STATE OF CALIFORNIA - BUSINESS, CONSUMER SERVICES. AND HOUSING AGENCY Gavin Newsom.. Governor
DEPARTMENT OF ALCOHOLIC BEVERAGE CONTROL
1350 Front Street, Rm. 5056
San Diego, CA 92101
619) 525-4064
Chula Vista Police Department May 17, 2022
Detective Ginger Van Houten CMD: 03/30/2022
315 4" Avenue
Chula Vista, CA. 91910
Dear Det. Van Houten,
An application has been made for a license to sell alcoholic beverages in your jurisdiction:
US SUPER GAS INC (#21-636547 pending)
DBA: US SUPER GAS
1495 MELROSE AVE., CHULA VISTA CA 91911
Our records show that the proposed location is located in Census Tract 0133.06_and in an area of:
High Crime - NO, 87.2%
Over Concentration - YES, Allowed 2 Exist 5
Within 100' of Residents - YES (per applicant)
Within 600' of Schools, Parks, Churches etc. - NO (per applicant) Premises is an existing gas station, open and operating without an ABC license. There have been three other applications file for this premises address however this premises has never been licensed by the Department. This applied-for application is for a Type-21 Off-Sale General license. Attached is the ABC-257 and ABC- 253 diagrams for this applied-for application your information.
Although the 30-day protest period has expired, the Department would still like to know if you have any concerns as they may be addressed through conditions. Please provide your concerns, objections or protest on or before May 31, 2022. They applicant is still required to obtain approved Public Convenience or Necessity from the Chula Vista Police Chief and approved zoning form the City of Chula Vista Planning Department. If you have any questions for me, I may be contacted at (619)525- 4929 or at the preferred email address, [email protected].
Sincerely,
Maritza Gonzalez
Licensing Representative II
Attached
Department of Alcoholic Beverage Control State of California Gavin Newsom, Governor
SUPPLEMENTAL DIAGRAM
Instructions to Applicant:
Draw a sketch of the area on which the licensed premises is or will be located Show adjacent structures and nearest cross streets. If this is an event for a daily license, catering authorization, event authorization or miscellaneous use, show the area where sales and consumption of alcoholic beverages will occur. Post a copy of this diagram with Daily License, Catering Authorization or Event Authorization where the event is held. Sales and consumption of alcoholic beverages must be confined to the area designated in the diagram and supervised to prevent violations of the Alcoholic Beverage
1. APPLICANT NAME (Last, first, middle) 2. LICENSE TYPE US SUPER GAS, INC. 21
3. PREMISES ADDRESS (Street number and name, city, zip code) 4. NEAREST CROSS STREET 1495 MELROSE AVE, CHULA VISTA, CA, 91911 EAST ORANGE AVE 11'6°
Bath Room Office
Back Room
+6'2'»
Storage
11'10°
416' 3"-
Casher
Counter
182P
34' 6* 34°6*
Walk-In
Cooler
28'7°
+20 1' 114 4 г
I have read the above instructions and I declare under penalty of perjury that the above diagram is true and correct.
APPLICANT SIGNATURE DATE SIGNED
03/29|2022
FOR ABC USE ONLY
CERTIFIED CORRECT (Signature) PRINTED NAME IINSPECTION DATE ABC-253 (rev. 07/19)
257
Department of Alcoholic Beverage Control
PLANNED OPERATION (RETAIL)
SECTION I - FOR ALL RETAIL APPLICANTS
1. APPLICANTS NAME(S) if an individual, last name, fist name, mddle name Name of entity f corporation, limted partership or limited labilty company. 2. LICENSE TYPES) US SUPER GAS, INC. 21
3. PREMISES ADDRESS (Street number and name, city, zip code) 4. NEAREST CROSS STREET 1495 MELROSE AVE , CHULA VISTA, CA, 91911 EAST ORANGE AVENUE
5. TYPE OF BUSINESS (Choose one that best describes the planned operation) Full Service Restaurant Cafeteria/Hofbrau Cocktail Lounge Private Club Deli or Specialty Restaurant Comedy Club Night Club Veterans Club Cafe/Coffee Shop Brew Pub Tavern Fraternal Club
Bed & Breakfast Theater Wine Tasting Room
Supermarket Membership Store Service Station Swap Meet/Flea Market Liquor Store Department Store Convenience Market Drive-in Dairy Variety/Drug Store Gift Shop/Florist X Convenience Market w/Gasoline Other - describe:
6. FOOD SERVICE 7. MEAL TYPE
X None Minimal Full Meals Dinner House Seafood Fast Food/Deli Pizza/Pasta Other: N/A
8. TYPE OF FOOD
American Chinese French Greek Indian Italian Japanese Korean Mexican Thai Other: A
9. HOURS OF FOOD SERVICE:
BREAKFAST HOURS- From: P/A To: LUNCH HOURS- From: N/A To: DINNER HOURS- From: f A To:
10. OPERATING HOURS: Sunday Monday Tuesday Wednesday Thursday Friday Saturday Opening Time 6:00AM 6:00AM 6:00AM 6:00AM 6:00AM 6:00AM 6:00AM Closing Time 12:00AM 12:00AM 12:00AM 12:00AM 12:00AM 12:00AM 12:00AM
11. ENTERTAINMENT: (One or more may apply. Please describe any entertainment with an asterick (*) below) X None *Amplified Music Patron Dancing Card Room
Recorded Music *Live Entertainment Bikini/Topless/Exotic Movies Juke Box *Floor/Stage Shows Pool/Billiard Tables "Hot Spot'/Lottery *Other Karaoke *Amateur/Pro Sports Events Video/Coin-Operated Games *Description:
12. YES OR NO QUESTIONS: 15. PREMISES IS LOCATED ON:
a) Will you hire a manager? (Rule 57.5) ... Yes X. No
Major Thoroughfare X Secondary Street Other :
b) Will you have a food lessee? (Rule 57.7) .... 16. PREMISES LOCATED IN :
c) Do you intend to sell cocktails or servings of wine to go? ....... * Yes No X Free Standing Building d) Does your business have a pass through window?... Yes Xi No Shopping Center (name) :
e) Does your business have any fixed bars?. Yes No 10 Units or Less More than 10 Units i) Ifyes, how many?
17. SURROUNDING AREA:
1) Does your business have a patio?. Yes X.No
X. Commercial Industrial Residential
g) Will you share a common licensed area with another licensee?...... Yes No h) Does the premises have a parking lot?. Yes No Rural Other:
i) If yes, is it shared with other business? Yes No 18. TYPE OF STRUCTURE ....
X Single Story Two-Story
. What percentage of 100% 4. Patror 25
ur total sales will t Capacit Multi-Story - Number of Stories:
from alcoholic beverages?
FOR ABC USE ONLY
INFORMATION GIVEN (R-27, R-107, Sec. 25612.5, Sec. 23790.5, etc.) ABC-257 (REVERSE) (rev. 12/21)
Department of Alcoholic Beverage Control State of California Gavin Newsom, Govemor
LICENSED PREMISES DIAGRAM (RETAIL)
APPLICANT'S NAME(S) (If an individual, last name, first name, middle name. Name of entity if corporation, limited partnership or limited liability company.) 2. LICENSE TYPE US SUPER GAS, INC. 21
3. PREMISES ADDRESS (Street number and name, city, zip code) 4. NEAREST CROSS STREET 1495 MELROSE AVE, CHULA VISTA, CA, 91911 EAST ORANGE AVE The diagram below is a true and correct description of the entrances, exits, interior walls and exterior boundaries of the premises to be licensed, including dimensions and identification of each room (i.e.., "storeroom", "office", etc.). The area to be licensed must be outlined in red.
DIAC
I VORTEX
MELROSE AVENUE
T00ỘN
E. ORANGE STREET
It is hereby declared that the above-described premises and character of premises, as indicated on the reverse side, will not be changed in accordance with Rule 64.2 of the California Code of Regulations without first notifying and securing approval of the Department of Alcoholic Beverage Control. Substantial changes to the premises may require an application fee in accordance with Section 24072 of the Business and Professions Code. I declare under penalty of perjury that the foregoing is true and correct.
APPLICANT SIGNATMRE (Only one sigrature required) DATE SIGNED 03/29/2022
FOR ABC USE ONLY
CERTIFIED CORRECT (Signature) PRINTED NAME INSPECTION DATE ABC-25T (rev. 12/21)
253
Department of Alcoholic Beverage Control
State of California
CORPORATE QUESTIONNAIRE Gavin Newsam. Governor
Instructions: Complete all items. One officer must sign for the corporation. Item 16 - List Certificates chronologically, including active, canceled, and pending issuance. If stock is pledged, include date, number of shares, and from whom to whom.
2. ABC LICENSE NUMBER
US SUPER GAS, INC.
3. PREMISES ADDRESS
TELEPHONE NUMBER
1495 MELROSE AVE, CHULA VISTA, CA, 91911 (619) 427-8362 5 ATTORNEY'S NAME
6 ATTORNEY'S TELEPHONE NUMBER
ATTORNEY'S ADDRESS
accounty 9. ACCOUNT NUMBER
WELLS FARGO 3585215340
10. ADDRESS OF CORPORATE BANK ACCOUNT
826 THIRD AVENUE, CHULA VISTA, CA 91911
11. PERSONS AUTHORIZED TO SIGN ON BANK ACCOUNT (Print)
SALWAN KOMO
12. INCORPORATION DATE 13. STATE OF INCORPORATION 14. SECRETARY OF STATE FILE NUMBER 04/13/2015 CALIFORNIA C3777187
15. OFFICERS AND DIRECTORS
TITLE ¡NAME ADDRESS TELEPHONE NUMBER
CHAIRPERSON SALWAN KOMO 1495 MELROSE AVE, CHULA VISTA, CA, 91911 (619) 427-8362
TITLE NAME ADDRESS
TELEPHONE NUMBER
SECRETARY SALWAN KOMO 1495 MELROSE AVE, CHULA VISTA, CA, 91911 (619) 427-8362
TITLE NAME
AMRASS
TELEPHONE NUMBER
TREASURER SALWAN KOMO 1495 MELROSE AVE, CHULA VISTA, CA, 91911 (619) 427-8362
TITLE NAME
TELEPHONE NUMBER
TITLE NAME ADDRESS
TELEPHONE NUMBER
(NAME ADDRESS TELEPHONE NUMBER
16 LIST ALL STOCK CERTIFICATES
PERCENTAGE OF
CERTIFICATE NUMBER OUTSTANDING DATE
DATE
TO WHOM ISSUED NUMBER OF SHARES SHARES OF STOCK ISSUED
CANCELED
SALWAN KOMO 1 1,000 12/26/2018 -
VOID -
-
• Continued on reverse
I hereby certify the above are the present officers, directors and/or stockholders and that each such officer, director and stockholder is the real party in interest vith respect to his/her position and is not acting directly o indirectly as an agent, employee or representative of any other person not reported to the Department. The provisions of sections 23405 and 23405.3 of the Business and Professions Code (B&P) are hereby acknowledged and it is understood tha changes within the corporation and/or entities holding interest in the corporation will be reported to the Department as required by Rule 68.5 CCR and a fee may be required pursuant to Sections 24071.1 & 24072 B&P
SIGNATURE (FOR THE CORPORATION) TITLE DATE SIGNED
CHAIRPERSON
3-29-2022
ABC-243 (rev 07/19)