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CITY OF TEMECULA
BUSINESS LICENSE & MASSAGE
ESTABLISHMENT APPLICATION
41000 Main Street
951-694-6400
Temecula, CA 92590
TemeculaCA.gov/massage
PL-90 Updated: 11/08/2019 R:\Applications\2019\Massage Establishment Permits\Massage Establishment Permits PL90.docx PAGE 1/16
Introduction:
This application must be used for any business that wishes to operate with massage services (except those
exempt under Chapter 5.22 of the Temecula Municipal Code). No business may operate a business with
massage without a valid business license and a valid massage establishment permit. Submittal of an application
does not constitute a valid license or permit.
What are the steps to the process?
1. Non-CAMTC applicants, managers, and operators must complete a Livescan prior to the submission of
this application. Non-CAMTC applicants, managers, and operators who have previously submitted a
Livescan do not need to submit a new Livescan. Livescan forms and instructions are available at
TemeculaCA.gov/massage.
2. Prior to submitting the application, applicants should verify that they have all of the required paperwork
and completed all responses on the application forms. Failure to submit any portion of this application will
result in a rejected application or delayed review.
3. Business License will review the Massage Establishment Permit (MEP) application upon submittal.
4. Planning will process the MEP application (or renewal) and review the application for completeness.
Payment will be required.
5. Police will review the contents of the application to ensure the accuracy and integrity of the application.
6. Planning will continue to process a MEP, if approved by the Police Department/all requirements are met.
7. Building & Safety/Fire will require tenant improvement permits, or a Non-Construction Certificate of
Occupancy for all new locations or changes in ownership. Renewals without any ownership or location
changes will not be required to obtain a new occupancy certificate.
8. Business License will review the finalized application. Payment will be required. A copy of the business
license and MEP will be mailed within a few weeks.
Processing times will vary depending on Department of Justice (DOJ) timelines, caseloads, and the
completeness/responsiveness of applicants.
SECTION A
BUSINESS LICENSE CHECKLIST
In addition to the items required in this packet, all of the following items must be attached to this page (when
applicable). Failure to submit any portion of this application will result in a rejected application or delayed review.
PLEASE ATTACH THE FOLLOWING TO THIS PAGE (WHEN APPLICABLE)
Any county, state, or federal licenses required for the business (health permits, etc.)
Agent Letter if sending an authorized agent –notarized or with an Owner’s ID if not notarized
Articles of Incorporation / Organization / Formation as filed with the Secretary of State
State License / Certification for Licensed Professions (other than massage professionals)
Proof of Fictitious Name Filing for the Business Name/ dba (doing business as) with the Riverside County
States Sales Tax ID/Sellers Permit (if selling tangible goods or rentals that require sales tax to be collected)
Cost?
Fees are available at TemeculaCA.gov/fees.
CITY OF TEMECULA
BUSINESS LICENSE & MASSAGE
ESTABLISHMENT APPLICATION
41000 Main Street
951-694-6400
Temecula, CA 92590
TemeculaCA.gov/massage
PL-90 Updated: 11/08/2019 R:\Applications\2019\Massage Establishment Permits\Massage Establishment Permits PL90.docx PAGE 2/16
SECTION B
BUSINESS LICENSE
Business Location (Cannot be a P.O. Box per State of California Business & Professions Code § 17538.5)
Unit/Suite #
Description of the Business
Hours (7 a.m. – 9 p.m. max.)
What is the ownership structure?
Corporation Corp.-Limited Liability Partnership Sole Proprietor Trust
Phone
Sellers Permit #
State License #
State License Classification
Website URL
SECTION C
MAILING ADDRESS/EMAIL
Mailing Street Name & Number
Unit #
City
Zip
SECTION D
EMERGENCY POINT OF CONTACT
Contact Name
Title
Phone
Street Number & Street Name
Unit #
City
Zip
SECTION E
PROPERTY OWNER INFORMATION
First Name (or Company Name)
Last Name
Middle Initial
Property Owner Street Number & Name
Unit #
City
Zip
Property Owner Email
Property Owner Phone
SECTION F
APPLICANT
First Name
Middle Initial
Last Name
Street Number & Street Name
Unit #
City
Zip
Applicant Email
Applicant Phone
FOR CITY STAFF
DEPT.
DATE REC’D
PERMIT/LIC. #
INITIAL
DATE
Date Rec’d.
Penalty #
Bus. Lic. (Start)
Date Paid
Invoice #
Planning (Start)
License Fee
Police
Cash AMX DC MC VISA
Check #
Planning (MEP)
Building/Fire
Bus. Lic. (End)
CITY OF TEMECULA BUSINESS LICENSE AND MASSAGE ESTABLISHMENT APPLICATION
PL-90 Updated: 11/08/2019 R:\Applications\2019\Massage Establishment Permits\Massage Establishment Permits PL90.docx PAGE 3/16
SECTION G
STATEMENT OF OPERATIONS
Instructions: Please describe your business operations. Please describe all services provided (deep tissue, hot stone, other non-
massage services, etc.)
What are your hours of operation? (Must be between 7:00 a.m. to 9:00 p.m.)
If other uses are operated on the premises, what percentage (%) of the floor area will be dedicated to other uses?
Not applicable % of other uses
Will any massage professionals perform outcall massage?
Yes No
Applicant/Manager/Operator (Circle one) Signature
Date
CITY OF TEMECULA BUSINESS LICENSE AND MASSAGE ESTABLISHMENT APPLICATION
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SECTION H
BUSINESS OWNERSHIP
Instructions: Please answer the following questions accurately.
What type of ownership is this business?
Corporation Corp.-Limited Liability Partnership/Joint Venture Sole Proprietor Other
Is this a limited partnership?
No Yes (if yes, please provide a copy of the Certificate of Limited Partnership filed with the State)
Is this a corporation or is one or more partners a corporation?
No Yes
What is the name of the Corporation? (The name must be set forth exactly as shown in the articles of incorporation or charter)
State of Incorporation.
Date of Incorporation. (dd/mm/yyyy)
SECTION I
BUSINESS OWNERSHIP: RESIDENTIAL INFORMATION
Instructions: For corporations or partnerships with corporations, all names and addresses of current Officers/Directors must be
provided as well as any stockholder holding more than 5% of the stock of the corporation. If needed, use an additional copy of this
sheet.
First Name
Middle Initial
Last Name
Street Number & Street Name
Unit #
City
Zip
First Name
Middle Initial
Last Name
Street Number & Street Name
Unit #
City
Zip
First Name
Middle Initial
Last Name
Street Number & Street Name
Unit #
City
Zip
First Name
Middle Initial
Last Name
Street Number & Street Name
Unit #
City
Zip
First Name
Middle Initial
Last Name
Street Number & Street Name
Unit #
City
Zip
First Name
Middle Initial
Last Name
Street Number & Street Name
Unit #
City
Zip
First Name
Middle Initial
Last Name
Street Number & Street Name
Unit #
City
Zip
CITY OF TEMECULA BUSINESS LICENSE AND MASSAGE ESTABLISHMENT APPLICATION
PL-90 Updated: 11/08/2019 R:\Applications\2019\Massage Establishment Permits\Massage Establishment Permits PL90.docx PAGE 5/16
SECTION J
APPLICANTS/MANAGERS/OPERATOR(S) RESIDENTIAL HISTORY
Instructions: Provide all previous residential addresses for eight (8) years prior to the current residential address for ALL applicants,
managers, and operators. List the most recent addresses, first. Massage professionals who are not an operator, manager, and/or
applicant do not need to fill-out this page. Use an additional copy of this sheet, if needed.
First Name
Middle Name
Last Name
All aliases
CAMTC Certificate?
Yes No
CAMTC #
If you do not have a CAMTC Certificate, have you ever completed a Livescan for the City of Temecula?
Yes No (you must complete Section P)
Street Number & Street Name
City
Zip
From (dd/mm/yyyy)
To (dd/mm/yyyy)
Street Number & Street Name
City
Zip
From (dd/mm/yyyy)
To (dd/mm/yyyy)
Street Number & Street Name
City
Zip
From (dd/mm/yyyy)
To (dd/mm/yyyy)
Street Number & Street Name
City
Zip
From (dd/mm/yyyy)
To (dd/mm/yyyy)
First Name
Middle Name
Last Name
All aliases
CAMTC Certificate?
Yes No
CAMTC #
If you do not have a CAMTC Certificate, have you ever completed a Livescan for the City of Temecula?
Yes No (you must complete Section P)
Street Number & Street Name
City
Zip
From (dd/mm/yyyy)
To (dd/mm/yyyy)
Street Number & Street Name
City
Zip
From (dd/mm/yyyy)
To (dd/mm/yyyy)
Street Number & Street Name
City
Zip
From (dd/mm/yyyy)
To (dd/mm/yyyy)
Street Number & Street Name
City
Zip
From (dd/mm/yyyy)
To (dd/mm/yyyy)
First Name
Middle Name
Last Name
All aliases
CAMTC Certificate?
Yes No
CAMTC #
If you do not have a CAMTC Certificate, have you ever completed a Livescan for the City of Temecula?
Yes No (you must complete Section P)
Street Number & Street Name
City
Zip
From (dd/mm/yyyy)
To (dd/mm/yyyy)
Street Number & Street Name
City
Zip
From (dd/mm/yyyy)
To (dd/mm/yyyy)
Street Number & Street Name
City
Zip
From (dd/mm/yyyy)
To (dd/mm/yyyy)
Street Number & Street Name
City
Zip
From (dd/mm/yyyy)
To (dd/mm/yyyy)
CITY OF TEMECULA BUSINESS LICENSE AND MASSAGE ESTABLISHMENT APPLICATION
PL-90 Updated: 11/08/2019 R:\Applications\2019\Massage Establishment Permits\Massage Establishment Permits PL90.docx PAGE 6/16
SECTION K
STAFF LISTING
Instructions: Please list the names and residence addresses for ALL mangers, operators, massage professionals, and
employees of the massage establishment. A driver’s license or other government-issued pictured identification card will be required for
each person. Use an additional copy of this sheet, if needed.
CAMTC #
Employment Status
1099 W2
Title/Position (you may check multiple positions, if applicable)
Operator Manager Massage Prof. Other (describe):
First Name
Middle Initial
Last Name
Street Number & Street Name
Unit
City
Zip
CAMTC #
Employment Status
1099 W2
Title/Position (you may check multiple positions, if applicable)
Operator Manager Massage Prof. Other (describe):
First Name
Middle Initial
Last Name
Street Number & Street Name
Unit
City
Zip
CAMTC #
Employment Status
1099 W2
Title/Position (you may check multiple positions, if applicable)
Operator Manager Massage Prof. Other (describe):
First Name
Middle Initial
Last Name
Street Number & Street Name
Unit
City
Zip
CAMTC #
Employment Status
1099 W2
Title/Position (you may check multiple positions, if applicable)
Operator Manager Massage Prof. Other (describe):
First Name
Middle Initial
Last Name
Street Number & Street Name
Unit
City
Zip
CAMTC #
Employment Status
1099 W2
Title/Position (you may check multiple positions, if applicable)
Operator Manager Massage Prof. Other (describe):
First Name
Middle Initial
Last Name
Street Number & Street Name
Unit
City
Zip
CAMTC #
Employment Status
1099 W2
Title/Position (you may check multiple positions, if applicable)
Operator Manager Massage Tech. Other (describe):
First Name
Middle Initial
Last Name
Street Number & Street Name
Unit
City
Zip
CAMTC #
Employment Status
1099 W2
Title/Position (you may check multiple positions, if applicable)
Operator Manager Massage Prof. Other (describe):
First Name
Middle Initial
Last Name
Street Number & Street Name
Unit
City
Zip
CITY OF TEMECULA BUSINESS LICENSE AND MASSAGE ESTABLISHMENT APPLICATION
PL-90 Updated: 11/08/2019 R:\Applications\2019\Massage Establishment Permits\Massage Establishment Permits PL90.docx PAGE 7/16
SECTION L
NON-CAMTC APPLICANTS/MANAGERS/OPERATORS EMPLOYMENT HISTORY
Instructions: This section is for applicants/managers/operators that do not have a CAMTC Certificate. Employment history must be
provided for eight years preceding this application. List the most recent employer first. Use an additional copy of this sheet, if needed.
Are all of the applicants, managers, and operators CAMTC certified?
Yes (you may skip to Section O) No (you must complete this section for all NON-CAMTC applicants, managers, & operators.)
First Name
Last Name
What documents will you use as Qualifying Proof of Legal Residence? (Birth certificate, social security, etc.)
Are you at least 18 years of age?
Yes No
Business Name
Type of Business
Position Title
Job Responsibilities
Street Number & Street Name
City
Zip
Start (dd/mm/yyyy)
End (dd/mm/yyyy)
Business Name
Type of Business
Position Title
Job Responsibilities
Street Number & Street Name
City
Zip
Start (dd/mm/yyyy)
End (dd/mm/yyyy)
Business Name
Type of Business
Position Title
Job Responsibilities
Street Number & Street Name
City
Zip
Start (dd/mm/yyyy)
End (dd/mm/yyyy)
SECTION M
NON-CAMTC OPEATOR PERMIT HISTORY
Have you ever had any massage license and/or permit denied, revoked, and or suspended (including CAMTC Certificates)?
No Yes (if yes, please list where the violation occurred):
Have you ever had any permit, license, or certification to conduct a massage business issued or denied by any governmental
authority? No Yes
Was the permit or license denied, revoked, or suspended?
What was the reason for the denial, revocation or suspension of the massage business license or permit?
SECTION N
NON-CAMTC OPERATOR CRIMINAL HISTORY
Instructions: Please list all criminal convictions and pending charges occurring in any state or country, including pleas of no contest,
within the last ten (10) years, including those dismissed or expunged pursuant to Penal Code §1203.4, excluding traffic infractions or
violations. Use additional sheets, if necessary.
Date of Conviction (dd/mm/yyyy)
Place of Conviction
Reason for Conviction
Date of Conviction (dd/mm/yyyy)
Place of Conviction
Reason for Conviction
CITY OF TEMECULA BUSINESS LICENSE AND MASSAGE ESTABLISHMENT APPLICATION
PL-90 Updated: 11/08/2019 R:\Applications\2019\Massage Establishment Permits\Massage Establishment Permits PL90.docx PAGE 8/16
SECTION O
CERTIFICATION & ACKNOWLEDGEMENT
Instructions: Read this section and all referenced material thoroughly. All applicants, managers, operators, employees, independent
contractors and staff are responsible for knowing the rules and regulations for massage establishments within the City of Temecula. Use
an additional copy of this sheet, if needed.
ALL APPLICANTS, MANAGERS & OPERATORS, must sign and initial a separate copy of this form.
I am a(n): Applicant Operator Manager (check all that apply)
Initial
I have reviewed Chapter 5.22 of the Temecula Municipal Code (available at TemeculaCA.gov/massage).
I understand Chapter 5.22 of the Temecula Municipal Code and its contents.
I understand the duties of a manager as required in Chapter 5.22 of the Temecula Municipal Code.
I understand that I will only employ or retain CAMTC certified massage professionals for providing massage
and failure to comply may result in the revocation of the massage establishment permit.
I authorize the Chief of Police to investigate the truth of the information contained in the application, except that if
the applicant is a CAMTC certified professional, the Chief of Police shall not perform a background check.
I will be responsible for the conduct of all massage establishment operators, employees, agents, independent
contractors, other representatives while such person(s) are on the premises of the massage establishment or
providing outcall massage services, and that failure to comply with the provisions of Chapter 5.22 of the Temecula
Municipal Code and any federal, state, or local law may result in the revocation of the massage establishment
permit.
I understand that during the term of a permit, the permit holder must notify the police department of any changes
within 10 business days, in writing.
I understand that I may not reapply for a period of 12 months if my application is denied, revoked, or suspended.
I understand that false, misleading, or fraudulent statements or omission(s) may result in the application being
denied.
I understand that if I have not satisfied the requirements of this application in the time specified, the application
may be denied.
I understand that I must apply for my business license/massage establishment permit renewal a minimum of 60
days prior to the expiration. I also understand that all business licenses and massage establishment permits expire
on January 31 of each year.
I certify under the penalty of perjury of the laws of the State of California that all of the information provided in this
application is true and correct. I also understand that an incomplete or unsigned application will be rejected.
Applicant/Manager/Operator Signature
Date
Applicant/Manager/Operator Printed Name
ALL APPLICANTS, MANAGERS & OPERATORS, must sign and initial a separate copy of this form.
CITY OF TEMECULA BUSINESS LICENSE AND MASSAGE ESTABLISHMENT APPLICATION
PL-90 Updated: 11/08/2019 R:\Applications\2019\Massage Establishment Permits\Massage Establishment Permits PL90.docx PAGE 9/16
MASSAGE ESTABLISHMENT FLOOR PLAN
Please draw a floor plan of the proposed massage establishment. Draw and label all interior areas, rooms,
doors, bathrooms, plumbing, lobby areas, and exits.
CITY OF TEMECULA BUSINESS LICENSE AND MASSAGE ESTABLISHMENT APPLICATION
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PROPERTY OWNER LETTER
After this page please provide a notarized letter from the legal property owner.
The letter must acknowledge that a massage establishment will be located on the premises & that the massage
establishment must operate in compliance with the requirements of Chapter 5.22 of the Temecula Municipal
Code.
Here is sample language:
COMPANY/OWNER’S LETTERHEAD
To: From:
City of Temecula Jane Doe (Title)
41000 Main Street 123 ABC Way
Temecula, CA 92590 Flagstaff, Arizona, 86011
11/08/2019
Dear City of Temecula:
This letter is in reference to a massage establishment permit for John’s Massage located on my property at
2525 Winchester Road, Suite A, Temecula, CA 92592. I acknowledge and understand that this massage
establishment will be located on my property. I also understand the massage establishment must operate in
compliance with Chapter 5.22 of the Temecula Municipal Code, in its entirety. I understand all of the
requirements and possible consequences, including revocation of permits, for businesses that operate in
violation of the Temecula Municipal Code.
Sincerely,
Jane Doe
Jane Doe
President
NOTARIZED & SEALED
CITY OF TEMECULA BUSINESS LICENSE AND MASSAGE ESTABLISHMENT APPLICATION
PL-90 Updated: 11/08/2019 R:\Applications\2019\Massage Establishment Permits\Massage Establishment Permits PL90.docx PAGE 11/16
COPY OF LEASE
After this page provide a copy of the lease.
CITY OF TEMECULA BUSINESS LICENSE AND MASSAGE ESTABLISHMENT APPLICATION
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COPY OF INSURANCE
After this page, provide a copy of the certificate of liability insurance. The certificate must have the required
coverage ($1,000,000) as well as the required special provision and certificate holder information identified
below (highlighted below).
CITY OF TEMECULA BUSINESS LICENSE AND MASSAGE ESTABLISHMENT APPLICATION
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THIS PAGE WAS INTENTIONALLY LEFT BLANK
CITY OF TEMECULA BUSINESS LICENSE AND MASSAGE ESTABLISHMENT APPLICATION
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STAFF MEMBER IDENTIFICATION
After this page, please attach the following documentation for each applicant, manager, operator, massage
professional and employee (in the same order as listed in Section K).
For CAMTC Professionals the following is required:
1. A clear color copy of a valid and current Identification Card (ID) or Driver License (DL) or passport
2. A clear color copy of a valid CAMTC ID (for massage professionals)
3. A clear and full page (8 ½” x 11”) color copy of a valid CAMTC Certificate
For non-CAMTC staff the additional following information is required:
4. Proof of one of the following legal residency documents (birth certificate, immigration status, travel vista,
etc.)
5. Proof of one of the following “ability to work in the U.S.” documents (social security card, DHS employment
authorization document, Green Card, etc.)
Sample Documentation
Driver License
Green Card
CAMTC ID
Social Security Card
CAMTC Certificate
Passport
CITY OF TEMECULA BUSINESS LICENSE AND MASSAGE ESTABLISHMENT APPLICATION
PL-90 Updated: 11/08/2019 R:\Applications\2019\Massage Establishment Permits\Massage Establishment Permits PL90.docx PAGE 15/16
PASSPORT PHOTOS
Attach two 2” x 2” passport style photos to this page for each owner, manager, and/or operator.
Write the person’s name behind the correct photo (print clearly).
CITY OF TEMECULA BUSINESS LICENSE AND MASSAGE ESTABLISHMENT APPLICATION
PL-90 Updated: 11/08/2019 R:\Applications\2019\Massage Establishment Permits\Massage Establishment Permits PL90.docx PAGE 16/16
SECTION P
NON-CAMTC OPERATOR BACKGROUND CHECK AND FINGERPRINTS
Instructions: Applicants/owners/operators who do not have a CAMTC certificate will be required to undergo a
background check. Please read the following instructions carefully.
A new Livescan is only required for Non-CAMTC operators who have never had a Livescan with the City of
Temecula.
STEP 1:
Complete your Livescan form (available at TemeculaCA.gov/massage)
STEP 2:
Schedule a Livescan (fingerprinting) by contacting the City of Temecula Police Storefront at 951-506-5160
Hours are as follows: Monday-Friday, 11:00 a.m. – 5:00 p.m. / Saturday – Sunday 11:30 a.m. - 5:00 p.m.
Fees are $32 + a $10 rolling fee for each Livescan. Payment may be cash or check.
STEP 3:
Provide a copy of the Livescan receipt and attach it to this page for any non-CAMTC applicants, owners, or
operators.
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Completed 16 July 2020

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