Embarking on a new business venture or making significant changes to an existing one in Glendale, CA, requires careful attention to local regulations, particularly when it comes to the use of buildings. The CPDPSC-138 form, a critical document for businesses operating within this jurisdiction, serves as an Application for Zoning Use Certificate. This form is a gateway for businesses to ensure their operations are in line with the city's zoning and land use requirements. It asks for detailed information including the business and property owner's details, the current and proposed use of the building, and specifics about the business activities. For those intending to run establishments like restaurants or theaters, it's necessary to provide a seating plan, while all applicants must present a floor plan showing the area to be occupied. Furthermore, the form touches on important considerations such as outdoor storage, subleasing arrangements, and the sale of alcoholic beverages, requiring specific acknowledgments about regulatory compliance. Additionally, it sets a timeframe for securing the zoning use certificate post-application fee payment and outlines the consequences of failing to acquire it within this period. This essential document underscores the city's commitment to maintaining orderly development and the responsibility of businesses to adhere to established guidelines.
Question | Answer |
---|---|
Form Name | Cpdpsc 138 Form |
Form Length | 1 pages |
Fillable? | No |
Fillable fields | 0 |
Avg. time to fill out | 15 sec |
Other names | CPDPSC-138, UO, ca glendale zoning use certificate, s certificate pzuc template |
Business Address___________________________________________________________________________________________________PZUC No.______________________________________
City of Glendale, Building & Safety
633 E. Broadway, Rm. 101 Glendale, CA 91206 (818)
APPLICATION FOR ZONING USE CERTIFICATE
Instructions: Please answer the following questions as completely and legibly as possible.Please provide a copy of the lease/rental agreement which shows the square footage being leased. Also provide a dimensioned drawing if lease does not show square footage. Please draw a seating plan on the back of the application if the use is for a restaurant, delicatessen, church, classroom or theater.
1.Business Address ( Include Suite No., City and Zip Code):
2.Business Name:
3.Describe in detail the business activities
4. |
Applicant's Title? |
Owner |
President |
Officer or CEO |
|
|
|
|
||||
|
Business Owner's Name: |
|
|
|
|
|
|
|
|
|
||
|
Mailing Address |
|
|
|
|
|
|
|
|
|
|
|
|
Phone No. |
|
|
Fax No. / |
|
|
|
|
||||
|
|
|
|
|
|
|
|
|
|
|
|
|
5. |
Property Owner's Name: |
|
|
|
|
|
|
|
|
|
||
|
Address: |
|
|
|
|
|
|
Phone No.: |
|
|||
|
|
|
|
|
|
|
|
|
|
|
|
|
6. |
Existing Building Use: |
Gen. Office |
Retail |
Medical Office |
Manufacturing |
Wholesale/Distribution |
||||||
|
|
|
|
Warehouse |
Eating Establishment |
Other |
|
|
||||
|
|
|
|
|
|
|
||||||
7. |
Proposed Building Use: |
Gen. Office |
Retail |
Medical Office |
Manufacturing |
Wholesale/Distribution |
||||||
|
|
|
|
Warehouse |
Eating Establishment** |
Other |
|
|||||
|
|
|
|
|
|
|
|
|
8. |
Please fill in the following: |
|
|
**Draw seating plan on back of application |
|
||||
|
Floor Area for Occupancy ( Square Feet ): |
|
|
New Business: |
|
Yes |
No |
||
|
No. of Workers on site: |
|
|
First Time Business in Glendale: |
|
Yes |
No |
||
|
No. of Seats For Patrons: |
|
|
Outdoor Storage |
|
Yes |
No |
||
9. |
Are You Sharing Space ( Subleasing )? |
Yes |
No |
Alcoholic Beverage Sales: |
|
Yes |
No |
||
|
If Yes, From Whom? |
|
|
|
If Yes to Alcoholic Beverage Sales: |
* |
Existing * |
Proposed |
|
|
Primary Lessee's UO / PZUC No. |
|
|
|
*Attach Copy of Current ABC State License |
|
I DECLARE UNDER PENALTY FO PERJURY, THAT THE INFORMATION PROVIDED HEREIN IS TRUE AND CORRECT. I FURTHER ACKNOWLEDGE THE ISSUANCE OF THIS CERTIFICATE DOES NOT RELIEVE ME FROM LEGAL OBLIGATION TO OBTAIN ANY AND ALL NECESSARY PERMITS AND/OR COMPLYING WITH OTHER APPLICABLE LOCAL, STATE, AND FEDERAL REGULATIONS AS MAY APPLY TO THE USE AND /OR BUSINESS
Signature |
|
ID/Driver's Lic.: |
|
Date: |
Signature must be of the applicant listed on item no. 4. If a new Zoning Use Certificate has not been obtained within six months after the application fee is paid, a new application and respective fees shall be collected. Upon written request from the applicant, the Community Planing Director may extend the period of the certificate application.
FOR STAFF USE ONLY ( DO NOT WRITE BELOW THIS LINE)
Accepted By |
Date |
Receipt No. |
Fee |
Zoning Designation |
|
SIC(Proposed) |
Section Sheet |
|
|
|
|
|
|
|
|
Staff Comments, Conditions, Restrictions |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Zoning Case Number(s) |
|
|
Specify Type of Eating Establishment |
|
|||
|
|
|
|
|
|
|
|
OK to Submit By: |
|
|
|
Inspection Requiered? |
|
|
|
|
|
|
|
|
|
Yes |
|
|
|
|
|
|
|
No |
|
|
|
|
|
|
|
|
|
Verified Address with lease |
Verified Square Footage with Lease |
Denial Letter |
OK to Issue By: |
|
|||
|
|
|
|
|
|
|
|