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BUS. LIC. NO.
1992 BUSINESS LICENSE APPLICATION FORM
*APPROVED INITIALS DATE
*DENIED INITIALS DATE
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Lac -A r i o r\J
1. IS THIS BUSINESS LOCATED AT YOUR HOME: YES So m E NO
1
2. Business Name: aJ/4i T t% P12odoc41'0A)5
3. Business Address: %7—(p �� 4. Mailing Address: PQ AOX /12(
LIE A&LO //I QU/6119 —2A �2
5. Business Phone:( (pl j ) ..�5�p �4 -Z!!
6. Owned By: CORPORATION PARTNERSHIP INDIVIDUAL
7. If Corporation or Partnership: Tax I.D.# 2z3' 22 �O D
8. If Individual Owner: Social Security #
9. Name of Owner L� Oxj 6�fwl Title:
Or Officers
10. Type of Business: fc/
11. SBE Resale Number:
12. BUSINESS LOCATED WITHIN THE CITY OF LA QUINTA (Does Not Apply To
Building Contractors):
A. Estimated Gross Business Receipts for New Businesses Only:
060.6 a �7f -;F I
B. Previous Year Gross Receipts For Established Businesses:
********GOOD ONLY FOR JANUARY 1,1992 THRU DECEMBER 31,1992*******
I HEREBY CERTIFY that all the information supplied by me is correct and
any licenses required by the County, State or Federal Government have been
iss� fi me arrr-aorin full force and effect.
Signature
�JNF�
Titie
Submit Form To:
CITY OF LA QUINTA
BUSINESS LICENSE DIVISION
P.O. Box -1504
La Quinta, CA 92253
Date
BUSINESS LOCATED IN THE CITY OF LA QUINTA ONLY
GROSS RECEIPTS
RANGE
CLASS 1 CLASS 2 CLASS 3
' .0
- 25,000
$ 15.00 18.00 $ 21.00
25,001
50,001
- 50,000
- 100,000
25.00 30.00 36.00
3.0.00 36.00
100,001
- 250,000
43.00
46.00 -; 55.00 66.00
250,001
500,001
- 500,000
- 750,000
76.00 90'.00 108.00
114.00 135.00
750,001
- 1,000,000
162.00
150.00 180.00 216.00
1',000,001
- 2,,000p000
400'.00 500.00 600.00
2,000,001
- 3,000,000
500.00 625.00 750.00
3,000,001
- 4,000,000
600.00 750.00 900.00
4,000,001
5,000,001
- 5,000,000
- 10,000,000
700.00 875.00 1,050.00
1,000.00 1,250.00 1,500.00
10,000,001
- and up
1,500.00 1,875.00 2,250.00
CLASS
Automobile Repair
and Services; Laundry, Dry Cleaning &
Garment Services;
Manufacturing; Retail & Wholesale
Trade.
CLASS
Amusement & Recreation Services, including Motion
Pictures; Architectural Services'; Automotive Sales;
Barbers & Hairstylists;
Beauty Shops; Engineering
Services; Landscape & Horticultural Services; Operators
Renters & Lessors
of Commercial_Propgrty; Services to
Buildings; and all
other persons engaged in business
not specifically
listed elsewhere.'
CLASS
Accounting, Auditing
& Bookkeeping Services; Financial
Services; Insurance Brokers & Services; Legal'Services;
Management & Public
Relations Services; Medical &
Health Services;
Real Estate Agents, Brokers, Managers
& Services.
•
P,
T H E C I T Y 0 F
,
AL
pinta
1982 - 1992 Ten Cara[ Decade
Dear Business License Applicant,
Effective January 1, 1991, the State of California has passed
,
legislation, AB1576, which provide that an applicant for issuance
or renewal of a business license must provide proof of valid
current workers' compensation insurance.
Proof of workers' compensation can be satisfied in one of two ways:
1. Provide a copy of certificate of workers'
compensation insurance to the City that
S,
contains the policy number and expiration
date.
2. Provide a copy of Certification of Self -
Insurance issued by the Manager of Self -
Insurance Plans of the Department of
Industrial Relations.
l�
Proof of worker's compensation insurance is not required if the
j
applicant does not have employees; however, the applicant must sign
e
and return tho the City the attached "Non Employee Certificate".
,..4
A business license certificate will not be issued until one of the
above mentioned certificates has been provided to the City.
'
�1
City of La Quinta
,rte
Post Office Box 1504 ♦ 78-105 Calle Estado
V
La Quinta, California 92253
Phone (619) 564-2246, Fax (619) 564-5617
Design 6 Production: Mark Palmer Design. 619-346-0772
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NON -EMPLOYER CERTIFICATE
I certify what in the performance of work for which this City of La
Quinta business license is issued I shall not employ any person in
any manner so as to become subject to the workers' compensation
laws of California.
Note: If after signing the certificate, you hire any employee, you
become subject to the workers' compensation provisions of the
California Labor Code,.- and you must immediately comply with the
provisions of Section 3700 or your license immediately becomes
revoked.
Business Name:
1/i T U
Business License Applicant:
Date: l0 — 2 $ 9 2.
peodoc Il -o us
ons 6'u / 1Cl,'
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�] 78-105 Calle Estado
P( J 1 m Ujiso'PRl
OcI) o Qs P.O. Box 1504
La Quinta, CA 92253
CITY OF LA QUINTA (619) 564-2246
HOME OCCUPATION APPLICATION
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.
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-63 2V
APPLICANT' S NAME Z EOA,) GC4 1, l PHONE ✓6 -677,51-1,0A6-
,4 �7-
PROPERTY OWNER
PROPERTY ADDRESS
TYPE OF RESIDENCE ksi
TYPE OF BUSINESS
PHONE
-�Y/d CAI Ir A�
multiple, mobile home, etc.)
BRI,EF.DESCRIPTION OF HOW THE BUSINESS WILL OPERATE
NUMBER OF PERSONS INVOLVED IN BUSINESS
LIST NAMES OF PERSONS EMPLOYED O )6AJ Cr
SQUARE FOOTAGE OF USABLE FLOOR AREA IN
HOUSE (EXCLUDE GARAGE)
LOCATION AND SQUARE FOOTAGE OF.AREA OF
BUSINESS ACTIVITY IN HOME (EXAMPLE,.
"BEDROOM - 125 S.F.")
DESCRIPTION OF MACH
BUSINESS OPERATION
OCT 2.61992
STAMP.
C
I HAVE READ, UNDERSTAND, AND AGREE WITH THE CONDITIONS `BY WHICH A HOME
OCCUPATION IS ALLOWED (CONDITIONS ATTACHED).
APPLICANT SIGNATURE
DATE
IF APPLICANT IS OTHER THAN PROPERTY OWNER, AUTHORIZATION OF OWNER OR AGENT
REQUIRED.
Zvi lc- b,.. ) 2
ENT S NAT RE DAT
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.
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Building and Safety a artment
APPRdVED BY Y DATE CONDITIONS ATTACHED
DENIED BY DATE
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HOME OCCUPATION
CONDITIONS AND CRITERIA
ALL HOME OCCUPATIONS SHALL COMPLY WITH THE FOLLOWING CONDITIONS
AND REQUIREMENTS:
1. No one other than the resident of the dwelling shall be
employed on the premises in the conduct of the home
occupation.
2. The home occupation shall be conducted entirely within the
enclosed area of the main building and shall not occupy more
than 25 percent of the total area of the structure.
3. A home occupation shall not be conducted within an accessory
structure. There may be storage of equipment or supplies in
an accessory structure. Garage space may be used for the
conduct of a home occupation only when it does not interfere
with the use of such space for the off-street parking of
• vehicles required.by Chapter 9.160 of the Zoning Ordinance..
4. There shall be no outdoor storage or display of equipment,
machinery, supplies, materials, or merchandise.
5. There shall be no sales activity, either wholesale or retail,
except mail Qrder sales, nor shall there be the maintenance of
an office open to the general public.
6. There shall be no more than a one -day's supply of hazardous
materials stored on the premises at any given time (i.e., pool
chlorine, paint thinner, etc.).
7. There shall be no dispatching of persons or equipment to or
from the subject property, including the use of commercial
vehicles which operate to and from the premises.
8. No vehicles or trailers except those normally incidental to
residential use shall be stored or parked on the site.
9. There shall not be involved the use. of commercial vehicles for
the.delivery of materials or items to or from the premises,
other than a vehicle.not to exceed a rated one -ton capacity.
10. There shall be no use of any mechanical equipment,- appliance,
• or motor outside of the enclosed building or which generates
noise detectable from outside the building in which it is
located.
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HOME OCCUPATION
Page Two
11. There shall be no signs or other devices identifying or
advertising the home occupation.
12. In no way shall the appearance of the building or lot be so
altered, or the home occupation be so conducted, that the lot
or building may be reasonably recognized as serving a non-
residential use (either by color, materials, construction,
lighting,.sounds, vibrations, etc.).
13. No home occupation shall create a nuisance by reason of noise,
odor, dust, vibration, fumes, smoke, electrical
interference, traffic, or other causes.
14. The use shall meet reasonable special conditions as
established and made of record in the Home Occupation Permit,
as may be deemed necessary to carry out the intent of this
Section.