9 LIS ,moo �eS�cF�*a . . ,off, o r ='uY� " -_ STATE OF CALIFORNIA p. STATE BOARD OF EQUALIZATION 01 (& 42-700 BOB HOPE DRIVE, SUITE 301 RANCHO MIRAGE,.CA: 92270-4473 (619) 346-8096�" < September 28, 1994. ALBERT MATEJ ALKAMAR 52280 AVE. MENDOZA LA QUINTA, CA. 92253 Dear Mr. Matey - 7 ` Recently you applied:;to the Board of EqualizaticinYfor.. a - seller'S permit'. In --response to your request, you Have been issued account number SR EHC"99-580350. As a holder of a seller's -permit, you are required: to- file tax returns on a QUARTERLY basis. For your convenience, we - have also included any needed returns with this letter. A return will be due on or before the last.day,of the month following the end of the reporting basis. Your first return will cover the period,from 10-01-94 to 12-31-94 and will be due on 01-31-95. The due dates of subsequent returns will be indicated on the returns when they are sent to you from Sacramento. To avoid penalty and interest charges, be sure your returns are postrniarked,on or before the date they are due. However, if your return is past due, please calculate the appropriate penalty and interest and include those amounts with your return. You must file a return even if no activity or sales occurred during the period. Not filing'a return may result in revocation of your permit. - We have also included pamphlets and regulations to help you understand your rights and responsibilities as a seller and to determine the taxability of your products or services. However, if you would like additional information, please contact this office at the number listed above. SincereI , M. Rangel • Authorize Employee ACC -SR a CORRINNE HOFFMAN 619/346-1181 Legal AdverVosing 0(PPost : Newspapers A Division of Desert Sun Community Newspapers Palm Desert • Rancho Mirage Cathedral City - La Quinta/Indian Wells Indio - Entertainer 74-617 Highway 111 - Palm Desert, CA - 92260 • FAX: 619/773-5400 P.O. Box 459 • Palm Desert, CA • 92261 AMT. PAID . U0 I CHEC BALANCE MONEY DUE ORDER -K': -- dress, City 6 State of Principal Pl, Zed 14 VF. ME - of Registrant (one) ^zp)jffA'r MA -T -E Lel-Qvin'191 Cj} �I?153 City I State Zip 522 -Sb AVF. MEnrp0ze (If corporation, show state of incorporation) • Residence Address City State Zip ise Of County Clwtr coae Residence Address City State Zip (If corporation, show state of incorporation) Residence Address City State Zip (If corporation, show state of incorporation) I TO corporation, show state of incorporation) (n More Than 4 Registrants — Ansch AddMmW Shaat Showft Owner Intannation) This business is conducted by: JU an individual ❑ individuals—Husband and Wife ❑ a General Partnership ❑ a Limited Partnership Q a Corporation ❑ a Business Trust ❑ Co -Partners ❑ a Joint Venture 0 an Unincorporated Association—other than a Partnership ❑ Other (Specify) Registrant commenced to transact business under the fictitious business name or names listed above on Registrant has not yet begun to transact business under the fictitious business name or names listed herein. Signature Typed or Printed Name If Corporation - Title of Officer THE FILING OF THIS STATEMENT DOES NOT OF ITSELF AUTHORIZE THE USE IN THIS STATE OF A FICTITIOUS BUSINESS NAME IN VIOLATION OF THE RIGHTS OF ANOTHER UNDER FEDERAL, STATE, OR COMMON LAW (SEC. 14400 ET. SEO. B & P CODE) STATEMENT FILED WITH THE COUNTY CLERK OF RIVERSIDE COUNTY ON DATE INDICATED BY FILE STAMP ABOVE •NOTICE - THIS FICTITIOUS BUSINESS NAME STATEMENT I HEREBY CERTIFY THAT THIS COPY IS A CORRECT COPY OF EXPIRES 5 YEARS FROM THE DATE THIS STATEMENT IS FILED THE ORIGINAL STATEMENT ON FIE�Al(_OF I JO1�r�sO� WITH THE COUNTY "CLERK'S OFFICE. RENEWAL OF THIS I ..K. STATEMENT MUST BE FILED PRIOR TO THE DATE OF County Clerk EXPIRATION. BY DEP FILE NO. FORM 500 (Roy"41) r I L' • THIS PERMIT DOES NOT AUTHORIZE THE HOLDER TO ENGAGE IN ANY BUSINESS CONTRARY TO LAWS REGULATING THAT BUSINESS OR 70 POSSESS OR OPERATE ANY ILLEGAL DEVICE. Not valid at any other address 13T -442 -R -LZ REV. 10 (8-90) CALIFORNIA STATE BOARD OF EQUALIZATION SELLER'S PERMIT ACCOUNTNUMBER F 11/15/1994 SR EEC 99580350 ALKAMAR ALBERT MATEJ 52280 AVE. MENDOZA LLA QUINTA, CA 92253 J IS HEREBY AUTHORIZED PURSUANT TO SALES AND USE TAX LAW TO ENGAGE IN THE BUSINESS OF SELLING TANGIBLE PERSONAL PROPERTY AT THE ABOVE LOCATION THIS PERMIT IS VALID UNTIL REVOKED OR CANCELLED BUT IS NOT TRANSFERABLE. IF YOU SELL YOUR BUSINESS, OR DROP OUT OF A PARTNERSHIP, NOTIFY US OR YOU COULD BE RESPONSIBLE FOR SALES AND USE TAXES OWED BY THE NEW OPERATOR OF THE BUSINESS. DISPLAY CONSPICUOUSLY AT PLACE OF BUSINESS FOR WHICH ISSUED NOTICE TO TAXPAYERS INFORMATION FURNISHED TO THE BOARD OF EQUALIZATION The Information Practices Act of 1977 requires this agency to provide the following notice to individual taxpayers who are asked by the State Board of Equalization to supply information: The principal purpose for which the requested information will be used is to administer the California Sakes and Use Tax Laws, Special (Excise) Tax Laws, or Timber Yield Tax Lew. This includes the determination and collection of the correct amount of tax As an individual taxpayer, you have the right of access to personal information about you in records maintained by the State Board of Equalization. Please contact your local Board office listed in the white pages for assistance. The Board officials responsible for maintaining this Information are: Sales and Use Tex, Deputy Director, Sales and Use Tax Department, 450 N Street, MIC:43, Sacramento, CA 95814, telephone (916) 445.8464; Excise Tax and Environmental Fee Tax, Deputy Director, Special Taxes and Operations Department, 450 N Street, MIC:31, Sacramento, CA 95814, telephone (918) 327-4208; Timber Yield Tax, Deputy Director, Property Taxes Department, 450 N Street, MIC:83, Sacramento, CA 95814, telephone (916) 445-1516. If the local Board office or Deputy Director is unable to provide the information sought, you may also contact the Information Security Office in Sacramento, telephone (91e) 324-1827. The California Revenue and Taxation Code, Parts 1, 1.5 and 1.8 (State Sales and Use Tax), 2 (Motor Vehicle Fuel Tax), 3 (Use Fuel Tax), 7 (Tax on Insurers), 13 (Cigarette and Tobacco Products Tax), 14 (Alcoholic Beverage Tax), 18.5 (Timber Yield Tax), 19 (Energy Resources Surcharge), 20 (Emergency Telephone Users Surcharge), 22 (Hazardous Substances Tax Law), 23 (Solid Waste Disposal Site Cleanup and Maintenance Fee Lew), 24 (Oil Spill Response, Prevention and Administration Fees), and 26 (Underground Storage Tanks Maintenance Fee Law); Government Code, Title 7.3, Chapter 8 (Tire Recycling Fee); Public Resources Code, Div. 30, Part 7, Chapter 4 (Oil Recycling Fee); Health and Safety Code, Div. 1, Part 1, Chapter 2, Article 4.8 (Childhood Lead Poisoning Prevention Fee); and Chapter 1 of the Public Utilities Code (Hazardous Spill Prevention Fee) require persons meeting certain requirements to file applications for registration, applications for permits or licenses, and tax returns or reports in such form as prescribed by the State Board of Equalization. It is mandatory that you furnish all of the required information requested by applications for registration, applications for. permits or licenses, tax returns and other, related data. Failure to provide all of the required information requested by an application for a permit or license could result In your not being issued a permit or license. In addition, the law provides penalties for failure to file a return, failure to furnish specific Information required, failure to supply information required by law or regulations, or for furnishing fraudulent information. Pursuant to California low, the Information appearing on the face of any permit or license issued by the Board is a public record. Information you furnish to this agency may be used for the purpose of collecting any outstanding tax liability and may be given to federal, state and local government agencies as authorized by law. GA -324•A REV. 5 (6-93) 1994 BUSINESS LICENSE APPLICA ...... PROOF OF WORKERS COMPENSATION !P�� a OCT 0 6 1994 FORM . LIC. NO. *APPROVED BY DATE INSURANCE IS REQUIRED........ I. IS THIS BUSINESS LOCATED AT YOUR HOME: YES NO 2. -Business ".Name: A -L 3. Business Address: 5.2.. '#W,4 . ..".Ma"1 -il7i:ng Address: 67;&2?o 4 ,,V 0%,JV qZ U3 r 30 OC- ke==L 5. Business Phone: _. 6. Owned By:. CORPORATION PARTNERSHIP''*, INDIVIDUAL 7. - If Corporation.orPartnership: .,Tax 8. If Individual Owner: Social Security J -j Z 9. Name of Owner AAr_1R/_ Title: • Or Officers 10. Type of- Business:.. 11. IF YOU ARE A FOOD VENDOR, DO YOU HAVE A COUNTY HEALTH PERMIT:' YES 12. SBE 'Re sale• Numbeil: 13. BUSINESS' -'LOCATED �WITHIN " N CITY,; YF�:CL&A-,WUIVTM ( Does Not Apply To Buildfing"CoAr'ai6tor's) 0" C"! A. Estimated Gros Receipts'Business Receiptsf or -I. " -- New Businesses Only: to -j B. 2 Previous ear- Gross' _,.!ablizhf�.d Businesses: $ ********GOOD ONLY FOR JANUARY 1,199.4 THAU DECEMBER 31, 1994******* I HEREBY CERTIFY that all the any licenses required by the issued to*me and are in full Signature information supplied by me is correct and County, State or Federal Government have been force and effect. itle Submit Form To: CITY OF LA QUINTA BUSINESS LICENSE DIVISION 78-495 Calle Tampico' T..q r)ri4n+-= 1"t% n 11 111 0 -3 0 �% Iq,?, Date t T• _.7 1 FEE $35.00 .7 • gi ��9�1 �`3s�� CITY OF LA QUINTA 78-495 Calle Tampico, P. O.Box 1504, La Quinta, CA 92253 HOME OCCUPATION PERMIT Read each condition listed on the attachment to this form to see if the proposed activity can comply with the City's Home Occupation Regulations. BUSINESS NAME 1 PHONE C1 Q) PROPERTY OWNER PHONE PROPERTY ADDRESS MAILING ADDRESS - TYPE OF RESIDENCE (sin le, multi le, mobil home, etc.) TYPE OF BUSINESS BR-kEF DESCRIPTION 0 HQW THE INE$ ILL OPERA , nvnn, .PSC' X 1 n t WIMBtA OF VERSONS'INVOLMED IN BUSI S LIST NAME OF PERSONS EM1FLOYED SQUARE FOOTAGE OF USABLE FLOOR AREA IN HOUSE (EXCLUDE GARAGE) JtQQ S/r, LOCATION AND SQUARE FOOTAGE OF AREA OF BUSINESS ACTIVITY IN HOME (EXAMPLE, "BEDROOM -125 S.F.") Soo V-• g DESCRIPTION OF MACHINERY, EQUIPMENT, AND SUPPLIES BEING USED_IN THE BUINESS OPERATION l kVE RE , STANDAND AGREE WITH THE CONDITI NS BY WHICH A CCUPATI _ L OWED -(CONDITIONS ATTACHE ` APPLICAN IGNA-TURE DATE IF APPLICANT IS_OTHER THAN PROPERTY OWNER, AUTHORIZATION OF OWNER OR AGENT IS REQUIRED. OWNER/AGENT SIGNATURE DATE IMPORTANT: FALSE OR MISLEADING INFORMATION SHALL BE GROUNDS FOR DENYING YOUR HOME OCCUPATION; FAILURE TO COMPLY WITH CONDITIONS LISTED ON THE ATTACHED PAGE SHALL BE GROUNDS FOR REVOCATION OF PERMIT. Buil n and Safety Department VX APPROVED DENIED CONDITIONS ATTACHED 2� y •') . i MARTIN THOMAS GROUP, INC. • MarketingiA;Rg- f t 52-031 Ave. Mendoza j Scott M. Schlichting La Quinta, CA 92253 I President / C.E.O. (619) 564-1098 t • is • • CQ 4 4a Qu&ra 78-495 CALLE TAMPICO — LA QUINTA, CALIFORNIA 92253 - (619) 777-7000 FAX (619) 777-7101 Every employer who applies.for any license or a 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 declaration: 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: A "COPY" OF THE POLICY SHOWING THE AMOUNT OF COVERAGE AND EXPIRATION DATE FOR WORKMEN'S COMPENSATION IS REQUIRED TO PROCESS THIS APPLICATION. l� 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 bec a subject to the worker's compensation provisions of tion 37 Date: 2 ` " /� Applicant: WARNING: Failure to secure workman's compensation coverage is unlawful, and shall subject an employer to criminal penalties and civic fines up to $100,000. In addition to the cost of compensation, damages as provided for in Section 3706 of the Labor Code, interest, and attorney's fees. bus.fac MAILING ADDRESS - P.O. BOX 1504 - LA OUINTA, CALIFORNIA 92253 �'-