HOP2005-00014
CITY OF TIGARD HOME OCCUPATION PERMIT
TYPE: I
DEVELOPMENT SERVICES PERMIT HOP2005-00014
13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 DATE ISSUED: 2/28/2005
APPLICANT NAME:
BUSINESS ADDRESS: 11895 SW 95TH AVE
PARCEL: 1S135CD-02402 ZONING: R-4.5 JURISDICTION: TIG
NATURE OF BUSINESS: Sell LTCI polices.
BUSINESS NAME: SUZANNE WEBSTER. CLTC
SQ FT - DETACHED: GENERATE EXTRN NOISE: N
SQ FT - RESIDENCE: DAYS/HOURS OF OPS :
SQ FT - BUSINESS: BUS. VEHICLES GARAGED @ RES: ONE
SIC CODE: OUTSIDE STORAGE: N
PAID NON RES EMPL: N EXTERIOR SIGN?: N
CUST/CLIENT @ RES: 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 (18.742). 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 Sig t e
Feb 25 OF,) 02:31 p Suzanne Webster CLTC 503 639-3272 p.1
I
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 AddresslLocation: l 4, ~S ~ 15` 1 Nv C--
Tax Ma $ Tax Lot `~,~~c~~r~ p s e: ~ : ik,. FOR STAFF' USE ONLY.-
S
Property OwneNDeed Holder( j : v 1ni C,
Address: 'SGVr~~ Phone: Sa 3- L 31::t - Case/Permit No.: I
v S ~4, Other Case No,(s):
citY 1 Zip: 5~~ Filing Fee Rec'd.:$ .3
ApplicanV: 1.1e UvCVN:s Receipt No.:
Address: S a W.- Phone: S o-vr Application Approved B
Business Phone: S c~tirr Date Approved: Z U
City: a c~V\ ;1 ~ Zip: -1 aa
Camp Plan/Zorie Designation:
Business Name:
Business Type Code: ~-c)yk t u m C ay c-, ~y avtc e
Nature of Business:. C L'F,S Business Tax Paid? El Yes ❑ No
_T Business Tax Receipt No-
Rev. 15105 l;tCLrplnlmaslerskevisedVwp 7.tloc
' 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 nom the owner or an agent of the owner.
The owner(s) must'sign this application in the space provided on 1he
back of this form or submit a written authorization with this
application:
REQUIRED SUBMITTAL ELEMENTS
THE APPLICANT SHALL CERTIFY THAT: ✓ Application Elements Submitted:
The above request sloes not violate anv deed restrictions that
may be attached td or imposed unon the stibiect proaerty Application Form
✓ If the application is granted, the applicant will exercise the rights Owner's SignatureNVritten Authorization
granted in accordance with the terms. and subject to all the
conditions and limitations of the approval. ❑ Proof of Business Tax Certificate
✓ AJI of the above statements and the statements in the plot plan, Filing Fee: $37.00
dttachmens, 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 sG.
are false. .Y,
✓ The applicant has read the entire contents of the application, X32
including the policies and criteria, and understands the requirements
for approving or denying the application.
Feb 25 9.5 02:31 p Suzanne Webster CLTC 503 639-3272 p.2
i
1. Horne 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 ar screened area. I
3. There shall be no offensive noise, vibration, smoke, dust, odors, '
- heat or glare noliceable at or beyond. the property line resulting Standards:
from the operation.. Home occupations shali observe the provisions
of TDC Chapter 18,725 (Environment Performance Standards); According to Tigard Development Code
Chapter 18.742,050, a' Home Occupation
A 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 ttle• accessory building for either material product premises. Home Occupation Permits - Type Y
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 slignage. 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 Bullding 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 V the
structure. Each home occupation shall appty 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; olfierwise being conducted in a manner
contrary to the Tigard Community
7. There shalt 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 bd renewed for a
Fire, Marshall pose a dangerous risk to the residence, its minimum period of one year- (18.742.D80).'
occupants, and/or surrounding properties, Those individuals which
are engaged in home occupation shall make available to the Fire
Marshall for review that Materiat Safety Data Sheets which pertain Appl" ant's Signature.
to all potentially toxic and/or flammable materials associate with ~
the use; '
Date, - O
e. -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; Owne 's Signature:
a.) Auto-body repalr and painting; Date:
b.) On-going.mec#ianical repair conducted outside of an entirely
endosed building:
c.) Junk and salvage operations: and
d.) Storage and/or sale of fireworks.
• Owner's Signature:
late-
2
CITY OF TIGARD uzuiwo'
13125 SW Hall Blvd. 12:42:27PM
Tigard, Oregon 97223
(503) 639-4171
Receipt 27200500000000000855
Date: 02/28/2005
Line Items:
Case No Tran Code Description Revenue Account No Amount Paid
HOP2005-00014 [LANDUS] Type I Permit Fee 100-0000-438000 32.00
HOP2005-00014 [LRPF] LR Planning Surcharge 100-0000-438050 5.00
Line Item Total: $37.00
Payments:
Method Payer User II) Acct./Check No. Approval No. How Received Amount Paid
CreditCard SUZANNE WEBSTER KJP 045134 In Person 37.00
Payment Total: $37.00
cReceipt.rpt Page I of 1