CITY OF HUNTINGTON BEACH
FINANCE DEPARTMENT – BUSINESS LICENSE
P. O. Box 190 - 2000 Main Street, Huntington Beach, CA 92648-2702
Phone (714) 536-5267 – Fax (714) 536-5934 – www.huntingtonbeachca.gov
APPLICATION FOR BUSINESS LICENSE
FOR CSLB CONTRACTORS
HEADQUARTERED OUTSIDE OF HUNTINGTON BEACH
BUSINESS DETAILS: Applications must be typed, or legibly hand printed in blue or black ink
Name of Corporation (attach list of officers)
Mailing Address; City, State, Zip
Type of Ownership:
Sole Proprietor
Type of Ownership: LLC
Partnership Corporation
Date Business Started in Huntington Beach
# Employees (include self
per latest tax filing):
Detailed Description of Business Activity
General Contractor
Sub Contractor
I hereby declare under penalty of perjury that the information and statements on this application are true and correct.
Under federal and state law, compliance with disability access laws is a serious and significant responsibility that
applies to all California building owners and tenants with buildings open to the public. You may obtain information
about your legal obligations and how to comply with disability access laws at the following agencies: The Division
of the State Architect at www.dgs.ca.gov/dsa/Home.aspx. The Department of Rehabilitation at
www.rehab.cahwnet.gov. The California Commission on Disability Access at www.ccda.ca.gov.
I am aware of the provisions of Section 3700 of the California Labor Code, which requires every employer to be insured against liability
for Workers Compensation. (Please check appropriate box)
Certificate of Workers Compensation Insurance Certificate of Self-Insurance of Workers Compensation
I certify that in the performance of work for which this license is issued I shall not employ any person in any manner so as to become
subject to the worker’s compensation laws of California. Note: If after signing the certificate, you hire any employee, you become
subject to the workers’ compensation provisions of the California Labor Code and you must immediately comply with the provisions of
Section 3700 or your license immediately becomes revoked.
