CITY OF HAPPY VALLEY
BUSINESS LICENSE APPLICATION 2020-2021
16000 SE MISTY DRIVE
HAPPY VALLEY, OR 97086-6299
PHONE: 503-783-3800 FAX: 503-658-5174 EMAIL: licenses@happyvalleyor.gov
www.happyvalleyor.gov
LICENSE: New______ Renewal _____ License #: _________
Business Name __________________________________________ Number of Employees ______
Business Phone _______________ Cell Phone _________________ FAX _____________________
*
Phone # to be listed in Happy Valley Business Directory: ___________________________________
Email Address: ____________________________________________________________________
Applicant's Name (Print) _
____________________________________________________________
(Last) (First) (Middle Initial)
Business Address: _________________________________________________________________
(Street Address) (City) (State) (Zip Code)
Mailing Address: ___________________________________________________________________
(Street Address) (City) (State) (Zip Code)
Type of Business___________________________________________________________________
*
If this is a NEW Class D Home based business license with the City, you will need to attach the Home Based Business Questionnaire
CCB License_______________ Expiration Date _________________________________________
(Building and Landscape trades ONLY)
Other Licenses (Metro or State)_________________Expiration Date__________________________
I hereby certify that the information contained herein is true to the best of my knowledge. I hereby agree to abide
by the ordinances of the City of Happy Valley and to correct any hazards or violations as they pertain to the
above business. Issuance of this license does not guarantee that the use conforms to the City of Happy Valley
land use regulation
Applicant's Signature X _____________________________________ Date ________________
The licensing of trades, shops, occupations, professions and business in the City of Happy Valley is regulated
Upon receipt by the City of your application and appropriate annual fee, a license valid through June 30,
2021 will be issued. This license will be mailed to the above mailing address. A copy of this form completed by
the City will serve as a temporary license, if necessary. NOTE: For NEW applications received after January 1
st
but before May 31st only half the license fee will be charged. (Renewals are not included)
Renewal applications will be mailed to all Licensees approximately one (1) month prior to the expiration date.
Business Licenses not renewed by July 20
th
will be considered delinquent and may be subject to additional fees.
If any of the information provided on this application changes during the license period, it is the responsibility of
the Licensee to inform the City.
PLEASE C
HOOSE LICENSE CLASS
License Class License Fee Description
A $ 100.00 COMMERCIAL BUSINESS (Retail/Wholesale)
B $ 100.00 DAY CARE FACILITY
C $ 100.00 RENTAL PROPERTY- Multi-Family
D $ 50.00 HOME BASED BUSINESS (within Happy Valley jurisdiction ONLY)
E 1
$ 100.00 BUILDING TRADES/LANDSCAPE CONTRACTORReceipts in Happy Valley OVER 250,000 annually
* E 2
$ 50.00 BUILDING TRADES/LANDSCAPE CONTRACTOR-Receipts in Happy Valley UNDER 250,000 annually
*CLASS E2 $50 FEE WAIVED WITH A COPY OF A METRO LICENSE ATTACHED TO THIS APPLICATION
F $ 50.00 TEMPORARY PEDDLER/SOLICITOR (10 day special license)
Mail Completed Application and Fee to above address
Office Use Only: Paid:
License# ________ Class _______ Fee ________ CASH CC
CHECK # _______ Receipt #_____________ DATE RECEIVED:
*Fee Waived with Metro license ____________
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