Business License Application Form

License No.
City of Desert Hot Springs
65950 Pierson Blvd. • Desert Hot Springs, CA 92240
Telephone (760) 329-6411
www.cityofdhs.org
BUSINESS LICENSE APPLICATION
CHECK ALL THAT APPLY
--- OFFICE USE ONLY ---
New Application
Expiration Date
Change of Ownership
Total Amt. Paid
Date Paid
Change of Address
Cash Check
Receipt/Check No.
Change of Business Name
SIC Code
Home Occupation
Police Dept. Approval
PER ORDINANCE NO. 5.04.190, WITH
EXCEPTION OF WHOLESALERS,
BUSINESS LICENSE FEES SHALL BE
DOUBLE FOR ANY BUSINESS NOT
MAINTAINING A FIXED PLACE WITHIN
THE CITY OF DESERT HOT SPRINGS.
Business Information:
Start Date
(Upon Approval)
Description of Business
Business Name
Business Location
City
State
Zip
City
State
Zip
(Not P.O. Box)
Mailing Address
Business Phone
(
Business Fax (
)
E-Mail
)
State Lic. No.
License Type
Expiration Date
Resale No
Federal I.D. No.
State I.D. No.
Ownership:
Corporation
Ltd. Liability Corp.
Partnership
Sole Proprietor
Trust
Owner, Partner or Corporate Officer Information (use additional sheets if necessary) :
Owner Name
Home Address
Phone (
)
City
Cell (
State
SSN
)
Zip
Driver’s Lic. No.
Owner Name
Home Address
Phone (
)
City
Cell (
State
SSN
)
Zip
Driver’s Lic. No.
Emergency Contact:
Name
Title
Address
Phone
Cell
Alarm Company Information (if applicable):
Name
Title
Phone
Address
Cell
Please complete the following calculating the amount due by using the Fee Summary on the reverse side of this form.
Do you sell tobacco or tobacco paraphernalia? YES
No. of Employees (including Owners/Managers)
No. of Units
No. of Amusement/Vending Machines
No. of Days
No. of Signs
No. of Vehicles
NO
NOTE: Sales or use tax
may apply to your
business activities. You
may seek written advice
regarding the application
of tax to your particular
business by writing to the
nearest State Board of
Equalization office.
Vehicle License No(s).
License Fee
$
Employee Fee
$
$
$
$
$
$
Application Fee
State Disability
Vehicle Fee
Additional Fee
Penalty
TOTAL $
“I declare under penalty of perjury, that the information in this application is true and correct.”
Signature
Title
Date
Thank you for doing business in the City of Desert Hot Springs!
48.00
1.00
CITY OF DESERT HOT SPRINGS — BUSINESS LICENSE FEE SUMMARY
BUSINESS LICENSES ARE ISSUED
ANNUALLY.
PER ORDINANCE NO. 5.04.190, WITH
EXCEPTION OF WHOLESALERS,
BUSINESS LICENSE FEES SHALL BE
DOUBLE FOR ANY BUSINESS NOT
MAINTAINING A FIXED PLACE
WITHIN THE CITY OF DESERT HOT
SPRINGS.
Transfer Fee
Change of Address
Change of Business Name
I–
$33.00
$17.00
$17.00
The license fee is $60.00 per year for
the following businesses:
Art Gallery
Awning / Tent Shop
Bicycle Stand / Supplies
Bingo
Blacksmith / Forge Shop
Boats, Storage and/or Repair
Business Services
Candy Shop & Manufacturing (Retail/Wholesale)
Carpet, Rug, Floor Cleaning Service & Plant
Chemical Service
Cigar & Tobacco Stands & Shops
Creamery
Computer Service
Distributorship
Dancing Schools
Day Care Center (Requires CUP)
Dress Making Shop
Entertainment Services (Clowns)
Equipment Rental
General Building-Maintenance Repair
Gift / Art / Curio Shop
Golf or Archery Range
Handyman
Harness, Saddle or Tack Shop
Hat Shop / Blocking & Cleaning / Sales
Health & Allied Service – not classified
Hobby Shops
Intercity / Highway Passenger Transportation
Janitorial Shop – Service
Jewelry Shop / Sales / Repairs
Fabric / Craft
Home Occupations
Knit Shop
Laundromat, Cleaning
Locksmith
Luggage Shop
Manufacturing
Masseurs / Massage Therapists (Need permit with B/L)
Millinery Shop
Motorcycle Shop
Movie Studio
Museums
Music Dealer / Instruction / Musical Composition
Newspaper Distributors
Package & Shipping Service
Personal Services
Pest Control
Pet Shop & Animal Grooming
Photo & Camera Shop
Pool Service
Popcorn & Nut Store
Pottery Shop
Public Swimming Pool
Purses & Handbags
Repair Service (other than Contractor)
Rock & Gem Shop
Shoe Repair Shop / Shoe Shine Stand
Sign Painting & Printing (other than Contractor)
Tailor Shop
Tours
Transportation
Tree Trimming
Water Purification & Conditioning
Window Cleaning or Window Tinting
II – Professionals - $95.00 per year:
Accountants
Acupressure
Acupuncture
Architects / Designers
Attorneys at Law
Blueprint/Map Making
Chiropractor
IX –
Dentist
Doctors
Engineers
Optometrists
Podiatrists
Veterinarians
III – Special Events - $120.00 PER DAY:
Car Shows
Carnival / Circus
Farmer’s Market
Festival
Medicine Show
Music/Entertainment
Parade
Street Fair
IV – Amusement Machines - $33.00 per
year per machine located at any
premises:
Bowling
Music Boxes
Pinball
Auto Parts / Supplies
Bakery
Building Supplies
Catering
Cosmetic Product Dist.
Dairy Wholesale
Dry Goods
Food & Beverage
Gasoline Delivery Trucks
1 to 2 Employees
3 to 6 Employees
7 to 10 Employees
11 to 14 Employees
15 to 20 Employees
21 to 30 Employees
31 to 40 Employees
41 to 50 Employees
Over 50 Employees
V – The license fee is $64.00 per year for
the following businesses:
VI –
C-13
C-16
C-15
C-17
C-2
C-27
C-26
C-7
C-29
C-23
C-32
C-33
C-34
C-47
C-38
C-42
C-43
C-50
C-45
C-54
C-55
C-60
C-57
C-61
The license fee is $95.00 per year
for the following businesses:
Cement & Concrete
Electrical (General)
Heating & Air Conditioning
House & Building Moving / Demo
Plastering
Plumbing
Roofing
Roofing (Metal)
Steel Structural
Solar
Swimming Pool Construction
VII –
C-4
C-5
C-9
C-45
C-11
C-12
C-8
C-10
C-20
C-21
C-35
C-36
C-39
C-14
C-51
C-46
C-53
The license fee is $160.00 per year
for the following businesses:
General Engineering Contractor
A
General Building Contractor
B
IN THE EVENT OF TWO OR MORE LICENSES ISSUED TO
ONE APPLICANT, THE FEE SHALL BE $170.00 FOR ALL
VIII – The license fee per room, unit,
space:
2 to 6
7 to 12
13 or more
Apartments
Hotels
Mobile Home Parks
$35.00
$60.00
$60.00 plus $5.50 for each room,
unit, space over 12
Motels
Recreational / Temporary Trailer Parks
(Occupied or Unoccupied)
Household Product Dist.
Ice Cream Trucks
Laundry
Milk Delivery Trucks
Peddlers / Solicitors
Propane
Trucking (Except Local)
Water
X – The license fee is BASED ON THE
NUMBER OF EMPLOYEES for the
following business:
Pool Tables
Shuffleboard
Video Machine
Boiler / Hot Water / Steam Filter
Cabinet / Mill Work
Drywall
Electrical (Signs)
Elevator Installation
Excavating / Paving / Grading
Trenching / Surfacing
Fences
Fire Protection
Flooring (Wood) Floor Covering
Glazing
Insulation
Landscaping
Lathing
Low Voltage Communications Systems
Masonry
Ornamental Metals
Parking / Highway Improvements
Painting / Decorating
Pipeline
Prefabricated Wood Bldg. / Manufactured House
Refrigeration
Sewage / Sewage Disposal
Drain / Cement Pipe Laying
Sheet Metal
Steel Reinforcement
Signs
Tile (Ceramic or Mosaic)
Water Conditioning
Welding
Well Drilling
Limited Specialists (unless elsewhere classified)
Delivery Vehicles - $100.00 per year:
$60.00
$120.00
$180.00
$240.00
$300.00
$360.00
$420.00
$480.00
$480.00 plus $6.50 per
employee over 50
Alarm Company
Advertising
Answering Service
Antique Shop
Animal Hospital
Automobile Dealers
Auto Supplies / Equipment
Auto / Car Wash Rack
Bakery
Barber Shop
Beauty Shop
Brickyard
Book / Stationery Store
Bookkeeper
Bowling Alley
Brokerage / Commodity
Building Supplies
Cash Register / Office Machine
Sales & Service
Cocktail Lounge
Coffee Shop
Clothing
Collection Agency
Convenience Store
Department Store
Developers (Real Estate)
Draperies
Dry Goods
Drug Store
Employment Agency
Escrow Company
Equipment / Supplies for Service
Establishment
Florist / Garden Shop
Food Store (7-11) Misc.
Furniture Store (New)
Gardening
Glass Products
Grocery
Hardware
Health Club / Spa Services
Ice Cream Parlor
Insurance Broker
Internet Sales
Jewelry Store
Junk Dealers
Land Dev. Company
Liquor Store
Lumberyard
Mail Order
Management/Consulting/
Public Relations Svc
Manicurist
.
Messenger Service
Mobile Home Sales
Mobile Repair
Mortgage Company
Mortuary
Newspaper
Paint / Glass Shop
Private Detective
Real Estate Broker
(Plus $6.50 per real
estate sales person.
See real estate
signs for additional
fees)
Registered Nurse / LVN /
Family Practitioner
Reflexology
Rest Homes
Restaurant
Retail (Misc.)
Rock / Sand / Gravel /
Cement / Redi-Mix
School of Massage
Secretarial Service
Security Doors, Railings
Metal
Sewing Machine Sales /
Service
Shoe Store
Sporting Goods
Street Sweeping
Television
Theatre
Thrift Store
Towing Service
Toy Store
Travel Agency
Upholstery Shop
Video Production/Store
Warehouse
Wrecking Yard
XI –
Real Estate Signs:
$30.00 per year or $4.00 per sign
XII –
Ambulance Service:
$120.00 per year
XIII – Dance Permits:
$120.00 per year or $19.00 per day
XIV – Taxi Cab Service:
$200.00 per year