HomeMy WebLinkAboutABC - Island Boba Sushi PokeDepartment of Alcoholic Beverage Control State of California
APPLICATION FOR ALCOHOLIC BEVERAGE LICENSE(S)
ABC 211 (6/99)
TO: Department of Alcoholic Beverage Control File Number: 604351
34-160 GATEWAY DR. Receipt Number: 2560144
STE 120 Geographical Code: 3318
PALM DESERT. CA 92211 Copies Mailed Date: March 14, 2019
(760) 324-2027 Issued Date:
DISTRICT SERVING LOCATION: PALM DESERT
First Owner:
Name of Business:
Location of Business:
County:
Is Premise inside city limits?
GUO, DUNG NGUYEN
ISLAND BOBA SUSHI POKE
36901 COOK ST
STE 6
PALM DESERT, CA 92211
RIVERSIDE
Yes
Census Tract 0449.22
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Mailing Address: 82303 STRADIVARI RD
(If different from INDIO, CA 92203-3825
premises address)
Type of license(s): 41
Transferor's license/name:
Dropping Partner:
Yes_ No
License Type Transaction Tvpe Fee Tvve Master
pup Date
Fee
41 - On -Sale Beer And \Vmt ANNUAL FFF NA Y
0 03/14/19
$406.00
41 - On -Sale Beer And Wun ORIGINAL FEES NA Y
0 03/ 14/19
$300.00
NA I EDERAL FINGERPRINTS NA N
2 03/14/19
$48.00
NA SEGUE FINGERPRINTS NA N
2 03/14/19
S78.00
Total S832.00
Have you ever been convicted of a felony? No
Have you ever violated any provisions of the Alcoholic Beverage Control Act, or regulations of the
Department pertaining to the Act? No
Explain any "Yes" answer to the above questions on an attachment which shall be deemed part of this application
Applicant agrees (a) that any manager employed in an on -sale licensed premises will have all the qualifications
of a licensee, and (b) that he will not violate or cause or permit to be violated any of the provisions of the
Alcoholic Beverage Control Act.
STATE OF CALIFORNIA County of RIVERSIDE Date: March 14, 2019
hinder penalty of perjury. each person %%hose signature appears below, certifies and says ( I ) Ile is an applicant. or one of the applicants, or an executive
officer of the applicant corporation, named in the foregoing application, duly authorved to make this application on its behalf. (2) that he has read the
foregoing and kno%Ns the contents thereof and that each of the above statements therein made are true, (31 that no person other than the applicant or
applicants has am direct or indirect interest in the applicant or applicant's business to be conducted under the license(s) for Hhich this application is made,
(4) that the transfer application or proposed transfer is not made to satisfy the payment of a loan or to fulfill an agreement entered into more than nmety
(901 days preceding the day on which the transfer application is filed with the Department or to gam or establish a preference to or for am creditor or
transferor or to defraud or injure any creditor oftransferor. (5) that the transfer application may be µithdrawn by either the applicant or the licensee kith
no resulting liability to the Department
Effective July 1, 2012. Revenue and Taxation Code Section 7057, authorizes the State Board of Equalization and the Franchise Tax Board to
share taxpayer information with Department of Alcoholic Beverage Control. The Department may suspend, revoke, and refuse to issue a license
if the licenseeLs name appears in the 500 largest tax delinquencies list. (Business and Professions Code Section 494.5.)
Applicant Name(s)
GUO,DUNG NGUYEN
GUO , SCOTT
Applicant Signature(s)
See 211 Signature Page
CITY OF PALM DESERT
CITY CLERK DEPARTMENT
INTEROFFICE MEMORANDUM
To: BUSINESS LICENSING, DIRECTOR OF BUILDING & SAFETY,
CODE COMPLIANCE, DIRECTOR OF COMMUNITY DEVELOPMENT,
DIRECTOR OF PUBLIC WORKS, DIRECTOR OF ECONOMIC
DEVELOPMENT, COVE COMMUNITIES FIRE MARSHAL, PALM
DESERT POLICE DEPARTMENT
From: RACHELLE D. KLASSEN, CITY CLERK
Date: March 18, 2019
Subject: APPLICATION FOR ALCOHOLIC BEVERAGE LICENSE(S) BY ISLAND
BOBA SUSHI POKE, 36901 COOK ST, STE 6, PALM DESERT
A copy of the subject ABC License is attached for your review and recommendation to the
City Council for receiving and filing or to one of the other named departments for further
action. Please mark the appropriate response below and return to me by Thursday.
3/28/2019. No response by this date will be considered a "No Comment."
Responding Department: F3v%L-1C31'6'4--t`1
Response:
No comment — okay to present to City Council.
Refer to
additional sheets, if necessary):
Date: 3 J-z-z /19
- related comments (attach
- Other — Additional comments (attach additional sheets, if necessary):
CITY OF PALM DESERT
CITY CLERK DEPARTMENT
INTEROFFICE MEMORANDUM
To: BUSINESS LICENSING, DIRECTOR OF BUILDING & SAFETY,
CODE COMPLIANCE, DIRECTOR OF COMMUNITY DEVELOPMENT,
DIRECTOR OF PUBLIC WORKS, DIRECTOR OF ECONOMIC
DEVELOPMENT, COVE COMMUNITIES FIRE MARSHAL, PALM
DESERT POLICE DEPARTMENT
From: RACHELLE D. KLASSEN, CITY CLERK
Date: March 18, 2019
Subject: APPLICATION FOR ALCOHOLIC BEVERAGE LICENSE(S) BY ISLAND
BOBA SUSHI POKE, 36901 COOK ST, STE 6, PALM DESERT
A copy of the subject ABC License is attached for your review and recommendation to the
City Council for receiving and filing or to one of the other named departments for further
action. Please mark the appropriate response below and return to me by Thursdav,
3/28/2019. No response by this date will be considered a "No Comment."
Responding Department: C"D&
Response:
No comment — okay to present to City Council.
Refer to
additional sheets, if necessary):
Date: 3- -2 �- /�
- related comments (attach
Other — Additional comments (attach additional sheets, if necessary):
City of Palm Desert
CITY OF PALM DESERT
MAR 19 2019
CITY CLERK DEPARTMENT
Community Development
INTEROFFICE MEMORANDUM
To: BUSINESS LICENSING, DIRECTOR OF BUILDING & SAFETY,
CODE COMPLIANCE, DIRECTOR OF COMMUNITY DEVELOPMENT,
DIRECTOR OF PUBLIC WORKS, DIRECTOR OF ECONOMIC
DEVELOPMENT, COVE COMMUNITIES FIRE MARSHAL, PALM
DESERT POLICE DEPARTMENT
From: RACHELLE D. KLASSEN, CITY CLERK
Date: March 18, 2019
Subject: APPLICATION FOR ALCOHOLIC BEVERAGE LICENSE(S) BY ISLAND
BOBA SUSHI POKE, 36901 COOK ST, STE 6, PALM DESERT
A copy of the subject ABC License is attached for your review and recommendation to the
City Council for receiving and filing or to one of the other named departments for further
action. Please mark the appropriate response below and return to me by Thursdav,
3/28/2019. No response by this date will be considered a "No Comment."
Responding Department: cv�) Date:
Response:
7ZNo comment — okay to present to City Council.
Refer to
additional sheets, if necessary):
- related comments (attach
Other — Additional comments (attach additional sheets, if necessary):
CITY OF PALM DESERT
CITY CLERK DEPARTMENT
INTEROFFICE MEMORANDUM
To: BUSINESS LICENSING, DIRECTOR OF BUILDING & SAFETY,
CODE COMPLIANCE, DIRECTOR OF COMMUNITY DEVELOPMENT,
DIRECTOR OF PUBLIC WORKS, DIRECTOR OF ECONOMIC
DEVELOPMENT, COVE COMMUNITIES FIRE MARSHAL, PALM
DESERT POLICE DEPARTMENT
From: RACHELLE D. KLASSEN, CITY CL n04-----
Date: March 18, 2019
Subject: APPLICATION FOR ALCOHOLIC BEVERAGE LICENSE(S) BY ISLAND
BOBA SUSHI POKE, 36901 COOK ST, STE 6, PALM DESERT
A copy of the subject ABC License is attached for your review and recommendation to the
City Council for receiving and filing or to one of the other named departments for further
action. Please mark the appropriate response below and return to me by Thursdav,
3/28/2019. No response by f is d to will be considered a "No Comme�t
Respg Department:
ondin D artment: '�+Ot�c. u✓�' Date: .3 FYI
Response:
No comment — okay to present to City Council.
Refer to
additional sheets, if necessary):
- related comments (attach
Other — Additional comments (attach additional sheets, if necessary):
CITY OF PALM DESERT
CITY CLERK DEPARTMENT
INTEROFFICE MEMORANDUM
To: BUSINESS LICENSING, DIRECTOR OF BUILDING & SAFETY,
CODE COMPLIANCE, DIRECTOR OF COMMUNITY DEVELOPMENT,
DIRECTOR OF PUBLIC WORKS, DIRECTOR OF ECONOMIC
DEVELOPMENT, COVE COMMUNITIES FIRE MARSHAL, PALM
DESERT POLICE DEPARTMENT
From: RACHELLE D. KLASSEN, CITY CLERK A22��
Date: March 18, 2019
Subject: APPLICATION FOR ALCOHOLIC BEVERAGE LICENSE(S) BY ISLAND
BOBA SUSHI POKE, 36901 COOK ST, STE 6, PALM DESERT
A copy of the subject ABC License is attached for your review and recommendation to the
City Council for receiving and filing or to one of the other named departments for further
action. Please mark the appropriate response below and return to me by Thursday.
3/28/2019. No response abthnis date will be considered a "No Comment.Responding DepartmentDate:
Response:
v No comment — okay to present to City Council.
Refer to
additional sheets, if necessary):
- related comments (attach
Other — Additional comments (attach additional sheets, if necessary):