HOP2004-00031
CITY F TIGARD HOME OCCUPATION PERMIT
TYPE: I
DEVELOPMENT SERVICES PERMIT HOP2004-00031
13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 DATE ISSUED: 3/8/04
APPLICANT NAME: THOMAS D. MOORE
BUSINESS ADDRESS: 11285 SW WILLOW WOOD CT
PARCEL: 1S134AC-02613 ZONING: R-4.5 JURISDICTION: TIG
NATURE OF BUSINESS: Home occupation type 1 for software services.
BUSINESS NAME: PACIFIC RIM SOFTWARE
SQ FT - DETACHED: GENERATE EXTRN NOISE: N
SQ FT - RESIDENCE: DAYS/HOURS OF OPS :
SQ FT - BUSINESS: BUS. VEHICLES GARAGED @ RES: NONE
SIC CODE: OUTSIDE STORAGE: NO
PAID NON RES EMPL: N EXTERIOR SIGN?: N
CUST/CLIENT @ RES: N
PICK/DELIV @ RES: U
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).
Approved By Permittee Signature
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HOME OCCUPATION
TYPE I APPLICATION
CITY OF TIGARD 13125 SW Hall Blvd., Tigard, OR 87223 (503) 6394171 FAX' (503) 684-7297
GENERAL INFORMI N
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Properly Address/Location: r&5 su) 0001
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Tax Map & Tax Lot 15 1$ 4 Ac. O (o I L zone. des R N ' FOR STAFF USE ONLY
Property Owner/Deed Holder(s)`: T~o,►,at ' ' oot~o P },ucr`}
II Case/Permit No..-
city. Address: 112 8 - S[,) . Oil laa Woof Phone: 3 - Other Case No., ~a aJ' P• M9 Filing Fee Rec'd.:$ $ 31
Applicant': 7k nm D, n nnfNe- Receipt No.: _ Z-a G c 4 - 0
Address: 11.195 W LJ;b~Q1~ Wao~ C~Phone- R ' 5a l -V 8g( Application Approved By: '
Date Approved: 3 ` ~ °
1 Business Phone: v~D
City: ) i a o&A- nn r Zip: 4 3 Camp Plan/Zone Designation:
Business Name: n3z, RIM ~a. Lo") 1)(-7" ~i~ s l R y S
Business Type Code:
ar2 Business Tax Paid? C3 Yes ❑ No
Nature of Business: Business Tax Receipt No.
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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 re uest does rat violate any deed restriction- that'Application Form
may be attached to car imROsed_upon the subject orooe rrv.
Owners Signature/Written Authorization
3 If the application is granted, the applicant will exercise the rights
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 it 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.
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1. Home occupations may be undertaken only by the principal 10_ There shall be no exterior storm 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 98,725 (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 Code 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 9 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 oompiied 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 (18.742). 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 A Iicanrs Si ature'
to all potentially toxic and/or flammable materials associate with
the use;
Date: 2 L
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: ~rls Sign re:
a~
a.) Auto-body repair and painting; pa 4 2t
b.) On-going mechanical repair conducted outside of an entirely
enclosed building;
c.) Junk and salvage operations; and
d.j Storage and/or sale of fireworks, Owner's Signature:
Date: d-a~o• a4
'a
4
DEPARTMENT OF THE TREASURY DATE OF THIS NOTICE: 07-21-2003
INTERNAL REVENUE SERVICE NUMBER OF THIS NOTICE: CP 575 D
CINCINNATI OH 45999-0023 EMPLOYER IDENTIFICATION NUMBER: 35-2209905
FORM: SS-4 NOBOD 0000001483
0232645574 B
FOR ASSISTANCE CALL US AT:
1-800-829-0115
OR WRITE TO THE ADDRESS
SHOWN AT THE TOP LEFT.
IF YOU WRITE, ATTACH THE
PACIFIC RIM SOFTWARE LLC STUB OF THIS NOTICE.
THOMAS D MOORE
11285 SW WILLOW WOOD CT
TIGARD OR 97223
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 35-2209905. 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 of your name or EIN, it may cause
a delay in processing and may result in incorrect information in your account. It also
could cause you to be assigned more than one EIN.
Based on the information shown on your Form SS-4, you must file the following
form(s) by the date we show.
Form 1065 04/1512004
Your assigned tax classification is based on information obtained from your Form
SS-4. It is not a legal determination of your tax classification, and is not binding
on the IRS. If you want a determination of your tax classification, you may seek a
private letter ruling from the IRS under the procedures set forth in Revenue Procedure
98-01, 1998-1 I.R.B.7 (or the superceding revenue procedure for the year at issue).
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 questions about the form(s) or the due date(s) shown, you can call us
at 1-800-829-0115 or write to us at the address shown above.
M
(IRS USE ONLY) 575D 07-21-2003 PACI B 0232645574 SS-4
Please use the label IRS provided when filing tax documents. If that isn't
possible, use your EIN and complete name and address shown below to identify your
account and to avoid delays in processing.
PACIFIC RIM SOFTWARE LLC
THOMAS D MOORE
MOORE THOMAS D MEMBER
11285 SW WILLOW WOOD CT
TIGARD OR 97223
If this information isn't correct, please correct it using the bottom part of
this notice. Return it to the address shown so we can correct your account.
CITY OF TIGARD 3/8/2004
13125 SW Hall Blvd. 10:02:54AM
Tigard, Oregon 97223
(503) 639-4171
Receipt 27200400000000000882
Date: 03/08/2004
Line Items:
Case No Tran Code Description Revenue Account No Amount Paid
HOP2004-00031 [LANDUS] Type I Permit Fee 100-0000-438000 31.00
Line Item Total: $31.00
Payments:
Method Payer User ID Acct./Check Approval No. How Received Amount Paid
Check PACIFIC RIM SOFTWARE cac 1005 In Person 31.00
Payment Total: $31.00