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PRR 2024-295
STATE OF CALIFORNIA QP CALIFORNIA DEPARTMENT OF TAX AND FEE ADMINISTRATION GAVIN NEWSOM Governor 3737 MAIN ST.,STE.1000 RIVERSIDE,CA 92501 1-951-880-2667•1-951-680-6712 AMYTONG www.cdifa.ca.gov Secretary,Government Operations Agency June 14, 2024 NICOLAS MADUROS Director City of Lake Elsinore Business License Office 130 South Main St Lake Elsinore, CA 92530 City Clerk Re: 205-220992 A&N Barbecue Dickey's Barbecue 29273 Central Ave#B Lake Elsinore, CA 92532 To Whom It May Concern: Government Code section 15570.82 provides the California Department of Tax and Fee Administration (CDTFA)with the authority to examine books, accounts, and papers of all persons required to report to it, or having knowledge of the affairs of those required to report. Accordingly,the CDTFA requests that the following information be furnished: • Copies of all documents pertaining to the licensee of the above business for periods between 10/01/19 — End of Business. If available,please include a copy of the business license application. If these documents are no longer available,please provide a letter stating to whom the license was issued for the above business for the periods noted. • Information on how the license fees are paid. If any payments were made by check,please send a photocopy of the check or provide the name and address of the bank,bank account and routing number(if available),the name and address of the account holder, and the name of the person(s) signing the check(s), in lieu of providing a copy. Please mail or fax the information to my attention at the address or fax number listed above.No fees should be billed to the CDTFA for this record request. If you have any questions or concerns,please contact my office at 1-951-880-2667. Thank you in advance for your cooperation. Sincerely, T�G%U�i�GU David Hwang Tax Compliance Specialist david.hwang@cdtfa.ca.gov CDTFA-1513 REV.3(2-18) NAME OF PERSON RESPONDING TO THIS REQUEST(please print) TI LE y DATE CCO0Y1J ' n W SI ATURE TEL PHONE NUMBER LP-74'312-4 X30 2- �/ CDTFA-1513 REV.3(2-18) ACCOUNT SUMMARY LISTING Business License Division Business Information Name: DICKEY'S BARBECUE PIT Current Period ending: 01/31/2023 Account No: 024746 Street Address: 29273 CENTRAL AVE STE B City, State,ZIP: LAKE ELSINORE, CA 92532-2254 Account Transaction History Period Ending Fees Penalties Adjustments Payments Balance 01/31/2023 $137.17 $0.00 $0.00 $137.17 $0.00 01/31/2022 $123.81 $0.00 $0.00 $123.81 $0.00 01/31/2021 $95.50 $0.00 $0.00 $95.50 $0.00 TOTAL $356.48 $0.00 $0.00 $356.48 $0.00 Payment History Date Method Amount Receipt# 01/26/2022 Credit Card $137.17 0034471 01/13/2021 Credit Card $123.81 0031191 01/22/2020 Check $95.50 0028462 TOTAL PAID $356.48 TOTAL CHARGES $356.48 TOTAL PAYMENT $356.48 TOTAL DUE $0.00 To whom it may concern, A&N Barbecue DBA Dickeys Barbecue Pit located 29273 Central Ave Ste B Lake Elsinore CA, 92532 was sold to AA Shop 7, Inc. on 7/20/2022. The business began operating under new management on 7/21/2022. Signature Date Name Previous ow er Alan Lee A&N Barbecue LLC. Signature Date Zo 12 0 �-z e new �essow`ner Rishab Oberoi A Shop 7, Inc. �I Administrative Services-Licensing 130 South Main Street LICENSE NO: L E LS 1 I`[O p E Lake Elsinore,CA 92530 BUSINESS ID NO:� ~ r;r„M L/T`�s PH 951.674.3124 x 302 CONTACT ID N0 FAX 951 A71.0052 BUSINESS LICENSE APPLICATION-COMMERCIAL (Business Compliance Application must be approved prior to the issuance of your license) BUSINESS NAME: Pam,, , L r% ca BUSINESS PHONE: S- /-2g11-7?77 CORPORATE NAME(If a Ikable) 17 i 'S BUSINESS START DATE: 1 I Z J/ LOCATION ADDRESS: aq, 2 �,� ZIP: 2- 3 EMAILADDRESS: 0 bL_ ruU WEBSITE: kj L,,j;,j. cf L . C �� BUSINESS DESCRIPTI N: E:2 S Aa r ✓1 MAIUN6 ADDRESS IF DIFFERENT THAN UM ADDRESS CITY STATE ZIP: CORPORATION SOLE PROPRIETOR I PARTNERSHIP TRUST NON-PROFIT ( CORP-LTD LIABILITY 1 I OTHER BUSINESS INFORMTION FEDERALTAX ID: g I OR EIN# SELLERS PERMIT#ZGS2 Zv 2 CYXb i STATE CONTRACTORS LICENSE: TYPE: EXP. PLEASE ATTACH COPIES OF THE FOLLOWING IF APPLICABLE: ❑ FICTITIOUS NAME STATEMENT ❑SELLERS PERMIT/RESALE NUMBER ❑ HEALTH PERMIT ABC LICENSE TOBACCO LICENSE []BUREAU OF AUTO REPAIR ❑ COSMETOLOGY LICENSE CAMTC LICENSE ❑ OTHER: OWNER 1 NAME: A lav\ L-.-Q OWNER 1 NAME: HOME ADDRESS:4}1 o y B,- Q k --(- HOME ADDRESS: CITY,STATE,ZIP (A Z j 6 Z my,STATE,ZIP PHONE: (I Z(7 -`_S-0 6 -- 8 E, PHONE: *State Mandated Dlsablilty Access Fee(SB 118&$4.00 fee effective 141-19) Under federal and state law,compliance with disability access laws is a serious and signifkant responsibility that applies to all California budding owners and tenants with buildings open to the public.You may obtain information about your legal obligations and crow to comply with disability access laws at the following agencies:The Dirsion of State Architect at ;The Department of Rehabilitation at y.1T11fmilla and The California Commission on Disability Access at www.ak a.aer UCENSE FEE 0!= I declare under penalty of perj ury thatthe statements made in th isappllcation are true.l acknowledge and GENERAL- S72.00 YEAR understand that the Business license Certificate issued by the City of lake Elsinore is a receipt evidencing PROFESSIONAL- $9COOYEAR th at I have pal d theCity of La ke Elsinore Busi ness LicenseTax imposed under Section 5.08 ofthe Lake Elsinore CONTRACTORS• A 6 B S10B.00YEAR Munidpal Code for the period indicated. Issuance of the certificate does not entitle me to carry on the C&D S 65.00YEAR business without complying with all otherCity building and zoning ordinancesandalIotherapplicableIaws. LICENSE FEES DU License fee 1% I c *State CASp fee $4.00 Applicant Signature/Date /�Iz Emp s over 5 I/) 2� x$6.50 ea �� License Approval Mate r1 `c Units over 3 x$6.50 an Total Due V DISPLAY CONSPICUOUSLY AT PLACE OF BUSINESS FOR WHICH ISSUED CALIFORNIA DEPARTMENT OF TAX AND FEE ADMINISTRATION SELLER'S PERMIT k,TN October 15, 2019 �W alp ACCOUNT NUMBER = &I 205220992 - 00001 LlF�4i� Office of Control: DICKEY'S BARBECUE PIT Riverside Office A&N BARBECUE NOTICE TOPERMITTEE: 29273 CENTRAL AVE STE B You are required to obey all Federal and State laws that LAKE ELSINORE CA 92532-2254 regulate or control your business.This permit does not allow you to do otherwise. IS HEREBY AUTHORIZED PURSUANT TO SALES AND USE TAX LAW TO ENGAGE IN THE BUSINESS OF SELLING TANGIBLE PERSONAL PROPERTY AT THE ABOVE LOCATION,THIS PERMIT IS VALID ONLY AT THE ABOVE ADDRESS. THIS PERMIT IS VALID UNTIL REVOKED OR CANCELED AND IS NOT TRANSFERABLE.IF YOU SELL YOUR BUSINESS OR DROP OUT OF A PARTNERSHIP,NOTIFY US OR YOU COULD BE RESPONSIBLE FOR SALES AND USE TAXES OWED BY THE NEW OPERATOR OF THE BUSINESS. Not valid at any other address For general tax questions,please call our Customer Service Center at 1-800-400-7115(TTY:711). For information on your rights,contact the Taxpayers'Rights Advocate Office at 1-888324-2798 or 1-916-324-2798. CDTFA-"2-R REV.18(5-18) A MESSAGE TO OUR NEW PERMIT HOLDER As a seller,you have rights and responsibilities under the Sales and Use Tax Law.In order to assist you in your endeavor and to better understand the law,we offer the following sources of help: Visiting our website at www.cdtfa.ca.gov • Visiting an office Attending a Basic Sales and Use Tax Law class offered at one of our offices • Sending your questions in writing to any one of our offices • Calling our toll-free Customer Service Center at 1-800-400-7115(TTY:711) As a seller,you have the right to issue resale certificates for merchandise that you intend to resell.You also have the responsibility of not misusing resale certificates.While the sales tax is imposed upon the retailer, • You have the right to seek reimbursement of the tax from your customer • You are responsible for filing and paying your sales and use tax returns timely You have the right to be treated in a fair and equitable manner by the employees of the California Department of Tax and Fee Administration(CDTFA) You are responsible for following the regulations set forth by the CDTFA As a seller,you are expected to maintain the normal books and records of a prudent businessperson.You are required to maintain these books and records for no less than four years,and make them available for inspection by a CDTFA representative when requested.You are also required to know and charge the correct sales or use tax rate,including any local and district taxes.The tax rate applicable to your sales or use may not necessarily correspond to the tax rate of your business address displayed on this permit.You are also expected to notify us if you are buying, selling,adding a location,or discontinuing your business,adding or dropping a partner,officer,or member,or when you are moving any or all of your business locations. If it becomes necessary to surrender this permit,you should only do so by mailing it to a CDTFA office,or giving it to a CDTFA representative. If you would like to know more about your rights as a taxpayer,or if you are unable to resolve an issue with CDTFA,please contact the Taxpayers' Rights Advocate Office for help by calling toll-free, 1-888-324-2798 or 1-916-324-2798.Their fax number is 1-916-323-3319. Please post this permit at the address for which it was issued and at a location visible to your customers. California Department of Tax and Fee Administration Business Tax and Fee Division IRSDEPARTMENT OF INTERNAL REVENUE E SERVICE CE CINCINNATI OH 45999-0023 Date of this notice: 09-24-2019 Employer Identification Number: 84-3150961 Form: SS-4 Number of this notice: CP 575 G A & N BARBECUE LLC ALAN LEE SOLE MBR 41902 BROOK CT For assistance you may call us at: MURRIETA, CA 92562 1-800-829-4933 IF YOU WRITE, ATTACH THE STUB AT THE END OF THIS NOTICE. WE ASSIGNED YOU AN EMPLOYER IDENTIFICATION NUMBER Thank you for applying for an Employer Identification Number (EIN) . We assigned you EIN 84-3150961. This EIN will identify you, your business accounts, tax returns, and documents, even if you have no employees. Please keep this notice in your permanent records. When filing tax documents, payments, and related correspondence, it is very important that you use your EIN and complete name and address exactly as shown above. Any variation may cause a delay in processing, result in incorrect information in your account, or even cause you to be assigned more than one EIN. If the information is not correct as shown above, please make the correction using the attached tear off stub and return it to us. A limited liability company (LLC) may file Form 8832, Entity Classification Election, and elect to be classified as an association taxable as a corporation. If the LLC is eligible to be treated as a corporation that meets certain tests and it will be electing S corporation status, it must timely file Form 2553, Election by a Small Business Corporation. The LLC will be treated as a corporation as of the effective date of the S corporation election and does not need to file Form 8832. To obtain tax forms and publications, including those referenced in this notice, visit our Web site at www.irs.gov. If you do not have access to the Internet, call 1-800-829-3676 (TTY/TDD 1-800-829-4059) or visit your local IRS office. IMPORTANT REMINDERS: * Keep a copy of this notice in your permanent records. This notice is issued only one time and the IRS will not be able to generate a duplicate copy for you. You may give a copy of this document to anyone asking for proof of your EIN. * Use this EIN and your name exactly as they appear at the top of this notice on all your federal tax forms. * Refer to this EIN on your tax-related correspondence and documents. If you have questions about your EIN, you can call us at the phone number or write to us at the address shown at the top of this notice. If you write, please tear off the stub at the bottom of this notice and send it along with your letter. If you do not need to write us, do not complete and return the stub. Your name control associated with this EIN is A&NB. You will need to provide this information, along with your EIN, if you file your returns electronically. Thank you for your cooperation. County of Riverside DEPARTMENT OF ENVIRONMENTAL HEALTH www.rivcoeh.org SUPPLEMENTAL REPORT TO SAN. FORM# q30 3lo 20 DATE 12_ i9 - lal SUBJECT plcF `� .5 �' PERMIT NO. ADDRESS L�12'J13 ct VTt-Ya) P\v� S{P. I tctk 1�l✓1Ue DISTRICT 52 9252 INSPECTOR REMARKS: - f G�IGtiti {�� C1'�St j P cGV�c�1(c +P� d �1� 4 o c1�cs���e c�wVt _V-5Vj t ►+�►�t�al ovt S�t� cov"t tcf-oP J ovl M 12 -19. FzAzG i I i 4Fc> peY+di� aI1 c-ttit-.E�-v c+gev+c Q prcvc�I5. �1 li ���t� p--�,Yw ti {ee (4-73 a+� �v►>N fFe Oc l2ZA4000 P I . r u-c—f - J OC 4 cov vEz-t �1�-e f Gl lG�n,I��c� =Iry ri�n��� 30 dct�s 1. o yol o n cis-�otse ��� ter ep I t 1 1 e✓ -Frc4rl Ic�c�l � Y e - st Vj' _-t to �4h�1cHe view cwvv ►�� rnhan ._ 2 p? x'niv\5 Tc-y rich : CGkl �Gl��1F� pYevX..e51y Wyly 'DC"VIJPC, ov+ a� ��G1-�v 1`� m Q f h t41���`v� pr cpe.r -t�vn��ctt u 4c�5 c-f' .�}-I � d✓ API �` v Lis, � G`uostz�-Hs , ��av�-tuc-t of�tc� mot-{ GIs 1 273 G11g4 i �- COUNTY OF RIVERSIDE A 4 0 0 0191 rY OFFICIAL RECEIPT "ei�•easrn'e Department ��� �ot1 Date V42C' �� 2019 Received from � �1s ��Q I�Z73 GP�Ct'nt� S �� Fs�S 1 V1GV2 DOLLARS Description _ o vts�e -C-� g-2� 43 o�z� �� _1-1 c&-►c� G�1� Division �pp R $ s _ PAYOR COPY By r' ` DEH FROM BILLING CONTACT ALAN LEE UlKE LSiM0I 41902 Brook Ct Murrieta, CA 92562 INVOICE NUMBER INVOICE DATE INVOICE DUE DATE INVOICE STATUS INVOICE DESCRIPTION INV-00021660 12/06/2019 12/06/2019 DUE CHANGE OF OWNERSHIP REFERENCE NUMBER FEE NAME TOTAL BLDG-2019-02308 INSPECTION PROCESS FEE $73.00 OCCUPANCY PERMIT $30.00 PROFESSIONAL DEVELOPMENT FEE-OCCUPANCY $5.00 SUBTOTAL $108.00 TOTAL $108.00 T TI M , IJ 1 1 M F-i 1 H H H t�l 11 •• •n nn Rl I ?7 M •• i'i•—{ —I4.H, i rz I T Q r..j I i .� It -11 -n -n -1 011 77 "D •Fit ;,���-LJ n"1 m m it — -, - F ,t l r-" r" M M — it '.0 rr7 ,.-1 G:; li---------------------------------------- , n i 1 I _ it i 4:1 11 '-i, • _- 0 i-0l-I- '.4 it ter:'_- y3IJ --g _ JJ 3_1i'+3It'i�(1t"; i 11 1 i it T> it December 06,2019 y J7 I If Page1 of 1 `V NON-CONSTRUCTION CERTIFICATE OF OCCUPANCY LA K_E 'e-v LS 11` 0 KE For use with'Commercial/Retail/Industrial'business locations within the city limits. Inspection/Process Fee$73.00 due afbr Planning Approval $35.00 Occupancy Permit Required from Building Dlvislon This form must be completed by the Business Owner or Representative and approved by Planning,Building and Fire divisions prior to the issuance of your business Iice se. Business Name AvAl &M Lz,L1 LC C „' S Phone Number ^I S-/ ..._2`f. _. -7 9-�___.___® 1. c � . . Business Address 29Z-7 3 Ce,f, �}�,� Suite/Unit No.: Sq Footage:N t 8tD Business Owner Alan Phone Number (,Z 6-Sv 6 Type of Business L r-u Dar&Hours of Operation /)-9 a-, 1 '7 Property Owner Name pC L4k, C(5; ,,, , t0 ,4 Phone Number Property Owner Address 2 6o i A'tX'^S-tr` Sfe el cd 4City,State,Zip lCompdete description of business and operations: _-_ .._ . .. _ L_1 New Business Ownership Change Relocation _ Other PLANNING DIVISION Please read and submit documents as required. Lease Agreement-If you are not the property owner,provide a copy of your lease agreement Please be advised that the business owner should also be the lease holder. j Floor Plae-fit proposed layout of business,inclAng areas devoted to offices,sales,storage manufacturing,seating,rest rooms and other uses. ❑ Plot Plm-Planner will provide plot plan at time ofsubmittal. All new signs and changes of signs require a separate permiL FIRE DIVISION Completed Fire Services check list.You are required to have a Knox Box. BUILDING DIVISION Does business involve conversion of existing building to new use? U Yes VNo Do business operations involve use or storage of hazardous or toxic materials? ❑ Yes XNo Does business involve any outside storage,work outside the building or off-site storage? n Yes 04o All changes or additions to electrical,plumbing mechanical,or structural elements require a building permit This includes partitions over 5'Vin height and new doorways or openings.Two sets of plans shall be submitted to the Building Division and appropriate permits obtained prior to any work being done. Prior to occupying a building or unit an Occupancy Inspection is required from the Building Division. An inspection fee must be paid along with the submittal of this form.Someone must be on premises at the time of inspection. Affidavit: I hereby certify that I have read and understood the ab e;and that the information fumished is accurate true,and correct. Applicant Signature/Date . OFFICE USE ONLY APN No. U""f Zone Building Approval^. Date Planning Approval Date Fire Approval Date Comments: Engineering Approval Date OCCUPANCY PERMIT REQUIRED CUP Required No Yes Permit 0 1 BILL OF SALE :or a valuable consideration paid and received, ELSINORE DICKEYS LLC, hereby sells and conveys to A & N BARBECUE, LLC and his executors, administrators and assigns the following property: 4LL FURNITURE, FIXTURES AND EQUIPMENT LOCATED AT: 29273 CENTRAL AVE., SUITE B -AKE ELSINORE, CA 92532-2240 AND KNOWN AS: DICKEY'S BARBECUE PIT NCLUDING BUT NOT LIMITED TO EXHIBIT "A" ATTACHED: Seller for his heirs, executors and administrators, covenants and agrees to warrant and defend this sale of ,aid property, goods and chattels, against all and every person and persons claiming the same. YFECTIVE DATE: !�a 1/10 470/ 9 THIS BILL OF SALE IS NOT BEING RECORDED THROUGH THIS ESCROW LSINORE DICKEYS LLC, a California Limited Liability A & N BARBECUE,LLC, a California Limited Liability 'ompany Company By: By: FRANCISCO MORONES, MANAGING MEMBER ALAN AK-LAN LEE, Managing Member CITY OF - LADE � LSIROU -�L DREAM EXTREME WWW.LAKE-ELSINORE.ORG CITY OF LAKE ELSINORE 130 SOUTH MAIN STREET Permit Type: BUILDING LAKE ELSINORE, CA 92530 Work Classification: CERTIFICATE OF OCCUPANCY (951)674-3124 Permit Status: ISSUED PROJECT ADDRESS PARCEL NUMBER: 29273 CENTRAL AVE SUITE B Valuation: $0.00 LAKE ELSINORE, CA 92532 Total Sq Ft: 0 PERMIT CONTACTS ADDRESS PHONE CELL APPLICANT ALAN LEE DICKEY'S BARBECUE PIT OWNER FRANCISCO MORALES DESCRIPTION OF WORK TRACT: LOT: PLAN #: CHANGE OF OWNERSHIP FEES TOTAL FEES: $108.00 AMOUNT DUE: $0.00 INSPECTION PROCESS FEE OCCUPANCY PERMIT PROFESSIONAL DEVELOPMENT FEE- OCCUPANCY C I -1-y 2U26 L A, I-QF S 1 N C) R,,,,E I CF- Z0 ' �- C !ZA:A M I_ "1 12 E_ M i 930 South Main Street APPLICATION FOR A 1- `ION APPL ICAT N RECEIVEDBUI BUILDING PERMIT DATE )�S�•,_ • l AP 9 VALUATION CALCULATIONS nn 1st FLOOR SF BUILDING ADt5RES5 1/4 'I7 I Ir 2nd FLOOR SF L c� 3rd FLOOR SF O NAME I Le'( g CJ w NE GARAGE SF N ADDRESS 1 C L t;f JC E CITY _SJA1F_1ZlP STORAGE SF R K✓/� Ga l� �� 2 hereby artirm that I am licensed under provisions of chapter 0(commencing DECK&BALCONIES SF with section 7000)of division 3 of the business and professions code,and C my license is in full force and effect. OTHER: SF O LICENSE# CITY BUSINESS N AND CLASS TAX# T NAME VALUATION: R A MAILING C ADDRESS FEES T CITY STATE/ZIP PHONE O BUILDING PERMIT $ R CONTRACTOR'S SIGNATURE DATE PLAN CHECK NAME LICENSE# A PLAN REVIEW R C ADDRESS SEISMIC H CITY STATE/ZIP PHONE PLAN RETENTION E7 NEW OCC GRP"/ CONST. 0 ADDITION DIVISION: TYPE: 0 ALTERATION NUMBER OF NUMBER OF O OTHER STORIES: BEDROOMS: 171 SINGLE FAMILY ZONE: 0 APARTMENTS 0 1 certify that I have read this application and state that the 0 CONDOMINIUMS HAZARD YES above information is correct. 1 agree to comply with all city 0 TOWN HOMES AREA? NO and county ordinances and state laws relating to building 0 COMMERCIAL SPRINKLERS YES construction, and hereby authorize representatives of this 0 INDUSTRIAL REQUIRED? NO city to enter upon the above-mentioned property for insp- 0 REPAIR PROPOSED USE OF BLDG: tion purposes. EI DEMOLISH PRESENT USE OF BLDG: l JOB DESCRIPTION Sign ure of Applicant or Agent date Agent for © contractor O owner N W 1' Agents Name 111 is Agents Address Street City State Zip 1. 1 am licensed under the provisions of Business and Professional Code Section 7000 et seq.and my license is in full force. 2. I,as owner of the property, or my employee wtwages as their sole compensation will do the work and the structure is not intended or offered for sale. 3.I,as owner of the property,am exclusively contracting with licensed contractors to construct the project. 4. 1 have a certificate of consent to self-insure or a certificate of Workers Compensation Insurance or a certified copy thereof. 5. 1 shall not employ any person in any manner so as to become subject to Workers Compensation Laws in the performance of the work for which this permit is issued.