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HomeMy WebLinkAbout03 Revocation of Massage Establishment PermitAGENDA REPORT w MEETING DATE: OCTOBER 23, 2012 TO: PLANNING COMMISSION ITEM # 3 FROM: COMMUNITY DEVELOPMENT DEPARTMENT SUBJECT: REVOCATION OF MASSAGE ESTABLISHMENT PERMIT FOR WD MASSAGE, 13846 RED HILL AVENUE PERMITTEE: YUN ZHAO DENG 27111 MARISCAL LANE MISSION VIEJO, CA 92691 PROPERTY OWNER: HOWARD ABEL 125 BAKER ST. E #208 COSTA MESA, CA 92626 LOCATION: 13846 RED HILL AVENUE REQUEST: REVOCATION OF MASSAGE ESTABLISHMENT PERMIT FOR WD MASSAGE ENVIRONMENTAL: THIS PROJECT IS CATEGORICALLY EXEMPT PURSUANT TO SECTION 15061(b)(3) OF THE CALIFORNIA ENVIRONMENTAL QUALITY ACT (CEQA) GUIDELINES. IT CAN BE SEEN WITH CERTAINTY THAT THERE IS NO POSSIBILITY THAT THE ACTIVITY IN QUESTION MAY HAVE A SIGNIFICANT EFFECT ON THE ENVIRONMENT; THEREFORE IT IS NOT SUBJECT TO CEQA. Adopt Resolution No. 4208 revoking the massage establishment permit issued to Ms. Yun Zhao Deng for WD Massage. Pursuant to Tustin City Code, the Planning Commission has the authority to revoke a permit issued under the provisions of Article 3 of the Tustin City Code. PC Report October 23, 2012 Revocation of Massage Permit Page 2 The Tustin City Code requires any person who transacts or carries on any business to first procure a business license. In addition, certain specified businesses, including massage establishments, are required to obtain special business permits. Prior to commencing operation of a massage establishment, the owner and operator desiring to operate the message establishment must apply for and obtain a massage establishment permit. As defined by Tustin City Code Section 3662, an owner is the person who owns the massage establishment whereas the operator is the individual who actively manages the massage establishment. An operator may also be an owner, but only if the owner actively manages and is regularly present at the massage establishment more hours per week than any other individual who participates in management of the establishment. On May 14, 2012, the City of Tustin received a massage permit application (Attachment A) from Ms. Yun Zhao Deng to own and operate a massage establishment to be located at 13846 Red Hill Avenue. On June 11, 2012, the City of Tustin issued a massage establishment permit (Attachment B) to Ms. Deng. In conjunction with the massage establishment permit, the City of Tustin also issued business licenses (Attachment C) to WD Massage and to three of the four massage technicians working at WD Massage: Liqun Huang, Lixia Huang, and Yanfen Potaracke. One of the four massage technicians, Yu Fang Wei, first obtained a Tustin business license in 2011 while working at a different massage establishment. The four business license applications are included in Attachment D. Pursuant to Tustin City Code Section 3731, massage establishment permits shall be valid from the date of approval by the City until January 31 of the following calendar year, and shall be renewed annually on or before January 31. Thus, the massage establishment permit for WD Massage expires on January 31, 2013. In response to law enforcement observations of suspicious activity, the Tustin Police Department conducted an undercover investigation of WD Massage on August 31, 2012, and made an arrest for prostitution (Attachment E). At the time of the investigation, three massage technicians were present at the facility: Ms. Lixia Huang, Ms. Yanfen Potaracke, and Ms. Yu Fang Wei. Ms. Deng, the owner and operator/manager of the business, was not present at the time of the investigation. Because the information provided in the original business license applications for WD Massage and for Ms. Lixia Huang did not contain an accurate description of the nature of the business being conducted and because the businesses being conducted were unlawful, the Community Development Director deemed the two business licenses invalid on September 13, 2012, and notified Ms. Deng (as owner of WD Massage) and Ms. Lixia Huang that this decision was appealable to the Planning Commission (Attachment F). However, no appeal of the Director's decision was submitted. PC Report October 23, 2012 Revocation of Massage Permit Page 3 After the business license was deemed invalid, code enforcement staff has visited the location and observed that WD Massage has stopped operating at 13846 Red Hill Avenue. Pursuant to Tustin City Code Section 3721, the Planning Commission may revoke a massage establishment permit for any of several reasons, including violations of the Tustin City Code and Statutes of the State of California. The proposed revocation is based on the following: • The permittee, Ms. Deng, violated California Business and Professions Code Section 4612(c) (Attachment G) and Tustin City Code Section 3669, which hold the owner and operator of a massage establishment responsible for any violations committed by all employees whether or not such violations occurred without the knowledge of the owner or operator. • The permittee, Ms. Deng, violated Tustin City Code Section 3667(u), which requires that an owner, operator, or manager shall be at the massage establishment at all times when massages are being performed. At the time of the arrest on August 31, 2012, Ms. Deng was not present at the facility. As Ms. Deng identified herself on the massage permit application as the only manager of the facility, she was required to be present. A copy of the letter dated September 13, 2012, notifying Ms. Deng of the proposed massage establishment permit revocation and the date of the hearing is included as Attachment G. Should the Commission revoke the massage establishment permit for WD Massage, Ms. Deng would be able to reapply for a Tustin massage establishment permit and the associated business license. However, It should be noted that pursuant to Tustin City Code Sections 3712(8)(a) and 3712(8)(c), a massage establishment permit application may be denied if the applicant has violated a provision of Business and Professions Code Sections 4600 through 4613 (Attachment H) or if an applicant has had a massage establishment permit revoked, both of which would have occurred in this case. Should the Commission not revoke the massage establishment permit for WD Massage, Ms Deng would be able to reapply for a Tustin business license to resume doing business in Tustin, but would be required to renew the massage establishment permit prior to February 1, 2013, at which time the renewal application could be denied based on Tustin City Code Sections 3712(8)(a) and 3712(8)(c). Either decision of the Planning Commission is appealable to the City Council. PC Report October 23, 2012 Revocation of Massage Permit Page 4 ENVIRONMENTAL ANALYSIS This massage establishment permit revocation is exempt from environmental review under CEQA pursuant to Section 15061(b)(3) of the State CEQA Guidelines. This section provides that a project is exempt from environmental review where it can be seen with certainty that there is no possibility that the activity in question may have a significant effect on the environment. This massage permit revocation has no possibility for a significant effect on the environment; therefore, it is not subject to CEQA. Scott Reekstin Elizabeth A. Binsack Senior Planner Director of Community Development Attachments: A. Massage Establishment Permit Application B. 2012 Massage Establishment Permit C. Business Licenses D. Business License Applications E. Tustin Police Report F. Letters dated September 13, 2012 (re: business licenses) G. Letter dated September 13, 2012 (re: massage establishment permit) H. California Business and Professions Code Sections 4600 - 4613 I. Resolution No. 4208 S:\Cdd\PCREPORT\Massage Permit Revocation WD Massage.doc 1 IN CITY OF TUSTIN BUSINESS PERMIT APPLICATION For an application to be accepted, all supplemental information required by Ordinance -No. 1252 for purposes of clarification of the activity must be included with this application and the application fee. PLEASE PRINT OR TYPE L/ tj 14po Djr Business Name of Applicant iyi - - 0 J-C Telephone N1 ; Name of Business (if applicable) 3 0,14 4P Business Address (if applicable) Name of Business Operator Yt)/tJ 414)q 0 0 .!:t-J/�J Title Applicant's Applicant's Driver's License Number Telephone Applicant's Residence Address ZvLuTL&,�- L11 -S TO ICS7 Residence Owner Name �10-- Please describe fully the business or event to be 'conducted (attach additional information if necessary). Hours of Operation (Hours) (Days) --------------------------------------------- Have you ever been convicted of a felony? Yes No If yes, rill in the information below: If you are the business owner, has any operator or employee of convicted of a felon ? ❑ Yes j No If yes, fill in the information below; Address Date of Place of Birth Birth --------------------------------------------- I declare under penalty of perjury the information entered on this form is true and correct to the best of my knowledge and belief As a condition for the issuance of the permit applied for, I agree to submit any additional information required and to conduct all phases of this business in conformance with applicable laws, ordinances, established for such business. Date C5111YI 11-1-klorl Signature (Return ,P6--thVity of Tustin Business Lic—en, Desk, 300 Centennial Way, Tustin, CA 92780 FOR OFFICE USE// ONLY Date Received 4/l/Ax.- Permit Type/i'1 V S, Amount /0014ow Paid 6k Initials 5)4— C-4* CITY OF TUSTIN MASSAGE ESTABLISHMENT PERMIT SUPPLEMENTAL APPLICATION PLEASE CHECK APPLICABLE BOX OR BOXES ❑ CHECK HERE IF RENEWAL ❑ MASSAGE ESTABLISHMENT PERMIT - OWNER MASSAGE ESTABLISHMENT PERMIT - OPERATOR Please complete this application and submit it with the required fees and documentation to the Community Development department. If you are using an interpreter to complete this application, Please provide the name and telephone number of the interpreter, D,44—t—= J(:gcHl Ir, t5 Name Telephone Number PART 1: IDENTIFYING INFORMATION PART 2: NAME OF MASSAGE ESTABLISHMENT varne or massage Establishment to be Owned andlor Operal Business Name Business Address City State ZIP 7 7-1V .2 PART 3: PRIOR ADDRESSES Owner's Name siness firione c,4 M resided in the p ast ei ears. List in chronoloical order every address at which you have r From Addr ess To City State ZIP lyi 5! /Otj Vle From kddress jo To City ZIP �.,Ey or i ustin, 3uu centennial Way, Tustin, CA 92780 (714) 573-3144 Fax (714) 573-3129 1 Massage Establishment Permit Supplemental Application From Address If-L � A jV& E A_VJ? 17 V To , City M U D state 'pl I 77v From Address _T Ta VS- City 45�221 4-1-At_;KJ_r5 �'l State ZIP 49 J 7?� From � -/ Ad dress /1 ,#S o ItJ 57 TO p City :Q 4. State 1 State e-14 27� From V, Address 41 157 To City 4A81Zt F51., State e-4 TZIP --q,, 7) From 6 Address 21 To C!" State, ZIP q PART 4: EMPLOYMENT HISTORY Begin with your most recent job and list your work history in chronological order, Include in sequence all previous employment, part-time jobs, and periods of unempl2Zment. Please include all jobs within the past eight (8) years immediately_preceding date of application, NaMe, Of Company pany 1 Job Title Supervisor's Name I 1,7), PA-V -5;>A 'daV A -Aw -2- OiW<— From r�f / Employer's Address 7 3r Al PL- A z � -rl a _kt, To city ;5t, 7. State talc} ZIP Employer's Phone Name of Company Job,.Title Supervisor's Name 5*wldz A/ JAI yyyy From Employer's Address e 4169 _ V-7 V-/ AL!e_ 1,4 PA.--wV To ,, r 4 city UAIA- �41 State ZA ZIP -9 7-- 6 Employer's Phone I UY _7a 2- 1 Name of Company I Job Title Supervisor's Name CO"F60.7 , _,OiVF A-4 7)5:4t_/ Akzj R& b E Al EA L) From Employer's Address To 4F /0 9 City 7::U LkA 49AI State I Z_ 8 ZIP Employer's Phone -7/ V, -S 2- .0 Name of Company 14 + et 1W 4 T—Z eu� ob Title Supervisor's Name From Empl er's, Address To X9 7 ity '-04A1A q/a5 tate State ' _TZIP e/4 E I y r's Phone mp oe - '7*1 - ZA Name of Company Job Title Supervisor's Name F,552!dz,aA7 A41/ ;P14 72LK4( I 4C LAA) e-hp,& I FS From Employe 's Aldr!sjs �-/ ev 7 A/ "YOO&Z) 14V,5 To ft 1 L0 City 7o-, A/ I State 'P — Employer's Phone 12 - _.!L�T91;2, ZU4,Y70 City of Tustin, 300 Centennial Way, Tustin, CA 92780 (714) 573-3144 Fax (714) 573-3129 174785.1 Massage Establishment Permit Supplemental Application Name of pompany Jo 4 Title ClYKI S up rvts Name From EmployerI s Address To--- -7 a City State - ZIP Employer's Phone I Name of Company Job Title Supervisor's Name From Employer's Address To City State ZIP Employer's Phone PART 5: MASSAGE SCHOOL(S) ATTFAInFI) I/F APPI IrAm ri Name of School Specialty of Study School Address XV4 IZU cot-, City Z— A, J­State— Zin School Phone Hours Completed 45-0 D F TO) Graduation Dal-I -4�0 C;L AV) J Name of School Specialty of Study School— Address City St- t- Zip School Phone Hours Completed Dates (From - To) Graduation Date Name of School Specialty of Study School Address City State Zip School Phone Hours Completed (From - To) Graduation Date Additional Training or Experience (Use Back if Necessary). City of Tustin, 300 Centennial Way, Tustin, CA 92780 (714) 573-3144 Fax (714) 573-3129 3 174785.1 Massage Establishment Permit Supplemental Application Trade Associations, Memberships, or other Professional Endorsements (Use Back if Necessary). PART 6: PERMIT HISTORY List all licenses/permits to do business in California or I F-1 I have applied for/previously held no licenses or permits in any state to elsewhere that you have previously held OR applied for: conduct any type of business. City: State License/ rmit T License Permit No. j Lei C-1 8 ' 1 0 mi �' cd <�6R'r 1A , A — %* - 4 4 Issued Date issued: Has a a ve All"Ift IR05on — A50 WW ❑ Revoked ❑ Suspended Organization: Revoked Date or Dates of Suspension lssuipg Agency: From: To: ❑ Application Denied Denied by'. Issuing Agency) Reason: Date of Application: City: enselPer it No. ❑ Issued Date Issued: Has this license ever been Reason: 171 Revoked ❑ Suspended Revoked Date or Dates of Suspension Issuing Agency: From: To: ❑ Application Denied Denied by: {Issuing Agency} Reason: Date of Application: PART 7: CRIMINAL RECORD List all criminal convictions, including pleas of nolo contendere, including those dismissed or expunged pursuant to Penal Code section 1203.4, but excluding minor traffic violation*, Massage establishment applicants must include this information for the last five (5) years. CHECK HERE IF NONE A Original Arrest Charge (Crime) bate of Violation Arresting Agency Reason Original Arrest Charge (Crime) Date of Violation Arresting Agency Reason PART 8: BUSINESS INFORMATION Type of ❑ Corporation ❑ General Partnership ❑ Limited I?Tindividual ❑ Other: Business I Partnership I Organization: For Sole You, the Applicant, Name of Business as Proprietorships Only must be the Sole Proprietor to submit this Appears on Fictitious Name Statement: VJD 1774,5.5)q c,.E Application. City of Tustin, 300 Centennial Way, Tustin, CA 92780 (714) 573-3144 Fax (714) 573-3129 4 17478&1 Massage Establishment Permit Supplemental Application For Corporations Only Name of Corporation (as shown in Articles of Incorporation): 3tate of Incorporation Date of Incorporation For General / Limited Partnerships Name of Business as Appears on Fictitious Nam-e-S-tatement FOR CORPORATIONS include the following information for each Officer FOR PARTNSRSHIPS Include the following information for and Director, and for each person who has a financial interest in the each partner, including limited partners. corporation amounting to more than five (5%) of the authorized and issued Last Name First Name Middle Name Alias or Maiden Name [I Responsible Mana iing Officer (Only One per Business)-- C3 Officer 0 Director 0 Stockholder Residence Address City State ZIP Phone Last Name First Name Middle Name Alias or Maiden Name U Responsible Managing Officer (only One per Business) 0 Officer 0 Director 0 Stockholder Residence Address City ate Last Name First N ame Middle Name - T -- - Alias or Maiden Name 0 Responsible Managing officer (only One per Business) Officer Director Stockholder Residence Address City State ZIP ne City of Tustin, 3O0 Centennial Way, Tustin, CA92780(714)S73-3144 Fax (714) 573-2120 174785.1 5 Massage Establishment Permit Supplemental Application Lease Agreement Name and address of owner and lessor of the real property where the business is to be conducted. If applicant is not the legal owner, submit a copy of the lease and a signed acknowledgment from the owner that a massage establishment will be Located on his/her property. Name I-OkOAD Z A b= Address State v ; el'v e State r q;, V' a-v e , State- ZIP 1765b — ---- T, P G/ ZIP City L M 5 State eA Zip Phone Address city I 2a ( � 7, tl EMD10vee Information State the full, true names and residence addresses of all persons employed, or intended to be employed, as technicians or employees Full Name 21,1(4 -r�'a 1414aAl Position Address Address Address city moo /'M 41"54, City W City State v ; el'v e State r q;, V' a-v e , State- ZIP 1765b — ---- T, P G/ ZIP Full Name U Full Name Position -roeff Position Full Name Position Address city State ZIP Full Name Position Address city State ZIP Full Name Position Address City State ZIP Full Name Position Address city State ZIP Full Name Position Address city State ZIP Establishment Management Information Provide the following information for the name of the person, persons, or entity that will provide management services for the masse establishment. Name (Last, First, MI) hone Residence Addr city Male ZIP At IP6,71 Name (Last, First, Mill Phone Residence Address city State I zip .)tner ijusinesses Overated Does the Applicant operate any other business on the same premises, within the City of Tustin, or the State of California? Q Yes 0 No If yes, for each business, provide the following information Use Back if Necessary). Name of Business I Type of Business City City of Tustin, 300 Centennial Way, Tustin, CA 92780 (714) 573-3144 Fax (714) 573-3129 6 174785.1 01 Massage Establishment Permit Supplemental Application PART 9: CERTIFICATION I hereby certify, under the penalty of perjury, that the information given is true and correct. I understand that providing false information or withholding information, including any criminal record, is grounds for denial or revocation of my permit, and may subject me to criminal prosecution. I do hereby authorize the City of Tustin, its agents and employees, to seek verification of the information contained on this application. I understand that I may not conduct the activity applied for until a business license and a massage establishment permit have been granted. I further understand that a copy of the City ordinances regulating massage is available to me in the City Clerk's office. If during the term of a permit, a permit holder has any change of information submitted on the original or renewal application, the permit holder shall notify the City in writing of such change within ten (10) business days thereafter. (Sig-nature) (Da y*e)L Please provide the following with your application. All documents must be originals and must be written in English. City staff will return originals to the applicant. 1. All applicable fees. 2. Evidence of a complete set of fingerprints taken at a live scan facility. X Two (2) recent front-faced portrait photographs at lease two inches (2") by two inches (2") in size. ,4. Driver's license or photograph identification (issued by governmental agency). Social Security Card, 6. Alien Registration Card (if Applicable). 7. Copy of lease and signed acknowledgement from property owner that massage establishment will be located on property. 8. The certificate of limited partnership filed with the Secretary of State, if applicable. 9. A copy of each massage therapist's or massage practitioner's IMTO certification and a color passport-size photograph of the certificate holder. City of Tustin, 300 Centennial Way, Tustin, CA 92780 (714) 573-3144 Fax (714) 573-3129 174785.1 7 June 5, 2012 City of Tustin 300 Centennial Way Tustin, California To Whom It May Concern: Regarding the Business License, the address on the driver's license has a business location because when renewing it, I was moving and I did not have the new address of the new residence. Sincerely, f ��,i: :' Yun Z. Deng ALIFORNIA- DRIVE4LICENSE EXPIRE S""l CLAM C� YUN.T DENG m - VXAM MILLS CA -MS3 SEX: F HAIR:SIX HT:5-94 WT: 100 19/961MW 60 20 FO/14 1.0- card or, Driver license No. Enter vour MW nA4-- L.—.— 7. 7, DL43 (REV ,1wy' 0 A At* $ WV/00 ,tzt. �90 Q tl 1%, Cz I R, 'CP Lao ti Z 4-4 4-4 ni ,( 00(ld I ai I (31 (13 0• 4 I zr O kzf 1 � 1 ?4 -t3 W) (a 6 00 W av u 4i L U6 E 2, •� C d 4 v c 0 (D C) C 0 I N O m fV Z v N �44 Li' d a - U,v amL 1 lz ° 0 Z M N� o tll u lz O U z 4 N a JO to t ft 4-4 Jr 6-4 M tA I -..—Poo JI Postal W Parcel Plus kph A 24000 Mission Viejo CA 92691 Message Therapy Applicant Type 0.75 J.*.. 30 hd. ^ W. *rO by DOJ. .d tft uaano 1.35 TX 14167 Mail Code JrIve;digit as assigned 76.00 N/A Contact Nanwimandetw W1 Y W 3.00 TX 1 14 (916) 669.5336 Con-W TOISPIWO NUMM :od* 12.95 TX YO A] Middle fmw Fkst NS 94.05 M n 1.52 FMAW MW 95.57 100,00 le IffLia"40 NwUmw 4.43 t Billing' 1—(r CWa—r Number Ap Must Pay Fee Dkocily to y-we iscan vendor MISC. 05/08/2012 r Number WA 05:43 PM Ict Stele z CRY IV Level of Service: DOJ rX FBI Thank you for your business 069mal All Number Iployer (Additlonal response for agencies specified by statute): (949)588 7455 Copies Printing 45 4 0.03 LIVE SCAN Printing Toys SUBTOTAL TAX State Tax on 17.30 TOTAL TEND Cash CHANGE Customer: None selected 553 WARTUMT Or Jualea ,ST FOR LIVE SCAN SERVICE ECTION BLANK N/A Me# code (five dIg;t c4de assigned by DGJ Box suft 'ZIP Code-, Telephone Number (optional) Oon Completed By, LEAVF THIS mployer me Nkl, al 12- A *1 rQ Ci j? 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CJ c m E m a t �Ofl- : ALIFORNIA =. Ex I e�`' DRIVER LtGENSE�. ' FANG WE F IRS72NE p V 'SEX•F HAIR:8LK ; • HT•,:5 -03 WT: 110 I !• RSitt: CORR LENS 121241269 6M 84/x2 Far14 CALIFORNIA Certified Ft� MASSAGE THERAPY Massage COUNCIL Therapist Yu Fang Wei Tustin, CA`, DOB Cert # 15651 S Expires 10/25/2012 r. • rr g ,ZN 1 1;1 • It3 ty r4 1-4 iQi Oi �QUncil 'lie:) O 44 A W P ir U O .0 E* 0 t: i3 W f- z '. #C5-14-12;23:43 ;From: To:17148384779 # 1/ 2 Titan !PooCCenter POOL AND SPA CON37RUCTION REPAIRS SERVICE, SUPPLIES 0705 SANTA ANA CANYON ROAD • ANAHr=tm, CA 82807 (714) 928-9620 • FAX (714) 998-4224 - CONTRACTORS LtC. 178487- FACSIMILE TRANSMITTAL S)KEET TO: FROM:. A COMPANY. DATE: C, /0 FAX Z4UMBEIL- PHONE NUMBER; TOTAL', COVIER.: OF PAGES INCLUDING SENDER'S REFERENCE NUNWL- R: oeA,-lT,m .05 -14- 12;23:56 ;From: To:17148384779 # 2/ 2 May 10, 2012 City of Tustin 300 Centennial Way Tustin, CA 92780 Re: W.D. Massage 13846 Red Hill Avenue Tustin. CA 92780 To whom it may concern: This letter shall acknowledge the Lease Agreement between W.D. Massage (Tenant) and the Howard L. Abel Family Trust (Landlord). The Lease Agreement is set to commence on May 10, 2012, run for a period of sixty -four (64) months, and expire on September 9, 2017. Provided the Tenant remains in good standing with the Landlord and the City of Tustin, Tenant shall have the right to extend their Lease for one (1) additional five (5) year period. Unless the City of Tustin has any Use Restrictions that would prohibit W.D. Massage from conducting business in the City of Tustin, Landlord hereby authorizes the Tenant to proceed with their application and ultimately open their business at the above referenced location. If there are any questions or comments that should be communicated to the Landlord, please don't hesitate to contact me at your earliest convenience. Otherwise, if everything is acceptable regarding W.I. Massage and their related Application(s), we look forward to having their business (3rd location) open up in our center. Thanks for your consideration. Respectfully, Mike Abel Mike Abel, on behalf of the Howard L. Abel Family Trust (949) 933 -6085 ATTACHMENT B u i DEPARTMENT OF FINANCE Name of Applicants YUN ZHAO DENG Address of Applicant: 2711114MARISCAL MISSION VIEJO, CA 92591 BUSOMS NAME: WD MASSAGE ADDRESS: 13846 RED HILL AVE TUSTW, CA 92780 PERMIT ISSUED FOR: MASSAGE ESTABLISHMENT DATE PERMIT ISSUED: JUNE 11, 2012 DATE. PERMrr EXPrnRC. T A 7►TT T A nv +r. ft^m - Permit subject to conditions attached. Pamela Arends.King Julie Interrante Finance Director Business License Division LA City of Tustin Massage Establishment Permit fu YUN ZHAO DENG Permit Valid Only at WD MASSAGE 138" Red HUI Ave, Tustin, CA 92780 Issued 06111/2012 Permit No MT86- UAWS revoked, valki through 1 -31 -13 WD MASSAGE 13846 RED HILL AVE Tustin, CA 92780 MASSAGE ESTABLISHMENT CONDITIONS No massage establishment permit shall be issued unless an inspection by the City of Tustin reveals that the massage establishment complies with each of the following regulations: Massage establishment permit is due for renewal January 31, 2013. Each massage establishment must renew the permit annually. 2. A valid Business License must be kept current. 3. Every massage establishment shall maintain facilities meeting the following requirements: a. Sign - subject to applicable provisions of the City's Codes, a recognizable and legible sign shall be posted at the main entrance identifying the business as a massage establishment. b. Lighting - minimum lighting shall be provided in accordance with the Electrical Code adopted by the City and, in addition, at least one artificial light of not less than forty (40) wafts shall be provided in each room or enclosure where massage services are performed on patrons and shall be activated at all times while a patron is in such room or enclosure. C. Equipment - adequate equipment for disinfecting and sterilizing instruments used in performing the acts of massage shall be provided. d. Water - hot and cold running water shall be provided at all times. e. Linen storage - closed cabinets shall be provided and utilized for storage of clean linens, and approved receptacles shall be provided for the deposit of soiled linen. Separation of sexes - if male and female patrons are to be served simultaneously at the massage establishment, a separate massage room or rooms and separate dressing, bathing and toilet facilities (if provided) shall be provided and utilized for male and female patrons. Each separate facility or room shall be clearly marked as such. 9. Massage table pads - pads used on massage tables shall be covered in a professional manner with durable, washable plastic or other waterproof material acceptable to Orange County Health Care Agency. h. Steam rooms; and sauna a facilities - Where steam rooms or sauna baths are provided, if male and female patrons are to be served Massage Establishment Conditions Page 2 simultaneously, separate steam rooms or sauna rooms shall be provided for male and female patrons. 4. Every massage establishment shall comply with the following operating requirements: a. Each person acting as a massage therapist or massage practitioner shall have a valid certificate issued by the Massage Therapy Organization, a clearly legible copy of which shall be conspicuously posted in the room or location where massage services will be provided. b. It is unlawful for the owner, operator, responsible managing employee, manager or certificate holder in charge of or in control of the massage establishment to employ or permit a person to act as a massage therapist or massage practitioner who does not possess a valid massage therapist or massage practitioner certificate issued by the Massage Therapy Organization. C. No business, except those exempted under section 3665 herein, may employ anyone to provide massage or allow anyone to massage unless the massage provider possesses a valid massage certificate issued by the Massage Therapy Organization. d. Massage operations shall be carried on and the premises shall be open only between the hours of 6 a.m. and 10 p.m. A massage begun any time before 10 p.m. must nevertheless terminate at 10 p.m. No person, whether certified or not, may provide massage in exchange for compensation after 10:00 p.m. e. A list of services shall be posted in an open, public place on the premises, and shall be described in readily understood language. No owner, operator, responsible managing employee, manager, or certificate holder shall permit, and no massage therapist or massage practitioner shall offer to perform any services other than those posted. f. Any massage establishment or business shall maintain on its premises evidence for review by local authorities that demonstrates that all persons providing massage services are certified by the Massage Therapy Organization. g. Each massage therapist and massage practitioner shall wear a name tag displaying the name specified on their certificate while administering a massage and which shall be worn on outer clothing and be clearly visible. The massage therapist and massage practitioner shall not use any name other than specified on their certificate and name tag while on duty. Massage Establishment Conditions Page 3 h. Massage therapists and massage practitioners shall be fully clothed at all times while in the presence of any other individual within the massage establishment. Clothing shall be of a fully opaque, non- transparent material and provide the complete covering from mid-thigh to three (3) inches below the collar bone. Areas where massages are to be performed shall be separated by a non-lockable door unless there is no staff available to assure security for clients and massage staff who are behind closed doors. Said door shall not be equipped with a "peep hole" or any other device that allows anyone to see into or out of this room when the door is closed. Towels and linens shall not be used on more than one (1) patron unless they have first been laundered and disinfected. Disposable towels and coverings shall not be used on more than one (1) patron. Separate closed cabinets or containers shall be provided for the storage of clean and soiled linen and shall be plainly marked: "clean linen," "soiled linen." Wet and dry heat rooms, steam or vapor rooms or cabinets, shower rooms and compartments, toilet rooms and pools shall be thoroughly cleaned and disinfected as needed, and at least once each day the premises are open, with a disinfectant approved by the Health Department. Bathtubs shall be thoroughly cleaned after each use. All walls, ceilings, floors, and other physical facilities for the establishment must be in good repair and maintained in a clean and sanitary condition. Instruments utilized in performing massage shall not be used on more than one (1) patron unless they have been sterilized using approved sterilizing methods. Adequate equipment for disinfecting and sterilizing instruments used in performing the acts of massage shall be provided which are approved by the department or agency designated by the City Manager to make inspections for compliance with health standards. M. Where a covering is furnished by the massage establishment, it shall not be used by more than one (1) patron until it has first been laundered and disinfected. n. The owner or operator of the massage establishment shall keep a complete and current list of the names and residence addresses of all massage therapists, massage practitioners and employees of the massage establishment, and the name and residence addresses of the manager or managing employee purported to be principally in charge of the operation of the massage establishment. This roster shall be kept at the premises and be available for inspection by officials charged with enforcement of this Part. Massage Establishment Conditions Page 4 0. Every massage establishment shall keep a written record of the date and hour of each treatment administered, the name and address of each patron, the name of the massage therapist or massage practitioner administering treatment, and the type of treatment administered, to be recorded on a patron release form. Such written record shall be open to inspection by officials charged with enforcement of this Part. Such records shall be kept on the premises of the massage establishment for a period of two (2) years. In the event the massage establishment relocates, the records shall be retained at the new location. p. No part of the massage establishment shall be used for residential or sleeping purposes. q- No person shall enter, be, or remain in any part of a massage establishment while in the possession of, consuming, or using any alcoholic beverage or illegal drug. Legal over-the-counter drugs and prescription drugs are permitted, provided the individual in possession of the prescription drug is the individual identified on the prescription label. The responsible owner, operator, managing employee, manager or permittee shall not permit any person in possession of illegal drugs to enter or remain upon such premises. r. Every massage establishment shall be open at all times during hours during which massage is being provided for inspection by any officer of the City of Tustin. S. All doors leading into a massage establishment or area where massages are being performed shall remain unlocked during business hours unless there is no staff available to assure security for clients and massage staff who are behind closed doors. t. No massage establishment shall simultaneously operate as a school of massage, or share facilities with a school of massage. U. An owner, operator or manager shall be at the massage establishment at all times when massages are being performed. 5. A massage therapist or massage practitioner shall not violate the provisions of Sections 647(a) and (b) of the California Penal Code, or any other state law involving a crime of moral turpitude, and such practices shall not be allowed or permitted by anyone. 6. A massage therapist or massage practitioner shall be fully clothed at all times while in the presence of any other individuals in the massage establishment and shall not expose his or her genitals, pubic area, buttocks, or in the case of female therapists or practitioners, her breasts, and such practices shall not be allowed or permitted by anyone. Massage Establishment Conditions Page 5 7. Except as expressly permitted herein, a massage therapist or massage practitioner shall not massage a patron of one sex within the view of a patron of the opposite sex, and such practices shall not be allowed or permitted by anyone unless all parties expressly consent to the treatment, location, and presence of the patron of the opposite sex. a. This subsection shall not apply if all involved patrons are fully clothed, excluding socks or stockings. b. No more than one male and one female may consent to be massaged in the same treatment room. c. No person under the age of 18 may consent to a massage in the presence of,another unless the other patron present is the minor's parent or legal guardian, and the parent or legal guardian consents. 8. No more than two members of the same sex may consent to be massaged in the same treatment room unless all involved patrons are fully clothed, excluding socks or stockings. 9. A massage therapist or massage practitioner shall not massage, fondle, or otherwise have intentional contact with the genitals or anus of any patron, or the breasts of a female patron and such practices shall not be allowed or permitted by anyone. 10. A massage therapist or massage practitioner shall not give a massage unless the breasts of female patrons are covered and the genitals of all patrons are covered, and such practices shall not be allowed, or permitted by anyone. 11. It shall be unlawful for a massage therapist or massage practitioner or any other person to perform, or to offer to perform, a massage for compensation in any private residence (including the private residence of a massage therapist or massage practitioner) or in a hotel or motel room. 12. No person granted a permit shall use any name or conduct business under any designation not specified in his/her permit. 13. A massage operator shall comply with all provisions of the Tustin City code. REVOCATION OF PERMITS UNDER THE PROVISIONS OF THIS ARTICLE FOR ANY OF THE FOLLOWING REASONS: THE DIRECTOR OR PLANNING COMMISSIN MAY REVOKE A PERMIT ISSUED 1. WHERE THE DIRECTOR OR THE PLANNING COMMISSION HAS FOUND AND DETERMINED THAT THE PRESERVATION OF THE PUBLIC HEALTH, SAFETY AND WELFARE DEMAND REVOCATION OR SUSPENSION OF THE PERMIT; 2. WHERE THE PERMITTEE HAS VIOLATED ANY PROVISION OF THE TUSTIN CITY CODE, OR STATUTES OF THE STATE OF CALIFORNIA, OR OF THE UNITED STATES OF AMERICA 3. WHERE A PERMIT HAS BEEN ISSUED ON FALSE STATEMENTS IN AN APPLICATION; 4. WHERE THE PERMITTEE HAS VIOLATED ANY OF THE TERMS AND CONDITIONS OF THE PERMIT OR CONDITIONAL USE PERMIT; 6. WHERE THE USE OR ACTIVITY FOR WHICH THE PERMIT WAS GRANTED HAS CEASED OR HAS BEEN SUSPENDED FOR ONE {1} YEAR OR MORE; 6. WHERE THE PERMITTEE NO LONGER MEETS THE PREREQUISITES OR REQUIREMENTS OF THE PERMIT; AND 7. FAILURE TO PROVIDE COUNTY, STATE, AND /OR FEDERAL MANDATED LICENSING CERTIFICATES ON AN ANNUAL BASIS IF SUCH CERTIFICATES ARE REQUIRED. THIS PERMIT IS GRANTED AND SHALL BE VALID UNLESS ABANDONED OR REVOKED. My signature below verifies that I have read, understand and agree to the conditions under which this permit has been granted and have read and understand the conditions under which this permit may be revoked. DO /2r.- UN ZHAQ DENT DATE SIGNED � � i CITY OF TUSTIN Business Tax CertificatE THIS TAX PAYMENT EXPIRES: 12/3112012 �;D illASSAGE ACCOUINT NUMBER: 9906178C 13846 ?ED HILL AVE IUSTIN, CA 92780 SELLER'S PERMIT NUMBER: WD MASSAGE 13846 RED HILL AVE TUSTIN, CA 92780 STANDARD INDUSTRIAL CODE Misc Personal Svcs, NEC 1 lill 1110 1111 1 ill, W: lill NOTICE TO TAXPAYER The above-named certificate holder has paid a business tax to engage in, carry on, or conduct the business, trade, calling, profession, exhibition, or occupation coded above until this certificate expires. Granting of the tax certificate does not entitle the certificate holder to operate or maintain a business license in violation of any other law or ordinance. In addition, this business license is not transferable to any other party, and no refunds will be issued for the business license tax once a certificate has been issued. If the tax certificate has been issued to other than an approved commercial location within the City of Tustin, then the certificate holder or his or her representative SHALL CARRY THE CERTIFICATE while engaging in business in the City of Tustin. If this business conducts live entertainment, massage, adult entertainment booking, amusement activities, auto brokering, bingo games, check cashing, fortunetelling for pay, large outdoor gatherings, mobile vending, mobile auto services, pawn brokering, second-hand sales, or weapons sales and servicing, it may be subject to additional fees and/or permits to conduct such activities. If you have any questions regarding requirements or conditions on your business, please call Business Licensing at (714) 573-3144. RENEWAL OF THIS LICENSE IS DUE JANUARY 1st OF EACH YEAR If you have not received a renewal form by Dec. 31st contact the City. CITY OF TUSTIN Business Tax Certificate: THIS TAX PAYMENT EXPIRES: 12/31/2012 LIQUN 75 DOGWOOD LN ACCOUNT'NUMBER. 99061779 ALISO VIEJO, CA 92656 • SELLER'S PERMIT NUMBER: LIQUN HUANG 75 DOGWOOD LN ALISO VIEJO, CA 92656 STANDARD INDUSTRIAL CODE: Misc Personal SVCS, NEC NON-TRANSFERRABLE - PLEASE POST IN A CONSPICUOUS PLACE NOTICE TO TAXPAYER The above-named certificate holder has paid a business tax to engage in, carry on, or conduct the business, trade, calling, profession, exhibition, or occupation coded above until this certificate expires. Granting of the tax certificate does not entitle the certificate holder to operate or maintain a business license in violation of any other law or ordinance. In addition, this business license is not transferable to any other party, and no refunds will be issued for the business license tax once a certificate has been issued. If the tax certificate has been issued to other than an approved commercial location within the City of Tustin, then the certificate holder or his or her representative SHALL CARRY THE CERTIFICATE while engaging in business in the City of Tustin. If this business conducts live entertainment, massage, adult entertainment booking, amusement activities, auto brokering, bingo games, check cashing, fortunetelling for pay, large outdoor gatherings, mobile vending, mobile auto services, pawn brokering, second-hand sales, or weapons sales and servicing, it may be subject to additional fees and/or permits to conduct such activities. If you have any questions regarding requirements or conditions on your business, please call Business Licensing at (714) 573-3144. RENEWAL OF THIS LICENSE IS DUE JANUARY 11st OF EACH YEAR If you have not received a renewal form by Dec. 31st contact the City. LI XIA HUANG 137 TOPEKA IRVINE, CA 92604 LI XIA HUANG 137 'TOPEKA I IRVINE, CA 92604 CITY OF TUSTIN Business Tax Certificate THIS TAX PAYMENT EXPIRES: 12/31/2012 ACCOUNT NUMBER: 99061956 SELLER'S PERMIT NUMBER: STANDARD INDUSTRIAL CODE: Misc Personal Svcs, NEC NON-TRANSFERRABLE - PLEASE POST IN A CONSPICUOUS PLACE NOTICE TO TAXPAYER The above-named certificate holder has paid a business tax to engage in, carry on, or conduct the business, trade, calling, profession, exhibition, or occupation coded above until this certificate expires. Granting of the tax certificate does not entitle the certificate holder to operate or maintain a business license in violation of any other law or ordinance. In addition, this business license is not transferable to any other party, and no refunds will be issued for the business license tax once a certificate has been issued. If the tax certificate has been issued to other than an approved commercial location within the City of Tustin, then the certificate holder or his or her representative SHALL CARRY THE CERTIFICATE while engaging in business in the City of Tustin. If this business conducts live entertainment, massage, adult entertainment booking, amusement activities, auto brokering, bingo games, check cashing, fortunetelling for pay, large outdoor gatherings, mobile vending, mobile auto services, pawn brokering, second-hand sales, or weapons sales and servicing, it may be subject to additional fees and/or permits to conduct such activities. If you have any questions regarding requirements or conditions on your business, please call Business Licensing at (714) 573-3144. RENEWAL OF THIS LICENSE IS DUE JANUARY 1st OF EACH YEAR If you have not received a renewal form by Dec. 31st contact the City. CITY OF TUSTIN Business Tax CertificatE THIS TAX PAYMENT EXPIRES: 12/31/2012 YU FANG WEI ACCOUNT NUMBER: 99060156 27111 MARISCAL LN MISSION VIEJO, CA 92691 SELLER'S PERMIT NUMBER: YU FANG WEI 27111 MARISCAL IN MISSION VIEJO, CA 92691 STANDARD INDUSTRIAL CODE: Misc Personal Svcs, NSC NOTICE TO TAXPAYER.' The above-named certificate holder has paid a business tax to engage in, carry on, or conduct the business, trade, calling, profession, exhibition, or occupation coded above until this certificate expires. Granting of the tax certificate does not entitle the certificate holder to operate or maintain a business license in violation of any other law or ordinance. In addition, this business license is not transferable to any other party, and no refunds will be issued for the business license tax once a certificate has been issued. If the tax certificate has been issued to other than an approved commercial location within the City of Tustin, then the certificate holder or his or her representative SHALL CARRY THE CERTIFICATE while engaging in business in the City of Tustin. If this business conducts live entertainment, massage, adult entertainment booking, amusement activities, auto brokering, bingo games, check cashing, fortunetelling for pay, large outdoor gatherings, mobile vending, mobile auto services, pawn brokering, second-hand sales, or weapons sales and servicing, it may be subject to additional fees and/or permits to conduct such activities. If you have any questions regarding requirements or conditions on your business, please call Business Licensing at (714) 573-3144. RENEWAL OF THIS LICENSE IS DUE JANUARY 1st OF EACH YEAR If you have not received a renewal form by Dec. 31 st contact the City, CITY OF TUSTIN Business Tax Certificate THIS TAX PAYMENT EXPIRES: 12/31/2012 YAFEN POTARACKE ACCOUNT NUMBER: 99061955 716 S CHAPEL AVE #B ALHAMBRA, CA 91801 SELLER'S PERMIT NUMBER: YAFEN POTARACKE 716 S CHAPEL AVE #B ALHAMBRA, CA 91801 STANDARD INDUSTRIAL CODE: Misc Personal Svcs, NEC NON-TRANSFERRABLE - PLEASE POST IN A CONSPICUOUS PLACE NOTICE TO TAXPAYER%c. The above-named certificate holder has paid a business tax to engage in, carry on, or conduct the business, trade, calling, profession, exhibition, or occupation coded above until this certificate expires. Granting of the tax certificate does not entitle the certificate holder to operate or maintain a business license in violation of any other law or ordinance. In addition, this business license is not transferable to any other party, and no refunds will be issued for the business license tax once a certificate has beenissued. If the tax certificate has been issued to other than an approved commercial location within the City of Tustin, then the certificate holder or his or her representative SHALL CARRY THE CERTIFICATE while engaging in business in the City of Tustin. If this business conducts live entertainment, massage, adult entertainment booking, amusement activities, auto brokering, bingo games, check cashing, fortunetelling for pay, large outdoor gatherings, mobile vending, mobile auto services, pawn brokering, second-hand sales, or weapons sales and servicing, it may be subject to additional fees and/or permits to conduct such activities. !f you 1---,,,/e any questions regarding fequiromonts or conditions on your business, please call Business Licensing at (714) 573-3144. RENEWAL OF THIS LICENSE IS DUE JANUARY 1st OF EACH YEAR If you have not received a renewal form by Dec. 31 st contact the City. I l,4?ctse cancd J"� A5 SEP 0 7 2012 BUSINESS LICENSE Ylwtav To7 <i,�ck � i a L _ �J • � � � � Incompletion of the Application city of Tustin will cause a delay in processing. Business License Application (0 300 Centennial Way Tustin, CA 92780 714573 -3144 FAX 714 -573 -3129 asiness Name* VJ D 1'/ 1A,5519GE *(If other than surname, include a copy of your approved Fi IV Business Name statement filed with the County Clerk.) isiness Address 1 tji�A/ ta , � ill L�--` t/!S Suite Number �`" I (Use of Post Office or commercial mailbox for business address is a misdemeanor.) '•tY Uo�1 State � Zip Code C t� ailing Address _�tfLs Suite No. i ty State Zip Code usiness Phone ( { Cell Phone FAX sller's Permit No. Your E -mail Address ;City of Tustin address, include copy of seller's permit showing Tustin location.) ature and Type of Goods Sold: WEB SITE Number of Employees at this location asiness Activity (PIease be specific) =�J� JIL1� ` usiness Dupe (check one) 9Sole Ownership / Independent Contracior / Partnership ❑ Corporation / Corporate Identification No. (located on Articles of Incorporation) State ❑ LLC Identification No. State _J" 'tate Employer Identification No. r��1NGjraII9"'. a?tc fiia'1N�i. ?�e1�{ Tax and Revenue Code requires taxpayer identification, complete the following. If Corp /LLC, use Officer. RESIDENCE ADDRESS OF RESP SIBLE PARTY IS REQUIRED. Name Vt-) t Z,HHQ 0 G Driver's License No. Residence Addre !V Ci ty f y1f 19c�L 7 (S—T 7 State Zip Code qJ Emergency Phone If partnership, name partner below: Name "'"" Driver's License No. Residence Address City State "Zip Code Emergency Phone ipproxirnate Date of the Start of this business at this location in the City of Tustin �q's4lp hereby declare, under penalty of perjury, that the foregoing information is true and correct. As a condition for the issuance of he license applied for, I agree to submit any additional information that may be required and to conduct all phases of this Business in conformance with all applicable laws, ordinances and regulations established for such business/ profession. In iddition, my signature serves to verify that I have been informed that this license renewal is due every J nuary 1■t and lelinquent if not paid by the first day of February in any year in which business is conducted in the ty o Tustin. Signature Printed Name and Title Date SEE TAX SCHEDULE ENCLOSED. MAKE CHECKS PAYABLE TO THE CITY OF TUSTIN. ANY BUILDING CONSTRUCTION OR SIGN INSTALLATION WILL REQUIRE A BUILDING DEPARTMENT PERMIT OFFICE USE ONLY PLNG BLDG WATER FIRE LETTER RECEIPT OF FEES COLLECTED ZONING INITIALS G� / 904 DATE AMOUNT ' CHECK # DATE INITIAL 3usinessNRevised Forms 20OMusApp tf-�C' q�� �j�}�'fM) �S, CGf} /GY7. d7) 0 1 f ANY VIOLATION OF THE TUSTIN CITY CODE AND/OR MISREPRESENTATION, FALSE, MISLEADING, OR INCOMPLETE ANSWERS ON THIS FORM MAY CAUSE THIS APPLICATION TO BE DENIED OR RESCINDED. FEES ARE NOT REFUNDABLE Business Name Wn Telephone Approximate Square Footage of Business Business Location I j3r?q(^ 6�7AJJ 911-L-411t� FILL iNTHE PERCENTAGE OF EACH BUSINESS USE THAT APPLIES (BASED ON SQUARE FOOTAGE] —BASED ON 100 PERCENT, WHAT COMPRISES YOUR BUSINESS ACTIVITY. NUMBERS SHOULD ADD UP TO 100. ❑ Of q Warehouse Industrial/R&D Retail Wholesale Service Yes LY No Is your business address also your home address? If Yes, please complete the supplemental home occupation _questionnaire. ❑ Yes NO will You operate a social club, dating service, or escort service? ❑ Yes ff�No Will you provide and/or arrange live entertainment? ❑ Yes No Will you provide, arrange and/or produce adult entertainment and/or sell or rent adult oriented material? F1 Yes No Will you provide billiards, pool, bagatelle, bowling alleys, or more than live (5) pinball or electronic games? ❑ Yes No Is your firm a private patrol service? Yes No Doe a patrol service work for you? Nal and address of service: ❑ Yes '%No Will your business have a security alarm system? Name and address of alarm company: N Yes ❑ No Will you provide massage therapy or operate a bath, sauna bath, or massage establishment? ❑ Yes [X No Will your business sell, manufacture, or have mail order adult books, lingerie, toys, or novelties? Yes C4 No Will you operate an antique store or business that buys or sells used items? if yes, please complete the supplemental used merchandise affidavit. ❑ Yes 12 No Will you operate a business that involves pawn? ❑ Yes gNo Will you operate a business that involves brokering, buying, selling, or trading automobiles or other motorized vehicles, whether running or not? ❑ Yes No Will any merchandise be displayed outside the building? ❑ Yes No Will your business sell beer, wine, and/or other alcoholic beverages? Yes No Will you sell firearms? Yes ❑ No Are you adding or removing any doors, windows, walls, or partitions? ❑ Yes No Are you modifying, adding, or removing any plumbing, mechanical, or electrical system? Yes No Will any accessory sheds, canopies, awnings, or other exterior structures be installed for this business? Yes ❑ No Will you be constructing any signs (temporary or permanent) outside the building? f-71 Yes No Will you be storing any materials outside the building? ❑ Yes No Will you be storing any commercial vehicles, tools, or equipment on-site? ❑Yes No Will you have any aboveground or underground tanks? Yes No Will water be used in your manufacturing or processing? 17 Yes No Will your business involve cooking on a commercial stove or fryer? ❑ Yes Od No Are you installing a new commercial hood or fire protection system? f--1 Yes F4 No Will the business provide training or classes at your business location to anyone not employed by the business? If renting a building, Office, Or Space, to whom Will or do you pay rent? �wner/ Management Company Name Addreks Telephone When does or will your current lease end? How many units do you or will you lease at this location? F-1 Yes allo Will you be sharing this location with another business? Your business location will be checked by the zoning, building, water, Police, and fire departments. If you have any doubt that your business location, activity, and/or building does not conform with the requirements of the Municipal Code, please contact these departments for further Information before filing this application or entering into a Lease Agreement. I understand that this application and payment of tax does not license me to operate until I have fulfilled all the requirements of the Tustin Municipal Code. I hereby certify under penalty of perjury that I have read and understand the above statements. I hereby agree to obtain all necessary Cit permit(s) when a permit is required. y i a Busin sskRsvisad Pwms 4t1tp W)10-1L y Ft�RA" 0RANr moa At1Tt{aRtTY SQUTH This questionnaire was developed by the Orange County Fire Authority (OCFA) in conjunction with the South Coast Air Quality Management District {SCAQMD), and the County of Orange Ccrtifred Unifies/ Program Agency (CUPA) to facilitate review of your plans, the issuance of required building and fire Permits, as well as issuance of your Certificate of Occupancy. This form will: l) Determine your need rot compliance with federal and state mandated Community- Right- to.Know taws. These laws pro. hibit the issuance of a Certificate of Occupancy to a business that will handle hazardous materiais unless the business has met or is meeting the requirement to rile a chemical inventory disclosure packet with the OCFA. These laws may require a Risk Management Plan to tx rilW with OCFA if the facility will handle certain regulated substances. These laws also govern the permitting of a facility handling certain regulated suLstattces to be constructed within l.tX}0 feet of a school {K -12). general acute care hospital or long term care facility; 2) Determine your need for compliance with state mandated AQMD laws; 3) Determine your need for compliance with specific Uniform Firc and Building Code requirements which may affect the building design, plan submittal, permit issuance or obtaining a Certificate of Occupancy; and {) Determine your need for compliance with state mandated hazardous materials regulations. To determine whether your business is subject to any of these regulations, please read, cumplete and sign this questionnaire. Most questions require only a -yes" or -no- response. Business Name ' ame Contact Peron Phone Mailing Address HL Site Address of Proposed Facility Cttp State City State Zip Zip Describe the business uperation, activity, or process (e.g. semiconductor fabtieatio(1, auto repair - oil changes, wholesale pool suPPIY. resau- rant, etc.). if you require assistance in the completion of 'his form please contact OCFA, Planning & Develaptnent Services at (714) 573 -6100. OFFICIAL USE ONLY ISSUING DEPARTMENT: REASON FOR SUBMITTAL: ❑ Planning ❑ New building ❑ Building ❑ 'Tenant improvement and/or upgrades pgradea to building or site ❑ Business License ❑ New business, no tenant Improvement ❑ Fire ❑ Bualneaa relocation C) HCA/CUPA ❑ Business owner change only ❑ Other O Fire Authority plan approval required. Hold permit for OCFA approval. O No Fire Authority plan approval required. Route form to OCFA. ❑ Firt Authority Community Right-to-Know (Hazardous Materials Services Section) approval required. Hold Certificate of Occupancy for Fire Authority approval. fj ❑ SCAQMD Approval required. Hold Certificate of Occupancy for SCAQMD clearance. City Permit M Business License M FIRE AUTHORITY PERMIT SCREENING QUESTIONNAIRE Please answer Rl.11 of the following questions: Will you conduct any of the following proceSMS on site of use, store. handle any of the following materials! (Check AGREE YES NO all that applyr O Q gas at any one time? Will you or the future building aecuPant store, 940 Or handle sax amount of DOT Division 1. 1, 1.3 or 1.3 rxptosivt, highly toxic mattriaL commercial trade Pestle Ida of fcntlixar, or unsealed radioaetitt isotope (see • AEROSOL PRODUCTS (storage in exec" of 5W pounds gat weight} O 6. O `' ASSEMBLY OCCUPANCY (30 ormorrpropk AUTOM08ILE WRECKING YARD a, gathered fw drinking, dining, education, rcligia etc.} I� Will you Or the fuiws building occupant Mort, use or handle any Eairemsty Husnidis $uhsrs ncdRrgulaied Substance. California law (110 6"itsbit —mil PlrsAuts'""WHMSS 8ATTERYIYSTEM$ISTORAGEICHARGINO O O 6. COMBUSTIBLE FIBER ,S'r'ORdC,E too tabie feet (includes fibrow "s uriats such asmuon, baled wasrtpaper. sutw. tpanish COMBUSTIBLE MATERIAL STORAGE 230p cubic fttt O t cue You must Complete Attachment C, pegs S. Did you answer' es" to an y r Ruction oa em C? SCAOMD mass. ex.} (tmpty patting taut, boxes, barrels. rubber w cork. etc,) DRY CLEANING OPERATION$ O O 6• O DUST PRODUCING OPERATIONS (wood working, milling grinding, pulverizing. grain eleva tor, Hour mill, cic.) GARAGE MOTOR VEHICLESERVICEfREPAIR OR O i t FUEL•OISPENSING STATION • HAZARDOUS MATERIALS (are Attachment A for list; a hausdau material is O A "tact the O stations to gCounty t, 2, 3' s• or S rtqubes yon to eompklt • Hws "ms Matartds Disclosure Chain" Inventory end arWnecs Pier Contact the Onngr County n" AutboAry at (714) $73.6z$o saltty dais inter (MSOS), including ptaalcum producia) d aaz chtn5cat which is equrrt to have s maser sl O , Program A e R racy at HIGH PILEOCOMBUS71BLE STORAGE (top of storage is greater than 12 feet or 6 tees for plastics. t(rea and flammable liquids, • INSTALLATION OF ABOVE OR BELOW GROUND TANK. O $ PERMANENT 0R TEMPORARY LIQUIPtED PETROLUEM GAS. O O MATCHES (manufacture or store is excess of 14,500 individual matched • MEOtCAL CA$ INSTALLAT)ON O Q OVENS, )NOUSTRtAL BAKING OR DRYING (egaipment used to dry or bake goads other than food product :) • REFRIGERATION EQUIPMENT (fixed system in which a refrigerant it O O tire for the purpaat of erodcsing hut) •SPRAYING OR DIPMNO OPERATIONS (namrnsbte Or combustible liquids UlAltd with a sprayer air vua .ti tanks) TIRE STORAGE (300 aguare feet or maul air tire recapping O •WELDING AND CUTTING OPERATIONS C7 O This is a "Spec" building: I do not know what operations will be conducted. I will oat conduct my d lha Stan" oparationt Of usu,Mm, Hindi, a d 'dal' sn yhAxx+ rlasarnattrialtletserititalsindszopentiono [mybutio0a. ` NOTE: An OCFA Chemical Classiflcatirto Pukes may he required with the PINT. Call (7141 573 -6100 tar a curry of the pwkei. YES _. 1. (� Ina `( Will yours the future building occupant f .Ii'tors, Mae or handle hul"dOus mettrialsfchemlcals in quantities equal loaf greater than 53 Is( 100s Of liquid, Soo pounds Of wlid or 200 cubic (set of comprtased 2. Q „k'fir / gas at any one time? Will you or the future building aecuPant store, 940 Or handle sax amount of DOT Division 1. 1, 1.3 or 1.3 rxptosivt, highly toxic mattriaL commercial trade Pestle Ida of fcntlixar, or unsealed radioaetitt isotope (see 3• O Y ID denoltions In Attacbrarnr 0)7 Will you or the future building Occupant store• ust or handle eats amount of torcmogrn 6. O `' is a curcinugen as defined by California law (Iles ntaaab or any chemical with a con, thus ks• —exec PirrAatherityltiMSS at ?tg STt- E2S0)? XJ )C.l Will you Or the fuiws building occupant Mort, use or handle any Eairemsty Husnidis $uhsrs ncdRrgulaied Substance. California law (110 6"itsbit —mil PlrsAuts'""WHMSS y, 51 O u7 as defmrd by st 714 373.6250)? If you or the future building acupant will be handling 6. any Estrrrneiy Huerdoas SubatsntdRegutlstrd Substance, -it) the bwinru be localcd within 11000 it" of the Outtt boundary of a school, general acute care hospital of login ted ub a it) t e O it 7. O t cue You must Complete Attachment C, pegs S. Did you answer' es" to an y r Ruction oa em C? SCAOMD ,t Z permir reyuired. Will you be eatrstin hazerdou weals at our faCilit Q r t t y y Hasard4a waue Gesarator 6• O for r Pragras Will you be treating hazudorn wssit on -tits? Tiered Parents Hazardous Waste On -Slit T}estaeae 9. O 30, Will you be operating underground tantt fill the storage or bszardour tubauftctsy Uads vpoand Stange Tank Trogratn Will you be operating etweegrauad atorsge teaks for Nonga of petroleum Products? Xbovegroaad Petrolraa Storage AN Spill Trsrantl•n• COMtW dt Countermeasure Plant A "tact the O stations to gCounty t, 2, 3' s• or S rtqubes yon to eompklt • Hws "ms Matartds Disclosure Chain" Inventory end arWnecs Pier Contact the Onngr County n" AutboAry at (714) $73.6z$o to r"naoe 11160 PodwL A "Yes" answer to gent' Plain — a00- 2SiL7666 tot Permit kdOrmstiml, A "Yes' answer to ganatsery 7. R 9. iD ` u" I'tl 6 rss"nt^'s you to et nuKI rN SCAQMD as 1- rvgW'd yell to enhance the Ort xse County Cer"ned Unified (114) 677.36W and ask tar inn CUPA Df bsee - -- -- -_ - , Program A e R racy at The owner or his/her authorized agent is i43 MalibIrto ensure that and storage, use and handling requirements for any processestlnatetia)s described abort. r comply wjth the reporting Note: A "No" answer to y subject y ! St13C o the about questions may our business to on -site verification by the Orange County Fire Auth4tjty. Failure to property diastase your usage Of hazardous malcrisis may result in civil Or criminal nction being taken against you. ( certify under penally . perjury under the laws of thus State o ali fornia that the foregoing is true and ore tt. Dace Sig f owner or authorized agent RFA/c Print Name and Title `s F034 (Rl {Opt O SMBUttOM: WWTEe FIRE • BLUE: FIREJOCCUPA PINK: OWNERgCCUPANT • CARD COPY: BUjLfjlrir Dfpr, Psga 2 0 ro er ro C. Calif, � 3 c d 90 ii � • hh y � ¢• � e`r1 �. .' � .fit �, , O H t4i � � � tv ro �• A � � -A. a zt a� m � Q rn �" `1 e•F sa � A -SINCE 1921 -- Mailing Address: 600 W SANTA ANA BLVD, SANTA ANA, CA 92701 Telephone (714) 543 -2027 t Fax (714) 542 -6841 Visit us @ WWW.DAILYJOURNAL.COM YUN ZNAO DENG 27111 MARISCAL MISSION VIEJO, CA 92691 COPY OF NOTICE Notice Type: FNS FICTITIOUS BUSINESS NAME Ad Description WO MASSAGE To the right is a copy of the notice you sent to us for publication in the ORANGE COUNTY REPORTER. Thank you for using our newspaper. Please read this notice carefully and call us with any corrections. The Proof of Publication will be filed with the County Clerk, if required, and mailed to you after the last date below. Publication date(s) for this notice is (are): 04113/2012, 04120/2012, 002712012, 05104/2012 The charge(s) for this order is as follows. An invoice will be sent after the last date of publication. if you prepaid this order in full, you will not receive an invoice. Publication $20.00 NetTotal $20.00 Daily Journal Corporation Serving your legal advertising needs throughout California. ORANGE COUNTY REPORTER, SANTA ANA (714) 543 -2027 BUSINESS JOURNAL. RIVERSIDE (951) 784 -0111 DAILY COMMERCE, LOS ANGELES (213) 229 -5300 LOS ANGELES DAILY JOURNAL, LOS ANGELES (213) 229.5300 ORANGE COUNTY REPORTER 1096, SANTA ANA (714) 543.2027 SAN DIEGO COMMERCE, SAN DIEGO (619) 232 -3486 SAN FRANCISCO DAILY JOURNAL, SAN FRANCISCO (800) 640 -4829 SAN JOSE POST- RECORD, SAN JOSE (408) 287.4866 SONOMA COUNTY HERALD - RECORDER, SANTA ROSA (707) 545.1188 THE DAILY RECORDER, SACRAMENTO (918) 444.2355 THE INTER -CITY EXPRESS, OAKLAND (510) 2724747 111MII�I 0I�0 �RnIV2 n6I 11 �I�V1� '� OR# 2296720 FICTITIOUS BUSINESS NAME STATEMENT File No. 2012 6299885 Tktob* persan(s) is (am) doing WO Me"*, 13818 Red Hilt Avemre, Tustin, 02879, County of Orange Yun Zhao Den ; 27111 Manisral,aeion Viep. Ca 92691 This busu a" is conducted by an individual The r•gistrant(s) Commenced to transact business undx the 6chlicus business name or names listed above on N/A I declare that all information in this statement is true and correct (A nt who declares as Wa informafon wtsch he w she knows to be false is guilty of a creae. tut Yun ) Deng: Tres statement was MW with Me County Clerk of Orange County on April 11, 2012 NOTICE -ins accadanos wray Section 17920(a), a F blious Name Statement general expires eve years from the date it was filed with the County Clark, except as provided in Section 17920(b), where it expires 40 days after any charge in the facts set forth in the stafament pursuant to section 17913 usher than a ct tinge in the rasidence address of a registered Owner. A New Fictitious Business Name Statement roust: be Red before the oxpira8on. The filinrgg of this statement does not of itaeN aumorize the use in this state of a Fictitious Business Narns in vrdation of the rights of another un(w Federal, State, of common law (Sea Section 14411 at SBusiness and Processions Cafe). 4113, 4M, 4127, 5(4112 OR- 22987298 Incompletion of Application will city of Tustin cause delay In processing. Business License Application 300 Centennial way IQ Tustin, CA 92780 1 714573-31" FAX 714-573-3129 NON-BUILDING CONTRACTOR - BUSINESS OFFICE NOT LOCATED IN CITY OF TUSTIN .Business Name Z, 1 -4 tlka, I' 'I (If other than surname, -include a copy 2olf Yqu..rjpproved Fictitious Business Name statement filed with County Clerk.) iBusiness Address = = .2 Suite Number (use e Past -0friZj:oJcommercial mailbox for business address is a misdemeanor.) Fity i /fie i a State CA Zip 1 1J - ­f - — ,Mailing Address I Suite No. 0 siness Phone State Zip Code E-mail ( I — Web Page Nature and Type of Good Sold XURTW37PIcase be specific) rype (check one) U Sole Ownership / Independent Contractor / Partnership Corporation / Corporate Identification No. (located on Articles of Incorporation) State lix Identification No. State CHECK HERE IF THIS IS A HOME-BASED BUSINESS business began to operate in City of Tustin RESIDENCE ADDRESS OF RESPONSIBLE PARTY IS REQUIRED. Name ::�/ �& i�) /4tt'Iyu-9 - Driver's License No. Residence Address UNINk J CitY If partnership, name 'virtner below: Name Residence Address State � 4) Zip Code? Driver's License No. City State_ Zip Code Emergency Phone ,ertain businesses and/or professions may require special permits for which an additional fee will be charged. In ome instances, fingerprinting and/or background checks will be required, also at an additional charge. hereby declare, under penalty of perjury, that the foregoing Information is true and correct. As a condition or the Issuance of the license applied for, I agree to submit any additional Information that may be required LND TO CONDUCT ALL PHASES OF THIS BUSINESS IN CONFORMANCE WITH ALL APPLICABLE LAWS, )RDINANCES, AND REGULATIONS ESTBLISHED FOR SUCH BUSINESS/PROFESSION. Signature Printed Name and Title Date EE REVERSE SIDE FOR TAX SCHEDULE vQinPr.-%XR^vJ",d Frum% ?nn?%Nnnrnntr=rtnrR,,o iAnn n^ Tittfin nfna ,— MAKE CHECKS PAYABLE TO THE CITY OF TUSTIN. Determine tax due $ Penalty if applicable $ Total Due $ Expires 7/16/2012 'ki r AmG 20fe nN FN LI ': N NE .7 AVSSION Viejo CA 92693. 40 Yes. 2 Certified MA55AGE THERAPY Massage -1CALIFORNIA , COUNCIL Therapist LiQun Huang Laguna Hills, CA DOBIUMPMEW Cert # 10995 Expires 7/16/2012 'ki r AmG 20fe nN FN LI ': N NE .7 AVSSION Viejo CA 92693. 40 Yes. 2 rx I n. ID n to as iTE 08 Q0 Ill F! g. �> Vl =r M COO Q nws ro (C) IT ni Q1 ON I Cb `"'VVCO fist H can A C) H Cy 11 cfq tp ity O 0 :6. Incompletion of the Application City of Tustin will cause a delay in processing. Business License Application v RECEIVED 300 Centennial Way Tustin. CA 92780 MM ����� 714673 -314+b FA$ 724PS73 -3129 NON - BUILDING GONTRAGTOR — BUSINESS OFFIGE NOT LO IN CITY OF TUSTIN BUSINESS LICENSE� Business Name *2(2Gt�y� *(If other than surname, include a copy of your approved Fictitious Business Name 'meat met filed with the County Cierk.) Business Address Suite Number (Use of ost Office or commercial mailbox for business address is a misdemeanor.) CityZI/`}')'l State A Zip Code _Z Mailing Address City State Business Phone Cell Phone (11 0-331._.62i% ' FAX Seller's Permit No. Your E -mail Address (If City of Tustin address, include copy of seller's permit showing Tustin location.) Your Web Address Suite No. Zip Code Nature and Type of Goods Sold: Number of Employees at this location If you are a landlord nMde a tenant roster. Business Activity (Please be specific) ►7taSS'AQ, Business Type (check one) ❑ Sole Ownership / Independent Contractor / Partnership ❑ Corporation / Corporate Identification No. (located on Articles of Incorporation) State ❑ LLC Identification No. State State Employer Identification No. Federal ldentification)o. Tax and Revenue Code requires taxpayer identification, complete the following. If Corp /LLC, use Officer. RESIDENCE ADDRESS OF RESPONSIBLE PARTY IS REgUIRED. Residence Address City IP, ;tto If partnership, name partner below: Driver's License No. c _ Emergency Phone Name Driver's License No. Residence Address City State Zip Code Emergency Phone Approximate Date of the Start of this business at this location in the City of Tustin 09 -- --��,- I hereby declare, under penalty of perjury, that the foregoing information is true and correct. As a condition for the issuance of the license applied for. I agree to submit any additional information that may be required and to conduct all phases of this business in conformance with all applicable laws, ordinances and regulations established for such business /profession. In addition, my signature serves to verify that I have been informed that this license renewal is due every January let and delinquent if not paid by the first day of February in any year /iin which �business is conducted in the City of Tustin. Signature Printed Name e-t-"- Date SEE TAX SCHEDULE ENCLOSED. MAKE CHECKS PAYABLE TO THE CITY OF TUSTIN. ANY BUILDING CONSTRUCTION OR SIGN INSTALLATION WILL REQUIRE A BUILDING DEPARTMENT PERMIT OFFICE USE ONLY PLNG BLDG WATER FIRE I LETTER RECEIPT OF FEES COLLECTED ZONING INITIALS 904 DATE LJNT I CHECK # DATE ITIAL ,')n iA , - . 1 r^11 I I al o wa C3 o ate, ct R. Ong CF) •Poo Em* , t3 tp k.t Ar t3 tE Ci O 0 I t6 � w C\l (V) H < u iri Ir x W W V M, c O O w u -g, -0 V3i E E C Lam. U 0 -,f c t E > oL > c I a, .r > California Massage Therapy Council !G MASSAGE THEVf�Y `CALIFORNIA P COUNCIL CERTIFY, PROTECT & EDUCATETM Page I of I Board Verify Certification Forms FAQs Contact Us Login HOME CERTIFICATION RECERTIFICATION MEETINGS NEWS & EVENTS EDUCATION SEARCH Cent # Certificate Type Effective Expires LIxIa Huang 34726 Certified Massage Therapist 6/14/2012 6/14/2014 Irvine 10 2011 Copynght California Massage Therapy Council, All rights reserved, I$Naall smisne 1 Incomgletioa of the Application DEC 14 2011 city of Tustin t{ will cause a delay in processing. Business Licen" Application C]M333ki BUSINESS LICENSE 300 centennial Way 'Dustin, CA 92784 MUL 714673 -3144 ST Business Name* !.� t� } l� *(If other than sugnagiidigg co of our approved Fictitious Business Name statement filed with the County Clerk.) us Business Address Suite Number (Use of Post Office or commercial mailbox for business address is a misdemeanor.) City .; t`? States Zip Code Mailing Address Suite No. City s I k State Zip Code �) ' 1 'u" J a Business Phone .' t�A — ET Cell Phone - FAX Seller's Permit No Your E -mail Address T V (If City of Tustin address,. include copy of seller's permit showing Tustin location.) WEB SITE Nature and Type of Goods Sold: Number of Employees at this location Business Activity (Please be specific) � ( CM rl -{�s Lt�f Business Type (check one) (g Sots Ownership /Independent Contra ctor / Parbiership ❑ Corporation / Corporate Identification No. (located on Articles of Incorporation) State ❑ LLC Identification No. State State Employer Identification No. Federal Identification No. Tax and Revenue Code requires taxpayer identification, complete the following. If Corp /LLC, use Officer. RESIDENCE ADDRESS OF RESPONSIBLE PARTY IS REQUIRED. Name ` 6, JA' " ' Driver's License No. Residence Addre s City. Tai% )N State C, Zip Code Z bO (Z Emergency Phon If partnership, name partner below: Name Residence Address City State Zip Code Emergency Phone Driver's License No. Anrtr^w4rnntw no +. of Vk. AID. -I, ..f 44.4. -46 .- a_ a2_ - Ala_ _�.wv_.._ / 'i - If, ) ., t /_ I hereby declare, under penalty of perjury, that the foregoing information is true and correct. As a condition for the issuance of the license applied for, I agree to submit any additional information that may be required and to conduct all phases of this business in conformance with all applicable laws, ordinances and regulations established for such business /profession. In addition, my signature serves to verify that I have been informed that this license renewal is due every January to and deliaquientI not paid by the first day of February in any year in which business is conducted in the City of Tustin. Si cur Printed Name an Title Date is SEE TAX SCHEDULE ENCLOSED. MAKE CHECKS PAYABLE TO THE CITY OF TUSTIN ANY BUILDING CONSTRUCTION OR SIGN INSTALLATION WILL REQUIRE A RLI7 QTNCi nPPAR'P1 RMT oi.1?UrP BusinesslRevised Forms 200ZBusApp �! LI � ta C, 2— /c /` 0 bt 1 1 RECEIPT"OF FEES COLLECTED ®� * r A * - "m Min MtYi� r�MMMM3M _ArA =M M13m M BusinesslRevised Forms 200ZBusApp �! LI � ta C, 2— /c /` 0 bt 1 1 ANY VIOLATION OF THE TUSTIN CITY CODE AND/OR MISREPRESENTATION, FALSE, MISLEADING, OR INCOMPLETE ANSWERS ON TM9 FORM MAY CAUSE THIS APPLICATION TO. BE DENIED OR RESCINDED. FEES,- ARE NOT REFUNDABLE, Business Name LAFoll� We r Telephone @ _(11 r,10- - Approximate Square Footage of liusiness 06- , Business'Location I <4 Mor �/r 114 •" -7 -7 FILL IN THE PERCENTAGE OF EACH BUSINESS . USE - ,THAT APPLIES (BASED ON SQUARE FO BASED ON 100 PERCENT, WHAT COMPRISES YOUR BUSINESS ACTIVITY. NUMBERS SHOULD ADD UP 740-IOT % % _% % % --42-0% Office Warehouse Industrial/R&D Retail Wholesale Service ❑ Yes allo Is your business address also your home address? If Yes, please complete the supplemental home occupation questionnaire. ❑ Yes NNo Will you operate a social club, dating service, or escort service? ❑ Ye LA No Will you provide and/or arrange live entertainment? ❑ Ye: gJ No Will you provide, arrange and/or produce adult entertainment and/or sell or rent adult oriented material? Yes 13Q No Will you provide billiards, pool, bagatelle, bowling alleys, or more than five (5) pinball or electronic games? ❑ Yes No Is your firm a private patrol service? ❑ Yes No Does a patrol service work for you? Name and address of service: ❑ Yes No Will your business have a security alarm system? Name and address of alarm company: Yes ❑ No Will you provide massage therapy or operate a bath, sauna bath, or massage establishment? ❑ Yes (9 No Will your business sell, manufacture, or have mail order adult books, lingerie, toys, or novelties? ❑ Yes 12 No Will you operate an antique store or business that buys or sells used items? If Yes, please complete the supplemental used merchandise affidavit. ❑ Yes CR No Will you operate a business that involves pawn? ❑ Yes allo Will you operate a business that involves brokering, buying, selling, or trading automobiles or other motorized vehicles, whether running or not? ❑ ❑ Yes No Will any merchandise be displayed outside the building? Yes No Will your business sell beer, wine, and/or other alcoholic beverages? ❑ Yes No Will you sell firearms? 0 Yes 91 No Are you adding or removing any doors, windows, walls, or partitions? ❑ Yes No Are you modifying, adding, or removing any plumbing, mechanical, or electrical system? ❑ Yes No Will any accessory sheds, canopies, awnings, or other exterior structures be installed for this business? ❑ Yes No Will you be constructing any signs (temporary or permanent) outside the building? rl Yes No Will you be storing any materials outside the budding? ❑ Yes RNo Will you be storing any commercial vehicles, tools, or equipment on-site? Yes a No Will you have any aboveground or underground tanks? 0 Yes Pff No Will water be used in your manufacturing or processing? ❑ Yes No Will your business involve cooking on a commercial stove or fryer? ❑ ❑ Yes W1 No Are you installing a new commercial hood or fire protection system? Yes 1�rft Will the business provide training or classes at your business location to anyone not employed by the business? �) �,n I, 11C4 rAa If renting a building, office, Or SP&CO, to whom will or do you pay rent?--- 1 107� ZS1'--,+ree ZVOC TA eft yi G 12--110 0 Owner /Management Company Name Address Telephone When does or will your current lease end? How many units d or will you lease 's at this location? Yes p No Will you be sharing this location with another business? Your business location will be chocked by the coning, building, water, police, and fire departments. if you have any doubt that your business location, activity, and/or building does not conform with the requirements of the Municipal Code, Please contact these departments for further Information before Ming this application or entering Into a Lease Agreement. I understand that this application and payment of tax does not license me to operate until I have fulfilled all the requirements of the Tustin Municipal Code. I hereby certify under penalty of perjury that I have read and understand the above statements. I hereby agree to obtain all necessary City permit(s) when a permit is required. 9- )_rh) Si re Print Name Title Date License No- AQiUlI7 This questionnaire was developed by the Orange County Fire Authority (OCFA) in conjunction with the South Coast Air Quality Management District (SCAQMD), and the County of Orange Certified Unified Program Agency (CUPA) to facilitate review of your plans. the issuance of required building and fire permits, as well as issuance of your Certificate.. of Occupancy. This form will: 1) Determine; your need for compliance with federal and state mandated Common ity -Right to•Know taws. These laws pro- hibit the issuance of t Certificate of Occupancy w t business that will handle hazardous materials unless the business has met or is meeting the requirement to file a chemical inventory disclosure packet with the OCFA. Thane laws may require a Risk Mansgement Plan to be filed with OCFA if the facility will handle certain regulated suixmnom These laws also govem the permitting of a facility handling certain regulated substances to be constructed within 1,000 feet oft stdmaai (K -12). general acute care hospital or longterm cane facility. 2) Determine your need for compliance with state mandaW AQMD laws; 3) Determin your need for compliance with specific Uniform Fire and Building Code requirements which may affect the building design, plan submittal, permit issuance or obtaining a Certificate of Occupancy; and 4) Determine your need for compliance with state mandated hazardous materials regulaboos. To determine whether your business is subject to any of these regulations, please read, complete and sign this questionnaire. Most questions require: only a "yes" or "no" response. _ G Business Name Address Contact Person t AP 05 TuSir City Site Address of Proposed Facility Tt'C`;t'. Describe the business operation, activity, d rant, etc.). City (e.g. semiconductor fabncatioa. auto State M (Phone Zip Zip - oil changes. wholesale pool supply, restau It you require assistance in the completion of this firm please contact OCFA, Planning & Development Services at (714) S73 -6100. ISSUING DEPARTMENT: REASON FOR SUBMITTAL: D Planning D New building D Building D Tenant improvement and/or upgrades to building or site D Business License D New business, ad tenant Improvement D Fire D Business relocation D HCA/CUPA D Business owner change only D Fire Authors D Other Authority plan approval required. Hold permit for OCFA approval. D No Fire Authority plan approval required. Route form to OCFA. D Fire Authority Community Right -to -Know (Hazardous Materials Services Section) approval required. Hold Certificats of Occupancy for Fire Authority approval. Q SCAQMD Approval required. Hold Certificate of Occupancy for SCAQMD clearance. City Permit +te Business License 4 FIRE AUTHORITY PERMIT SCREENING.QUESTIONNAIRE Plea" answer AM of the following questions: Will YOU conduct any 41114 foitowini< Processes an site or use, stom handle any of the foilowinS materials? (Check all that applyk AGREE YES NO Will you or the future building occupant store. ase or handle hazardous materialt/ehemieals is quantities equal to or greater then SS 2411004 of liquid, 300 pounds of solid or 200 cubic fast atcompeassed ❑ Q9 + AEROSOL PRODUCTS (storage in excess of 30o pounds net weight) ❑ ❑ ASSEMBLY OCCUPANCY (so or more people gathered for drinking, dining, education, religion. etc.) 4. ❑ 43 Will you or the future building occupant monk on or handta any Earmosely Hazwdow SubnwedRegulated Subsume. u defined by Calfomais law (Rat "Odds —CON FIN Autbeel P/iU►t8s N 714373.6254)? AUTOMOBILE WRECKING YARD ❑ 6. ❑ m • BATTERY 3YSTEMS/STORAGE/CHARGINO C3 ❑ ® COMBUSTIBLE FIBER STORAGE 100 cubic feet (includes fibrous materials rich as coaoa, baled mucpapm straw, spardsh moss, etc.) COMBMBLB MATERIALS MRACE 2500 cubic tea (am" boxes. ❑ 12 packing cases, burets. rubber or cork, etc.) * DRY CLEANINO OPERATIONS ❑ ❑ l(2 a DUST PRODUCING OPERATIONS (wood working. miffing grinding, pulverising, grain elevator; flour mil. tic) GARAGE. MOTOR VEHICLE SERVICE/REPAIR OR FUEL - DISPENSING STATION ❑ 5 +HAZARDOUS MATERIALS is. Attachment A for list; a hetardow material is 40 chomieal which is required to have a material safety data shat (MSDS), including petroleum products) ❑ ❑ ca HIGH PILED COMBUSTIBLE STORAGE (top of storage is greater than 12 feet *r 6 feat for plastics. tires and flammable liquids. +INSTALLATION OF ABOVE OR BELOW GROUND TANK. PERMANENT OR TEMPORARY ❑ U Ca LIQUIFIED PETROLUEM GAS ❑ ® MATCHES (manufacture or store is excess of 14.400 individual matches) ❑ 0 *MEDICAL GASINSTALLA11ON ❑ (a OVENS, INDUSTRIAL BAKING OR DRYING (equipment cud to dry or bake goods *that than food products) * REFRJGERXnON EQUIPMENT (fixed system is which a mfrigorael is circulated for the O ❑ iyd purpose of extruu, t heat) +SPRAYING On DIPPING OPMA77ONS (flammable or combustible liquids applied with a sprayer or used in tanks) TIRE STORAGE (300 square feet or more) Or lire recapping ❑ •WELDINGANDCUTRNOOPERATIONS o This is a "Spec" bui4ing. I dome know wbat opera loos will be conductetL O IwiBtWcasdtntauryofihesbore *peratietlsattae. lma6a.* rdispleyaayhaawdouarrnateriaWcbemioslsiaduopemri *nofmybasiaesa ' NDTF- An OCFA Cbetaicd Claselfieatba Pocket may be required with the piw. Cal ( 714) 3734100 tar a copy of the packet. YES NO 1. ❑ Will you or the future building occupant store. ase or handle hazardous materialt/ehemieals is quantities equal to or greater then SS 2411004 of liquid, 300 pounds of solid or 200 cubic fast atcompeassed 2, ❑ gas at any one time? Will you or the future building oaupew store, au or handle an amount of DOT Division 1.1. 1.2 or 1.3 explosive, highly toxic material. commercial Suds pesticide or fertiliser, or unsealed radioactive isotope detisidea, 3. ❑ 10 (sea ie Auschnent B)? Will you or the futon building occupant atone, on or handle atttt tuooura of raremot or my ehattdcal with a cum Pont m that is a cxcinoSca ss d4fitwl by Caittoroia law ()Yt arm !/im AuthetitY/HMSS at 714 373-42SW 4. ❑ 43 Will you or the future building occupant monk on or handta any Earmosely Hazwdow SubnwedRegulated Subsume. u defined by Calfomais law (Rat "Odds —CON FIN Autbeel P/iU►t8s N 714373.6254)? S. O if Yoe or the fatum building occupant wig be hurdling any Extremely Hazardous Substanee/Reguiatsd Substance. wit the business be located within 1.000 feet of the outer boundary of a school, geaerat scuts ewe hospital or long -term health care facility? 6. ❑ m You most complete Attachment C, page S. Did you answer "yes" to any question on Attachment C7 SCAQMD permit required. 7. ❑ Will you be geawa)ag huardaus waste at your facility? Hazardous Write Generator Program g. ❑i Wilt eat be treatia buwdotu w Y 6 sate oa -site9 Tiered Penait Husrdoua Warta On-Site Treatments 9s ❑ 10. O Ck_ Will you be operating umdargroaad tanks for the storage of hszardous substances? Underground Stamp Tank Program Will you be operstiag abovegroaad s"s tanks for siomga otpetroleum products? Abevegresed Petroleum StarepAet Spin r"voado'4 Coateol A Countermeasure Plasm A "WO answer to questions 1. 2,:1, 4, or S regWm Yoe to eetapMN a Haserdoua li4atetiala Dbclaams Chemical InventorY nand Bodeen gessrSemy Plea — Codact the Orsa ge County =gfte Authority at (714) 073. M to reotseM ibis psakeL A "Yee" *=war is qusatbu t requires to the SCAQmD you collect st 1- . 500.2116.7664 for Ponalt lotennadom A " Yea" answer to quesdow 7. S. !. 10 requires you to contsest ale Orange Courtly Cerdrud Unifies Proarsus Agency at (7t4) a??,%* and wk for eke CUPA Division. , The owner or histber authorized agent is reapsagibi to ensure that all occupants. Ilre+ent and iclnre comply with the reporting and storage, use and handling requirements for any processes/materials described above. Note: A "No" answer to 6tUG of the above questions may subject your business to on -site verification by the Orange County Fire Authority. Failure to properly disclose your usage Of hazardous materials may result in civil or criminal action being taken against you. I certify under penalty of perjury under the laws of the State of California that the foregoing is true and correct. N Dace Sig to of o err or authorized agent Print Name and ke 'a F034 (A 1100) Ot11TR1BUTi0Ns WHITES FIRE - BLUE: FIREMCCUPA • PINK: OWNEMCCUPANT • CAAO COPY: BUILDING DEPT, Page 2 rr -C M ou tu Z CL w 3 0 TO m 0 > tri 0 F 41-� L A tC'_ ti to$ 10 a fJjCy day O ro o eo lY k�l O • w ALIFOR NIA MASSAGE ERAPY COUNCIL One Capitol Mail, Suite 320 1 Sacramento, CA 95814 tel 916.669.5336 fax 916.444.7462 www.camtc.org Yu Fang Wei 1192 Mitchell Ave Apt 105 Tustin, CA 92780-5642 Dear Yu Fang Wei: Congratulations on becoming a California Certified Massage Therapist. You have taken an important step in being recognized as a leading professional in the healing arts. CAMTC certification gives you the freedom to practice In multiple cities without the burden of multiple permits. Below you will find your official ID card that identifies you as a CAMTC Certificate holder. Please keep this with you any time you are at work. if you move to another city or your card is lost/stolen or if your name changes, you will need to pay $15 to replace the ID card. (You may also order a replacement certificate for an additional fee of $15.) Replacement ID and/or certificate may be ordered and paid for at: http:l/wwwcamtcoriziFormDownfoad.aspL Please note: if you are requesting a replacement card/certificate because of a new name, you will need to send copies of the legal documentation (i.e. marriage license or divorce decree) to CAMTC in addition to completing the order form and paying online. You must send this material to the address listed at the top of this letter. Thank you for choosing statewide certification. We look forward to assisting you with any future needs. Sincerely, vow Ahmos Netanel CEO 1A Certified MASUM THELAPY R:.Mo Massage COUNM Therapist Yu Fang Wei Tustin, CA DOB 27-May-72 Cert # 15651 Expires 10/25/2012 62 Incompletion of the Application will cause a delay in processing. City of Tustin Business License Application 300 C4ntennlal Way Tustin, CA 92780 714573 -3144 FAX 714873 -3129 NON - BUILDING CONTRACTOR - BUSINESS OFFICE NOT LOCK d rWY OF TUSTIN Business Name" LI i 1l xl C '- DUSINESS LICENSE ` If other than surnam(�, include a copy of your approved Fictitious Business Name statement filed with the County Clerk.) Business Address Suite NumberAll� (Use of Post Offlce or commercf mailbox for business address is a misdemeanor.) City - ; � — State Zi -- C I % RD Code l 0 Mailing Address City State Suite No. Zip Code Business Phone ( ? Ce11 Phone Q ` ©Y 4, -FAX( Seller's Permit No. / Your E -mail Address (If City of Tustin address; include copy of sellers permit showing Tustin location.) Your Web Address Nature and Type of Goods Sold: Number of Employees at this location If You are a landlord rovide a tenant roster. Business Activity (Please be specific) VV -Miy �Set6f e., Bu ss 'I`ype (check one) Sole Ownership / Independent Contractor / Partnership Corporation / Corporate Identification No. (located on Articles of ❑ LLC Identification No. State Stat mployer Identification No. Tax and Revenue Code requires taxpayer identification, complete the following. If Carp /LLC, use Officer. RESIDENCE ADD P EgS OF Name r - Residence Address 7 City -4 Z- U IV / If partnership, name partn Name Residence Address City LEQUIRED. Driver's License No. _ -,%T= Zip Code _:Y� Emergency Phone Driver's License No. State Zip Code Emergency Phone Approximate Date of the Start of this business at this location in the City of I hereby declare, under penalty of perjury, that the foregoing information is true and correct. As a condition for the issuance of the license applied for. I agree to submit any additional information that may be required and to conduct all phases of this business in conformance with all applicable laws, ordinances and regulations established for such business /profession. In addition, my signature serves to verify that I have been informed that this license renewal is due every January Ist and delinquent ifx /not paid by the first day of February in any year in which business is conducted in the City of Tustin. 2171/, Sign ture Printed amd Title Date SEE TAX SCHEDULE ENCLOSED. MAKE CHECKS PAYABLE TO THE CITY OF TUSTIN. ANY BUILDING CONSTRUCTION OR SIGN INSTALLATION WILL REQUIRE A BUILDING DEP / M A L.l Q `G �zlu 0f- ARTMENT PER14��, . OFFICE USE ONLY PLNG BLDG WATER FIRE J LETTER RECEIPT OF FEES COLLECTED ZONING INITIAIS 04 DATE AMOUNT CHECK # DATE INITIAL / M A L.l Q `G �zlu 0f- IFO ,',-� L IFO, NIA NIA Certified CALIFORNtAl IFCozU,NCIL Massage I MASSAGE THERAPY I !1, i Therapist Yafen Potaracke Lw, Mutwol*,' Alhambra, CA art PWAXACKE, DOB 14-Jul-72 Fm YANFKW, Cert # 18265 Expires 1/612013 "tk c' %I 6w, IFO ,',-� L IFO, NIA NIA Lw, Mutwol*,' ENd art PWAXACKE, Fm YANFKW, "tk c' %I 6w, AM - i cats 0?t4I97X. HAIKES aft#* M, ♦ ♦ 0 4ma r 40 yAj cif R, M, fl II tV low-, ti 9 c O t: E C PO California Massage Therapy Council CALIFORNIA iti MASSAGE THERAI CI Co P7 UNCIL CERTIFY, PROTECT & EDUCATETINI HOME CERTIFICATION RECERTIFICATION SEARCH Page I of I Board Verify Certification Forms FACls Contact Us Login MEETINGS NEWS & EVENTS EDUCATION Cert# Certificate Type Effective Expires Yanfen Potaracke 18265 Certified Massage Therapist 1/612011 116/2013 Alhambra �i 2011 Copyright Califorrija Massage Therapy Council. All rights reserved. ATTACHMENT E TUSTIN POLICE REPORT - _ .., t 2 4 GRir ADULT ARREST ■■ S❑ SUSPENDED d [3 SUSPECT oNLV. TUS71Pi, CA 92780 R ❑ RECORDS @REFER OTHER RPTB K ❑ COURTESY ❑ JUVENILE ARREST ❑ 9uPP1.EMENTTDDAGAPT SUSPECTfARRESTEE REPORT 3 O FEL B,.P� .� T CODE BECTNSN Cry @CRgdEIINCiOENt TYPE 0 PRIMARY• COUNTS 10SECONOARY4 COUNTS 1t OTHE"OUNTS 126THER•COUNTB �a u S" f ('t vT10 rJ 0 �U 13 LOCATION OF GRIME /ARREST `+ N td DATE OF CRIA l ARRESt 1 6 TIME OF CRIMI / ARREST 1 U $•311 11- 1'133 ► tq LlCEN2, 8 17 STATE t8 VEH YR i @ MAKE 20 MODEL. 21 BODY Op UNK 102.OR 2p 4'OR 3p CONV 413 PA! SQ TRUCK STYLE 6 VAN 70 SIW 8QRV 8Q M1D tOQ OTHER U22 COLORICOLOR 23 ER CHARACTERISTK:S OL TIC Oam"IN UM(so MuW of P" ua) i 24 DISPOSITION OF VEH ti! S 25 REGISTERED OWNER. 28 NAME (LAST, FIRST. MIDDLE - SEX 28 28 RACE ❑ WHT p 2 HISP p 3 BLK L �. Q 4IND 5 CHI Q 8 JAPN ❑ 7 FIL 30 AKA ❑ @RISC. p @VIET. ❑100TH :=]�Ll 34 BUILD' 1 THIN ❑ 2 MEO D{�� Q 0 LINK Q 3 HEAVY p 4 MUSCLA 35 "a p 0 UNK p I BFI 2 BLK ❑ 3 8LN 4 RED p 3q EYES Q 0 UNK )0, SRO p 2 BLK p 313LU 37 DL Y 38 STATE ,J a Q 6GRAY ❑861P Q 7WHI ❑ 80TH Q 4BAN ❑ 6HAZEL 00 GRAY p LOTH 39 RESIDENCE ADDRESS 40 ZIP 47 RES. PHONE �... 42 DELL PROF U, 43 BUSINESS OR SCHOOL NAME AND ADDRESS U4T d4 ZIP GRADE 48 BUS. PHONE !� c� 47 SSN R 48 OCCUPATION($) ES-TATUS 50 SOCKING Y 5 V8 PEO Si CLOTHIN G {y p L...ti,} J.S 62 GANG AFFILIATION Q 1 KNOWN HOW KNOWN , q 2 SUSPECTED s3 AMOUNT OF HAIR 021 50 HAIRSTYLE 024 s7 FACIAL HAIR- 025 60 COMPLEXION 027 01 FULL HEAD OF HAIR ❑ 01 REGULAR )f 01 GLEAN SHAVEN 01 LIGHT ❑ 02 THINNING p 02 PART RIGHT ❑ 02 MUSTACHE-THIN ❑ / FAIR Y02 MEDIUM ❑ 03 RECEDING T 03 PART LEFT ❑ 03 MUSTACHE -THICK ❑ 04 BALD ❑ 04 PART CENTER ❑ 03 DARK p 05 UNKNOWN El 05 STRAIGHT BACK ❑ D4 UNSHAVEN ❑ 04 TAM ❑ O6 OTHER.. ❑ 06 COMBED FORWARD ❑ 05 FEW DAYS GROWTH ❑ 05 SUNBURNED ❑ 07 BUZZ JOB O 06 SHORT BEARD ❑ tS FRECKLED ❑ 08 FLAT TOP O 07 LONG BEARD ❑ 07 OLIVE 64 HAIR LENGTH 1022 ❑ OS STRAIGHT CI 08 UNKEMPT BEARD E) 08 RUDDY ❑ 01 VERY SHORT ❑ 10 CURLY OR PERMED ❑ 09 SIDEBURNS ❑ 08 AGNEIPOCKED ❑ 02 SHORT O 03 REGULAR O 11 WAVY O 10 FUMANCHU ❑ 10 WEATHERED O 04 OVER COLLAR ❑ 12 AFRO CLOSE 0 11 GOATEE ❑ 11 WRINKLED ❑ 05 OVER SHOULDERS ❑ 13 AFRO FULL (1 INCH) ❑ 12 UNKNOWN O 12 ALBINO OB LONG, O 14 PROCESSED (BLK ONLY) ❑ 13 OTHER ❑ 13 UNKNOWN ❑ 07 UNKNOWN ❑ 151N CORNROWS ❑ 14 VAN DYKE ❑ 14 OTHER ❑ 08 OTHER O 16 WITH PONYTAIL 61 GLASSES O2S ss HAIR CONDITION 023 ❑ 17 WITH TAIL CLEAN ❑ 18 IN BRAIDS �J" R(L HANDED 628 ❑ 01 YES BUT NO DE3CR. YD1 El 19 NEW WAVE tY 01 RIGHT HANDED 7❑ O 02 PRESCRIPTION ❑ 02 DIRTY ❑ 20 PUNK 02 LEFT HANDED O 03 SUNGLASSES ❑ 03 GREASY ❑ 21 UNKNOWN ❑ 03 UNKNOWN O 04 PLASTIC FRAME • COLOR ❑ 04 MATTED ❑ 22 OTHER ❑ 05 WIRE FRAME p 05 ODOR O 23 SHAVED ❑ 06 CONTACTS �(07 NONE s@ MIRA#40A ADVISEMENT ❑ 06 OTHER ❑ 24 FADE YES ❑ NO ❑ 25 MULLET �S c+ DATEMME 3 ti t Z 0's ❑ 08 UNKNOWN • 7 ❑ 08 OTHER 62 DISPOSITiON:A0UL7 ARRE3T13E Cl DETOX O RELSD O.R. ❑BOOKED OCJ 63 �i}IISD. ARR /CITE /RELEASE ❑ 849b1 ,i p BOOKED OTHER T 4�(a L tj if CMATION w +'} 84 TRANSPORTED BY q5 DATSt17ME g8 Bt iFINGERPRINTED GRAPHED 68 REPORTING OFFICER 110 NQ 68 DATE 70 APPROVED ®Y! IO N 71 DATE w t�az.. g.3�. i Z tb�l dpi 0y'I2, - _ .., PAGE L CAR 172 73 SPEECH G2= TS TEETH 1031 UNIQUE CLOTHING 1033 73 WEAPON TYPE 034 X01 NORMAL p 01 BRACES U 01 BEACH CLOTHES p 01 HANDS LISP C] 02 BUCKED C1 02 TRANSIENT LT. 02 FEET p 03 CLUB p 03 SLURRED p 03 CHIPPED LI 03 CONSTRUCTION p 04 GANG STYLE p 04 MARTIAL ARTS p 04 STUTTER p 04 MISSING p 05 PUNK p 05 BASEBALL BAT p 05 NUNCHUKU ( 65 DEEP p 05 CROOKED Cl O6 MILITARY OTHER p 07 OTHER flTRIKiNG OBJECT STRIKING Cl 07 OTHER UNIFORM p 08 KNIFE p 06 HIGH PITCHED p 08 GOLD f SILVER CAPPED 0'08 WELL DRESSED p 09 BOTTLE p 07 SOFT p OT STAINED XO9 NORMAL DAY CLOTHES p 10 SIMULATED FIREARM p 10 HAT p 11 TOY GUN p 08 UNKNOWN OR NOT HEARD l 06 NORMAL TEETH p 11 SKI MASK p 12 HANDGUN p 09 OTHER Cl 09 UNKNOWN p 12 STOCKING MASK p 13 NONEt SHOTGUN (� 14 NONE p 10 OTHER, p 13 UNKNOWN L� 15 UNKNOWN L73 14 OTHER Cl 16 OTHER +. 74 ACCENT 630 TB SCARS, MARKS, OR TATTOOS 032 79 FIREARM DETAIL Q36 C1 01 US NORMAL p 01 BLUE STEEL n 02 US SOUTHERN CT. 41 FACE 17 10 RIGHT SHOULDER p 02 CHROME/ NICKEL Cl 03 US EAST COAST p 02 TEETH p 03 NECK p 11 LEFT SHOULDER 12 FRONT TORSO f l-Z "" p 03 REVOLVER U 04 AUTOMATIC L] 04 BLACK SLANG tj ! J 05 DERRINGER El OS SPANISH p 04 RIGHT ARM I_� 13 BACK TORSO p 00 PUMP CT. OB ASIAN p 05 LEFT ARM I� 14 MISSING FINGERS _._, p 07 flOLT ACTION p 06 RIGHT HAND p 15 MISSING LIMBS C) 08 DOUBLE BARREL p OT EUROPEAN p 09 OVER -UNDER CI 08 MIDDLE EAST U 07 LEFT HAND p 16 UNKNOWN tJ 10 DISGUISED FIREARM p 08 RIGHT LEG p 17 OTHER Cl I 1 SAWED OFF it 09 JAMAICAN U 09 LEFT LEG pg 12 ALTERED STOCK p 10 UNKNOWN OR NOT HEARD - L 13 NONE iIOTHEft <t T-JL -I % p 1 4 UNKNOWN p I5 OTHER -JUVENILES ONLY 80 FATHER (LAST. FIRST. MIDDLE) 01 OCCUPATION 02 D.O.S. A3 NOTIFtE4 04 BATE 85 TIME p YES D� NO 80 RESIDENCE ADDRESS 07 CITY 80 ZIP CODE BS RES, PHONE 90 CELL PHONE D I t ! 01 BUSINESS ADDRESS 92 CITY 93 ZIP CODE 04 BUS. PHONE t i 98 MOTHER (LAST, FIRST. MIDDLE) 90 OCCUPATION 90 NOTIFIED 90 DATE I00 TIME uYES ONO 10t RESIDENCE ADDRESS iIM CITY 103 ZIP CODE 104 RES. PHONE ( ! 106 CELL PHONE ( ) t00 BUSINESS AOORESS 107 CITY ISIS DP CODE IN BUS. PHONE 110 STEP FATHER MST, FIRST, MIDDLE) i I I OCCUPATION 112 DOB. i 13 NOTIFIED 114 DATE I IS TIME AYES ONO 116 RESIDENCE AOOAE33 117 CITY 110 ZIP Cow Ito "ES. PHONE 120 CELL. PHONE 121 Bi7SIFIESS ADDRESS 172 CITY 128 ZIP COW 124 BUS. PHONE i ! 126 STEP MOTHER tLAST, FIRST. MItStN,E.) 126 OCCUPATION t27 D.O2. 120 NORFtED M. DATE 130 TIME CI YES LT. NO 131 RESIDENCE ADDRESS 132 CITY 155 ZIP CODE 154 RES. PFINw 156 CELL PRONE t 1 { y 116 BUSINESS ADDRESS 137 CITY 179 ZIP CODE t I:W BU9. PHONE ) 140 LEGAL GUARDIAN (LAST, FIRST MIDDLE) 141 OCCUPATION 1112 D.O.O: 143 NOTIFIED 144 DATE 145 TIME DYES C7NO 140 RESIDENCE ADDRESS 147 CITY 148 ZIPCOOR 9 RES. PHONE 150 CELL PRONE 114 i t t ! 151 BUSINESS ADDRESS 152 Cl TY 153 ZtPCOOE rtlu SUS.PHONE 1 155 DISPOSITION: JUVENILE (MUST BE COMPLETED) 1-1 RELEASED TO PARENT I-I DETAINED JUVENILE HALL - PARENT NOTIFIED t l YES NO t 7 YOUTH SHELTER HOME (-D UNABLE TO LOCATE PARENT El PARENT REFUSED CUSTODY 158 FOLLOW UP: (MUST BE COMPLETED) [I NO FOLLOW UP REQUIRED :;' FOLLOW UP REOUIREO I J DIVERSION r ]]PETITION t_.i INFORMAL COUNSEL 157 REPOR7tNGOFFICERIIDNO. 150 DATE I59 APPROVED BY 710 FIG. 100 GAPE iC3ot, 8.3� • 1 t._ 8� G F. _V TUSTIN Annrrl^SlAl ►8ARAV --L% PAGE POLICE DEPARTMENT ""4Y "" I DRY TPO 6103A (REV 9/2006) 2 000E SECTION 3 CRIME 4 REFER OTHER REPORTS S LOCATION 6 AREA SSAto fp K)L.— q 7 COON 6 NAME EAST, FIRST, MIDDLE! 9 OCCUPATION 10 O.O.E. i t SE% 5V (3 1 l o t q-- (,+ l4F— 5 A tl y—(j 12 RACE q Y WHT p 2 HMP 0 3 SLX ❑ 6 JAPN q 7 F9. q 6 P.ISL. ❑ 9 VIET q 10 OTH: 13 RESIDENCE ADDRESS 14 CITY STATE ZIP CODE i5 Has. PHONE 16 HR L it Q� (A \ B 6 \ ( r S. 3 .Z 17 all N ftg NAME 6 AMRESS i8 CITY STATE ZIP CODE 19 SUB, PHONE 20 Wi*. 5A �* 11..x.,. AV .M S-T\ - 21 EMAIL 22 CELL PHONE. 23 LICENSES 24 STATE 26 YEAR 26 MAKE 27 MODEL ODY 00 UNK 204 -OR 40 PA! 60 VAN .. 8q RV 10p OTHER STYLE 10 2 -DR 30 CONY 50 TRUCK 70 SAW 9q WC 29 COLORICOLOR 30 OTHER CHARACTERISTICS 31 DISPOSITION OF VEHICLE 32 COOS 33 NAME (LAST. FIRST, MIDDLIB 34 OCCUPATIC 3S O.O.& 1 36 SEX 37 RACE❑., 1 WHT ❑ 2 HISP 0 3 0LK P �9 0 7 fl1 'f 1 F p B SI WET ❑ 100 H 38 RESIDENCE AOTJRB98 39 CITY STATE ZIP CODE 40 RES. PHONE dt HiC W / ,y 111—V I, N� C-A 6 G `t ! ) 42 SU8INESSNAMI! &ADDRESS....... 43 CITY STATE ZIP CODE 44 BUS. PHONE 45 VVr Yl it t ( r cxN)G 46 EMAIL ( 47 CELL PHONE 46 LICENSES 49 SLATE 50 YEAR 81 MAKE 52 MODEL SB�.Y ­JOG ! 00 UNK 204-OR 40 PAJ 60 VAN S❑ RV OTHER STYLE 1 ❑ 2-OR 3p CONY 60 TRUCK 70 SJW 80 MID I I 34 COLOR/COLOR 55 OTHER CHARACTERISTICS 58 DISPOSITION OF VEHICLE 67 CODE 58 NAME (LAST: FIRST, MIDDLE) Be OCCUPATION 80 D.O.& 1 81 9E% 62 RACE p t WHT q 2 HISP q 3 BLK p 7 M 0 41NO O S CHt 0 8 JAPN 0 7 FIL ❑ Y F 0 S PISL ❑ 9 MET O I O GTH 63 RESIDENCEADDRESS 64 CRY STATE ZIP CODE 85 RES. PHONE ( ) 06 HT: 07 BUSINESS NAME d ADDRESS 68 CITY STATE ZIP CODE 69 BUS. PHONE ( ) 70 WP. It EMAIL 72 CELL PHONE 73 LICENSE 74 STATE 75 YEAR 78 MAKE 17 MODEL 1 OOY 00 UNK 204.OR 40 PAI Bp VAN eq RV 100 OTHER W > ❑ 2-OR SO CONY SOTRUCK 7p S/W 90 MJC 79 COLORICOLOR 80 OTHER CHARACTERISTICS 81 DISPOSTON OF VEHICLE 82 CODS 83 NAME (LAST: FIRST. MID" 84 OCCUPATION 85 D.O.& 86 SEX 87 RACE ❑ 1 WHT 0 2 HISP 0 3 BLK 0 1 M q 41ND ❑ S CHI p e JAPN 0 7 FIL 07 F ❑6P.18L p9VIL 0100TH 86 RESIDENCE ADORES 89 GRY STATE ZIP CODE 90 RES. PHONE 9/ HT. W ( ) 92 BUSINESS NAME d ADDRESS 93 CRY STATE ZIP CODE 94 BUS, PHONE ss Wit 98 EMAIL 97 CELL PHONE ( ) 98 LICENSES 90 STATE lDO YEAR 101 MAKE 102 MODEL �� Op UNK 204 -DR 4❑ PIU 6p VAN SO RV 100 OTHER W 9 STYLE 10 2 -DR 30 COW S ❑TRUCK 70 S/W 90 M/C 704 COLOR/COLOR 105 OTHER CHARACTERISTICS 108 DISPOSITION OF VEHICLE 107 CODE 108 NAME (LAST, FIRST, MIDDLE) IO90CCUPATiON 7t0 O.O.B. 1 711 SEX 112 RACE 0 t WHT 0 2 HISP ❑ 3 SLK ❑ 1 M p 41ND ❑ S CM 0 6 JAPN 0 t FIL O 1 F 0 8 RISL q e VIET n 70 oTH_ W 113 RESIDENCE ADDRESS 114 CITY STATE ZIP CODE 116 RES. PHONE 116 HT. 117 BUSINESS NAME & ADDRESS 116 CITY STATE ZIP CODE 119 SUS. PHONE 120 WI: 121 EMAIL 122 CELL PHONE ( I 123 LICENSE 8 124 STATE 125 YEAR 126 MAKE 127 MODEL 128 S 0 ❑ UNK 2 ❑ 4-OR 4 p P/U 8 ❑ VAN 8 0 RV 10 p OTHER BODY UI 87YLE 10 2 -DR 3C CONY Sp TRUCK 70 S/W 90 M/C y iz9 coLOWCOLOR i30 OTHER CHARACTERISTICS 731 DISPOSITION OF VEHICLE 132 REPORTING OFFICER / 10 NO. i 33 DATE 134 APPROVED BY / ID NO. 135 DATE 4 1 OO $- 31.11_.. ADDITIONAL NAMES 1 LAW ENFORCEMENT PERSONNEL ONLY A- ASSISTED AT SCENE C- CRIME SCENE INVESTIGATION F- ASSIGNED FOLLOW -UP OFFICER PAGE P- PERIMETER ASSIST W- WITNESS TWSTIN POLICE DEPARTMENT NARRATIVE REPORT 647(b) P.C. Prostitution | have been a police officer for 19years, |am currently a detective ass' assigned / and have been doing this �job for 5yean� Special - '-- reaponsibUNUesindudenarcot|o�vice, fumdt�eapprehension and other -unde primary undercover uns. On Friday, August 31, 201210mmsaw a new massage parlor had recently opened at 13846 Red Hill Avenue. /med into the massage parlor and spoke to the woman atthe front desk, Huang. nd I were in the parking lot. queytedanhour massage. Huang told himmitvvom|d cost ��� idH - d---� - . u�w�m��m���a uan�anusheescortedh|rntm room number 2. After'approximately 45 minutesdIMMOM gave the arrest signal and and | entered the business. See supplemnenta|report for full details. - �--- |detained Huang and two other masseuses working in the business, Potarcke and WeL|took photographs uf the business and uploaded them into the police computer system. |placed Huang under arrest and Officer 400OWransported her to the Tustin Police Department. Huang spoke Mandarin Chinese and very limited English sm/ used the language line for translation. ! advised Huang of her rights per Miranda. Huang told mne she understood her rights and was willing to talk tome. , Huang told nne she has worked for the massage parlor for two weeks. Huang told rne she never touched 111110M penis. | told Huang, "Are you claiming ��� Huar���me she vxantedt# talk toanattorney. -----~~~ lying?"' |asked Huang several questions trying to determine if Huang was a victim of human trafficking, Huang was released on a written promise to appear for 647(b) P.C. Prostitution under T.P.D. citation number TS96244. #10D Special Investigation Tustin Police Department Supplemental Report Cr #12-4935 On 08-31-12 at 1400 hrs I was assigned to the Special Investigations Unit working in an undercover capacity. During the previous week, I had spoken to several TPD, police officers who said they have seen numerous males coming and going from 13846 Redhill Ave., a recently opened massage parlor within a shopping strip mall. This type of activity is an indicator that the location might be involved in prostitution. At the listed date and time, I obtained $100-00 of TPD funds and responded to the location dressed in shorts and a t-shirt, driving an unmarked police vehicle wearing a concealed wire, Detectivespbllowed me to the location in an unmarked police vehicle. Upon my arrival at the location I walked into the business via an unlocked front door and I was met by Susan, later identified as Lixia Huang, at the front desk. I asked Huang if she had any appointments available and she said yes. She asked me how long of a massage I wanted and I told her one hour. Huang said an hour massage was $60.00 and she asked me to follow her to a massage room. Once inside the room she asked me for the $60.00 at which time I paid her. Huang said she would be back shortly and asked me to undress. Once Huang left the massage room I undressed and wrapped a towel around my waist and waited for Huang to return. When she did she asked me to lie on my stomach on the massage table. Huang proceeded to massage my back, buttocks and legs for 45 minutes. Huang then asked me to lie on my back. When I lay on my back, Huang left my entire body uncovered and proceeded to massage my stomach and inner thighs. I proceeded to rub Huang's legs and hip area which, based on my training and experience, is an indicator to a prostitute that you want a sexual act performed during a massage. After a few minutes, Huang asked me, "you want this?" made a motion with her hand and arm indicating if I wanted her to masturbate me. I said yes and gave the predetermined arrest signal. Huang then proceeded to pour oil on my penis and attempted to masturbate me. I tried to get Huang to change her positioning at the table to stop masturbating me until the arrest team arrived. A few moments later, DetectivelAIIIIIIIIIIIIIIII opened the door to the massage room and escorted Huang outside. I told Detectivd�of the events that transpired in the massage room between Huang and 1. J�ftTurner placed Huang under arrest for 647(b) PC. Attach this supplemental report to Detective original report Sgt- S. Quinn #1021 ATTACHMENT F (RE: BUSINESS LICENSES) Community Development Department SENT VIA CERTIFIED AND U.S. MAIL September 13, 2012 WD Massage Yun Zhao Deng 27111 Mariscal Lane Mission Viejo, CA 92691 TUSTIN 3UILDING OUR FUTURE HONORING OUR PAST SUBJECT: NOTICE OF INVALID BUSINESS LICENSE 13846 RED HILL AVENUE — WD MASSAGE mzz�� On June 11, 2012, the City of Tustin issued you a business license to operate a massage business at 13846 Red Hill Avenue. According to information obtained by the City of Tustin Police Department, an arrest was made for prostitution at the subject location on August 31, 2012, Because the information provided in your original business license application does not contain an accurate description of the nature of the business being conducted and because the business being conducted is unlawful, please be advised that your business license (Business License #99061780) is hereby deemed invalid. Pursuant to Tustin City Code section 2512(g), you may appeal this decision to the City Planning Commission by filing a written appeal with the City Clerk within ten (10) calendar days of the date of this letter. The written appeal shall specify the decision appealed from, the specific action or relief sought by the appellant, and the reasons why the action taken should be modified or reversed. You are entitled to be represented by counsel at the appeal hearing. You may present evidence and shall be given a full opportunity to show why the subject license should not be deemed invalid. Please contact Scott Reekstin, Senior Planner, at (714) 573-3016 if you have any questions regarding this matter. Sincerely, Elizabeth A. Binsack Community Development Director cc: Property Owner City Manager City Attorney Police Chief Code Enforcement City Clerk SR \Scott \business \WD Massage 13846 Red Hill Invalid.doc 100 Centennial Wlv, Tustin, CA 92780 (71 4) 573-3100 * F: (1-t-1) 573-31 13 a WWW Community Development Department SENT VIA CERTIFIED AND U.S. MAIL September 13, 2012 Lixia Huang 137 Topeka Irvine, CA 92604 TUSTIN 11)(A LDING OUR FUTURE HONORING OUP 14AST SUBJECT: NOTICE OF INVALID BUSINESS LICENSE 13846 RED HILL AVENUE — LIXIA HUANG Dear Ms. Huang: On August 15, 2012, the City of Tustin issued you a business license to operate as a massage therapist at 13846 Red Hill Avenue. According to information obtained by the City of Tustin Police Department, you were arrested for prostitution at the subject location on August 31, 2012. Because the information provided in your original business license application does not contain an accurate description of the nature of the business being conducted and because the business being conducted is unlawful, please be advised that your business license (Business License #99061956) is hereby deemed invalid. Pursuant to Tustin City Code section 2512(g), you may appeal this decision to the City Planning Commission by filing a written appeal with the City Clerk within ten (10) calendar days of the date of this letter. The written appeal shall specify the decision appealed from, the specific action or relief sought by the appellant, and the reasons why the action taken should be modified or reversed. You are entitled to be represented by counsel at the appeal hearing. You may present evidence and shall be given a full opportunity to show why the subject license should not be deemed invalid. Please contact Scott Reekstin, Senior Planner, at (714) 573-3016 if you have any questions regarding this matter. Sincerely, Elizabeth A. Binsack Community Development Director cc: Property Owner City Manager City Attorney Police Chief Code Enforcement City Clerk SR\Scott\business\WD Massage Lixia Huang 13846 Red Hill Invalid.doc 300 Centennial Wly, Tustin, CA 927 80 0 1': ( 7 14) .573 -3 100 vww.tustinca.org r i MIA 114- w a • .12 : - (RE: MASSAGE ESTABLISHMENT PERMIT) Finance Department Tu TI N SENT VIA CERTIFIED AND U.S. MAIL September 13, 2012 WD Massage FOR Yun Zhao Deng BUILDING OUR FUTURE 27111 Mariscal Lane H0N0R1`-1'6 OUR ('AST Mission Viejo, CA 92691 SUBJECT: PROPOSED REVOCATION OF MASSAGE ESTABLISHMENT PERMIT FOR WD MASSAGE AT 13846 RED HILL AVENUE Dear Ms. Deng: Can June 11, 2012, the City of Tustin issued you a massage establishment permit as the owner and operator of a massage business to be located at 13846 Red Hill Avenue. Pursuant to Tustin City Code Section 3722, notice is hereby given that on October 23, 2012, the Tustin Planning Commission will hold a hearing to consider the proposed revocation of your massage establishment permit. The meeting starts at 7:00 p.m. in the City Council Chambers. A copy of the meeting agenda and the staff report for the proposed revocation will be available no later than 72 hours prior to the scheduled meeting. The proposed revocation of your massage establishment permit is based on the following reasons: You have violated Tustin City Code Section 3669, which holds you responsible for any violations committed by your employees whether or not such violations occurred without your knowledge. The violation occurred on August 31, 2012, when the Tustin Police Department made an arrest for prostitution at WD Massage. • You have violated Tustin City Code Section 3667(u), which requires that an owner, operator, or manager shall be at the massage establishment at all times when massages are being performed. At the time of the arrest on August 31, 2012, you were not present at the facility. You are entitled to be represented by counsel at the hearing. You may present all pertinent and relevant evidence pertaining to the proposed revocation. Should you have any questions regarding the proposed revocation, please contact Scott Reekstin at (714) 573-3016. Sincerely, Jenny Leisz Accounting Manager 300 Centennial Way, Tustin, CA 92780 * P: t714) 573 3060 0 F (714; 832 0825 * wwwttistinca.org i l - ■ CALIFORNIA BUSINESS AND PROFESSIONS C• SECTIONS 4600 - 4613 CA Codes (bpe:4600-4620) 4600. As used in this chapter, the -following terms shall have the -lowing meanings: (a) "Approved school" or "approved massage school" means a school approved by the council that meets mini-mum standards for training and curriculum in massage and related subjects and that meets any of the following requirements: (1) is approved by the Bureau for Private Postsecondary Education. (2) Is approved by the Department of Consumer Affairs. (3) Is an institution accredited by the Accrediting Commission for Senior Colleges and Universities or the Accrediting Commission for Cc,mmunity and junior Colleges of the Western Association of Schools and Colleges and that is one of the following: (A) A public institution. (B) An institution incorporated and lawfully operating as a nonprofit oublic benefit corporation pursuant to Part 2 (commencing with Section 5110) of Division 2 of Title J - tle 1 of the Corporations Code, and that is not managed by any entity for profit. (C) A for - profit institution. (D) An institution that does not meet all of the criteria in subparagraph (B) that is incorporated and lawfully operating as a nonprofit public benefit corporation pursuant to Part 2 (commencing with Section 5110) of Division 2 of Title 1 of the Corporations Code, that has been in continuous operation since April 15, 1997, and that is not managed by any entity for profit. (4) IS a college or university of the state higher education system, as defined in Section 100850 of the Education Code. (5) Is a school of equal or greater training that is recognized by the corresponding agency in another state or accredited by an agency recognized by the United States Department of Education. (b) "Compensation" means the payment, loan, advance, donation, contribution, deposit, or gift of money or anything of value. (c) "Massage therapist," "bodyworker," "bodywork therapist," or massage and bodywork therapist" means a person who is certified by the California Massage Therapy Council under subdivision (c) of Section 4601 and who administers massage for compensation, (d) " "Massage practitioner," "bodywork practitioner," or "massage and bodywork practitioner" means a person who is certified by the California Massage Therapy Council under subdivision (b) of Section 4601 and who administers massage for compensation. (e) "Council" means the California massage Therapy Council created pursuant to this chapter, which shall be a nonprofit organization exempt from taxation under Section 501(c)(3) of Title 26 of the United States Code. The council may commence activities as authorized by this section once it has submitted a request to the Internal Revenue Service seeking this exemption. Whenever the term ' "organization" is Used in this chapter, it shall mean the council, except where the context indicates otherwise. (f) "Registered school" means a school approved by the council that meets minimum standards for training and curriculum in massage and related subjects and that either is approved by the Bureau for Private Postsecondary Education or the Department of Consumer Affairs, or is an institution accredited by the senior commission or the junior commission of the Western Association of Schools and Colleges as defined in paragraph (3) of subdivision (a), is a college or university of the state higher education system as defined in Section 100850 of the Education Code, or is a school of equal or greater training that is approved by the corresponding agency in another state. (g) For purposes of this chapter, the terms "massage" and Page I of 11 http:llwww.leginfo.ca.govicgi-binldisplaycode?section=bpc&group=04001-05000&file=4600-4620 0610412012 CA Codes (bpc:4600-4620) "bodywork" shall have the same meaning. 4600.5. (a) The California Massage Therapy Council, as defined in subdivision (e) of Section 4600, shall be created and shall have the responsibilities and duties set forth in this chapter. The council may take any reasonable actions to carry out the responsibilities and duties Set forth in this chapter, including, but not limited to, hiring staff and entering into contracts. (b) (1) The council shall be governed by a board of directors made up of two representatives selected by each professional society, association, or other entity, whose membership is comprised of massage therapists and that chooses to participate in the council. To qual.-'---,,,, a professional society, association, or other entity shall have a dues-paying membership in California of at least 1,000 individuals for the last three years, and shall have bylaws that require its members to comply with a code of ethics. The board of directors shall also include each of the following persons: (A) One member selected by each statewide association of private Postsecondary schools incorporated on or before January 1, 2010, whose member schools have together had at least 1,000 graduates in each of the previous three years from massage therapy programs meeting the approval standards Set forth in subdivision (a) of Section 4600, except from those qualifying associations that choose not to exercise this right of selection. (B) One member selected by the League of California Cities, unless that entity chooses not to exercise this right of selection. (C) One member selected by the California State Association of Counties, unless that entity chooses not to exercise this right of selection. (D) One member selected by the Director of Consumer Affairs, unless that entity chooses not to exercise this right of selection. (E) One member appointed by the Office of the Chancellor of the California Community Colleges, unless that entity chooses not to exercise this right of selection. The person appointed, if any, shall not be part of any massage therapy certificate or degree program. The council's bylaws shall establish a process for appointing other professional directors as determined by the board. (2) The initial board of directors shall establish the council, initiate the request for tax-exempt status from the internal Revenue Service, and solicit input from the massage community concerning the operations of the council. The initial board of directors, in its discretion, may immediately undertake to issue the certificates authorized by this chapter after adopting the necessary bylaws or other rules, or may establish by adoption of bylaws the permanent governing structure prior to issuing certificates. (c) The board of directors shall establish fees reasonably -related to the Cost of providing services and carrying out its ongoing responsibilities and duties. Initial and renewal fees shall be established by the board of directors annually. (d) The meetings of the council shall be subject to the rules of the Bagley-Keene Open Meeting Act (Article 9 (commencing with Section 11120) of Chapter 1 of Part 1 of Division 3 of Title 2 of the Government Code). 4601. (a) The council shall issue a certificate under this chapter to an applicant who satisfies the requirements of this chapter. (b) (1) in order to obtain certification as a massage Page 2 of L1 1-ittp:llwww.leginfo.ca.gov/cgi-blnldisplayeode?section=bpc&group=04001-05000&file=4600-4620 06/04/2012 CA Codes (bpc:4600-4620) practitioner, an applicant shall submit a written application and provide the council with satisfactory evidence that he or she meets all of the following requirements: (A) The applicant is 18 years of age cr older. (B) The applicant has successfully completed, at a single approved school, curricula in massage and -related subjects totaling a minimum of 250 hours that incorporates appropriate school assessment of student knowledge and skills. Included in the hours shall be instruction addressing anatomy and physiology, contraindications, health and hygiene, and business and ethics, with at least 100 hours of the required minimum 250 hours devoted to these curriculum areas. (C) All fees required by the council have been paid. (2) -flew certificates shall not be issued pursuant to this subdivision after December 31, 2013. Certificates issued pursuant to this section or subdivision (a) or (c) of Section 4604 on or before December 31, 2015, shall, after December 31, 2015, be renewed without any additional educational requirements, provided that the certificate holder continues to be qualified pursuant to this chapter. (c) In order to obtain certification as a massage therapist, an applicant shall submit a written application and provide the council With satisfactory evidence that he or she meets all of the following requirements: (1) The applicant is 18 years of age or older. (2) The applicant satisfies at least one of the following requirements: (A) He or she has successfully completed the curricula in massage and related subjects totaling a minimum of 500 hours. Of this 500 hours, a minimum of 250 hours shall be from approved schools. The remaining 250 hours required may be secured either from approved or registered schools, or from continuing education providers approved by, or registered with, the council or the Department of Consumer Affairs. After December 31, 2015, applicants may only satisfy the curricula in massage and related subjects from approved schools. (B) The applicant has passed a massage and bodywork competency assessment examination that meets generally -recognized psychometric principles and standards, and that is approved by the board. The successful completion of this examination may have been accomplished before the date the council is authorized by this chapter to begin issuing certificates. (3) All fees required by the council have been paid. (d) The council shall issue a certificate to an applicant who meets the other qualifications of this chapter and holds a current and valid registration, certification, or license from any other state whose licensure requirements meet or exceed those defined within this chapter. The council shall have discretion to give credit for comparable academic work completed by an applicant in a program outside of California. (e) An applicant applying for a massage therapist certificate shall file with the council a written application provided by the council, showing to the satisfaction of the council that he or she meets all of the requirements of this chapter. (f) Any certification issued under this chapter shall be subject to -renewal every two years in a manner prescribed by the council, and shall expire unless renewed in that manner. The council may provide for the late renewal of a license. (g) (1) The council shall have the responsibility to determine that the school or schools from which an applicant has obtained the education required by this chapter meet the requirements of this chapter. if the council has any reason to question whether or not the Page 3 of 11 littp:llwww.leginfo.ca.gov/cgi-bin/displaycode?section=bpc&group=04001-05000&file=4600-4620 06/04/2012 CA Codes (bpc:4600-4620) applicant received the education that is required by this chapter from the school or schools that the applicant i43 claiming, the council shall investigate the facts to determine that the applicant received the required education prior to issuing a certificate. (2) For purposes of paragraph (1) and any or-her provision of this chapter for which _he council is authorized to receive factual information as a condition of taking any action, the council shall have the authority to conduct oral interviews of the applicant and others or to make any investigation deemed necessary to establish that the information received is accurate and satisfies any criteria established by this chapter. 4601.2. No certificates shall be issued by the organization pursuant to this chapter prior to September 1, 2009. 4601.3. (a) Prior to issuing a certificate to the applicant or designating a custodian of records, the council shall require the applicant or the custodian of records candidate to submit fingerprint images in a form consistent with the requirements of this section. The council shall submit the fingerprint images and related information to the Department of Justice for the purpose of obtaining in-formation as to the existence and nature of a record of state and federal level convictions and of state and federal level arrests for which the Department of Justice establishes that the applicant or candidate was released on bail or on his or her own recognizance pending trial. Requests for federal level criminal offender record information received by the Department of Justice pursuant to this section shall be forwarded to the Federal Bureau of Investigation by the Department of Justice. The Department of Justice shall review the information returned from the Federal Bureau of Investigation, and shall ccmoile and disseminate a fitness determination regarding the -applicant or candidate to the council. (b) The Department of Justice shall provide information to the council pursuant to subdivision (p) of Section 11105 of the Penal Code. (c) The Department of Justice and the council shall charge a fee sufficient to cover the cost of processing the request for state and federal level criminal offender record information. (d) The council shall request subsequent arrest notification service from the Department of Justice, as provided under Section 11105.2 of the Penal Code, for all applicants for licensure or custodian of records candidates for whom fingerprint images and related information are submitted to conduct a search for state and federal level criminal offender record information. (e) This section shall become operative September 1, 2009, 4601.4. Council directors, employees, or volunteer individuals may undergo the background investigation process delineated in Section 4601.3. 4602. (a) The council may discipline a certificate holder by any, or a combination, of the following methods: (1) Placing the certificate holder on probation. Page 4 of 11 http:llwwAv.leginfo.ca.gov/cgi-bin/displaycode?section=bpc&group=04001-05000&file=4600-4620 06/0412012 CA Codes ftc:4600-4620) (2) Suspending the certificate and the rights conferred by this chapter on a certificate holder for a period not to exceed one year. (3) Revoking the certificate. (4) Suspending ng or staying the disciplinary order, or portions of -t, with or without conditions. 13) Taking other action as the council-, as authorized by this chapter or its bylaws, deems Proper. 'b) The council may issue n on probation, a initial certificate with specific terms and conditions, to any applicant. (c) (1) Notwithstanding any other provision of law, if the council receives notice that a certificate holder has been arrested and charges have been filed by the appropriate prosecuting agency against the certificate holder alleging a violation of subdivision (b) of Section 647 of the Penal Code or any other offense described in subdivision (h) of Section 4603, the council shall take all of the followina actions: (A) immediately suspend, on an linterim basis, the certificate of that certificate holder. (B) Notify the certificate holder within 10 days at the address last filled with the council that the certificate has been suspended, and the reason for the suspension. (C) Notify any business within 10 days that the council has in its records as employing the certificate holder that the certificate has been suspended. (2) Upon notice to the council that the charges described in paragraph (1) have resulted in a conviction, the suspended certificate shall become subject to permanent revocation. The council shall provide notice to the certificate holder within 10 days that it has evidence of a valid record of conviction and that the certificate will be revoked unless the certificate holder provides evidence within 15 days that the conviction is either invalid or that the information is otherwise erroneous. (3) Upon notice that the charges have resulted in an acquittal, or have otherwise been dismissed prior to conviction, the certificate shall be immediately reinstated and the certificate holder and any business that received notice pursuant to subparagraph (C) of paragraph (1) shall be notified of the reinstatement within 10 days. 4602.5. (a) Upon the request of any law enforcement agency or any other representative of a local government agency with responsibility for regulating, or administering a local ordinance relating to, massage or massage businesses, the council shall provide information concerning a certificate holder, including, but not limited to, the current status of the certificate, any history of disciplinary actions taken against the certificate holder, the home and work addresses of the certificate holder, and any other information in the council's possession that is necessary to verify facts relevant to administering the local ordinance. (b) The council shall accept information provided by any law enforcement agency or any other representative of a -local government agency with responsibility for regulating, or administering a local ordinance relating to, massage or massage businesses. The council shall have the responsibility to review any information received and to take any actions authorized by this chapter that are warranted by that information. Page 5 of 11 littp:llwww.leginfo.ca.gov/cgi-blnldisplaycode?section=bpc&group=04001-05000&file=4600-4620 06%0412012 CA Codes (bpc:4600-4620) .603 J . It is a violation of this chapter for a certificate holder to comm-L and the council may deny an application for a certificate or discipline a certificate holder for, any of the following: (a) T-`nprofeS31onal conduct, including, but not limited to, denial of licensure, revocation, suspension, restriction, or any other disciplinary action against a certificate holder by another state or territory of the United States, by any other government agency, or by another California health care professional licensing board. A certified copy of the decision, order, or judgment shall be conclusive ve evidence of these actions. (h) Procuring a certificate by fraud, misrepresentation, or mistake. (c) Violating or attempting to viol-ate, directly or indirectly, or assisting in or abetting the violation of, or conspiring to violate, any provision or term of this chapter or any rule or bylaw adopted by the council. is (d) Conviction of any felony, or conviction of a misdemeanor that substantially related to the qualifications or duties of a certificate holder, in which event the record of the conviction shall be conclusive evidence of the crime. me. (e) Impersonating an applicant or acting as a proxy for an applicant in any examination referred to under this chapter for the issuance of a certificate. (f) Impersonating a certified practitioner or therapist, or permitting or allowing an uncertified person to use a certificate. (q) Committing any fraudulent, dishonest, or corrupt act that is substantially related to the qualifications or duties of a certificate holder, (h) Committing any act punishable as a sexually related crime. 4603-1. (a) No certificate holder or certificate applicant may be disciplined or denied a certificate pursuant to Section 4603 except according to procedures satisfying the requirements of this section. A denial or discipline not in accord with this section or subdivision (c) of Section 4602 shall be void and without effect. (b) Any certificate applicant denial or certificate holder discipline shall be done in good faith and in a fair and reasonable manner. Any procedure that conforms to the requirements of subdivision (c) is fair and reasonable, but a court may also find other procedures to be fair and reasonable when the full circumstances of the certificate denial or certificate holder discipline are considered. (c) A procedure is fair and reasonable when the procedures in subdivision (c) of Section 4602 are followed, or if all of the following apply: (1) The provisions of the procedure have been set forth in the articles or bylaws, or copies of those provisions are sent annually to all the members as required by the articles or bylaws. (2) It provides the giving of 15 days prior notice of the certificate denial or certificate holder discipline and the reasons therefor. (3) It provides an opportunity for the certificate applicant or certificate holder to be heard, orally or in writing, not less than five days before the effective date of the certificate denial or certificate holder discipline by a person or body authorized to decide that the proposed certificate denial or certificate holder discipline not take place. Page 6 of 11 I iittp://www.leginfo.ca.gov/cgl-bin/displaveode?section=bpc&group=04001-05000&file=4600-4620 06/04/2012 CA Codes (bpc:4600-4620) (d) Any notice required under this section may be given by any method reasonably calculated to provide actual notice. Any notice given by mail must be given by first-class or certified mail sent to the last address of the certificate applicant or certificate holder shown on the ounci 's records. (e) Any action challenging a certificate denial or certificate holder discipline, including any claim alleging defective notice, shall be commenced within one year after the date of the certificate denial or certificate holder discipline. If the action is Successful, the court may order any relief, including reinstatement, that it finds equitable under the circumstances. (f) This section governs only the procedures for certificate denial or certificate holder discipline and not the substantive grounds therefor. A certificate denial or certificate holder discipline based upon substantive grounds that violates contractual or other rights of the member or is otherwise unlawful is not made valid d by compliance with this section. (g) The council shall be sued only in the county of its principal office. 4603.5. It shall be the responsibility of any certificate holder to notify the council of his or her home address, as well as the address of any business establishment where he or she regularly works as a massage therapist or massage practitioner, whether as an employee or as an independent contractor. A certificate holder shall notify the council within 30 days of changing either his or her home address or the address of the business establishment where he or she regularly works as a massage therapist or massage practitioner. 4603.7. A certificate holder shall include the name under which he or she is certified and his or her certificate number in any and all advertising and shall display his or her certificate at his or her place of business. 4604. (a) Notwithstanding Section 4601, the council may grant a massage practitioner certificate to any person who applies on or before January 1, 2012, with one of the following: (1) A current valid massage permit or license from a California city, county, or city and county and documentation evidencing that the person has completed at least a 100-hour course in massage at an approved or registered school, or out -of -state school recognized by the council as providing comparable education, has been practicing for at least three years, and has provided at least 1,000 hours of massage to members of the public for compensation. (2) Documentation evidencing that the person has completed at -east a � '00 -hour course in massage at an approved or registered school, or out-of-state school recognized by the council as providing comparable education, has been practicing for at least three years, and has provided at least 1,750 hours of massage to members of the public for compensation. For purposes of this subdivision, evidence of practice shall include either of the following: (A) A W-2 form or employer's affidavit containing the dates of the applicant's employment. (3) Tax returns indicating self-employment as a massage practitioner or massage therapist or any other title that may demonstrate experience in the field of massage. Page 7 of 11 littp:,,Iwww.leginfo.ca.gov/cgl-bln/displayeode'?section=bpc&group=04001-05000&file=4600-4620 06/04/2012 CA Codes (bpc:4600-4620) (3) Documentation evidencing that the person holds a current valid certificate of authorization as an instructor at an approved massage school, or holds the position of a massage instructor ar a school accredited by an agency recognized by the United States Department of Education, or colleges and universities of the state higher education system, as defined in Section 100850 of the Education Code. (b) (1) After reviewing the information submitted under subdivision (a), the council may require additional information necessary to enable it to determine whether to issue a certificate. (2) if an applicant under paragraph (1) of subdivision (a) or paragraph (1) of subdivision (c) has not complied with Section 4601.3, or its equivalent, when obtaining a license or permit from the city, county, or city and county, the council shall require the applicant to comply with Section 4601.3 prior to issuing a certificate pursuant to this section. (c) (1) A person applying for a massage practitioner certificate on or before January 1, 2012, who meets the educational requirements of either paragraph (1) or (2) of subdivision (a), but who has not completed the required number of practice hours prior to submitting an application pursuant to this section, may apply for a conditional certificate. (2) An applicant for a conditional certificate shall, within five years of being issued the conditional certificate, be required to complete at least 30 hours of additional education per year from schools or courses described in paragraph (5) until he or she has completed a total of at least 250 hours of education, which may include massage education hours previously completed in a massage course described in either paragraph (1) or (2) of subdivision (a). (3) Upon successful- completion of the requirements of this subdivision, the council shall issue a certificate to the person that is not conditional. (4) A conditional certificate issued to any person pursuant to this subdivision shall -immediately be nullified, without need for further action by the council, if the time period specified in paragraph (2) expires without proof of completion of the requirements having been filed with the council. (5) Any additional education -required by this section may be completed through courses provided by any of the following: (A) An approved school. (B) A registered school. (C) A provider approved by, or registered with, the council or the Department of Consumer Affairs. (D) A provider that establishes to the satisfaction of the council that its course or courses are appropriate educational programs for this purpose. (d) Nothing in this section shall preclude the council from exercising any power or authority conferred by this chapter with respect to a conditional certificate holder. 4605. It is an unfair business practice for any person to state or advertise or put out any sign or card or other device, or to represent to the public through any print or electronic media, that he or she is certified, registered, or licensed by a governmental agency as a massage therapist or massage practitioner. 4606. It is an unfair business practice for any person to hold Page 8 of I I http:llwww.leginfo.ca.gov/cgi-binldisplaycode?section=bpc&O,Toup=04001-05000&file=4600-4620 06104/2012 CA Codes (bpc:4600-4620) oneself out or use the title of "certified massage therapist" or "certified massage practitioner" or anv other term, such as "licensed," "registered," or "CMT," that implies or suggests that the person is certified as a massage therapist or practitioner without meeting the requirements of Section 4601 or 4604. 4607. The superior court in and for the county in which any person acts as a massage practitioner or massage therapist in violation of the provisions of this chapter, may, upon a petition by any person, issue an in�unction or or-her appropriate order restraining the 1 4 conduct. The proceedings under this paragraph shall be governed by Chapter 3 (commencing with Section 525) of Title 7 of Part 2 of the Code of Civil Procedure. 4608. Nothing in this chapter is intended to limit or prohibit a person who obtains a certification pursuant to this chapter from providing services pursuant to, and in compliance with, Sections 2053.5 and 2053.6. ,1612. (a) (1) The holder of a certificate issued pursuant to this chapter shall have the right to practice massage, consistent with this chapter and the qualifications established by his or her certification, in any city, county, or city and county in this state and shall not be required to obtain any other license, permit, or other authorization, except as provided in this section, to engage in that practice. (2) Notwithstanding any other provision of law, a city, county, or city and county shall not enact an ordinance that requires a license, permit, or other authorization to provide massage for compensation by an individual who is certified pursuant to this chapter and who is practicing consistent with the qualifications established by his or her certification, or by a massage business or massage establishment that employs or uses only persons who are certified pursuant to this chapter to provide massage for compensation. No provision of any ordinance enacted by a city, county, or city and county that is in effect before the effective date of this chapter, and that requires a license, permit, or other authorization to provide massage for compensation, may be enforced against an individual who is certified pursuant to this chapter or against a massage business or massage establishment that employs or uses only persons who are certified pursuant to this chapter to provide massage for compensation. (3) Except as provided in subdivision (b), nothing in this section shall be interpreted to prevent a city, county, or city and county from adopting or enforcing any local ordinance that provides for reasonable health and safety requirements for massage establishments or businesses. Subdivision (b) shall not apply to any massage establishment or business that employs or uses persons to provide massage services who are not certified pursuant to this chapter. (b) (1) This subdivision shall apply only to massage establishments or businesses that are sole proprietorships, where the sole proprietor is certified pursuant to this chapter, and to massage establishments or businesses that employ or use only persons certified pursuant to this chapter to provide massage services. For purposes of this subdivision, a sole proprietorship is a business Page 9 of 11 http:li'www.le-info.ca.gov/cgi-blnldisplaycode?section=bpc&group=04001-05000&file=4600-4620 4n 06104/2012 CA Codes (bpc:4600-4620) where the owner is the only person employed by that business to provide massage services. (2) iA) Any massage establishment or business described in caragrapn (1) shall maintain on its premises evidence for review by local authorities that demonstrates that all persons providing massage services are certified. (B) Nothing in this section shall preclude a city, county, or city and county from including in a local ordinance a provision that requires a business described in paragraph (1) to file copies or provide other evidence of the certificates held by the persons who are providing massage services at the business. (3) A city, county, or city and county may charge a massage business or establishment a business licensing fee, provided that the fee shall be no different than the fee that is uniformly applied to all other individuals and businesses providing professional services, as defined in subdivision (a) of Section 13401 of the Corporations Code. (4) Nothing in this section shall prohibit a city, county, or city and county from enacting ordinances, regulations, rules, requirements, restrictions, land use regulations, moratoria, conditional use permits, or zoning requirements applicable to an individual certified pursuant to this chapter or to a massage establishment or business that uses only individuals who are certified pursuant to this chapter to provide massage for compensation, provided that, unless otherwise exempted by this chapter, these ordinances, regulations, rules, requirements, restrictions, land use regulations, moratoria, conditional use permits, and zoning requirements shall be no different than the requirements that are uniformly applied to all other individuals and businesses providing professional services, as defined in subdivision (a) of Section 13401 of the Corporations Code. No provision of any ordinance, regulation, rule, requirement, restriction, land use regulation, moratoria, conditional use permit, or zoning requirement enacted by a city, county, or city and county that is in effect before the effective date of this chapter, and that is inconsistent with this paragraph, may be enforced against an individual who is certified pursuant to this chapter or against a massage business or massage establishment that uses only individuals who are certified pursuant to this chapter to provide massage for compensation. (5) Local building code or physical facility requirements applicable to massage establishments or businesses shall not require additional re3troom, shower, or other facilities that are not uniformly applicable to other professional or personal service businesses, nor shall building or Facility requirements be adopted that (A) require unlocked doors when there is no staff available to ensure security for clients and massage staff who are behind closed doors, or (B) require windows that provide a view into massage rooms that interfere with the privacy of clients of the massage business. (6) A city, county, or city and county may adopt reasonable health and safety requirements with respect to massage establishments or businesses, including, but not 'limited to, requirements for cleanliness of massage rooms, towels and linens, and reasonable attire and personal hygiene requirements for persons providing massage services, provided that nothing in this paragraph shall be interpreted to authorize adoption of local ordinances that impose additional qualifications, such as medical examinations, background checks, or other criteria, upon any person certified pursuant to this chapter. (7) Nothing in this section shall preclude a city, county, or city and county from doing any of the following: Page 10 of 11 http:ll'www.leginfo.ca.gov/cgl-binldisplaycode'?section=bpc&group=04001-05000&file=4600-4620 06/0412012 CA Codes (bpc:4600-4620) (A) Requiring an applicant for a business license to operate a massage business or establishment to fill out an application that requests the applicant to provide relevant information. (B) making reasonable investigations into the information 30 provided. (C) Denying or restricting a business license if the applicant has provided materially false information. (c) An owner or operator of a massage business or establishment subject to subdivision (b) shall be responsible for the conduct of all employees or independent contractors working on the premises of the business. Failure to comply with this chapter may result in revocation of the owner's or operator's certificate in accordance with Section 4603. Nothing in this section shall preclude a local ordinance nance from authorizing Suspension, revocation, or other restriction of a license or permit issued to a massage establishment or business if violations of this chapter, or of the local ordinance, nance, OCC.Ir on the business premises. (d) Nothing in this section shall preclude a city, county, or city and county from adopting a local ordinance that is applicable to massage businesses or establishments described in paragraph (1) of subdivision (b) and that does either of the following: (1) Provides that duly authorized officials of the city, county, or city and county have the right to conduct reasonable inspections, during regular business hours, to ensure compliance with this chapter, the local ordinance, or other applicable fire and health and safety requirements. (2) Requires an owner or operator to notify the city, county, or city and county of any intention to rename, change management, or convey the business to another person. (e) Nothing in this chapter shall be construed to preclude a city, county, or city and county from requiring a background check of an owner or operator of a massage establishment who owns 5 percent or more of a massage business or massage establishment and who is not certified pursuant to this chapter. The background check may consist of an application that requires the applicant to state information, including, but not limited to, the applicant's business, occupation, and employment history for the five years preceding the date of application, the inclusive dates of same, and the name and address of any massage business or other like establishment owned or operated by any person who is subject to the background check requirement of this subdivision. 4613. (a) Nothing in this chapter shall restrict or limit in any way the authority of a city, county, or city and county to adopt a local ordinance governing any person who is not certified pursuant to this chapter. b) Nothing in this chapter is intended to affect the practice rights of any person 'licensed by the state to practice or perform any functions or services pursuant to that license. Page 11 of I I http:,,'Iwww.leginfo.ca.gov/cgi-binldisplaycode?section=bpc&group=04001-05000&file=4600-4620 06/0412012 ATTACHMENT A RESOLUTION OF THE PLANNING COMMISSION OF THE CITY OF TUSTIN, REVOKING THE MASSAGE ESTABLISHMENT PERMIT ISSUED TO MS. YUN ZHAO DENG FOR WD MASSAGE, LOCATED AT 13846 RED HILL AVENUE. The Planning Commission does hereby resolve as follows: The Planning Commission finds and determines as follows: A. That on May 14, 2012, the City of Tustin received a massage permit application from Ms. Yun Zhao Deng to own and operate a massage establishment named WD Massage, to be located at 13846 Red Hill Avenue. B. On June 11, 2012, the City of Tustin issued a massage establishment permit to Ms. Deng for WD Massage. C. That in conjunction with the massage establishment permit, the City of Tustin also issued business licenses to WD Massage and to three of the four massage technicians working at WD Massage: Liqun Huang, Lixia Huang, and Yanfen Potaracke. One of the four massage technicians, Yu Fang Wei, first obtained a Tustin business license in 2011 while working at a different massage establishment. D. That the massage establishment permit for WD Massage expires on January 31, 2013. E. That the Tustin Police Department conducted an undercover investigation of WD Massage on August 31, 2012, and made an arrest for prostitution. F. That on September 13, 2012, the Community Development Director deemed the business licenses for WD Massage and Ms. Lixia Huang invalid due to the original business license applications not containing an accurate description of the nature of the business being conducted, and because the businesses being conducted were unlawful. G. That no appeal of the Director's decision to deem the business licenses invalid was submitted. H. That at least ten (10) days prior to the hearing, a notice was mailed to the permittee, notifying her of the date, time, and place of the hearing. That California Business and Professions Code Section 4612(c) and Tustin City Code Section 3669 hold the owner and operator of a massage establishment responsible for the conduct of all employees and independent contractors working on the premises of the business, whether or not the owner or operator is aware of the conduct. Resolution No. 4208 Page 2 J. That the Planning Commission held a hearing on the revocation of the massage establishment permit issue to Ms. Deng for WD Massage at a duly noticed, regular meeting on October 23, 2012. K. That this appeal is Categorically Exempt pursuant to Section 15061(b)(3) of the California Environmental Quality Act (CEQA) Guidelines. That after consideration of the evidence contained in the Planning Commission Agenda Report dated October 23, 2012, including all attachments, attached hereto, the Planning Commission hereby revokes the massage establishment permit issued to Ms. Yun Zhao Deng for WD Massage, located at 13846 Red Hill Avenue, for the following reasons: 1) The permittee, Ms. Deng, violated California Business and Professions Code Section 4612(c) and Tustin City Code Section 3669, which hold the owner and operator of a massage establishment responsible for any violations committed by all employees whether or not such violations occurred without the knowledge of the owner or operator. 2) The permittee, Ms. Deng, violated Tustin City Code Section 3667(u), which requires that an owner, operator, or manager shall be at the massage establishment at all times when massages are being performed. At the time of the arrest on August 31, 2012, Ms. Deng was not present at the facility. As Ms. Deng identified herself on the massage permit application as the only manager of the facility, she was required to be present. PASSED AND ADOPTED at a regular meeting of the Planning Commission of the City of Tustin, held on the 23rd day of October, 2012. STEVE KOZAK Chairperson ELIZABETH A. BINSACK Planning Commission Secretary STATE OF CALIFORNIA COUNTY OF ORANGE CITY OF TUSTIN 1, Elizabeth A. Binsack, the undersigned, hereby certify that I am the Planning Commission Secretary of the City of Tustin, California; that Resolution No. 4208 was passed and adopted at a regular meeting of the Tustin Planning Commission, held on the 23rd day of October, 2012. ELIZABETH A. BINSACK Planning Commission Secretary