HOP2021-00006 CITY OF TIGARD HOME OCCUPATION PERMIT
' COMMUNITY DEVELOPMENT Permit#: HOP2021-00006
TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2421 Date Issued: 2/5/2021
Parcel: 25110AD08400
Jurisdiction: Tigard
Applicant Name: Health Care Business Solutions, LLC
Business Address: 14805 SW 106TH AVE
Nature of Business: Type I Home Occupation Permit for management consulting. Customers/clients or employees
prohibited from visiting the home.
Business Name: Health Care Business Solutions, LL Generate Extrn Noise: No
Sq Ft-Detached: 0 Days/Hours of Operation: M-F, 8 a.m.to 5 p.m.
Sq Ft-Residence: 1300 Bus.Vehicles Garaged @ Res: 1
Sq Ft-Business: 154 Outside Storage: N/A
SIC Code: 7400 Exterior Sign?: No
Paid Non Res Empl: No
CustlClient@ Res: No
PicklDeliv @ Res: Yes
Acknowledgement:
I understand this Home Occupation Permit is approved for the above described business at the specified location only,
and does not require renewal. Further, I understand that the City of Tigard Business Tax must be renewed annually in
order to maintain permit authorization.
I acknowledge that this Home Occupation Permit approval may be revoked if the conditions and standards of approval
have not been complied with and/or this home occupation is otherwise being conducted in a manner contrary to the
Tigard Community Development Code (18.742). Permit revocation due to a violation of requirement(s) of this Home
Occupation Permit cannot be renewed for a minimum period of one year. (18.742.070).
See application
Approved By Permittee Signature
RECEIVED
City of Tigard I COMMUNITY DEVELOPMENT DEPARTMENT
Home Occupation — Type I Application FEB 0 3 2021
OF TIGARD
Ocupacion de Hogar— Solicitud Tipo I PLA NI
TY
(,.. tIAR NG/ENGINEERING
Ft BUSINESS INFORMATION(INFORMACION DEL NEGOCIO):
Address (Dirrccidn): REQUIRED SUBMITTAL
14805 SW 106th Ave.Tigard,OR 97224 ELEMENTS
Tax lot number N�imrro de hh: Map ID 2S110AD08400,Lot 76
( ) QUISTTOS PARA APLICAR
Business name omhrr del n ocio: Health Care Business Solutions,LLC
e3 ) Owner's Signature/Written
Business phone(Tel del negocio): 503-703-2852 Authorization *
'ma del dueno/Antotizacidn per escrito
#of non-resident employees (#de empleados no-babitantes):
0
B iness d
agar acotaLicense de licenciaFee de negocio
Detailed description of business: (Attach additional sheets if necessary)
(Descripcon detallado del negocio./liradirmds bojas si es necesario) Home Occupation Fee Paid
Management Consulting Pagar cnota de Ocnpacidn de Hogar
* If owner and applicant are different
people: (1)the applicant must be the
purchaser of record or a lessee in
Please leave blank(Perjavar dejar',sir elpaaa en btnNmf possession of written authorization from
Translation of detailed business description: the owner or an agent of the owner,OR
(2) the owner(s)must sign this application.
*Si el dueno y el solicitante son personas
diferentes:(1)el solicitante debe ser el
APPLICANT*(SOL/CITANTE comprador de registro o el inquilino con
Name (Nombre): Michelle Cheney autorizacion por escrito del dueno o de un
agente del propietario,0(2)el dueno o
Address*(Die 6n): 14805 SW 106th Ave,Tigard,OR 97224 agente debe firmar esta solicitud.
Phone (Tel): 503-703-2852 FOR STAFF USE ONLY
PARA USO DEL PERSONAL
Email: michellecheney@outlook.com �y�y J/
Case No(s):�F 242-/—OCC
PROPERTY OWNER/DEED HOLDER(S)* Related Case No(s): L
DUES/0 DE LA PROPIEDAD 0 PROPIETARIO DE ESCRITURAS * 2
Application Fee:
413 Same as Applicant(Igual al Sok'citante)
Owner 1(Duero 1) Application Accepted: �A
Name(Nombre): By: IN.1 � Dater e7/1/
Address(Di eridn): Date Determined Complete:
Phone (Tel): By: Date: ..2/5-A
Email: Translation of Business Description:
Owner 2 or Agent (Dneno 2 o Agente): By:_ Date:_2 —
Name (Nombre):
lAcommunim Deselupment\land Use App4c2duns\
02_Form and Templates\Land Use Applicanuns
Address (Direction): Rev.7/23/201a
Phone (Tel):
City ofTigard • 13125 SW Hall Blvd. • Tigard,Oregon 97223 • wwwtigard-or.gov • 503-718-2421 • Page 1 o13
BUSINESS DATA— Applicant please answer all items in this section
DATOS DEL NEGOCIO —Solidtante palates.canteste todos los segmental de esta nccion
Business type code(business license) Space dedicated to business: Residence Area-(square feet):
Ceidigo de negodo(de lneuda de negocia) Espacio dedicado al negona: Area de Residentia-(pies cuadrados):
7400 154 (sq.ft./pies matador) 1.300 (sq.ft./pies cuadrados)
Detached building? ❑Yes(.Si) 21 No #of business vehicles garaged at Will customers/clients visit residence?
(Ed/rio separado?) residence: 2Clientes viritaran la residencies?
#de vebicu/os para usa del aegocio que se
If yes,provide sq.ft. estaeionaran en la residenca? 0 Yes(Si) ® No
(Si es ri,Zcuautos pies eaadrados7) I
Deliveries/pick-ups-maximum 3/week? Days/hours of operation: Outside storage? Exterior sign?
Envios/entraga depaqueteria-enoximo 3/semana? Dias/boras ele operacion.• iAbuacena tienio exterior? Zlstrero en el exterior?
® Yes(Si) 0 No Monday-Friday,8:00 AM-5:00 PM ❑ Yes (Si) fkl No 0 Yes(St) 111 No
INFORMATION ABOUT APPROVAL STANDARDS
(Adapted from Development Code Chapter 18.760)
Please check-off ✓each statement to confirm you have read and understand the following:
Who can obtain and operate a business with a Home Occupation Permit?
Only the principle occupant(s)of a dwelling can obtain and run a business out the home.If owner is not the occupant,the occupant must obtain
approval from the owner or an agent of the owner to apply for a HOP.
Can I have employees on the premises?
( 4-No.Non-resident employees or volunteers of the occupation business may NOT do work on the property.
Can II�seee clients at my home?
U No.Type I Home Occupations do not allow any clients or customers to visit the home.A Type 11 Home Occupation is necessary to allow this
type of use.
Can I receive deliveries at my home?
1Yes,a maximum of three business related deliveries are allowed per week.
How can I use the property for the business?
CO--Any space dedicated fur the business cannot be more than 528sq ft.,nor can it exceed 25%of the total residential area.
I v1�y--All activities of the business must remain entirely within the dwelling.
C2"No exterior storage of materials is allowed.
Er If an accessory detached structure is used for the business,it must meet state building code requirements and cannot change the classification of
the dwelling unit in accordance with the state building code.
What aboutabout parking and business vehicles?
l J One commercially licensed business vehicle is allowed to be stored on the property.The vehicle cannot weigh more than.75 tons.
The business cannot require am on or off-street parking that would exceed what is already required for the dwelling.
How many HOP's can be operated from one home?
C 'More than one business can be operated within a dwelling,but each business occupation must obtain a separate HOP permit.In addition,the
total combined area used for al(Home Occupations cannot exceed 528sq.ft.or occupy more than 25°4.of the residential area.
NOTE:The following activities are prohibited with any home occupation:
U Storage and/or distribution of toxic or flammable materials,and spray painting or spray finishing operations that involve toxic or flammable
materials that in the judgment of the foe marshal pose a dangerous risk to the residence,its occupants,and/or surrounding properties.
(Individuals engaged in home occupations shall make available to the fire marshal for review the material safety data sheets that pertain to all
potentially toxic and/or flammable materials associated with the use.)
��y
Auro-body repair and painting
C'Ongoing mechanical repair conducted outside of an entirely-enclosed building
(3,3.Junk and salvage operations.
O. Storage and/or sale of fireworks.
/Offensive noise,vibration,smoke,dust,odors,hear or glare noticeable at or beyond the property line resulting from the operation.
CO
V Exterior signs that identify the property as a business location.
City of Tigard • 13125 SW Hall Blvd. • Tigard,Oregon 97223 • wwwtigard-or.gov • 503-718-2421 • Page 2 0-3
INFORMACION SOBRE LAS CONDICIONES DE APROBACION
(adaptado de la section 18.760 del cddigo de desana/lo)
Pot favor marque ✓coda frase para reai5rmar que iey6 yenrentli6 to siguiente:
eQuian puede obrenery operar un negocio con un perm/so de ocupacidn de hogar?
0 Sammie lot babe-wens prinipales de nna vivienda pneden adquinr y opera,.tin eyrie derde el mismo begat.S'i el dunk no e.8 rl habitmae,e/habitavie debt'ob/ener el
eonrentimieuto del dnella a agent"del Annie pan,solicitar no perinro de ornpandn.
ePuedo rener empieados en In propiedad?
❑ Nn.I As emp/eades nn-hahituntes a voluntaries del'regatta NO pneden trabajar derde el hogar.
iPuedo atender themes en mi hogar?
❑ No.Jra ocepaciorres Tipo-1 no permitter gm los(bodes visiteu e1 begat...5e require em pet-mite de Ocnpaddn de Hagar TO 11 para este usa.
dPuedo recibir correspondencia de paquererfa en mi hogar?
0 Si,se pervriteei in,maxima de tees vamps de ranee par semmra para el morn.
iC6mo puedo utilizar in propiedad para mi empresu?
0 Cualgnier espan derlicndo ad eiso del'regain,no puede ocerparmds de 528 pies caadredos,ni peer'excedrr 25%del drem total de la residencia.
❑ "talon las adiuidades de la emprua deben permanecer rampktamente derrho tie la rivknda.
❑ No se pennile e/alivacennmieeto de matenales ninon del hogar.
❑ Si usa an ed fen nceesorio independien/e pans in negnrio,este debt eumplir con el edeligo esta/al de conslnceiany no puede cauar ten iambic a la danficaeidn de la
r6nneda de aaeerele con el tadiga esta/al de rent urrien.
eY qui hay del esracionanaiento y vehiculos para el use del negocio?
❑ Solo ra rsbi,u/o comerrial uente acredilado puede ser estaeionado en la propiedad El wherein no prude pelar men de.75 tonrladas.
❑ El eyrie no deb'recant estatianamien/n den/en opera de la propiedad en caniidades teas all6 de In qne ya requiem para una resideuria.
iCuantos perntisos de Ocupacibn de Hogar(HOP)se pueden tenet en erns vivienda?
Se preede apicaloperat mar de an piquet()dentin de ono vicienda,pero rada negeao nrresi/a oblener en propio premise de ncetparian(HOP).Ademds,el drew total gee se mlil e
/taro todos los nrgodns no puede ser aids de 528 pies tuadrades a aids del 25%del area residential
NOTA: Se prohibcs has actividades siguienres en una ocupacidn de hogar:
0 A/macemmniento y/o distnbucidn de materiel/es rdxices o it lamables,ni operarionu de pin/ure en aerosol a de arabado par pedreritaridn gee imphgaen eta/males ldxims
n it fareables pee,a pinto del marina/de fieego,constitoyan me lingo pcligroso para!a resideacia,sac ortpantrsyin propiededes cerranal. (Los individeser tespnnrables par
is ocupacidn de)rogar pondrdn a disposition del marina(de ftega b jar core los dolor de segeeridad de halos los material's polentialmente teximr yin enflamables asariodos
tan el ngono.)
❑ Reperatie a pinlnra de anlomaviles;
0 Repo-mien rnecdniea fivreeniemnae rea/gada*era dr uo ed fcio nmmplelanserle rerrada
OOperanoner de cbalarray mature de mateoakr.
0 A6narerlamienloy/a venia de Ages arnfdaks
0 Rnidns ofensiees,vibrations,lumen,palvo,dares,calor a deshattbrantiellta gar re noun dude o nos al/ti de la linen de prapieded rendtmae del ureacin.
0 Ansudas/ktreros ex/eriores que idenl fgaen la propertied awn con begat-di piggeries.
SIGNATURE(S)-FIRMA(S)
I(applicant)hereby certify that i have read and understand the above conditions and standards for the operation of a home occupation.I
acknowledge that this home occupation approval may be revoked if the above conditions and standards have not been complied with
and/or the home occupation is otherwise being conducted in a manner contrary to the Tigard Community Development Code(78.760).
Revocation due to a violation of the home occupation requirement(s)cannot be renewed for a minimum period of one year(18.760.060).
Yu(el solicitante)certifico por la pretense que he leido y entiendo las condiciones y estandares anteriores para el funciunamiento de una ocupacidn de
hogar.Reconozcu que esta aprobacion de ocupacidn de hogar puede ser revocada si las condiciones v las format antedichas no se han cumptido y/o la
ocupacidn de hogar se esta Uevando a cabo de una manera contraria al codigo de desarrollo de la comunidad de Tigard(18.760).La anulacion debido a
una violation do los requisitos de la ocupacidn de hogar no se puede renovar par un periodo minima do un ano(18.760.060).
,/Y) sS, r Michelle Cheney Feb.3,2021
�Applicantt'sSigignaatn nturree(Firma del, icitante) Print name(Nombre) Dare(hedm)
Owner 1 Signature(Firma de/Dnerio 1) Print name(Nombre) Date(Ficho)
Owner 2 or Agent Signature(Firma del Daedo2 a Agrute) Print name(Nombre) Date(Fechn)
City ofTigard • 13125 SW Hall Blvd. • Tigard,Oregon 97223 • wwwtigard-or.gov • 503-718-2421 • Page 3 of3