HomeMy WebLinkAboutAlcoholic Beverage Control - Coachella Brewing CompanyDepartment of Alcoholic Beverage Control
ADDITIONAL LICENSE/PERMIT APPLICATION
�, ` + u ✓ State of California
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(ABC Use Only)
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Effective July 1, 2012 Revenue and Taxation Code, Section 7057, ' I
iLICENSE NUMBER nQ�
authorizes the State Board of Equalization and the Franchise Tax
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Board to share taxpayer information with the Department of
!RECEIPT NUMBER
22 0(7
Alcoholic Beverage Control. The Department may suspend, revoke,
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and refuse to issue a license if the licensee's name appears in the
)FEE PAID Ic MAI ED DATE
500 largest tax deliquencies list. (Business and Professions Code
Section 494.5.)
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DISTRICT CODE (GEO CODE
SECTION 1- LICENSEE(S) INFORMATION
1. LICENSEE'S NAME
CV BREWING CO
4. PROPOSED PREMISES ADDRESS
72559 Highway 111,
6. MAILING ADDRESS
Same as above
DOING BUSINESS AS (OBA)
COACHELLA VALLEY BREWING CO
Palm Desert, CA 92260
SECTION 2- APPLICATION FOR PERMIT/LICENSE
B. TYPE OF PERMIT/LICENSE
9. NUMBER OF PERMIT/LICENSES
84
1
i
' I/We apply for the permit/license(s) checked below
l
Fla. Caterer's Permit (Type 58)
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If. Brandy Importer (Typer 11)
b. Controlled Access Cabinet (Type 66)
"g. Distilled Spirits Importer (Type 12)
�c. Portable Bar (Type 68)
F-1h. Duplicate (Type 02)
Eld. Beer & Wine7mporter (Type 09)
i7i. Duplicate (Type 47)
�e. Duplicate (Type Ol or 23) -- Retail Sales/Tasting
location? 'Yes
'Beer Manufacturing Temporary Permit requested - please check 17
SECTION 3- SIGNATURE (Only one signature required)
2/19/15
15. DISTRICT OFFICE
Palm Desert
7. LICENSEE'S PHONE NUMBER
760-625-8192
10. PRINCIPAL/MASTER LICENSE NUMBER
530769
❑j. Duplicate (Type 48)
❑k. Event Permit (Type 77)
7.1I.Certihed Farmer's Market (Type 79 or 84)
7m. Other
I� No
11. CERTIFICATION FOR SIGNATURE OF A LICENSED PRINCIPAL
I declare under penalty of perjury that I am authorized to sign for licensed entity identified in Item 1, above.
I have read the foregoing and know the contents thereof. Signature must be notorized unless witnessed by ABC employee.
12. SIGN UR I /) 113. PRINTED NAME AND TITLE 114. DATE
David Humphrey CEO 12/19/15
ABC USE ONLY
RECOMMENDATION JAGEN75 SIGNATURE (if Investigation required) DATE SIGNED
I i
RECOMMENDATION ISUPERVISO SIGNATURE IDATE SIGNEEDD^
Distribution: Original to Headquarters Cashier
`I ABC-120 tofollow
7 Conditions to follow; Hold in HQ until received
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D PT. OF
LICENSING.C.
To:
CITY OF PALM DESERT
CITY CLERK DEPARTMENT
INTEROFFICE MEMORANDUM
BUSINESS LICENSING, DIRECTOR OF BUILDING & SAFETY,
DEVELOPMENT,
DEVELOPMENT
PALM DESERT
CODE COMPLIANCE, DIRECTOR OF COMMUNITY
DIRECTOR OF PUBLIC WORKS, ECONOMIC
MANAGER, COVE COMMUNITIES FIRE MARSHAL,
POLICE DEPARTMENT
From: RACHELLE D. KLASSEN, CITY CLERK.
Date: MARCH 12, 2015
Subject: APPLICATION FOR ALCOHOLIC BEVERAGE LICENSE(S) BY
Coachella Valley Brewing Co. 72559 Highway 111, 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 Monday,
March 23, 2015. No response by this date will be considered a "No Comment."
Responding Department: 'r U51'� 5� Ll1(� Date: -
Response:0
o 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, ECONOMIC DEVELOPMENT
MANAGER, COVE COMMUNITIES FIRE MARSHAL, PALM DESERT
POLICE DEPARTMENT
From: RACHELLE D. KLASSEN, CITY CLERK
Date: MARCH 12, 2015
Subject: APPLICATION FOR ALCOHOLIC BEVERAGE LICENSE(S) BY
Coachella Valley Brewing Co. 72559 Highway 111, 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 Monday,
March 23, 2015. No response by this date will be considered a "No Comment."
Responding Department: �3y 1 �br �� � iy fLh— Date: 3 /rzl I S
Response:
X No comment — okay to present to City Council.
Ci Refer to - related comments (attach
additional sheets, if necessary):
I 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, ECONOMIC DEVELOPMENT
MANAGER, COVE COMMUNITIES FIRE MARSHAL, PALM DESERT
POLICE DEPARTMENT
From: RACHELLE D. KLASSEN, CITY CLERK --
Date: MARCH 12, 2015
Subject: APPLICATION FOR ALCOHOLIC BEVERAGE LICENSE(S) BY
Coachella Vallev Brewina Co.. 72559 Hiahwav 111. 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 Monday,
March 23, 2015. No response by this date will be considered a "No Comment."
Responding Department: Coo& Date:
Response:
No comment — okay to present to City Council.
i-i Refer to
additional sheets, if necessary):
- related comments (attach
r.] Other — Additional comments (attach additional sheets, if necessary):
CITY OF PALM DESERT
CITY CLERK DEPARTMENT
INTEROFFICE MEMORANDUM
City of Palm Desert
Community Development
MAR 12 2015
To: BUSINESS LICENSING, DIRECTOR OF BUILDING & SAFETY,
CODE COMPLIANCE, DIRECTOR OF COMMUNITY DEVELOPMENT,
DIRECTOR OF PUBLIC WORKS, ECONOMIC DEVELOPMENT
MANAGER, COVE COMMUNITIES FIRE MARSHAL, PALM DESERT
POLICE DEPARTMENT
From: RACHELLE D. KLASSEN, CITY CLERK
Date: MARCH 12, 2015 ✓ `
Subject: APPLICATION FOR ALCOHOLIC BEVERAGE LICENSE(S) BY
Coachella Valley Brewing Co. 72559 Highway 111, 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 Monday,
March 23, 2015. No response by this date will be considered a "No Comment."
Responding Department: f�liS/N�N� Date: /S
Response:
V No comment — okay to present to City Council.
11 Refer to - related comments (attach
additional sheets, if necessary):
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, ECONOMIC DEVELOPMENT
MANAGER, COVE COMMUNITIES FIRE MARSHAL, PALM DESERT
POLICE DEPARTMENT
From: RACHELLE D. KLASSEN, CITY CLERK
Date: MARCH 12, 2015 ✓ `Q�
Subject: APPLICATION FOR ALCOHOLIC BEVERAGE LICENSE(S) BY
Coachella Valley Brewing Co. 72559 Highway 111, 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 Monday,
March 23, 2015. No response by this date will be considered a "No Comment."
Response:
No comment — okay to present to City Council.
LJ 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, ECONOMIC DEVELOPMENT
MANAGER, COVE COMMUNITIES FIRE MARSHAL, PALM DESERT
POLICE DEPARTMENT M
From: RACHELLE D. KLASSEN, CITY CLERK
Date: MARCH 12, 2015 ✓ ~(�
Subject: APPLICATION FOR ALCOHOLIC BEVERAGE LICENSE(S) BY
Coachella Valley Brewing Co. 72559 Highway 111, 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 Monday,
March 23, 2015. No response py this date will be considered a "No Comment."
Responding Departmenta�—� -� Date:
Response:
W No comment - okay to present to City Council.
n Refer to
additional sheets, if necessary):
- related comments (attach
Other - Additional comments (attach additional sheets, if necessary):
� { E I V
CITY OF PALM DESERTPALM DESERT, CA E
CITY CLERK DEPARTMENT 2015 MAR 19 PM 3*- 15
INTEROFFICE MEMORANDUM
To: BUSINESS LICENSING, DIRECTOR OF BUILDING & SAFETY,
CODE COMPLIANCE, DIRECTOR OF COMMUNITY DEVELOPMENT,
DIRECTOR OF PUBLIC WORKS, ECONOMIC DEVELOPMENT
MANAGER, COVE COMMUNITIES FIRE MARSHAL, PALM DESERT
POLICE DEPARTMENT
From: RACHELLE D. KLASSEN, CITY CLERK
Date: MARCH 12, 2015
Subject: APPLICATION FOR ALCOHOLIC BEVERAGE LICENSE(S) BY
Coachella Valley Brewing Co., 72559 Highway 111, 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 Monday,
March 23, 2015. No response y this date w" bconsidered a "No Comment."
Responding Department: /fv c c Date: S
Response:
XNo comment — okay to present to City Council.
❑ Refer to
additional sheets, if necessary):
- related comments (attach
Other — Additional comments (attach additional sheets, if necessary):