ATTACHMENT 1
BUSINESS LICENSE
APPLICATION City of Merced
Finance Department 678 W. 18th St.
TEL # (209) 385-6843 Merced, CA 95340
FAX # (209) 388-7217 Application Date: July 2Sth
DEPORTE NINE Email: [email protected]
Please Check All That Apply: • New Application • Change of Owner • Change of Address - Previous Address: _ Aster faile
• Change of Business Name; previous business name:
• Add/Delete Partner • Temporary Business From to-
• New Business Operating Within an Existing Business
(provide name of existing business).
Business Name
Boosted knight patrol
DBA (if applicable):
**State licensed care facilities, must use the same name as listed on the state license. • Partnership • Sole Owner • LLC • Non-profit Non-profit #:
$ Corporation
Business Activity (Provide a detailed description of all proposed business activities):
security service and patrol services
Business Address and Telephone Information:
Address (Home-based businesses must use the home address as the business address): Suite/Apt #:
City: State: Zip Code: Telephone:
merced 95348
Mailing Address: Same as Business Address? N
Address: Suite/Apt. No.:
City: State: Zip Code: E-Mail Address:
Location: • Commercial • Residential
TAX Identification Numbers:
Federal Tax ID #/SSN; State Tax ID #/SSN: State Sales Tax #:
33- 813896
Licensed
Contractor? N License #0|22005 Classification: Expiration: | 26 Contractor's License Verified By (official use):
Check Cashing Permit #:
Business?
Business Start Date Number of Number of Units: 3
in Merced: 7/25/75 Employees/Professionals: |4
Owner's Information
(If more than 2 owners please attach a separate sheet of paper) 1) First Name: Middle Initial: Last Name: Suffix (Jr./Sr./III):
Jacob Reruvide
Lama Addresc /No PORaxeed Apt. #: City: State: Zip Code:
Merced CA 45341
Home Telenhone: Date of Birth: Driver's License #:
(The Finance Dept. Wir mane a cupy of your license )
2) First Name: Middle Initial: Last Name: Suffix (Jr./Sr./III):
Home Address (No P.O. Boxes) Apt. #: City: State: Zip Code:
Home Telephone: Date of Birth: Driver's License #:
( ) (The Finance Dept. will make a copy of your license) Corporate Information (If Applicable)
Person/Agent for Service of Process (First and Last Name): Telephone:
- )
Home Address (No P.O. Boxes): Apt. #: City: State Zip Code:
Emergency Contact Information (Provide two names):
Emergency Contact: Telephone Number:
Emergency Contact: Telephone Number:
( -
Select a billing method: CPI Base Rate • Gross Receipts D I understand that this selection shall remain in effect for a minimum of one (1) year.
Falsification of this statement is a misdemeanor. () Initial
FOR FINANCE USE ONLY
Date Billed: Classification:
Additional Fee $ Gross receipts O CPI Base Rate O
License Fee $ License Number Issued:
Total Due Initial:
Read the following information before signing below
The payment of a license tax required by the provisions of the Merced Municipal Code and its acceptance by the City, and the issuance of such license to any person shall not entitle the holder thereof to carry on any business unless he has complied with all the requirements of the Merced Municipal Code, California Fire Code, California Building Code, and all other applicable laws, nor to carry on any business in any building or on any premises designated on such license in the event that such building or premises are situated in a zone or locality in which the conduct of such business is in violation of any law.
This business license does not grant authorization to occupy any space, building, premises or property that requires modifications or additional approvals or permits. Any modifications or change of occupancy category to the building or space may require building permits. All new uses occupying space through lease, rent or ownership, whether a lot, tenant space, or portion of a property, must comply with local zoning laws. It is the responsibility of the business license applicant to obtain all necessary permits and approvals from the building department, fire department and planning department prior to occupying the space. For the reasons stated above, it is highly advisable that applicants for a business license contact the Building Department and Planning Department as early in the process of obtaining a business license as is possible. By ensuring permits and approvals are obtained in advance of occupancy, unforeseen construction and permit fees may be avoided.
Additionally, the Merced County Environmental Health Department has requirements for certain business operations such as any Food Facilities, Hazardous Materials/Waste (including medical), Care Facilities, Labor Services (handyman/contractors/janitorial/yard service, and many others). Please contact them at (209) 381-1100, or visit their offices at 2222 M Street 2nd Floor.
By signature below, I certify that I will operate my business in accordance with all applicable Federal, State, and City laws and regulations, including the requirements of the California Fire and Building Codes. I also certify that I am aware that it is my responsibility to obtain any necessary permits and/or approvals prior to occupying a business location, and that violations must be corrected.
Applicant's Printed Name: Jacob, THer Benavides
Applicant's Signature: Date: 7/25/25
Applicant's Title: Owner
Police Department Review Assessment
Will your business involve any of the following? (answer all questions/circle yes or no) Firearms or Gunpowder (if gunpowder is used a fire permit may be required) Y N Storage of Explosives Y N
Tattoo Establishments N
Curb Painting Y N
Taxicabs and Drivers (requires City Council approval) Y NI Limousine Service Y N
Card Room If yes, how many tables? Y N
Pool/Billiard Rooms and Family Billiard Parlors If yes, how many tables? N Bingo or other games open to the general public N
Carnivals or Circuses Y N
Fortune Teller Y N
Child Care Centers If yes, how many children?. N
Dependent Adult Care Centers Y N
Massage. State Certified? include number_ _ and expiration N date
Door to door soliciting of goods or services Y N
Pawn Shop/Secondhand Dealer/Junk Dealer (requires City Council approval) Y N Street or Sidewalk Vendor Y N
Liquidation Sale Y N
Itinerant Vendors Y N
Motion Picture Filming Y N
Dancing Permits Y N
Nightclub Y N
Alcohol Sales On-Sale • Off-Sale • Y N
Adult Entertainment Business Y N
Renting or Selling Adult-Type Videos and Books N
Escort Service and/or Figure Modeling N
Mobile Auto Repair Y N
Tow Company and Drivers N
Fire Extinguisher Refill Business Y N
Alarm Companies N
Lock and Key Businesses, including mobile services Y N/ Private Patrol, Security Services and Guards (requires City Council approval) N If you answered "yes" to any of the questions, your license may be subject to Police Department review.
NORTH BEAR CREEK DR
Merced County
Merced Police Department Environmental Health Dept.
611 W 22nd St 2222 M St, 2nd Floor
22ND ST- 23RD-S7
-21ST-ST-
- MAIN ST - CANAL ST- 20TH ST
*
City of Merced
Civic Center 18TH ST
• 678 W. 18th St
-HWY:99- - 15TH ST-
- 13TH-ST-
Merced County
Public Health Dept.
260 E 13th St.
Health Department Review Assessment
Is your business any of the following? (answer all questions/circle yes or no) Food Facility (Restaurant, Hotel/Motel continental breakfast only, bar, bakery, Y cafeteria, warehouse, commissary, satellite food distribution facility, bed and breakfast, cottage food operations, vending machines, mobile food facilities (including carts, trailers, trucks etc), food bank/pantry, health care facilities) Recreational Health (Public swimming pools, public spas/jacuzzies, wading pools, Y waterslides, water activity parks)
Medical Waste Generating Facilities (Acute care hospitals, specialty clinics, Y N dialysis clinics, skilled nursing facilities, primary care clinics, veterinary clinics or hospitals, medical/dental offices etc - tattooing, body piercing, permanent cosmetics, or ear piercing)
Hazardous Waste/Hazardous Materials Generating, Storage, Treatment, IN Disposal Facilities (Gas stations, underground storage tanks, chemical companies, laboratories, auto repair, manufacturing, warehouse, canning facilities, ag chemicals, welding, tire facilities, medical facilities, service stations, refrigeration, aboveground storage tanks - businesses storing hazardous materials above these thresholds 500 pounds of solids; 55 gallons of liquids; 200 cubic feet of gas at standard temperature and pressure (STP): handyman, custodial yard service, contractors, pool/spa cleaning have potential to generate or store hazardous materials/waste in the above thresholds)
If you answered "yes" to any of the questions, your license may be subject to Environmental Health Department Review.
Is there a need for Supplemental Application Forms? Check all that apply.
Business-Related Activity and Supplemental Application Form Responsible Department
• Massage? Massage Application Finance Dept.
• Street and Sidewalk Vendor? Solicitors Permit Finance Dept.
Curb Painting? Curb-Painting Application Finance Dept.
Motion Picture Filming? Motion Picture Filming Application Finance Dept.
Adult Entertainment? Adult Entertainment Business Applications Police Dept.
Weapon Sales? Sale of Weapons Application Police Dept.
Taxicab Service? Taxicab Service Application Police Dept.
Pool and Billiard Rooms? Pool and Billiard Room Application Police Dept.
Private Patrol Service? Private Patrol Application Police Dept.
Second Hand Dealer/Pawn Shop? Goods Resale Application Police Dept.
Work from Home in City? Home Occupation Certificate Planning Dept.
Circus or Carnival? Temporary Outdoor Use Application Planning Dept. • Provide or Offer Carts for use by Abandoned Cart Prevention Plan Planning Dept.
Customers?
Endorsements from other Departments and Agencies
Endorsement Required? DYES ENO
City of Merced Police Department. 611 W. 22nd Street. (209) 385-6912 By: Date: _
Endorsement Required? DYES ONO
City of Merced Planning Department. 678 W 18th Street. (209) 385-6858 Zoning: _ _. Home Occupation Certificate No. _ (if applicable).
By:_ Date: _ _- Is a Land Use Entitlement Required Y / N Endorsement Required? DYES DNO
Merced County Environmental Health Department 2222 M Street, 2nd Floor. (209) 381-1100 By: Date:
Endorsement Required? DYES [NO
Merced County Public Health Department (massage only) 260 E. 15th Street. (209) 381-1023 By: Date:
*** Under federal law and state law, compliance with disability access laws is a serious and significant responsibility that applies to all California building owners and tenants with buildings open to the public. You may obtain information about your legal obligations and how to comply with disability access laws at the following agencies: The Division of the State Architect at www.dgs.ca.gov/dsa/Home.aspx; The Department of Rehabilitation at www.rehab.cahwnet.gov; The California Commission of Disability Access at www.ccda.ca.gov.
City of Merced Public Works City of A
WATER QUALITY CONTROL DIVISION
1776 Grogan Avenue • Merced, CA 95341 Merced
Office: (209) 385-6204 Gateway to Yosemite
PLEASE COMPLETE EACH SECTION BELOW:
Name of Business: Boosted Knight patrol
Name of Owner: Juad Hyer Behavines
Address of Business: 3070 Mb Street Suite 6
city: Merced State: CA zip: 95348
Contact Phone:| _ Contact E-mail
Type of Business: Security service
SIC Code: (www.osha.gov) WDID:
1. Are you a new Food Service Establishment? YES DI NOS If yes, please contact the Water Quality Control Division at 209.385.6204 for a General Waste Discharge Permit before opening day of business. (Merced Municipal Code 15.30.010)
2. Will your facility be involved with any product manufacturing? YES L NOE If yes, list products) below:
Businesses undertaking any activity, or use of premises, that may cause or contribute to storm water pollution or contamination shall comply with Best Management Practices (BMPs) consistent with the California Storm Water Quality Association guidelines.
BMPs are suggested steps to prevent stormwater pollution. Brochures are available to help get you started. Please visit the brochure rack in the Finance Department lobby or contact the Water Quality Control Division.
INTERNAL USE ONLY:
Review Date:
Notes:
City of Merced Municipal Code, Title 15, Division III - Storm Water System, Chapter 15.50, "Storm Water Management and Discharge Control"