If other Department Approvals are required, PLEASE RETURN THIS FORM after signatures above have been obtained.
PLEASE CHECK ONE
New Application
Change of Officer/s *
[ Corp. only ] *
Change of Address
Change of Business
Name [ w/ FBN ]
Reactivate
* Please note that all information in this section is public record subject to disclosure.*
C of O PLAN CASE or
Please type or print. Make changes in printed format where necessary.
HOME OCCUPATION # __________________________
A Home Occupation Permit and
Fee may apply
if you conduct Business out of your home. Signature and
Business Name ________________________________________________________________ or permission from the property owner, or their authorized
agent/ property managers is required.
Corporate Name ________________________________________________________________ Bus. Start Date ___________________________
(if applicable)
Business Location _________________________________________________ Suite _________ Phone No. ______________________________
(Cannot be P.O. Box per State of California Business & Professions Code-Section 17538.5)
Check box if residential � _____________________________________________________________________________________________________
Fax No. ________________________________
Description of Business _____________________________________________________________________________________________________
Sellers Permit No. ________________________ Ownership �
Corp � LLC � Partnership � Sole Prop Bus Email ________________________
State Lic. No. ___________________________ State Lic. Classification __________________ Website ________________________________
Mailing Address ____________________________________________________________________ Email __________________________________
Enter below names of Owners, Partners, or Corporate Officers (attach additional sheet, if necessary) ( REQUIRED FIELDS )
1st Owner Name ___________________________________________Title ___________________ Date of Birth ___________________________
Home Address __________________________________________________________________ Bus / Home / Cell No. ____________________
2nd Owner Name ___________________________________________Title ___________________ Date of Birth ___________________________
Home Address __________________________________________________________________
Bus / Home / Cell No. ____________________
In case of emergency, please contact . . . ( REQUIRED FIELDS )
Contact Name ________________________________________________________________________________ Title ________________________________________
Address _____________________________________________________________________________________ Bus / Home / Cell No. ____________________
Enter below the Property Owner or Management ( REQUIRED FOR – INSIDE CITY LOCATION ONLY )
Owner / Property Management __________________________________________________________________ Title ________________________________________
Address _____________________________________________________________________________________ Bus / Home / Cell No. ____________________
General Information ( Check all conduct that applies for your business)
Yes No Yes No Yes No
� � Applicant Exempt from Public Disclosure � � Tattoo Parlors � � Door-Door Solicitor
� � Bingo Gaming � � Sales of Tobacco Products or paraphernalia � � Sales of Firearms
� � Fortune Telling Establishment � � Sales of Alcohol � � Hazardous Materials on site
� � Adult/Sexually Oriented Business or products sold � � Drug Sales or Treatment � � Explosives / Firearms on site
� � Secondhand Dealer Pawn Broker � � Massage Establishment or Technician Hours of Operation __________________________
� Taxicab Business or Driver � � Network Transportation Company (Uber, Lyft, etc.) Number of Parking Spaces ____________________
I DECLARE UNDER PENALTY OF PERJURY, THAT THE INFORMATION CONTAINED IN THIS APPLICATION IS TRUE AND CORRECT, AND THAT ALL REQUIRED LICENSES ARE IN FULL FORCE
AND EFFECT. I FURTHER UNDERSTAND THAT ANY FALSE STATEMENTS MADE ABOVE ARE GROUNDS FOR DENIAL OR REVOCATION OF THE BUSINESS LICENSE.
Date : _______________________ Signature of Owner or Authorized Representatives ___________________________________________________
Please make your check payable to the
AMOUNT DUE City of Temecula.
$39.00 (There will be a Service Charge on
all returned checks).
$35.00 Registration & $4 Surcharge for AB1379
NOTE : Sales or use tax may apply to your business activities. You may
seek advice regarding the application of tax to your particular business by
contacting the nearest State Board of Equalization office. For general
information, please call the State Board of Equalization @ 1-800-400-7115.
Thank You for doing business in the City of Temecula.
Business License No. ____________________
Date Application Received ________________
License Fee $ ____________Penalty $ _______
Date Paid _______________INV # __________
� Cash � Check _______________ � Visa � MC
Department Approvals: Initial and Date
Planning _______________________/______________
Building________________________/______________
Fire ____________________________/_____________
Police __________________________/_____________
CITY OF TEMECULA
41000 Main Street Temecula, CA 92590 Phone: (951)693-3933
Fax (951) 693-3948 Web Site: www.temeculaca.gov
email: businesslicense@temeculaca.gov
BUSINESS LICENSE APPLICATION
Business Licenses Expire on January 31st
