Massage-Establishment-Web-Instruction-Sheet.pdf

Checklist - Massage Establishment (Form PL040) Revised 9/7/2016

CITY OF LAS VEGAS Fax (702) 382-6642

DEPARTMENT OF PLANNING TDD (702) 386-9108

BUSINESS LICENSING DIVISION E-mail us at license@lasvegasnevada.gov

CHECKLIST/INSTRUCTIONS - MASSAGE ESTABLISHMENT

LVMC 6.52.020

Massage Establishment - any premises occupied and used for the purpose of performing massage therapy.

Massage Establishment Ancillary - a massage establishment that is an accessory to the principal permitted use, not over 150 square feet

and does not advertise on any exterior signage.

REQUIRED DOCUMENTS: All forms must be completely filled out.

National American Industry Classification System (NAICS Code): 812199

Las Vegas Business License Application (Form #BL001)

Temporary License Request - Optional - (Form #PL200)

Financial Questionnaire (Form #PL124) and documentation to support sources of funding

Massage Establishment Handout Manager-Key Requirements (Form #PL047)

Massage Establishment Register (Form #PL044)

Organizational chart of related companies (if applicable)

NOTE: If the ownership

structure of the entity applying

for the license is made up of

other entities (i.e., the member

of an LLC is a corporation and

another LLC), you are required

to supply documents for both

LLCs and the corporation as

outlined under the entity type.

Articles of Organization

Operating Agreement

Complete Trust Agreement and Amendments

List of all Trustees

List of officers and directors as filed with the Secretary of State

Most recent Form 10-K filed with SEC (publicly traded)

List of members and contributions if not included in Operating Agreement

Most recent Financial Statements

Most recent Annual Report (publicly traded); or

Articles of Incorporation

Corporations:

Trusts:

Limited Liability Companies (LLC):

Organizational chart of related companies (if applicable)

DEFINITIONS:

List of stockholders holding more than 10% and/or involved in the day-to-day operation

Checklist - Massage Establishment (Form PL040) Revised 9/7/2016

Partnership Agreement

List of Partners if not in the Agreement

Partnerships:

Organizational chart of related companies (if applicable)

Partnership Agreement

List of Partners and contributions

Limited Partnerships:

Organizational chart of related companies (if applicable)

Suitability package for each "Principal" as defined by LVMC 6.02.010 (Must be completely filled out and typed or printed in INK

or application will not be accepted):

Personal History Form (Form #PL125)

U.S. Military Discharge Form DD2214 or equivalent if served in another country, if applicable

One (1) current photo of head and shoulders, passport size--approximately 2" x 2" (Must be less than 6 months old)

Driver's License or State-issued Identification Card

Certified copy of Birth Certificate Copy of Certification of Birth Abroad

If born IN the United States or abroad to U.S. citizens, provide one of the following:

If born OUTSIDE the United States or abroad to U.S. citizens, provide one of the following:

Naturalization Certification Copy of Permanent Resident Card Employment Authorization Card

Location Lease Agreement or proof of property ownership

Filed stamped copy of Certificate of Business Fictitious Firm Name

Nevada State Business Registration or Notice of Business Exemption (copy of license or proof of application)

Nevada State Sales/Use Tax Permit (copy of permit or proof of application)

Floor Plan (must indicate deisgnated massage service areas and square footage)

Health Permit/Health Card (if applicable)

FEES: (All fees are non-refundable)

CLV Business Licensing Fees:

Initial Processing Fee: $100.00

Temporary License Request (optional): $500.00

Annual License Fee: $400.00

LVMPD Suitability Fees:

$150.00 per person being investigated

$200.00 per privilege license

Waiver Request Fee (if applicable): $100.00 per person

OTHER REQUIRED DOCUMENTS:

Checklist - Massage Establishment (Form PL040) Revised 9/7/2016

Notary Fees:

If your items need to be notarized, a license technician can assist you with this during your appointment for an additional $5.00

per signature.

GENERAL REQUIREMENTS:

Owner or approved key employee is required to be present on the premises of the massage establishment during operating hours.

Special Use Permit (SUP) is required. (See Massage Ancillary for exception)

Employees must be at least 18 years of age.

List of employees must be kept - Massage Establishment Register (Form #PL044)

Rates and licenses must be posted.

Hours of operation can only be from 6:00 a.m. to 10:00 p.m., unless otherwise approved in the SUP or restricted by the license.

List of Prohibited Activities - refer to LVMC 6.52.120

Massage Establishment (M03):

Massage Establishment Ancillary (M11):

Same requirements as Massage Establishment

Is an accessory to a principal permitted use that is one of the following:

a medical office or physical rehabilitation clinic

physical therapists

a fitness and health center

a country club or golf course clubhouse

a hotel with more than one hundred (100) rooms

a facility similar in nature to any of the facilities listed above

a licensed medical professional holding a valid medical and/or medical firm business license does not need an additional

massage or massage establishment ancillary business license to employ (W-2 employee) a massage therapist to perform

therapeutic massage as prescribed by the medical professional. The State licensed massage therapist employee would

be licensed as a professional under the medical firm license. This is limited to only one room within the medical firm

that is no larger than 150 square feet and the massage is conducted under the supervision of a licensed physician

pursuant to NRS 630, a licensed homeopathic physician pursuant to NRS 630A, a licensed osteopathic physician

pursuant to NRS 633 or a licensed chiropractor pursuant to NRS 634.

This does not apply to independent massage therapists. The space within the medical firm cannot be rented out to an

independent massage therapist.

Cannot exceed 150 square feet of space within an existing business. (NOTE: Indicate on the application the dimensions of

the room to be used for massage.

Hours of operation are limited to the period between 6:00 a.m. and 10:00 p.m. and cannot exceed the hours of the primary

business.

A massage therapist must have a valid State Massage License and either be a W-2 employee or have a City of Las Vegas

Independent Massage Therapist License.

No exterior signage or advertising of massage.

Checklist - Massage Establishment (Form PL040) Revised 9/7/2016

LICENSING EXCEPTIONS:

Massage Therapist as a paid Employee - an employee of a massage establishment who is licensed by the State to perform massage

therapy MUST be accounted for as a professional employee of an establishment or will be considered an Independent Massage

Therapist. A separate professional business license for employees must be obtained by the owner of the establishment (see

Professional (P50) license below).

Licensed Medical Professional (holding a current P55 license) - a licensed medical professional does not need an additional

business license to perform massage in the normal course of their duties. A "Licensed Medical Professional" means a licensed

physician pursuant to NRS 630, a licensed homeopathic physician pursuant to NRS 630A, a licensed osteopathic physician pursuant

to NRS 633 or a licensed chiropractor pursuant to NRS 634.

Other Exceptions - State licensed doctors of oriental medicine, physical therapists, nurses, barbers, hairdressers and cosmeticians

who perform only those massages included within the definition of the practice of their profession as defined by State law, do not

need an additional license. Participants in a student clinic program certified by the Nevada Department of Education, but only to the

extent that an instructor is present, do not need an additional license.

RELATED LICENSES:

Independent Massage Therapist (M12) - a massage therapist who is not an employee of a massage establishment, is a sole

practitioner, and hires no employees needs an Independent Massage Therapist License.

Professional (P50) - professionals within a massage establishment. All administration and employees licensed as massage

therapists with the State Board of Massage Therapy must be accounted for under a P50 license.

Fee: $100 for the first professional employee and $75 for each additional professional employee, semi-annually.

Professional Services Medical

Reflexology Establishment

Reflexology Practitioner

ADDITIONAL INFORMATION:

A Special Use Permit (SUP) is required for free-standing massage establishments. Please check with the City of Las Vegas Planning

Department for permit information (Tel. 702-229-6301 or 333 N. Rancho Dr., 1st Floor). This is a separate application process from

that of obtaining the business license.

LVMC Ch. 19 - Zoning laws prohibit licensing of a massage establishment within 1,000 feet of any other massage establishment or

within 400 feet of a church, synagogue, school, child care center, city park, or any parcel zoned for residential use. Contact the

Planning Department for questions regarding proximity, measurements, waivers or variances.

An investigation is required by the Las Vegas Metropolitan Police Department. These investigations can take, on average, 3 to 6

months.

An establishment can request a temporary license while waiting for the massage establishment license. The Temporary License

Request Form (Form #PL200) must be filled out and submitted with a $500.00 non-refundable fee. A temporary license may be

granted upon the discretion of the Deputy Planning Director within 40 to 45 days upon submission of a complete application.

Either the owner or an approved key employee must be on premise at all times that the establishment is in operation.

An owner of a massage establishment must indicate on the application whether or not they will be performing massage. If so, they

must provide the same certification documents as a massage therapist and a separate massage therapist license will be required.

City and State licenses of any person performing massage therapy must be either carried on the licensee's person or displayed in an

open and conspicuous place on the premise of the establishment.

Cross gender massage is only allowed on the premises of a licensed massage establishment or while administering a chair massage.

A massage establishment may dispatch a licensed massage therapist to perform outcall massage, but only if the therapy is to take

place at the client's transient lodging, temporary or permanent residence or at the client's place of business.

Checklist - Massage Establishment (Form PL040) Revised 9/7/2016

Applications are taken by appointment only, Monday through Thursday.

Call (702) 229-1840 for appointment.

If you are more than 15 minutes late, your appointment will be cancelled.

Incomplete applications will not be accepted and your appointment will be cancelled.

You will need to call back to reschedule.

*** IMPORTANT ***

Return this Checklist with the original application packet PLUS a copy of the original application packet in the following

order:

Ownership/Officer/Corporate Information Form

Legal Representation Letter, if applicable

City of Las Vegas Business License Application

Request for Temporary License

Personal History Questionnaire

Authorization to Release Information

Birth Certificate, Driver's License, Passport, DD214, Certificate of Naturalization, Permanent Resident Card,

Employment Authorization Card

One (1) current photo of head and shoulders, passport size - approximately 2" x 2" (must be less than 30 days old)

Work Card, Health Card, Alcohol Awareness Card, if applicable

Work Card - Fingerprint Application

Personal Bank Statements, if applicable

Personal Tax Returns, if applicable

Alcohol Owner/Management Acknowledgement Notice

Responsible Party Acknowledgement Notice

Entertainment Verification Form

Any license specific Acknowledgements or Addendums (Medical Marijuana, Smoke Shops-Drug Paraphernalia

Addendum, etc.)

Waiver Request(s)

Privilege License Financial Questionnaire, if applicable

Business Bank Statements

Business Tax Returns

Group together documents as listed on your Checklist/Instructions for Corporations; Trusts; LLC's; Partnerships; Limited

Partnerships

Secretary of State documents; Nevada State Business Registration; Business Fictitious Firm Name; Nevada Sales/Use

Tax Permit (proof of application)

Lease Agreement or proof of property ownership

Purchase/Sale Agreement

Transfer of Business License

Floor Plan

Participation Agreement (Gaming)

Special Use Permit

If we make any copies, you will be charged $1.00 per page.

Notary services are also offered in our office for a fee.