Certificate Of Authority (Coa) Application To Collect Transient Occupancy Tax - San Francisco Office Of The Treasurer & Tax Collector Page 2

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Part B: Hotel Location Information
For each additional hotel location owned or operated in San Francisco, complete a separate Hotel Supplemental Information (Part
B).
Hotel Location No. ______
1.
Hotel Name: _______________________________ Street Location:__________________________________
Date operation started: ______________________
San Francisco, CA 941_______________
Number of Transient Rooms: ____________
Number of Permanent Rooms: ____________
Average rate: $______
Daily
Average rate: $______
Daily
Weekly
Weekly
Monthly
Monthly
Ownership/Lessor of Real Property where hotel is located
2.
Operator owns the land or building where hotel is located
Operator leases/manages the land or building where hotel is located. Complete the followi
ng:
Name of lessor or property owner:
_______________________________________________
Lessor
Owner
Address ______________________________________________________________________ Telephone (___)____________
Lease Terms: No. of Months _________ Monthly Rental __________ Effective Date _________ Expiration Date ____________
Permits/Licenses:
3.
(Enter Permit/License No. if applicable)
FIRE:
Permit Number ____________________
No Permit
POLICE:
Permit Number ____________________
No Permit
DPH :
Permit Number ____________________
No Permit
(Dept. of Public Health)
DBI:
Permit Number ____________________
No Permit
(Dept. of Building Inspection)
4.Parking Operation
(Please check all boxes that apply.)
Type
Location
Guest Only
Guest & Public
No. of Stalls
Garage
____________________________________
________
Parking Lot ____________________________________
________
Valet Parking ___________________________________
________
Overflow Parking:
Location:
Name of Operator
______________________________________
: ________________________________________________
5. Former Operator ________________________________________________________________________________
Address________________________________________________________
Telephone ( )____________
Hotel COA Application
Page 2 of 3
Rev. 4/11/12

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