HomeMy WebLinkAboutItem 08- Royal Pizza Liquor LicenseAGENDA ITEM SUMMARY Meeting Date: 11/21/2022
Meeting Type: Regular Meeting
Staff Contact/Dept.: Robin Holman - DPW
Staff Phone No: 541-726-3662
Estimated Time: Consent Calendar
SPRINGFIELD
Council Goals: Mandate
CITY COUNCIL
ITEM TITLE:
LIQUOR LICENSE APPLICATION FOR A NEW OUTLET FOR THE ROYAL
GROUP LLC, DBA: ROYAL PIZZA.
ACTION
Endorsement of OLCC Liquor License Application for Royal Pizza, located at 1406
REQUESTED:
Mohawk Blvd. Springfield, OR 97477.
ISSUE
The owner of The Royal Group LLC has requested the City Council to endorse its
STATEMENT:
OLCC Liquor License Application.
ATTACHMENTS:
Attachment 1: OLCC Liquor License Application.
DISCUSSION/
The license endorsement for The Royal Group LLC, DBA: Royal Pizza is for a
FINANCIAL
New Outlet with Limited On -Premises Sales. The license application has been
IMPACT:
reviewed and approved by the appropriate City Departments.
LIQUOR LICENSE APPLICATION
Page 1 of 3
Check the appropriate license request option:
O New Outlet I ❑ Change of Ownership I ❑ Greater Privilege ❑ Lesser Privilege
Select the license type you are applying for.
More information about all license types is available online. INTERNAL USE ONLY
Full On -Premises Application received: 07/22/2022
❑Commercial
❑Caterer Minimum documents acquired: 07/22/2022
❑Public Passenger Carrier
❑Other Public Location LOCAL GOVERNING BODY USE ONLY
❑For Profit Private Club City/County name:
❑Nonprofit Private Club
Winery
Date application received:
❑Primary location
nnti„nni• n_nto Ctmm�
Additional locations: 02nd ❑3rd ❑4th ❑5th
Brewery
❑Primary location
Additional locations: ❑2nd 03rd
Brewery -Public House
❑Primary location
Additional locations: 02nd 03rd
Grower Sales Privilege
LJ Recommend this license be granted
❑Primary location
Recommend this license be denied
Additional locations: 02nd ❑3rd
Distillery
Printed Name Date
❑ Primary location
Additional tasting locations: 02nd 03rd 04th 05th 06th
Return this form to:
® Limited On -Premises Investigator name: Eric.Hildebrand
❑ Off Premises
❑ Warehouse Email: Eric.Hildebrand@oregon.gov
❑ Wholesale Malt Beverage and Wine
Attachment 1, Page 1 of 5 OLCC Liquor License Application (Rev. 04.15.22)
LIQUOR LICENSE APPLICATION
Page 2 of 3
APPLICANT INFORMATION
Identify the applicants applying for the license. This is the entity (example: corporation or LLC)
or individual(s) applying for the license. Please add an additional page if more space is needed.
Name of entity or individual applicant #1:
THE ROYAL GROUP LLC
Name of entity or individual applicant #3
Name of entity or individual applicant #i
Name of entity or individual applicant #4:
BUSINESS INFORMATION
,6�, ...
Trade Name of the Business (name customers will see).
_._......
ZO'IA� P127.R
uslness phone number: Business email:
541-610-0001 KPSSIDHUII @GMAIL.COM
-- ..... --- ... ... _
-_ .... ................... -._ ............. -- -- _............
Premises street address (The physical location of the business and where the liquor license will be posted):
1406 MOHAWK BLVD
-
City.
SPRINGFIELD
Zip Code:
)7477
County:
LANE
_._ ... __._......... _..... _.._.... - - — ........... — --- — - ..._..__..._—..... _
Business mailing address (where we will send any items by mail as described in OAR 84S-004-006Srll.):
11590 SANTIAM AVE
City: State:
EUGENE IOR
Does the business address currently have an OLCC
liquor license? ❑ Yes R No
Zip Code:
17408
Does the business address currently have an OLCC
marijuana license? ❑ Yes ID No
APPLICATION CONTACT INFORMATION
Contact Name:
KOMAL SINGH
------ .
Phone number: Em
..................__...----._.....__....... _.-.__......................._.
,ail: ..— —
541-610-0001 KPSSIDHUII @GMAIL.COM
Mailing address:
1590 SANTIAM AVE
City: y
OZiip Code: County:
EUGENE 97408
Plaaca nnto line 1 lig - :--`'---
,.-... uVF' —uv!i3 clic puullu Itf Lurus.
Attachment 1, Page 2 of 5
OLCC Liquor License Application (Rev. 04.15.22)
LIQUOR LICENSE APPLICATION
Page 3 of 3
ATTESTATIONS
By signing this form, you attest that each of the following statements are true. I understand the
Commission may require a licensee to provide proof of any of the below or below referenced
documents at any time.
I understand that marijuana is prohibited 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 un-
waivable 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.
KOMAL SINGH
Print name
Print name
Print name
Print name
S n t re
Signature
Signature
Signature
07/21/2022
Date
Date
Date
Date
Atty. Bar Info (if applicable)
Atty. Bar Info (if applicable)
Atty. Bar Info (if applicable)
Atty. Bar Info (if applicable)
Attachment 1, Page 3 of 5
OLCC Liquor License Application (Rev. 04.15.22)
OREGON LIQUOR CONTROL COMMISSION
BUSINESS INFORMATION
Please Print or Type
Applicant Name: The royal group Ilc Phone: 541-610-0001
Trade Name (dba):Royal Pizza
Business Location Address: 1406 Mohawk blvd
City: Springfield
ZIP Code: 97477
Seasonal Variations: ❑ Yes 111 No If yes, explain:
❑
Live Music
❑
Recorded Music
❑
DJ Music
❑
Dancing
❑
Nude Entertainers
Pool Tables
❑
Other:
to
Business
Hours:
Outdoor Area Hours:
The outdoor area is used for:
Sunday
MOnda y
loam
to lopm
to lopm
Sunday
loam
to lopm
❑0 Food service Hours: loam t0 lopm
10am
Tuesday
loam
to lopm
Monday
Tuesday
loam
loam
to 10pm
to
0 Alcohol service Hours: loam to lopm
Wednesday
loam
to lopm
Wednesday
loam
lopm
t0 lopm
LJ Enclosed, how
Thursday
loam
to lopm
Thursdayloam
to lopm
The exterior area is adequately viewed and/or
Saturday
loam
lopm
Friday
loam
to lopm
supervised by Service Permittees.
to
Saturday
loam
to lopm
(Investigator's Initials)
Seasonal Variations: ❑ Yes 111 No If yes, explain:
❑
Live Music
❑
Recorded Music
❑
DJ Music
❑
Dancing
❑
Nude Entertainers
Restaurant: 20
Lounge:
Check all that apply:
❑
Karaoke
❑
Coin-operated Games
❑
Video Lottery Machines
❑
Social Gaming
❑
Pool Tables
❑
Other:
Outdoor: 5
Other (explain):
Banquet: Total Seating: 25
Sunday
to
Monday
to
Tuesday
to
Wednesday
to
Thursday
to
Friday
to
Saturday
to
OLCC USE ONLY
Investigator Verified Seating:_(Y) _(N)
Investigator Initials:
Date:
I understand if my answ7%Z:CC
Inde OLCC may deny my license application.
Applicant Signature: Date: 07/21/2022
(6522)
Attac`�`imentTr ge M of 5 (rev. 12/07)
0 Oregon Liquor Control Commission
LIMITED LIABILITY COMPANY (LLC) QUESTIONNAIRE
LLC Name THE ROYAL GROUP LLC
Trade Name of Business (Name Customers Will See) Royal Pizza
The LLC named in this document is a (see page 1 for definitions
Manager -Managed LLC _R Member -Managed LLC
This section is for BOTH a manager -managed LLC and a member -managed LLC. (Directions on page 1. You may include information
on a separate sheet.)
� Na�Tie of uIVIiember (please pant)
HL SINGHiv
IKO I Percentage of Issued membership held
n
BUTA SANGHA
BAHADUR SINGH
JAGWINDER SINGH
is ONLY for an LLC with the listed
President
Secretary
Treasurer
Vice president with responsibility over the operation of the business
SERVER EDUCATION DESIGNEE Directions on page 1
Name (please print)
KOMAL SINGH
SIGNATURE (Directions on page 1)
NAME of Signing Person (please type orprint) KOMAL SINGH
on page 1. You
vw��n i umm vi slgniRUR_r_YOn-(may electronically sign)
This box for OLCC use ONLY
Only for an applicant of record: SOS Number
Does the entity hold, or has it ever held, an OLCC-issued liquor license?
Rev: 10.7.20
Page 2 of 2
Name
Birth
07/21/2022
DATE
on a
Current at time of issuing license (yes/no)
Attachment 1, Page 5 of 5