Yoshimura (2022)ta (2w�Kra
HOME OCCUPATION OF A BUSINESS
PERMIT# H02022-0014 INSPECTION DATE N/- - TIME N/A
Please read each condition listed on the attachment in this packet to see if the proposed home business complies
with the City's Home Occupation regulations.
NEW APPLICATION $105.00 LOCATION CHANGE $55.00
I/
Cif
Applicant Names: `
David Yoshimura
Address:
53-340 Avenida__ Juarez
Phone: _ F Email:
7608610252 Sheep Dog Defender, LLC
Type of residence: Square Footage:
Single Detached 1,700
Type of Business:
Personal, Home & Firearms Safety Education
Brief Description of the Business Operation:
Personal, Home Defense & Basic Firearms Safety Training
Location and Square Footage of Business in Home: (Ex. Bedroom 120 SF)
Bedroom 140 SF
Number of Persons Involved in Business:
1
Description of Machinery, Equipment, and Supplies Being Used:
Computer for presentations via Zoom
HAV ' tEAD, U
,DERSTAND, AND AGREE WITH THE ATTACHED CONDITIONS BY WHIC14 A
HOME OCCUPATION PERMIT IS ALLOWED.
David Yos4
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ura='w� 8/25/2021
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APPLICANT SIGNATURE
DATE
78495 CALLE TAMPICO "' LA QUINTA, CA 92253 — 760-777-7000
WWW.LAQUINTACA.GOV
IF APPLICANT IS OTHER THAN THE PROPERTY OWNER, A SIGNED AUTHORIZATION FROM OWNER
OR RENTAL/LEASING AGENT IS REQUIRED.
OWNER/AGENT SIGNATURE
AGENT COMPANY NAME
DATE
CONTACTPHONE
PLEASE CONTACT YOUR HOMEOWNER'S ASSOCIATION PRIOR TO PAYING FOR YOUR HOME
OCCUPATION PERMIT. YOUR HOA MAY RESTRICT OR PROHIBIT A HOME -BASED BUSINESS.
IMPORTANT: FALSE OR MISLEADING INFORMATION SHALL BE GROUNDS FOR DENYING YOUR
APPLICATION; FAILURE TO COMPLY WITH THE CONDITIONS LISTED ON THE ATTACHED PAGE
SHALL BE GROUNDS FOR REVOCATION OF THIS PERMIT
I HAVET A N UNDERSTAND THIS STATEMENT.
avid Y� him a
Dec 30I1#360F.11UI90
SIGNATURE
CODE COMPLIANCE USE ONLY
■ l • ■ ■ a ■ r r r r a a a 0 Y. a ■ a a l a Y X' ■ r ■ a ■ ■ ■ ■ ■ ■ r r ■ r ■
APPROVED DENIED
f
OFFICER
SPECIAL CONDITIONS
3-16- Z-D 2.2r-
DATE
78495 CALLE TAMPICO - LA QUINTA, CA 92253 - 760-777-7000
WWW.LAQUINTACA.GOV
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 Division at 760.777.7063.
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 are:
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.
l r ll 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, 1 will provide the City with a policy or certificate copy within ten
(10) days of the change in requirements.
IN 'ra= =� �r= 9/2/2021
APPLICANT SIGWURE 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.
78495 CALLE TAMPICO — LA QUINTA, CA 92253 — 760-777-7000
W W W.LAQU I NTACA.GOV
DISPLAY CONSPICUOUSLY AT PLACE OF BUSINESS FOR WHICH ISSUED
CALIFORNIA DEPARTMENT OF TAX AND FEE ADMINISTRATION
SELLER'S PERMIT
March 23, 2021 =
ACCOUNT NUMBER
255238976 - 00001
Office of Control:
SHEEP DOG DEFENDER LLC
Rancho Mirage Branch Office
SHEEP DOG DEFENDER LLC
E.
You are required to obey all
You areICE TO Ped to obey
53340 AVENIDA JUAREZ
Federal and State laws that
LA QUINTA CA 92253-3495
regulour
his pertrol itd
business. This permit does
business.
not allow you to do
otherwise.
IS HEREBY AUTHORIZED PURSLfAI T TO SALES AND USE TAX LAW TO ENGAGE IN THE BUSINESS OF SELLING TANGIBLE
THIS PERMIT IS VALID ONLY AT THE ABOVE ADDRESS_
PERSONAL PROPERTY AT THEAP_FNE LOCATION,
THIS PERMFr 15 VALID UNTIL REVOKED OR CANCELED AND IS NOT TRANSFERABLE. IF YOU SELL YOUR BUSINESS OR DROP OUT
NOTIFY US OR YOU COULD BE RESPONSIBLE FOR SALES AND USE TAXES OWED BY THE NEW OPERATOR
OF A PARTNERSHIP,
OF THE BUSINESS.
Not valid at any other address
For general tax questions, please call our Customer Service Center at 1-800-400-7115 (CRS:711).
For information on your rights, contact the Taxpayers' Rights Advocate Office at 1-888-324-2798 or 1-916-324-2798.
CDTFA-442-R REV. 18 (5-18) —
ta Qaigra
--
CONSENT TO INSPECT PRIVATE PROPERTY
Name: 6 A.Jr--G 0s,WCM1:yu Telephone No:
Property
Address: A LA AJ T..10 0 TLA9- 4t-�
PLEASE INDICATE IF YOU ARE: _ TENANT PROPERTY OWNER _PROPERTY MANAGER
The undersigned herein consents to the City of La Quinta, Code Compliance Division Inspector(s)
right of entry to inspect all Yard Areas, building exterior(s), and/or interior(s), Including audio
and video recording as needed to determine whether said property complies with local and state
codes.
The undersigned herein states that he/she is in lawful possession or control of the property
designated or has the authority to act in the owner(s), tenant(s). and/or occupants(s) behalf
and in their absence..
Signature: - Date: l -.
m
Nombre:
Direccion:
PERMISO PARA INSPECCIONAR PROPIEDAD PRIVADA
Telefono:
FAVOR DE INDICAR: INQUILINO PROPIETARIO
Por este medio usted da permiso a (el) O a (los) inspector(es) de Division de Cumpliminetos del
Codigo de la Ciudad de La Quinta para entrar a esta propiedad pars inspeccionar todas las areas
de la propiedad incluyendo los exteriores de todos los edificios, y/o interiores. Tambien
incluyendo la grabacion de audio y video como se requiere para determinar si dicha propiedad
esta en acuerdo con las leyes del codigo local y estatales. Por este medio de este documento
usted declara que tiene posesion legal, o tiene la autoridad o consentimiento del propietario(s),
y/o ocupante(s) en su ausencia.
Firma: Fecha:
ZA�' U D
Q ,-- MAR 1 1 2022
CITY OF LA QUINTA
HOME OCCUPATION OF A BUS IN ESSESIGN & DEVELOPMENT DEPARTMENT
11I: '.\41 f?i H O2022-0014 INSPECTION DATE N/A
TIIYI1_ N/A
Please read each condition lisled on the attachment in this packet to see if the proposed home busincs: complies
with the City's Home Occupation regulations.
NEW APPI_,ICATION b 10,00 LOCATION CI IANGE $55.00
4.
lam_ er-
Applicant Names:
David Yoshimura
Address:
53-340 Avenida Juarez
Phone:
7608610252
I-ype of residence:
Single Detached
Email:
Sheep Dog Defender, LLC
Square Footage:
1, 700
Type of Business: -
Personal, Home & Firearms Safety Education
Brief Description of the Business Operation:
Personal, Home Defense & Basic Firearms Safety Training
Location and Square Footage of Business in Home: (Ex. Bedroom 120 SF) -
Bedroom 140 SF _
Number of Persons Involved in Business: �-
1
Description of Machinery, Equipment, and Supplies Being Used: f
Computer for presentations via Zoom `
I HAVE READ, UNDERSTAND, AND AGREE WITH THE ATTACHED CONDITIONS BV WHICH A
HOME OCCUPATION PERMIT 1S ALLOWED,
David Yoshimura
APPLICANT SIGNATURE
8/25/2021
DATE
78495 CALLE TAMPICO — LA QUINTA, CA 92253 — 760-777-7000
WWW,LACjUINTACA.GOV
IF APPLICANT IS OTHF_;R "THAN THE PROPERTY OWNER, A SIGNED AUTHORIZATION FROM OWNER
OR RENI'AI)LEASING AGENT IS REQUIRED.
0WNLR/AGI"N'I- SIGNATURI DATE
'T(JEi`-I 5C1MP.aN`'' NJOWE CONTACT I'll 1NE
PLEASE C:ONTACI' YOUR HOMEOWNER'S ASSOCIATION PRIOR 1'0 PAYING FOR YOUR HOME,
OCCUPATION PERMIT. YOUR HOA MAY RF,STRICT OR PROIIIBI'I A I-IOMF:-BASED BUSINESS.
IMPORTANT: FALSE OR MISLEADING INFORMATION SHALL BE GROUNDS FOR DENYING YOUR
APPLICATION: FAILURE TO COMPLY WITH THE CONDITIONS LISTED ON THE ATTACHED PAGE
SI IALL BE GROUNDS FOR REVOCATION OF TILIS PERMIT
I HAVE READ AND UNDERSTAND THIS STATEMENT.
David Yoshimura �.�� .'_n,�•
SIGNATURE
CODE COMPLIANCE USE ONLY
■ ■ • ■ ■ ■ ■ r r ■ ■ x ■ ■ r n a � ■ r ■ r r • a ■ ■ • ■ a ■. r r ■ r r ■ • ■ a
APPROVED
DENIED SPECIAL CONDITIONS _
OI: IlCI:R DATE
78495 CALLE TAMPICO - LA QUINTA, CA 92253 - 760-777-7000
W WVI1. LAQUI NTACA.GOV
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 riot 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 Division at 760.777.7063.
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 sor'nplete 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 are:
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.
�y�ll I certify that in the performance of any business activities for which this license is issued, I shall
riot 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, 1 will provide the City with a policy or certificate copy within ten
(10) days of the change in requirements.
David Yoshimura �— -
APPLICANT SIGNATURE
9/2/2021
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.
78495 CALLE TAMPICO - LA QUINTA, CA 92253 - 760-777-7000
WW W.LAQA I NTACA.G OV