HomeMy WebLinkAboutPRR26419 Hoopai - Records related to Whalebird Kombucha (3576 Empleo St Unit 1), 1-1-22 to 12-31-24Updated 05/2023
City of San Luis Obispo
Request for Public Records
The California Public Records Act (Government Code 7921. et set.) was enacted to ensure public
records are available for inspection by members of the public. Completion of this form will assist staff
in identifying related records to accurately complete your request.
Requested records will be distributed to the email address that is listed on this form, unless directed
otherwise by City staff. Requests for printed records will require payment subject to the City’s
Comprehensive Fee Schedule. Payment must be rendered prior to production of printed materials.
Name: _______________________________________________ Date: ______________________
Last First
Address: ________________________________________________________________________
Street & Unit # City State Zip
Email: _____________________________________________ Phone: _______________________
Release Forms
Requests for certain public records legally require release forms to be submitted for records to be
distributed to the requestor. To help expedite your request, please read below and ensure additional
information is submitted along with this public records request form.
•Personal health information
Records containing personal health information require a HIP AA Release Form. Examples
include fire incident reports, worker’s compensation claims, etc.
o HIPAA Release Form
•Printed residential and/or commercial building plans
The Public Records Act does not allow the release of printed copies of this material without the
permission of the architect/engineer copyright owner. The public records requestor is
responsible for obtaining said authorization by completing all three release forms listed
below. You may call the Community Development Department at (805) 781 - 7170 to find out
the name of the copyright owner. In-person viewing of plans do not require release forms.
o Copies of Plans Affidavit
o Plan Request Architect/Engineer Authorization
o Plan Request Owner Authorization
Continued
YOUR REQUEST WILL BE PROCESSED IN COMPLIANCE WITH THE PUBLIC RECORDS ACT (PRA). California
Government Code Section 7921. An Agency shall notify the requestor within 10 days from receipt of request with a
Determination which states if the Agency is in possession, in whole or in part, of the requested documents, and possible lega l
exemptions which prohibit the release of non-disclosable documents, as outlined per the PRA. In some instances, an Agency
may require an extension of up to 14 days to provide a Determination, as authorized by the PRA. A notice will be provided to the
requestor setting forth the reasons for the extension and the date on which a Determination is expected to be supplied.
Record Information: List the records you are requesting. Specify relevant information such as:
subject, title, incident number, location/address, person(s) involved, project name, etc.
Date and Time: Specify the incident date or date and time range of the requested records
Questions may be directed to the City Clerk’s Office at (805) 781-7100.
Submit Completed Forms To:
cityclerk@slocity.org
OR
City Clerk’s Office
990 Palm Street
San Luis Obispo, CA 93401
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Public Records Request – Whalebird Kombucha / 3576 Empleo Street
I am requesting all public records concerning Whalebird Kombucha, Komplete LLC, and/or the
business formerly operating at 3576 Empleo Street, Unit 1, San Luis Obispo, CA 93401, covering
January 1, 2022 through December 31, 2024.
Please search across all applicable City departments, including but not limited to Code
Enforcement, Building & Safety, Community Development, Planning/Zoning, and Fire Prevention.
Please provide all responsive records, including:
Complaints and complaint investigations
Code Enforcement records and cases
Inspection reports and inspection histories
Building and Safety records
Fire inspections and Fire Prevention records
Zoning, land-use, and permitted-use records
Occupancy records
Notices of violation and notices to correct
Citations, warnings, orders, or other enforcement actions
Records concerning closure, restricted operation, or authorization to resume operations
Records concerning unpermitted uses of the premises
Records concerning individuals residing, sleeping, or otherwise using the commercial
premises for residential purposes
Photographs, inspector notes, reports, and supporting documentation
Correspondence between City personnel and the business, property owner, operators, or
their representatives concerning these matters
Corrective-action and follow-up records
Any other complaint, inspection, enforcement, building, zoning, occupancy, fire-safety, or
code-compliance records associated with this business or address
Please search under Whalebird Kombucha, Komplete LLC, 3576 Empleo Street, Unit 1, as well as
any owner, operator, business license, permit, parcel, facility, or other identifying information
associated with Whalebird’s operation at this location.
Please do not limit the search to the specific categories listed above. I am requesting all responsive
City records concerning the business and its operation at this address during the specified period.
Electronic copies are preferred.
If responsive records are maintained by multiple City departments, please include those records or
route the request to the appropriate departments.
If any responsive records are withheld or redacted, please identify the records withheld or redacted
and the legal basis for doing so.
Thank you.