Sunnyoaks Ave., 494 W., Unit B (2)BUSINESS LICENSE APPLICATION
1.All questions on this form must be answered or designated not applicable (N/A), as appropriate.
2.Additional information may be required pursuant to City of Campbell Title 5.
3.State mandated notices that may affect your business may be reviewed at statebusinessnotices.hdlgov.com.
4.In order to comply with requirements of the State Controller's Office under Revenue & Tax Code Sec 19286.8, business licenses
cannot be issued without this information.
5.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. For general information, please call the Board of Equalization
at 1-800-400-7115.
6.Businesses must limit operations between the hours of 6 a.m. and 11 p.m. unless a Conditional Use permit is obtained through the
City for extended hours of operation. Excludes home based businesses. Hours of operation for all businesses must not be in conflict
with other City regulations.
Business Information
Business Name ______________________________________BBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBB___
Business Address
&annot be a 32 %o[
___________________________________ Mailing Address ___________________________________
___________________________________ ___________________________________
%usiness Phone ___________________________________ Email ___________________________________
Federal Tax ID/SSN ___________________________________ State Employer ID ___________________________
Type of Business
__________________________________________________________________________________________
of (mSloyees including owner s ___________
Business Owner Information
Owner’s Name ___________________________________ Home Address ___________________________________
Phone Number ___________________________________ ___________________________________
Type of Ownership: Sole Proprietorship Partnership Corporation Trust //&
Additional Questions – fill in as appropriate:
Commercial
Check one: Retail Wholesale
Professional
Mfg/Industrial Product(s) _________________
Vending Machines # of Machines _____________
Amusement Devices # of Devices _______________
Apartments # of units_______
Trailer Courts # of units_______
Hotels # of units_______
Mobile Home Parks
# of units _______
Retirement Inns
# of units _______
Taxicabs/Limousines
# of Vehicles ________
Exempt from Fee – Nonprofit
Day Care
# of Children ________
I declare under penalty of perjury that the foregoing is true and correct and if called a a witness I could competently
testify to the facts contained herein. Executed this __________ day of ___________________, 20____, in the City of Campbell,
County of Santa Clara.
SIGNED: _________________________________________________ TITLE: _______________________________________________
FOR OFFICE USE ONLY:
State ADA Fee - $4.00 Planning Business License Zone Clearance Fee - $.00246 3arcel BBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBB
Amount Paid: Business License Tax __________BBB Rental Dispute Fee __________BBB 5eceiSt BBBBBBBBBBBBB Date Paid __________BBB
Additional Questions - All fields must be completed. Wut EͬA if tŚe ƋuestioŶ does Ŷot ĂpplLJ.
Type of Ownership
Number of Employees
Are you currently operating this business at the provided address?
What are your hours of operation? to
Note: Operational hours include hours your business is open to customers AND when employees are working on-site.
Do you sell tobacco products?
If yes, a separate form must be filled out for a Tobacco Retailers Permit and you must bring a copy of your State Tobacco
License.
Do you sell alcohol?
Are you a used-car dealer?
Are you an Adult-Oriented business?
Does the business involve the production of cannabis?
Expiration Date
California Massage Therapy Council (CAMTC) Certfication
Contractor State License Number Class
Has your business obtained an Industrial NPDES Permit?
WDID#WDID Application #NONA ID#NEC ID#
Are there any other permits associated with this business (existing or proposed)?If YES, please list the permit(s) below:
Continue to Page 2
Is this business engaged in a licensed healthcare activity and/or a licensed healthcare
provider as defined by the California Department of Consumer Affairs?
If YES, please provide applicable information about the existing Industrial Stormwater NPDES Permit
below. If NO, and it is determined that your business requires such a permit, you will need to start the
process of obtaining a Stormwater Industrial General Permit by contacting the State Water
Resources Control Board.
Is this business undergoing ownership change at the provided business address?
Are you proposing any tenant improvements?
Are you subdividing a tenant space?
How many stories is the building?
If the building has more than one (ϭ) story, does the building have an elevator?
Do you have a land use entitlement?
If YES, what is the file#
Are you storing Hanjardous Materials?
What is the previous use/occupancy of the location?
Will the building or building interior change/alter from the existing condition?
Does the business involve any of the following uses/conditions/materials?
What is the gross floor area of your tenant space (measured from
exterior wall to exterior wall)?
Please provide details on the business model and describe the operations that will
take place at this location. If the business serves multiple purposes, include the
square footage allocated to each use.
&or example, how much area is used as an office or for storage, manufacturing, etc.?
BUSINESS CLASSIFICATION*TAX
Retail Tobacco Permit 63.00$
Out of Town 107.00$
Industrial 133.00$
210.00$
360.00$
Commercial 133.00$
210.00$
301.00$
599.00$
Professional 133.00$
242.00$
420.00$
599.00$
Apartments (First Unit)73.00$
3.00$
Rental Dispute Fee 11.00$
Hotels 182.00$
3.00$
Kennels-Animal Hospitals-Groomers
Marijuana Business
Massage Establishment 133.00$
242.00$
Massage Therapist 133.00$
Mobile Home Parks 242.00$
2.00$
Non-profit Organizations
Scavenger Companies
360.00$
Taxicabs - Limousines 133.00$
21.00$
Theaters 479.00$
Tow Services 63.00$
Trailer Courts (First Unit)242.00$
2.00$
Veterinarians
* If your business classification is not listed, please contact the Finance Department at 866-2174 for the appropriate fee.
**Added effective January 1, 2018.
Same as Professional
Same as Industrial
Solicitors-Pawnbrokers-Private Patrol-Live
Entertainment-Wine Festivals
(Each Cab/Limo)
(Each Additional Unit)
7% of gross receipts per Chapter 5.12
1 to 3 Employees
4 or more Employees
(Each Additional Unit)
Exempt from fee
51 or more Employees
(Each Additional Unit)
(Each Unit)
(Each Room)
Same as Professional
6 to 15 Employees
16 to 50 Employees
51 or more Employees
1 to 3 Employees
4 to 10 Employees
11 to 50 Employees
CITY OF CAMPBELL SCHEDULE OF BUSINESS LICENSE TAXES
EFFECTIVE JULY 1, 2024
A $4.00 State ADA Fee must be paid in addition to the business license tax and is included in fee below**
1 to 5 Employees
6 to 50 Employees
51 or more Employees
1 to 5 Employees