HomeMy WebLinkAboutItem 05 The Monkey's Paw Liquor License AGENDA ITEM SUMMARY Meeting Date: 4/19/2021
Meeting Type:Regular Meeting
Staff Contact/Dept.:Robin Holman - DPW
Staff Phone No:541-726-3662
Estimated Time: Consent Calendar
S P R I N G F I E L D
C I T Y C O U N C I L
Council Goals: Mandate
ITEM TITLE: LIQUOR LICENSE APPLICATION FOR A NEW OUTLET FOR TIKI
BROTHERS LLC, DBA: THE MONKEY’S PAW.
ACTION
REQUESTED:
Endorsement of OLCC Liquor License Application for The Monkey’s Paw, located
at 420 Main Street Springfield, OR 97477.
ISSUE
STATEMENT:
The owner of Tiki Brothers LLC has requested the City Council to endorse its
OLCC Liquor License Application.
ATTACHMENTS: Attachment 1: OLCC Liquor License Application.
DISCUSSION/
FINANCIAL
IMPACT:
The license endorsement for Tiki Brothers LLC, DBA: The Monkey’s Paw is for a
New Outlet with Full On-Premises Sales. The license application has been
reviewed and approved by the appropriate City Departments.
OREGON LIQUOR CONTROL COMMISSION
LIQUOR LICENSE APPLICATION
1. Application. Do notinclude any OLCC fees with your application packet (the license fee will be collected at a later
time). Application is being made for:
License Applied For:CITY AND COUNTY USE ONLY
Date application received and/or date stamp:
Noiiie orCity or County:
€ Brewery 1" Location
Brewery Additional location (2"d) € (3'd) €
€ Brewery-Public House (BPH) 1" location
BPH Additional location (2"d) € (3'd) €
€ Distillery
[n Full On-Premises. Commercial
Recommends this license be:
€ Granted € Denied
BV:
€ Full On-Premises, Caterer
€ Full On-Premises, Passenger Carrier
€ Full On-Premises, Other Public Location
€ Full On-Premises, For Profit Private Club
Date:€ Full On-Premises. Nonnrofit Private Club
€ (irnwpr ':ialpq T)rivilpop /rispl 1 " Inra+inn"' - - - - - - - - - - - - - - - - - -1. 51. l %J -J I / - - - - - - - - - -
Date application receiOvelCdC: UsE O'!I Ig l 9 (
Date application accepted: '51 I I I r& (
GSP Additional location (2") € (3'd) €
€ Limited On-Premises
€ Off-Premises
€ Warehouse
LJ Wholesale Malt Beverage & Wine
License Action(s):€ Winery 1" Location
Winery Additional location (2"d) € (3'd) €
(zith) @ (sth) @
2.ldentifytheapplicant(s)applyingforthelicense(s). ENTITY(example:corporationorLLC)orlNDMDUAL(S)1
applying for the license(s):
Tiki Brothers LLC
App#l: NAME OF ENTITY OR INDIVIDUAL APPLICANT App #2: NAME OF ENTITY OR INDMDUAL APPLICANT
App #3: NAME OF ENTITY OR INDIVIDUAL APPLICANT App#4: NAME OF ENTITY OR INDMDUAL APPLICANT
3. Trade Name ofthe Business (Name Customers Will See)
The Monkey's Paw
4. Business Address (Number and Street Address of the Location that will have the liquor license)
420 Main St
City
Springfield
County
LANE
Zip Code
97477
Attachment 1, Page 1 of 3
OREGON LIQUOR CONTROL COMMISSION
LIQUOR LICENSE APPLICATION
5. Trade Name of the Business (Name Customers Will See)
The Monkey's Paw
6.DoesthebusinessaddresscurrentlyhaveanOLCCIiquorlicense? €- YES [ NO
7.DoesthebusinessaddresscurrentlyhaveanOLCCmarijuanalicense? j"IYES j"INO
8. Mailing Address/Pa Box, Number, Street, Rural Route (where the OLCC will send yourlicense certificate, renewal
application and other mailings as described in OAR 845-004-0065pll)
5351 4th st
C"y springfield State oregon ZalpCOd%z,in
9. Phone Number ofthe Business Location
TBD
10. Email Contact for this Applicat.on and for the Business
monkeyspaweugene@gmail.com
11. Contact Person for this Application
Teren Baker
Phone Number
541-653-2361
Contact Person's Mailing Address (if different)City State Zip Code
Please note that liquorlicense applications are public records. A copy of the application will be posted on the OLCC website for a
period of several weeks.
ATTESTATION: ""READ CAREFULLY AND MAKE SURE YOU UNDERSTAND BEFORE SIGNING THIS FORM"*
I understand that marijuana is on the licensed premises. This includes marijuana use, consumption, ingestion, inhalation,
samples, give-away, sale, etc. I attest that all answers on all forms and documents, and all information provided to the OLCC as a part of
this application are true and complete.
I affirm that I have read OAR 845-005-0311 and all individuals (sole proprietors) or entities with an ownership interest (other than
waivable ownership interest per OAR 845-005-0311[6]) are listed as license applicants in #2 above. I understand that failure to list
an individual or entity who has an unwaivable ownership interest in the business may result in denial of my license or the OLCC
taking action against my license in the event that an undisclosed ownership interest is discovered after license issuance.
Applicant(s)Si@nature
* Eachindividual(soleproprietor)listedasanapplicantmustsigntheapplicationbelow.
* If an applicant is an entity, such as a corporation or LLC, at least one INDMDUAL who is authorized to sign for the entity must
sign the application.
* An individual with the authority to sign on behalf of the applicant (such as the applicant's attorney or an individual with
power of attorney) may sign the application. If an individual other than an applicant signs the application, please provide
written proof of signature authority. Attorneys signing on behalf of applicants may list the state of bar licensure and bar
number in lieu of written proof of authority from an applicant. Applicants are still responsible for a// information on this
/orm.
Teren Baker
App. #1: (PRINT NAME)
Jame.sori Cuvvmeiu
App. #2: (PRINT NAME)
App #1: Signature Date
Dlgilally iigngd by Teien
Teren Baker :aa"le'2021 [1307 11 4848
App #1: (SIGNATURE)
Ja m eSOn Dlgllall7 81gnsd by lameson
CO W m a n Date. 2021 03 07 11 50 37
App #2: (SIGNATURE)
03/07/2021
03/07/202I
App #2: Signature Date
Atty. Barlnformation (if applicable)
Atty. Bar Information (if applicable)
Michael Mapc
App. #3: (PRINT NAME)
Dlgllally slgned by Mlchasl
App #3: (SIGNATLIRE)
U..I/U//;!U;!'l
App #3: Signature Date Atty. Bar Information (if applicable)
App. #4: (PRINT NAME)App #4: (SIGNATURE)App #4: Signature Date Atty. Barlnformation (if applicable)
OLCC Liquor License Application (Rev. 9.28.20)Attachment 1, Page 2 of 3
OREGON LIQUOR CONTROL COMMISSION
BUSINESS INFORMATION
Please Print or Type
4pplj(;Blli %Bl'ylB; Tiki Brothers LLC
Trade Name (dba): The Monkey's Paw
Business Location Address: 420 Main St
(,jiy; Springfield
Phone: TBD
ZIP COde: 97477
Business Hours:
Sunday 12'.00 pm 1() 1 '.00 am
Monday 12:00 pm 10 1 :OO am
Tuesday 12:00 pm 10 1 :OO am
Wednesday l2'oo pm to foo am
Thursday l2:00pm 10 1:OOam
Friday 1 2'.00 pm to 1 '.00 am
Saturday l2:00pm 1o 1:OOam
Seasonal Variations: € Yes
Outdoor Area Hours:
Sunday 1 2'.00 pm to 1 '.00 am
Monday l2:00pm 10 1:OOam
Tuesday l2:00pm 10 1:OOam
Wednesday l2'oo Pm to 'oo am
Thursday 12:00pm 10 l:OOam
Friday 12'.00 pm 1() 1 '.00 am
Saturday 12'.00 pm to 1 '.00 am
[Sa No If yes, explain:
The outdoor area is used for:
? Food service Hours: 12:00 I)m to foo am
D Alcohol service Hours: l2:oo Pm to 'oo am
1 Enclosed, how Tall fence in rear of patio with an opening
ancl3 Tl walls willi upeuiiig eil Tiunl uTpaliu
The exterior area is adequately viewed and/or
supervised by Service Permittees.
(Investigator's Initials)
=*uim*i&ffl:*
[" Live Music
€ Recorded Music
€ DJ Music
€ Dancing
[] Nude Entertainers
OLCC USE ONLY
Investigator Verified Seating:(Y) (N)
Investigator Initials:
Date:
Rsstaurant. 6')
Lounge:
Banquet:
Check all that apply:
[" Karaoke
€ Coin-operated Games
[J Video Lottery Machines
€ Social Gaming
[" POOI Tables
[1 0ther:
Outdoor: 38
Other (explain):
Total Seating: 98
Sunday
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
7pm
7 pm
to
to
to
to
to
10 10 pm
to 10 pm
I understand if my answers are not true and complete, the OLCC may deny my license application.
Applicant Signature: 7 S 8ai Date: 03/15/2021
1 -800-452-OLCC (6522)
wwur.oregon.gov/olcC (rev.12/07)
Attachment 1, Page 3 of 3