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HOP2003-00123 T F TIGARD HOME OCCUPATION PERMIT TYPE: I DEVELOPMENT SERVICES PERMIT HOP2003-00123' 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 DATE ISSUED: 11/3 003 APPLICANT NAME: BUSINESS ADDRESS: 08101 SW CEDARCREST ST PARCEL: 1S1;25CI3-01300 ZONING: R-5 JURISDICTION: C NATURE OF BUSINESS- Home office for vending machine service company. BUSINESS NAME: PA VENDING SQ FT - DETACHED: GENERATE'EXTR OISE: N SQ FT -RESIDENCE: DAYS/HOUR OF OPS SQ FT -BUSINESS: BUS. VEHICLES GAR ED @ RES: NONE SIC CODE: OUT DE STORAGE: NO PAID NON RES EMPL: N CUST/CLIENT @ RES: N TERIOR SIGN?: N PICK/DELIV @ RES: N ACKNOWLEDGEMENT: I understand this Home Occupation Permit is approv for the above described business at the specified location only, and does not require renewal. Further, I and stand that the City of Tigard Business Tax must be renewed annually in order to maintain.permit authorization I acknowledge that this Home Occupation. Pe it approval may be revoked if the conditions and standards of approval have not been complied with. and/ r this home occupation is otherwise being conducted in a manner contrary.to the Tigard Community Develo ment Code (18.742). Permit revocation due to a violation of requirement(s) of this Home Occupatio Permit cannot be renewed for a minimum period of one year. (18.742.070). Approved y Permittee Signature ~I d ~eS / 4 HOME OCCUPATION TYPE I APPLICATION CITY 'OF TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 FAX. (503) 684-7297 GENERAL. INFORMATION Property Address/Location: FO JC) (110 Tax Map & Tax Lot Zone: FOR STAFF USE ONLY Property Owner/Deed Holder(s)*.; ~Pv✓c„ f1K~1~~So (s): Address: ~30lO ~i~ ~rC~C~CAcSrPhone o J3 Zg3-eq3a /Application t~ ~CS05 - 00 City: I i ' c~-rc/ . Zip: ~~2Z 3 d.:$ 3 • ~a Applicant*: e. ° c~3 ~f 83 5 Address: Phone: ~D3 Zq3 roved By: Business Ph-one: Date Approved: -o3 City: / Zip: Comp Plan/Zone Designation: Business Name: Vice[ .,7 Business Type Code: 1 Nature of Business: Ve.4 d", `r r, Business Tax Paid? ❑ Yes ❑ No Business Tax Receipt No. Rev. 2/28/2003 i:\curpln\masters\revised\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: ✓ Application Elements Submitted: 3 The above request does not violate ,any deed restrictions that may be attached to or imposed upon the subject. property. ❑ Application Form 3 If the application is granted, the., applicant will exercise the rights ❑ Owner's Signature/Written Authorization granted in accordance with the terms and subject to all the ❑ Proof of Business Tax Certificate conditions and limitations of'the approval. ❑ Filing Fee: $ 31:00 3 All of the above statements and the statements in the plot plan, attachments, and exhibits transmitted herewith, are true; and the. applicants so acknowledge that any permit issued, based on this application, may be revoked if if is found that any such statements are false. 3 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 of 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 GVW 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 Standards); According to Tigard Development Code Chapter 18.742.050, a Home Occupation 4. The home occupation shall be operated entirely within the dwelling Permit - Type :I shall exhibit no evidence that a unit and a conforming accessory structure. The total area which business is being conducted- from. the may be used in the accessory building for either material product premises. Home Occupation Permits - Type I storage and/or the business activity shall not exceed 528 square shall not permit: feet. Otherwise, the home occupation and associated storage of material and products shall not occupy more than 25 percent of the A. Outside volunteers or employees to be combined residence and accessory structure gross floor area. engaged in the business activity other The indoor storage of materials or products shall not exceed the than the persons principally residing on limitations imposed by the provision of the building, fire,, health and the premises; housing codes; B. Exterior signage which identifies the property as a business location; 5. A home occupation shall not make necessary a change in the C. Clients or customers to visit the premises Uniform Building Coder use classification of a dwelling unit. Any for any reason; and accessory building that is used must meet Uniform Building Code D. Exterior storage of materials. requirements. I hereby certify that I have read and 6. More than one business activity constituting two or more home understand the above conditions and occupations shall be allowed on one property only if the combined standards -for the operation of a home floor space of the business activities does not exceed 25 percent occupation. I acknowledge that this home of the combined gross floor area of the residence and accessory occupation approval may be revoked if the structure. Each home occupation shall apply for a separate home above conditions and standards have not been occupation permit, if required per this chapter, and each shall also complied with and/or the home occupation is have separate Business Tax Certificates; otherwise being conducted in a manner contrary to the Tigard Community 7. There shall be no storage and/or distribution of toxic or flammable Development Code (1.8.742). Revocation due material, and spray painting or spray finishing operations that to a violation of the home occupation involve toxic or flammable material which in the judgement of"the requirement(s) cannot be renewed for a Fire Marshall pose a dangerous risk to the residence, its minimum period of one year (18.742.080). 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 Applicant's Si ature: to all potentially toxic and/or flammable materials associate with the use; Date: l / -3 O 3 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: Owner's Siatu a.) Auto-body repair and painting, Date: ~l 3 0,:3 b.) On-going -mechanical repair conducted outside of an entirely enclosed building; c.) Junk•and salvage operations; and d.) Storage and/or sale of fireworks. Owner's Signature: Date: 2 CITY ~F TIGARD 13125S W "all$Ivd. Qregon 9223 4839 -vigard6Orego I { 2720030000000000 Arnow (503) geceip 1110312003 Date: a Account No 31.00 Rev- 9,16 100-0000-438000 430000 $4016 Description 100-0000- Code I Permit Line Item Total: Line items Tran [LAUS~ Type Pee Case No Tax - 9.1600 @ $I 0000 00123 Business Amount paid PIOP2003- BUSTNX How Received 40.16 Approval Nfl Acct.ICheck wPerson $40,16 User ID p aym,ent T otal payments: 1233 Payer CAC Method P7 N14DEP-SON Check __nd_w_.. Cheryl~lodfelter Re Refu Page 1 ;I From: Dianna Howse To: Cheryl. Clodfelter Date: 11/1-3/03 9:24_ AM Subject: Re: Refund Cheryl, I 'have completed the paperwork and voided permit HOP2003-00123 in Tidemark. For business tax records, the permit was applied for in the name of PA Vending. Thanks. Dianna Cheryl Clodfelter 11/12.103 04:08PM Permit number is HOP2003-00123 Thank you again. Cheryl Dianna Howse 11/12/03 02:45PM Cheryl, Let me know what the permit number is and I will prepare the expenditure request form, I will get Dick's signature, and then 1. will void the permit. There really is nothing for you to do, but just let me know the information and I will take care,of the rest. However, if it is a customer's request, and not the City's error, we would have the applicant complete that refund request form that you have. Thanks. Dianna Cheryl Clodfelter 11/12/03 02:30PM Dianna, I mistakenly processed a HOP I and business tax for an address outside of the Tigard city limits. I finally got a call back from the -applicanttoday. He does no business in the city - only in Portland. How do I get the refund process started for this? Thanks for your assistance, Cheryl CC: Heather Block