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WASSERMAN40w P.O. Box 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92247 COMMUNITY SAFETY DIVISION HOME OCCUPATION PERMIT Permit Number: 08-00000066 (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) PAM WASSERMAN Property address: 78890 GALAXY DR Mailing address: P.O. BOX 6341 Property owner: PAM WASSERMAN Type of business: On line clothing Phone: (760) 219-3964 Brief description of how the business will operate: 771 Square footage of usable floor area in house (exclude garage) 2375 Square Feet Location and square footage of area of business activity in home (Example: Bedroom - 125 sq ft.) Office, 150 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 LAPPL ATISALL W (Conditions Attached) NT SIGNA RE 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 betwee'n10:00-10:30 a.m. on 1/8/08.'-)-� Your inspector will be Jackie Misuraca. --------- - -------------------------------INS ECTOR USE ONLY ----- 0 PPROVED ❑ DENIED e CE HP ---------------------------------------- /- - ol Date /y,(;�y t 3141/ • 0a 41 P.O. Box 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92247 COMMUNITY SAFETY DIVISION HOME OCCUPATION PERMIT Permit Number: 08-00000066 (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) PAM WASSERMAN Property address: 78890 GALAXY DR Mailing address: P.O. BOX 6341 Property owner: PAM WASSERMAN Type of business: On line clothing Phone: (760) 219-3964 Brief description of how the business will operate:. footage of usable floor area in house (exclude garage) 2375 Square Feet Location and square footage of area of business activity in home (Example: Bedroom — 125 sq ft.) Office, 150 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 O AT IS ALL W . (Conditions Attached) APPL NT SIGNA RE 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 1/8/08. Your inspector will be Jackie Misuraca. • ----------------INSPECTOR USE ONLY ---------- ------------------- ❑ APPROVED ❑ DENIED Inspector Signature Date CE HP y1 "114,3t4/ 01/07/2008 MON 8:47 FAX 760 777 7105 City of La Quinta F Of FEE $7.04 Q001/005 P.O. Box 1504 78-495 CALLS TAMrIco (760) 777-7000 LA QOINTA, CALIFORNIA 92253 FAX (760) 777-7101 APPLICATION FOR HOME OCCUPATION OF A BUSINESS y ` 0 INSPECTION DATE: Please read each condition listed on the attachment in- this packet to see if -the. proposed . activity complies with the City's Home Occupation Regulations. APPLICANT NAMES: (Lisala all owners; partners, and/or corporauon officers PROPERTY ADDRESS: MAILING ADDRESS: 63V/ 66 art HONE:LJ� 9ZzU/� (IF DU113RENT'FROM ABOVE) PROPERTY OWNER: / - • . TYPE OF RESIDENCE, (SINGLE,, ,MULTIPLE, MOBILE HOME, ETC.): Y1Le TYPE OF BUSINESS: BRIEF DESCRIPTION OF HOW THE BUSINESS WILL OPERATE:` NUMBER OF PERSONS INVOLVED IN BUSINESS: SQUARE FOOTAGE OF USABLE FLOOR AREA IN HOUSE (EXCLUDE GARAGE): LOCATION.AND SQUARE FOOTAGE OF AREA OF BUSINESS ACTIVITY INHOME- (EK BEDROOM SQ FT.): DESCRIPTION OF MACHINE Q , AND SUPPL S BEING US� IN THE BUSINESS OPERATION: I C iso G I HAVE READ,. UNDERSTAND, AND AGREE WIT$ THE CONDITIONS BY WHICH A H OC TI. � IS ALLOWED. (CONDITIONS ATTACHED). OR— APPLICANT'S SIGNATURE DATE IF APPLICANT IS OTHER THAN THE PROPERTY OWNER, AUTHORIZATION OF. OWNER OR . RENTAL/LEASING AGENT IS REQUIRED. 8�� 01/07/2008 RON 8:48 FAX 760 777 7105 City of La Quinta 7-b? AGENT SIGNATURE DATE �� t1AJA f re_16''1.4;✓ 76a c ) AGENT COMPANY NAME CONTACT PH. # DATE 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 0002/005 01/07/2008 MON 8:48 FAX 760 777 7105 City of La Quinta Q003/005 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. A _ I7 01/07/2008 MON 8:48 FAX 760 777 7105 City of La Quinta WORKER'S COMPENSATION' If your company -has employees, a copy of the Workman's Compensation Policy musi 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 rocessed 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. Ifyou have any questions,'please contact the Code Compliance Division at 7.77-7050. 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: k1,1101114 414 IM, I 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'poticy 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. APP ANT SIGN - DATE WARNING. Failure to secure Worker's Compensation coverage is unlawful, and shall subject an employ@r . to criminal penalties -and civil fines up to $100,000. In addition to the cost of compensation, damages, interest, and attorney's fees maybe assessed to you as provided in Section 3706 of the Labor Code. Q004/005