HOP2001-00082
CITY OF TIGARD HOME OCCUPATION PERMIT
TYPE: I
DEVELOPMENT SERVICES PERMIT#: HOP2001-00082
13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 DATE ISSUED: 8/8/2001
APPLICANT NAME: KERRIE JERGESEN
BUSINESS ADDRESS: 11185 SW 109TH AVE
PARCEL: 1S134DB-03900 ZONING: R-4.5 JURISDICTION: TIG
NATURE OF BUSINESS: Vending machines
BUSINESS NAME: JAMIE & TONI VENDING CORP
SQ FT - DETACHED: GENERATE EXTRN NOISE: N
SQ FT - RESIDENCE: DAYS/HOURS OF OPS :
SQ FT - BUSINESS: BUS. VEHICLES GARAGED @ RES: N
SIC CODE:
PAID NON RES EMPL: N OUTSIDE STORAGE: N
CUST/CLIENT @ RES: N EXTERIOR SIGN?: N
PICK/DELIV @ RES: N
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 (18.42). Permit revocation due to a violation of
requirement(s) of this Home Occupation Permit cannot be renewed for a minimum period of one year.
(18.142.090).
ermittee Signa re Issued by
4 .
HOME OCCUPATION
TYPE I APPLICATION
:ITY OF TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 FAX: (503) 684-7297
'ENERAL INFORMATION
Droperty Address/Location: 0✓r~°
Tax Map & Tax Lot / 5 15 q-6 6-0 3 900 Zone: • J
Property Owner/Deed Holder(s)': ~~2r r, ~.e r y 2 FOR STAFF USE ONLY
Address: 111Y5 S4J N ? 4" AV-- Phone:-%_3 6 7 o -F/ ! i I
Case/Permit No.: 00~
City: q C.r cQ Zip: 9 72-Z-3
Other Case No.(s):
Applicant': Y►, I -e- ,J~ r 4 P s_ c 1!J~ Filing Fee Rec'd.:$~
Address: I I I S S i y 9 LA- A-/-Phone: So-3 6 2.0 f l l Receipt No.:
5 ~ ~ Application Approved By:
Business Phone: _
Date Approved: i
City: Zip: 7 2_Z_3
Business Name: w,~ e -To n t V R vt c~ qj ~yJ7 Comp Plan/Zone Designati n: _
Nature of Business: VR kic(, ,,.Q to-L I+
Business Tax Paid? l(~ Yes ❑ No
Business Tax Receipt O.
Rev. 11126/98 r\curpln\masters\hopl.doc
When the owner and the applicant are different people, the
applicant must be the purchaser of record or a lessee in possession
with written authorization from the owner or an agent of the owner.
The owner(s) must sign this application in the space provided on the
back of this form or submit a written authorization with this
application.
REQUIRED SUBMITTAL ELEMENTS
THE APPLICANT SHALL CERTIFY THAT:
✓ The above request does not violate any deed restrictions that ✓ Application Elements Submitted:
may be attached to or imposed upon the subject prope ft
✓ If the application is granted, the applicant will exercise the rights C~1--Application Form
granted in accordance with the terms and subject to all the E-Owner's Signature/Written Authorization
conditions and limitations of the approval.
E~[- Proof of Business Tax Certificate
✓ All of the above statements and the statements in the plot plan,
attachments, and exhibits transmitted herewith, are true; and the ED" Filing Fee: C.O.T. F $ 30.00
applicants so acknowledge that any permit issued, based on this URB. SVCS. Fee: $175.00';
application, may be revoked if it is found that any such statements
are false.
✓ The applicant has read the entire contents of the application,
including the policies and criteria, and understands the requirements
for approving or denying the application.
1
1. Home occupations may be undertaken only by the principal 10. There shall be no exterior storage o1
occupant(s) of a residential property; vehicles of any kind used for the
business except that one commercially
2. There shall be no more than three deliveries per week to the licensed vehicle of not more than three-
resident by suppliers; quarters ton GWV may be parked
outside of a structure or screened area.
3. There shall be no offensive noise, vibration, smoke, dust, odors,
heat or glare noticeable at or beyond the property line resulting Standards:
from the operation. Home occupations shall observe the
provisions of TDC Chapter 18.725 (Environment Performance According to Tigard Development Code
Standards); Chapter 18.742.050, a Home Occupation
Permit - Type I shall exhibit no evidence that a
4. The home occupation shall be operated entirely within the business is being conducted from the
dwelling unit and a conforming accessory structure. The total premises. Home Occupation Permits - Type I
area which may be used in the accessory building for either shall not permit:
material product storage and/or the business activity shall not
exceed 528 square feet. Otherwise, the home occupation and A. Outside volunteers or employees to be
associated storage of material and products shall not occupy more engaged in the business activity other
than 25 percent of the combined residence and accessory than the persons principally residing on
structure gross floor area. The indoor storage of materials or the premises;
products shall not exceed the limitations imposed by the provision B. Exterior signage which identifies the
of the building, fire, health and housing codes; property as a business location;
C. Clients or customers to visit the premises
5. A home occupation shall not make necessary a change in the for any reason; and
Uniform Building Code use classification of a dwelling unit. Any D. Exterior storage of materials.
accessory building that is used must meet Uniform Building Code
requirements. I hereby certify that I have read and
understand the above conditions and
6. More than one business activity constituting two or more home standards for the operation of a home
occupations shall be allowed on one property only if the combined occupation. I acknowledge that this home
floor space of the business activities does not exceed 25 percent occupation approval may be revoked if the
of the combined gross floor area of the residence and accessory above conditions and standards have not been
structure. Each home occupation shall apply for a separate home complied with and/or the home occupation is
occupation permit, if required per this chapter, and each shall also otherwise being conducted in a manner
have separate Business Tax Certificates; contrary to the Tigard Community
Development Code (18.742). Revocation due
7. There shall be no storage and/or distribution of toxic or flammable to a violation of the home occupation
material, and spray painting or spray finishing operations that requirement(s) cannot be renewed for a
involve toxic or flammable material which in the judgement of the minimum period of one year (18.742.080).
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 Applicant's Signature:
the Fire Marshall for review that Material Safety Data Sheets ,c • _ 1~~
which pertain to all potentially toxic and/or flammable materials
associate with the use; Date: -i
8. No home occupation shall require any on or off-street parking
other than that normally required for a residence; Owner's Signature:
9. The following uses are not allowed as home occupations: ,I~°y-~►"
Date:
a.) Auto-body repair and painting;
b.) On-going mechanical repair conducted outside of an entirely
enclosed building;
c.) Junk and salvage operations; and Owner's Signature:
d.) Storage and/or sale of fireworks.
Date:
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Receipt 27200100000000003261
Date: 0810812001
T I D E M A R K
COMPUTER SYSTEMS, INC,
Line Items:
Case No Tran Code Description Revenue Account No. Amount Due
BUSTAX Business ax - 22.9000 @ 1.0 100-0000-430000 $22.90
HOP2001-00082 Type Permit Fee 100-0000-438000 $30.00
Payments: 1
Method Payer Bank No Acct Check No Confirm No. Amount Paid
Check KERRIE J JERGESEN 0 3797 $52.90
TOTAL AMOUNT PAID: $52.90