City of El Segundo Logo


350 MAIN STREET, EL SEGUNDO CA 90245
(Phone) (310) 524-2317 (Fax) (310) 640-0489
http://www.elsegundo.org
taxinquiries@elsegundo.org


City of El Segundo
Finance Department

If this application is not applicable click here

General Business Information








Mailing Address same as Business Address






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List the TOTAL NUMBER OF ALL PEOPLE (including owners, officers, partners, fulltime, part-time, seasonal and 1099 independent contractors) that work in the City of El Segundo during any part of the calendar year. Use of Full-time equivalents IS NOT acceptable.









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Is your Organization tax exempt? Yes No
Is your occupation licensed by the State of California? Yes No


Storm Water Questions


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Is facility SIC code regulated by the IGP: * Yes No

Names of Owners, Officers, Partners and Business License Renewal Contact

Business License/Renewal Contact






Business License/Renewal Contact same as Contact 1

Contact 1







Contact 2






Disability Access

Under federal and state law, compliance with the disability access laws is a serious and significant responsibility that applies to all California building owners and tenants with building 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.regab.cahwnet.gov
The California Commission on Disability Access at www.ccda.ca.gov

Certification/Signature

YOUR APPLICATION CANNOT BE ACCEPTED OR PROCESSED WITHOUT SIGNATURE:

Contact the Planning & Building Safety Department at (310) 524-2344 to confirm your business meets the requirements of the City’s building and zoning ordinances.


I understand that is Business Registration and issuance of a City of El Segundo Business Tax Certificate is not a regulatory license to operate but a tax imposed by the City. It is the responsibility of the applicant/certificate holder to ensure their business complies with all applicable City of El Segundo codes, City zoning ordinances and State and Federal laws. I agree to conduct all phases of this business in conformance with all applicable laws, ordinances and regulations established for such business/profession.

By submitting this application, I , accept & understand these conditions; declare under penalty of perjury the foregoing is true & correct; that I am an authorized representative of this business.:

NOTE: BUSINESS TAX CERTIFICATES ARE NOT TRANSFERABLE BETWEEN OWNERS

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The City of El Segundo takes your privacy seriously. Pursuant to the California Public Records Act, some of the information requested on this form will become a matter of public record once submitted. However, this form asks you to provide the City with certain personal information that is being requested and will be utilized by the City for the specific and limited purpose of future City correspondence. Unless you expressly indicate to us otherwise or unless compelled by a court order, it will not be shared with other agencies, businesses or individuals. The remaining information on this form will be kept confidential to the maximum extent permitted by law.