City of Ojai 401 S. Ventura St.
(805) 646-5581
Ojai, CA 93023
Application for Business License Calendar Year ______
B.L. # __________
BUSINESS NAME ______________________________________________ _________________________________________________ ______________________ PHONE ________________ ________________
Location address
City
State
Zip
Mailing Address Nature and type of business __________________________________________________________ Partnership Corporation Sole Owner
_______ _______ _______
Social Security or Federal I.D. # State Resale Tax # State License and Classification
____________________ ____________________ ____________________
The following persons hereby make application for the Business License for the business stated under the provisions of the Ojai Municipal code. (PLEASE PRINT)
NAME
HOME ADDRESS
PHONE NUMBER
I hereby declare under the penalty of perjury that this application is made by me, that I am authorized to make said application, and that to the best of my knowledge and belief it is true, correct, complete and made in good faith for the year stated. Please hand deliver this copy with your remittance to: Finance Director, City of Ojai 401 S. Ventura Street Ojai, CA 93023
____________________________ Signature of owner or agent ____________________________ Date
(This space for office use only)
Class: _______ Check #: ______
SIC: ________ Cash: _______
Credit card: ______ Fin/pg1/revised 12/5/2012
Please use the table below to calculate your business license tax due.
1. Base Rate: Rate:
$100.00
= $100.00
2. Group
Plus
A - Manufacturing, Wholesale, Retail………………….. No of Employees _________ x $ 8.00 = _________ B - Services, Contractors, Utilities …. Property Rentals, Entertainment…………….…….. No of Employees _________ x $10.00 = _________ C - Professions……………………………………………………… No of Employees _________ x $12.00 = _________ D - Amusement Devices………………….…………………… No of Employees _________ x $30.00 = _________ E - Billiard / Pool Rooms, Bowling Alleys………….…. No of Tables/Lns _________ x $30.00 = _________ F - Apartment Houses, Motels, Hotels *……………… No of units _________ x $ 6.00 = _________ F - Apartment Houses, Motels, Hotels *……………… No of Employees _________ x $10.00 = _________ G - Seasonal / Specialized, Gross Receipts $______________÷$1,000=_________ x $ 0.50 = _________ H - Contractors - Out of town………………..……...….. No of Employees _________ x $10.00 = _________
(*Group F : Select and pay higher of number of units vs employees) employees) TAX AMOUNT: PRORATE: TOTAL TAX AMOUNT: AMOUNT:
$ __________ __________ ____ $ ______ ___________
3. PLUS: BUSINESS LICENSE REGISTRATION FEE :
$
4. PLUS: $1 per State disability access compliance law SB1186
$
TOTAL AMOUNT DUE (lines 1+2+3+4 1+2+3+4) +3+4):
%
25.00 __
1.00
$ __________ ______
I DECLARE UNDER PENALTY OF PERJURY THAT THE ABOVE IS TRUE, CORRECT AND COMPLETE. _____________________________________ Signature Required
_______ _______________________ ____________________ Title
___________________ Date
Please make checks payable to the City of Ojai; Ojai; or you may pay with Master card or Visa, in person or by telephone. Thank you for doing business in the City of Ojai Note: “Employee” means any individual, owner (expect for a true sole-proprietor), agent or full-time equivalent (if one (1) or more part-time employees are engaged to work) employee who is at the firm or business on the date that the business license certificate is issued or renewed. (Ord. Sec. 6-1.205). “Gross Receipts” means the entire gross receipts of the business for calendar year 2014 that are directly attributable to the business activities conducted within the City of Ojai. (Ord. Sec 6-1.205). SB 1186 (Steinberg) is a State’s disability access law was signed on September 19, 2012 by the Governor Brown. On and after January 1, 2013 and until December 31, 2018, it requires cities and counties to collect an additional $1 fee from any new applicant or renewal for a local business license or equivalent instrument or permit. The purpose of this fee is to increase disability access and compliance with constructionrelated accessibility requirements and to develop educational resources for businesses in order to facilitate compliance with federal and state disability laws. You may obtain more information about this law at The Division of the State Architect (www.dgs.ca.gov/dsa/home.aspx), the Department of Rehabilitation (www.rehab.cahwnet.gov), and the California Commission on Disability Access (www.ccda.ca.gov).
OFFICIAL USE ONLY: Planning Dept. Dept. _____ ______ ___
County Health Dept. _____
Police Dept. _____
Finance Dept. _____
Building & Safety Div. _____
