Laserfiche WebLink
City of Stockton Hotel/Motel Permit to Operate Application Page 2 <br /> 1. Are you currently or have you ver owned/operated, managed or worked at a hotel, motel <br /> and/or residential hotel/motel? Yes ❑ No <br /> • If so, please provide the following information and answer the following questions <br /> separately for each facility (you may attach an additional sheet of paper if necessary): <br /> Name of facility(s): (()&A-VA6tA b,,� <br /> 2`b fi Vit,m CQ t V-1 V, 1'i ii�l Gt ri< <br /> C <br /> Address of facility(s): 64,,, Ck Lci r-k 312C&O C-4 ,5-Zl"� <br /> Lj ff1(t-(,k Car k LA -"�2 <br /> • How long did you own/operate or work at the facility(s)? 1 4 o Jz= ✓ <br /> • What was your capacity at the facility(s) (i.e., Manager, desk clerk, etc.,)? N\w\� r <br /> Was the facility(s) you listed above ever cited for health, safety, fire and/or building code <br /> violation(s)? ❑Yes 12No <br /> ➢ If so, were all corrections and/or repairs of those violations completed and approved <br /> within the time required on the citation? ❑Yes ❑No <br /> • During your involvement with the facility(s), has the a been repeat citations for health, <br /> safety and/or building code violations? ❑Yes MNo <br /> • In the past five years, has the facility(s) ever been cited for vilNo <br /> ions, and subsequently <br /> vacated due to corrections/repairs not being completed? ❑Yes <br /> : <br /> 2. How many managers do you employ at your facility? <br /> 3. In the past three years, have you ever had a Permit to Operate denied, revoked or suspended <br /> within the State of California? ❑ Yes [� No <br /> ➢ If so, please provide the reason for denial, revocation and/or suspension and the location <br /> that the permit was denied, revoked and/or suspended: <br /> 4. Have you ever applied for a Permit to Operate using a different name? ❑ Yes [ No <br /> ➢ If so, please provide the other name: <br /> 5. As the property owner, operator, manager and/or lessee of a hotel/motel, within the last five <br /> years, have you terminated your lease, defaulted on your loan, or otherwise discontinued your <br /> association with the property while violations, as cited in a Notice of Violation, Notice and <br /> Order, Adrninistrative Citation, etc., were still outstanding? <br /> ❑ Yes No <br /> ➢ If so, please describe: <br /> "*Fees are effective from 0710112022—06/30/2023 <br />