A. An application for a personal massage therapist permit shall be made on a form provided by the City.
B. The following information and the following documents must be submitted with all applications for personal massage therapist permits:
1. The applicant’s legal name, any aliases and date of birth;
2. The name of the applicant’s massage therapy establishment employer or prospective massage therapy establishment employer;
3. The applicant’s home and business addresses;
4. The previous home addresses of applicant for the ten (10) years prior to the filing date of the application and the dates of residency at each such address;
5. The names, addresses and descriptions of all current and former businesses owned, operated or managed by applicant for the ten (10) years prior to the filing date of the application and the dates applicant owned, operated or managed such business;
6. A recent photograph of the applicant;
7. The applicant’s driver’s license number or identification number;
8. The applicant’s fingerprints taken by the Police Department or other law enforcement agency within the previous sixty (60) days, and approved by the Chief of Police;
9. The applicant’s Social Security number and/or State or Federally issued tax identification number;
10. Certified copy of the applicant’s diploma or certificate of graduation from a state recognized school of massage and a sealed certified transcript verifying that the applicant has completed at least three hundred (300) hours of massage therapy training;
11. A certified statement from a physician licensed to practice medicine in the United States that provides that the applicant has, within sixty (60) days prior to the filing date of the application, been examined by said physician and it has been determined that the applicant is free of any communicable disease which is capable of being transmitted to clients through the physical contact that is normally associated with the massage activities described in this Chapter;
12. A list of all of applicant’s convictions, excluding traffic violations;
13. A declaration signed under penalty of perjury by the applicant that provides that the applicant has not been convicted of any of the following: (a) pandering as set forth in Penal Code Section 266(i), (b) keeping or residing in a house of ill-fame as set forth in Penal Code Section 315, (c) keeping a disorderly house as set forth in Penal Code Section 316, (d) prevailing upon a person to visit a place of illegal gambling or prostitution as set forth in Penal Code Section 318, (e) lewd conduct as set forth in Penal Code Section 647(a), or (f) prostitution activities as set forth in Penal Code Section 647(a) or (b);
14. A declaration signed under penalty of perjury by the applicant that provides that the applicant has not been convicted in any other state of any offense which, if committed or attempted in this state, would have been punishable as one or more of the offenses set forth in Penal Code Sections 266(i), 315, 316, 318 or 647(a) or (b);
15. A declaration signed under penalty of perjury by the applicant that provides that the applicant is not required to register as a sex offender as set forth in Penal Code Section 290;
16. A declaration signed under penalty of perjury by the applicant that provides that the applicant has not been convicted of any felony offense involving the sale of any controlled substance specified in Health and Safety Code Sections 11054, 11055, 11056, 11057 or 11058;
17. A declaration signed under penalty of perjury by the applicant that provides that the applicant has not been convicted in any other state of any offense which, if committed or attempted in this state, would have been punishable as a felony offense involving the sale of any controlled substance specified in Health and Safety Code Sections 11054, 11055, 11056, 11057 or 11058;
18. A declaration signed under penalty of perjury by the applicant regarding whether the applicant has had a previous massage therapy establishment permit, an outcall massage therapist permit, a personal massage therapist permit, or any other massage permit issued pursuant to this Chapter or any other similar massage permit ordinance of the City or other jurisdiction, which was denied, suspended or revoked and if any such denial, suspension or revocation occurred, the applicant shall provide the name and location of the massage therapy establishment or business for which the permit was denied, suspended or revoked, the date of the denial, suspension or revocation, and the reason or reasons for the denial, suspension or revocation; and
19. A declaration signed under penalty of. perjury by the applicant regarding whether the applicant has been a sole proprietor, general partner, officer, or director of any massage therapy business that has had a massage therapy establishment permit, an outcall massage therapist permit, a personal massage therapist permit, or any other massage permit issued pursuant to this Chapter or any other similar massage permit ordinance of the City, which was denied, suspended or revoked and if any such denial, suspension or revocation occurred, the applicant shall provide the name and location of the massage establishment or business for which the permit was denied, suspended or revoked, the date of the denial, suspension or revocation, and the reason or reasons for the denial, suspension or revocation.
C. The applicant shall provide the police department with the current processing fee and with the authorization to conduct the necessary background investigations to determine the truthfulness and correctness of the information provided by applicant and whether the applicant is qualified pursuant to this Chapter to receive the requested personal massage therapist permit.
D. The applicant shall date and sign the application under penalty of perjury that the information contained in the application is true and correct.
E. The applicant shall pay an application deposit fee of one hundred dollars ($100.00) at the time of filing an application pursuant to this Section to pay for the administrative costs associated with the Community Development Department's review of the application. If additional funds are necessary to cover the above costs, the applicant shall pay such additional costs to the city before further processing of the application may proceed. Any unused portion of the deposit shall be refunded to the applicant.
[Ord. 462, Section 3, 5/9/07.]