HOP1996-00065
FOR OFFICE USE ONLY: Permit No.q~ -li b65
Tax Map: 1C! 3 12- Lot No.: I a9c)n zone:
Business Tax Receipt No.: q6 CITY OF ~TIGARD
Approved By: s Date Approved: 'd 4 - 91"
Filing Fee Rec'd:$ Receipt Number:
Check When Completed: OREGON
t/ Entered into Log 'Copy To Applicant 1LOriginal Filed
Home Occupation Permit - Type I
Filing Fee - $10.00
Business Name: Application Date: ! 'Orio -LC Property Address: 13 o W oc e Apt.#
Cit'/~- Zipcode a1aa3 Bus. Ph.: 1--~`J-09Vs1
Property O r': Coci-I e
Nature of Business: C ecveco ` co(QL-Eoc
Name of Applicant*: Cjoi . ?P j
l e,r
Applicant Address: (GQgG S~ Shore Vc,)p Apt.#
City~~ Zipcode ct7~~~ Home Ph.. 52-{ -0?Yq
Conditions: The Home Occupation Permit - Type I is subject to the following:
1.) Home occupations may be undertaken only by the principal occupant(s) of a residential property;
2.) There shall be no more than three deliveries per week to the resident by suppliers;
3.) There shall be no offensive noise, vibration, smoke, dust, odors, heat or glare noticeable at or beyond
the property line resulting from the operation. Home occupations shall observe the provisions of TDC
Chapter 18.090 (Environment Performance Standards);
4.) The home occupation shall be operated entirely within the dwelling unit and a conforming accessory
structure. The total area which may be used in the accessory building for either material product
storage and/or the business activity shall not exceed 528 square feet. Otherwise, the home
occupation and associated storage of material and products shall not occupy more than 25 percent
of the combined residence and accessory structure gross floor area. The indoor storage of materials
or products shall not exceed the limitations Imposed by the provi-sion cf the building, fire, health and
housing codes;
5.) A home occupation shall not make necessary a change in the Uniform Building Code use
classification of a dwelling unit. Any accessory building that is used must meet Uniform Building
Code requirements and be in conformance with TDC Chapter 18.144 of this title;
6.) More than one business activity constituting two or more home occupations shall be allowed on one
property only if the combined floor space of the business activities does not exceed 25 percent of the
combined gross floor area of the residence and accessory structure. Each home occupation shall
apply for a separate home occupation permit, if required per this chapter, and each shall also have
separate Business Tax Certificates;
H 1LogmUiRHOPI
13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 TDD (503) 684-2772
7.) There shall be no storage and/or distribution of toxic or flammable material, and spray painting or
spray finishing operations that involve toxic or flammable material which in the judgement of the Fire
Marshall pose a dangerous risk to the residence, its occupants, and/or surrounding properties. Those
individuals which are engaged in home occupation shall make available to the Fire Marshall for review
that Material Safety Data Sheets which pertain to all potentially toxic and/or flammable materials
associate with the use,
8.) No home occupation shall require any on or off-street parking other than that normally required for
a residence;
9.) The following uses are not allowed as home occupations:
a.) Auio-body repair and painting
b.) On-going mechanical repair conducted outside of an entirely enclosed building
c.) Junk and salvage operations
d.) Storage and/or sale of fireworks
10.) There shall be no exterior storage of vehicles of any kind used for the business except that one
commercially licensed vehicle of not more than three-quarters ton GVW may be parked outside of
a structure or screened area.
Standards: According to Tigard Development Code Chapter 18.142.050, a Home
Occupation Permit - Type I shall exhibit no evidence that a business is being conducted
from the premises. Home Occupation Permits - Type I shall not permit:
1.) Outside volunteers or employees to be engaged in the business activity other than the persons
principally residing on the premises;
2.) Exterior signage which identifies the property as a business location;
3.) Clients or customers to visit the premises for any reason;
4.) Exterior storage of materials.
I 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
Tiagrd Community Development Code (18.142). Revocation due to a violation of the
home occupation requirement(s) cannot be renewed for a minimum period of one year
(18.142.0 0).
Zz
Applicant Signa r Date
Owner Signature cif different than Applicant) Date
Owner Signature (if different than Applicant) Date
When the owner and the applicant are different people, the applicant must be the purchaser of record or lessee in possession The owner(s) or agent of the owner
must sign this application or submit a written authorization with this application
H:1LogfnUilIXH0PI
i
J
May 23, 1996
Jean Heitschmidt
City of Tigard, Oregon
Development Services Technican
Community Development Department
Attached Please find my application for a home office permit and check. Also enclosed
please find a copy of my bond and by Construction Contractor Board Licence.
If you have any question please phone me at 524-0944.
Thank You,
e ,
13290 S.W. S V Drive
Tigard, Oregon 97223
STN ~ Q~~lac~'~a5
RECEIPT FOR PAYMENT "
Construction Contractors Board (503) 376-4621
Landscape Contractors Board 0
Received from: C `i 19 (A c~ r, S 1 L C,
Registration / Enforcement No.:_ -)(v LI
Categories: General All Structures 0 Residential i~
Specialty - All Structures 0 Residential 0
Limited Contractor 0
Amount Paid: Exempt Mr----'Non-Exempt
0
For: New Registration-------
Renewal CI
Enforcement Penalty 0
Landscape Individual---- 0
Landscape Business--- 0
Late F O
Parldng Permit D
Sale of Tapes
Other 0 Explain:
Form of Payment: Cash----------------- O
tChec - D Check No:
ey Or r------ 0
hie ' heck---- D
velers Check 0
Received By: Date - J F
(Attach copy of receipt to money and documentation - drop one copy into monthly receipt folder.)
gam.
CERTIFICATE OF INSURANCE It3UEbATE{µ~;DOnY,'
04/09/96
1RODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND
Contractors Insurance CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE
DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE
Services, Inc. POLICIES BELOW.
PO Box 2267 COMPANIES AFFORDING COVERAGE
Lake Oswego, Oregon 97035
COMPANY
LETTER A Great American
COMPANY B
NSURED LETTER
COMPANY
Chateau Properties LLC LETTER C
.
13290 SW Shore Drive COMPANY
Tigard, OR LETTER D
97223 COMPANY E
LETTER
THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD
INDICATED, NOTWITHSTANDING ANY REOUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS
CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,
EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
:0 TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION LIMIn
TR DATE (MWDD/YY) DATE (MM/DD/YY)
GENERAL LIABILITY GENERAL AGGREGATE S 300,000
X COMMERCIAL GENERAL LIABILITY PRODUCTS•COMP/0P AGGR. S 300,000
PERSONAL & ADV. INJURY S 300,000
CLAIMS MADE X :OCCUR.
A GLP9863387 04/09/96 04/09/97
EACH OCCURRENCE S 300 000
X OWNER'S i CONTRACTOR'S PROT.
FIRE DAMAGE (Anyone fire) S SQrQQQ
MED. EXPENSE (Anyone person) S 5,000
AUTOMOBILE LIABILITY COMBINED SINGLE $
LIMIT
ANY AUTO
ALL OWNED AUTOS BODILY INJURY $
(Per person)
SCHEDULED AUTOS
HIRED AUTOS BODILY INJURY S
(Per occident)
NON-OWNED AUTOS
GARAGE LIABILITY PROPERTY DAMAGE S
EXCESS LIABILITY EACH OCCURENCE S
UMBRELLA FORM AGGREGATE S
OTHER THAN UMBRELLA FORM
STATUTORY LIMITS
WORKER'S COMPENSATION
EACH ACCIDENT $
AND DISEASE-POLICY LIMIT $
EMPI OYERT LIA2IliT1f OISEASE•EACH EMPLOYEE S
OTHER
DESCRIPTION OF OPERATIONBA.OCATIONSNENICUSISPECIAL ITEMS
ALL OPERATIONS OF NAMED INSURED SUBJECT TO POLICY TERMS AND CONDITIONS
: :v:::: v.;: :}+v.i::v: : O •4•Y}::. .,.yy}?:i;}}::1: •}:+r'(~~~e~~~.ly.~. ......:..v v:::. ~ Y. n n vi::~i}:<?ji::i~y:?.::.v.}.h. ir:~;.4S:C^:Ji%?..: ii.1:....v.i . C• 4..
.V., f...Ci 111. IMI~~'T~~IMFNIY.: . . ..J.'~.~.~{./~.~'L..~..ye...... n..........:....... n. n:.mm~.:.,. v ...i n....i r.L. x:.f.. e.:.........
I` 3 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE
EXPIRATION DATE THERFOF• THE ISSUING COMPANY WILL ENDEAVOR TO
MAIL 1A- DAVS WRITTEN NOTICE TO THE CFATII KATE HOLDER NAMED TO THE
n
Date of Notice: 5/17/96
DEPARTMENT OF
REVENUE
955 Center Street NE
Salem OR 97310-2551 5992439
CHATEAU PROPERTIES LLC
13290 SW SHORE DR
TIGARD OR 97223-1587
i 1-1: A'iga 1111111111 oil 111111111
Notice of Registration
Business Identification Number (BIN): 0-889950-6
We have processed your Combined Employers Registration Report. Your
business has been assigned the Business Identification Number listed above.
Please refer to this number on all correspondence with the Department.
You will receive payment coupons and report forms separately within 10
days. If you need to make a payment before receiving your coupons, use a
separate piece of paper to write your Business Identification Number, the
tax programs, tax year and period for which you are paying.
If you have any questions, please call the number below.
Need more information? Call for taxpayer assistance in Salem at (503)
945-8100.
Hearing or speech impaired? Our TTY number within Oregon is
1-800-886-7204. In Salem the number is (503) 945-8617. These numbers are
answered by machine only and are not for voice use.
Habla Espanol? Las personas que necesitan asistencia in Espanol pueden
llamar al numero in Salem (503) 945-8618.
DEPARTMENT OF THE TREASURY DATE OF THIS NOTICE: 04-08-96
INTERNAL REVENUE SERVICE NUMBER OF THIS NOTICE: CP 575 A
OGDEN UT 84201 EMPLOYER IDENTIFICATION NUMBER: 93-1202725
FORM: SS-4
2916922808 B
FOR ASSISTANCE CALL US AT:
221-3960 LOCAL PORTLAND
CHATEAU PROPERTIES L L C 1-800-829-1040 OTHER OR
ZELLER GAIL L MEMBER
13290 SW SHORE PRINE
TIGARD OR 97223 OR WRITE TO THE ADDRESS
SHOWN AT THE TOP LEFT.
IF YOU WRITE, ATTACH THE
STUB OF THIS NOTICE.
WE ASSIGNED YOU AN EMPLOYER IDENTIFICATION NUMBER (EIN)
Thank you for your Form SS-4, Application for Employer Identification Number
(EIN). We assigned you EIN 93-1202725. This EIN will identify your business account,
tax returns, and documents, even if you have no employees. Please keep this notice in
your permanent records.
Use your complete name and EIN shown above on all federal tax forms, payments,
and related correspondence. If you use any variation in your name or EIN, it may
cause a delay in processing, incorrect information in your account, or cause you to be
assigned more than one EIN.
If you're required to deposit for employment taxes (Forms 941, 943, 940, 945,
CT-1, or 1042), excise taxes (Form 720), or income taxes (Form 1120), we will send an
initial supply of Federal Tax Deposit (FTD) coupon books within five to six weeks.
You can use the enclosed coupons if you need to make a deposit before you receive
your supply.
Based on the information shown on your Form SS-4, you must file the following
forms(s) by the date we show.
Form 941 07/31/96
Form 1065 02/15/97
Form 940 01/31/97
If the due date has passed please complete the form and send it to us by 04-23-96.
If we don't receive the form by that date additional penalties and interest will be
charged. If you weren't in business or didn't hire employees for the tax period
shown, please file the form showing that you have no liability.
If you need help in determining what your tax year is, you can get Publication
538, Accounting Periods and Methods, at your local IRS office.
If you have any questions about the forms shown or the date they are due, you may
call us at 1-800-829-1040 or write to us at the address shown above.
Thank you for your cooperation.
STATE OF OREGON
CONSTRUCTION CONTRACTORS BOARD
SURETY BOND
Surety Companys Bond x 41 7 9 9 8 C
CCB Rgosttadon o
Bond pertod: I XXXNX)W years
We, CHATEAU PROPERTIES LLC as . and n_ ycrEL_/1DG'D~ INSURANCE COMB n NX a corporation qualified and authorized to do butinsss in the SLue
of Oregon, as surety, are held and firmly bound onto the Slue of Oregon for the use and benefit of the State of Oregon and any other interested person
mthesumof ******TEN THOUSAND DOLLARS & 00110C)******** (S 10, 000)l w1WmoneyoftheUnited
States of Amaia to be paid as provided in ORS chapter 701. for which payment weH and truly to be made. we bind ourselves, our heirs, personal
repn=u& Ives. successors and assigns. jointly and severally, firmly by these presents.
WHEREAS. the above-teamed principal has made application for a Certificate of Regisa2don with the Construction Connectors Board of the State
of Oregon, or forrmewai ofsuch Certificate and is required by ORS chapter 701 to furnish a bond In the penal sum ofS * *10 . 0 0 0
with good and suf dent surety. conditioned as herein set forth.
NOW THEREFORE, the conditions of the foregoing obli&on are that if said principal with regard to all work done by the principal as a "Coatraccor'
as defused by ORS 701.005. shall pay ail amounts that may be ordered by the Construction Contractors Boadapinst the principal by reason o f negligent
or improper wont or breach of contract in performing any of said work, in accordance with ORS 701.140 - 701.160, Chapter 928 Oregon Laws 1989.
and Oregon Administrative Rules chapter 812. then this obligation shall be void; otherwise to remain in fall force and effect.
This bond is for the exclusive purpose of payment of final orders of the Construction Contractors Board in accordance with ORS ebapter 701.
This bond shall be one continuing obligatim and the liability of the suety for the aggregate of any and all claims which may arise heretm(er sha11
in no event exceed the amount of the penalty of this bond.
This bond shall become effective on the due the pnnclpal meets ail requirements for m stridan or reaewil and shall remain in effect for
( 1 ) ONE years(s) from that date or until depleted by claims paid under ORS chapter 701. unless the surety
sooner =Duck the bond. This bond may be ancelied by the surety and the surety be relieved of fltttbes liability bwvmder by giving 30 days' written
notice to the prmc#*1 and the Consauction Contractors Board "of the State of Oregon
This bond shall not be valid for purposes of registration in accordance with ORS chapter 701 M:aess filed with the Construction Contractors Board
within sixty (60) drys of the due shown blow.
IN W MESS WFIEREOF; the Principal and Surety
APRIL 19 9 6
have be mo set hands and seals this 9TH day of -
S 0 RS INSURANCE OMPANY CHATEAU PROPERTIES LLC
EV 0 J
(Seal)
S.saamn (prsez o;;;m t?d-r)
GAIL L ZELLER
_ cA M 13UT~CHER
?4a* atAaecwr-iu.bb-- or Arent Nam (print er type)
A':TORNEY--IN-FACT
Tak
ONE CENTERPOINTE, SUITE 310 p: This bond is not valid until
Ageacy Addrsss isazd0n is complete d with the
a Coam=ors Boa r&
LAKE OSWEGO, OR 97034
City Slue zip
pt _F ASE COMPLETE CAECIO-IST ON TFM BACK OF TMS FORM
POWER OF ATTORNEY OF
INDEMNITY COMPANY OF CALIFORNIA
t r AND DEVELOPERS INSURANCE COMPANY N-° 2 6 6 9 9 0
P.O. BOX 19725, IRVINE, CA 92713 * (714) 263-3300
NOTICE 1 All power and authority haran granted shall in any event terminate on the 31st day of March, 1999.
2 This Power of Attorney is void it adered or if any portion is erased.
3, This Power of Attorney is void unless the seal is readable, the text is in brown ink, the signatures are on blue ink and this notice is in red mk.
4. This Power of Attorney should not be returned to the Attorney(s)-In-Fact, but should remain a permanent part of the obligee's records.
KNOW ALL MEN BY THESE PRESENTS, that except as expressly limited, INDEMNITY COMPANY OF CALIFORNIA and DEVELOPERS INSURANCE COMPANY, do each
severally, but not jointly, Hereby make. constitute and appoint
***KELLY P, ATWOOD, WILLIAM E. SEARS, BARBARA GRAY, VIOLA M. BUTCHER, JOINTLY OR
SEVERALLY'
the true and lawful Attorney(s)-in-Fact, to make, execute, deliver and acknowledge, for and on behalf of said corporations as sureties, bonds, undertakings and contracts of suretyship
in an amount not exceeding Two Mt1hon Five Hundred Thousand Dollars (52.500,000) in any single undertaking; giving and granting unto said Attorney(s)-In-Fact full power and authority
to do and to perform every act necessary, requisite or proper to be done in connection therewilh as each of said corporations could do, but reserving to each of said corporations full
power of substitution and revocation; and all of the acts of said Attorneyls)-In-Fact, pursuant to these presents, are hereby ratified and confrmted.
This Power of Attorney is granted and is signed by facsimile under and by authority of the following resolutions adopted by the respective Board of Directors of INDEMNITY
COMPANY OF CALIFORNIA and DEVELOPERS INSURANCE COMPANY, effective as of September 24, 191
RESOLVED, that the Chairman of the Board, the president and any Vice President of the corporation be, and that each of them hereby is, authorized to execute Powers of
Attorney, quaiifying the attorney(s) named in the Powers of Attorney to execute, on behalf of the corporation, bonds, undertakings and contracts of swetyship; and that the Secretary
or any Assistant Secretary of the corporation be, and each of them hereby is, authorized to attest the execution of any such Power of Attorney;
RESOLVED, FURTHER, that the signatures of such officers may be affixed to any such Power of Attorney or to any certificate relating thereto by facein,lle, and any such
Power of Attorney G certificate bearing such facsimile signatures shall be valid and binding upon the corporation when so affixed and in the future with respect to any bond. undertaking
or contract of suretyship to which It Is attached.
IN WITNESS WHEREOF. INDEMNITY COMPANY OF CALIFORNIA and DEVELOPERS INSURANCE COMPANY have severally caused thane presents to be signed by their respective
proid igms and attested by oleic respective Secretaries this 14th day of June, 1995.
INDFWNTY COMPANY OF CALIFORNIA DEVELOPERS INSURANCE COMPANY - U4. ~ir of.
By ' Q ?ANY By is F. Vincenti, J'r. ~P5\tJSUR,f 1cd`
e F. Vincontr, Jr. k 0 President
President a P ~r c'~r SAAR 27 0
qCT 5 ATTEST 1979 y
1967 G
v <
r- °4i r tr *
* By_
Walter Crowell
Walter Crowell By-
Secretary
Secretary
STATE OF CALIFORNIA )
) SS.
COUNTY OF ORANGE )
, 1 M. baton me, C V. Brink, personally appeared Dante F. Vincent, Jr. and Walter Crowed, personally known to me (or proved to me on the basis of satisfactory
. authorized
end acknowledged
on June 14
evidence) to be the parson(s) whose nw*o) Were subscribed to the within instrument ad, ins that tro/eha/thay executed the samein ntramenntt.
capacity(tes), and that by hlsRlerltheir signaWrs(s) on the instrument the person(s), or the eniliy upon behalf of which the person(s) act, executed the instrument.
WITNESS my hand and official seal. C. V. BRINK
Comm, f11D36712
NOTARY PUBLIC - CALIFORNIA
Signature - CIRANCE COUNTY
1y Catt►m. Esp. iflll¢ 21, tf1o1
CERTIFICATE
The underoigned, as Senior Vice president of INDEMNITY COMPANY OF CALIFORNIA, and Senior Vice President of DEVELOPERS INSURANCE COMPANY, does hereby
certify that the foregoing and attached power of Attorney remains In full force and ties not been revoked; and furthermore. that the provisions of the resolutions Of the respective
s set forts in the power of Attorney, gIprce as of date of his Certlf te.
Boards of Directors of Said corporation ,IH~nt
I 189
This Certificate Is executed in the City of Irvine, California, this day of
DEVELOPERS INSURANCE COMPANY QS\tA SUR,ff,
,INDEMNITY COMPANY OF CALIFORNIA QVPAN),
C
4
i
MAR 27 ~
2 OCT a B - T t 079
• 1 1967 By
L.C. Fiabiger v+
BY L.C. Fiebiger Senior Vice President IF
°Yi rr
a
Senior Vice President