HOP2012-00054 v
CITY OF TIGARD HOME OCCUPATION PERMIT
11 1 a COMMUNITY DEVELOPMENT Permit #: HOP2012 -00054
Ti G A R D 13125 SW Hall Blvd., Tigard OR 97223 503.718.2421 Date Issued: 12/20/2012
Parcel: 2S103AC09300
Jurisdiction: Tigard
Applicant Name: Portland Accents & Occasions
Business Address: 11486 SW Fonner ST
Nature of Business: Operate a decorating business out of home with no employees or customer visits. Business
owner owns the home.
Business Name: Portland Accents & Occasions Generate Extrn Noise: No
Sq Ft - Detached: Days /Hours of Operation: M -F /8 to 5
Sq Ft - Residence: 2600 Bus. Vehicles Garaged @ Res: No
Sq Ft - Business: Outside Storage: No
SIC Code: 7290 Exterior Sign ?: No
Paid Non Res Empl: No
Cust/Client @ Res: No
Pick/Deliv @ Res: Yes
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).
/ a__ 5
Approved By rmittee Signature
•
CITY OF TIGARD RECEIPT
4
13125 SW Hall Blvd., Tigard OR 97223
503.639.4171
TIGARD
Receipt Number: 189595 - 12/20/2012
CASE NO. FEE DESCRIPTION REVENUE ACCOUNT NUMBER PAID
• HOP2012 -00054 Home Occupation Permit - Type I 100 - 0000 -43116 $92.00
HOP2012 -00054 Home Occupation Permit - Type I - LRP 100 - 0000 -43117 $14.00
HOP2012 -00054 Business License 100 - 0000 -43001 $82.50
Total: $188.50
PAYMENT METHOD CHECK # CC AUTH. CODE ACCT ID CASHIER ID RECEIPT DATE RECEIPT AMT
Check. 1788 TLEHRBACH 12/20/2012 $188.50
Payor: PDX Fitness Group Inc.
Total Payments: $188.50
Balance Due: $0 00
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Page 1 of 1
114 11 City of Tigard
� .r F T
p � pp Home Occu ation - e I A li cation
GENERAL INFORMATION / , / IA,/ f- �� c
Property Address /Location: / / `7 {0 5 IA,/ op) n P K- , 14
Tax Map & Tax Lot #: Zone:
Property Owner /Deed Holder(s)*: 7>) Lt 6 ' a S 4 /v/( Ct r 7)± 4Y (h e Q r 7 q
Address: ! / « W F 0n n K 97-2).i a Y Phone: 7) 3 7 11 O - 5 / ,o
City /State: / / C(.4/ / O R.... Zip: % .), 3
Applicant *: C' ! k r'J ,ti•�',c. !�'rf (,..zr
Address: Phone: �
City /State: Zip: E -mail: `'Y7 a Y"G f r a / Gl. ho' , £0,Vt
Business Name: f O K+ LG.'Ytd A C C-e ki si s -{ ()C r Ci 5 / [T vi 5
Nature of Business: 4 P ( 0 V & / C) . l cam) Q SS
Business Phone: SC 3 7 g 0 - 5 7 0
*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
FOR STAFF USE ONLY REQUIRED SUBMITTAL ELEMENTS
Case /Permit No.: He P)- C 1 ;- - 0 C O S <{
Filing Fee Rec'd: $ / - c'
Receipt No. ( 8 959 ITApplication Form
Application Approved By. P5 'A)
Date Approved: 12-/ -c= /a o / 2 - Owner's Signature /Written Authorization
Comp Plan/Zone Designation: Er of Business License Certificate
g zi S D Filing Fee: $106.00
Business License Paid Yes CE No ❑
Business License Receipt No.
18 ci 51S RECEIVED
Revised: 7/1 /2011
I: \CURPL.N\Masters \Land Use Applications \ HOP 1App.docx
CITY OF TIGARD
PLANNING/ENGINEERING
City of Tigard I 13125 SW Hall Blvd., Tigard, OR 97223 I 503- 718 -2421 I wwwtigard- or.gov I Page 1 of2
HOME OCCUPATION CONDITIONS AND STANDARDS
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 18.725 (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 provision of 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.
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 License Certificates;
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 judgment of the Fire Marshall pose a dangerous risk to the residence, its occupants, and/or
surrounding properties. Those individuals who are engaged in home occupation shall make available to the Fire Ivlaarshall 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.) Auto-body repair and painting;
b.) Ci - mechanical repair conducted outside of an entirely enclosed building;
c.) Junk and salvage operations; and
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.
In addition, a Home Occupation Type I shall not permit:
A. Outside volunteers or employees to be engaged in the business activity other than the persons principally residing on the premises;
B. Exterior si which identifies the property as a business location;
C Clients or customers to visit the premises for any reason; and
D. Exterior storage of materials.
I (applicant) 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 Tigard Community
Development Code (18.742). Revocation due to a violation of the home occupation requirement(s) cannot be renewed for a
minimum period of one year (18.742.080).
Applicant's Srgnaturf Date
Owner's Signa e Date
Owner's Signature Date
Authorized Agent's Signature Date
Print Name Title Phone Number
City of Tigard I 13125 SW Hall Blvd., Tigard, OR 97223 I 503 - 718 -2421 I www.tigard- or.gov I Page 2 oft
I .. ° City of Tigard
TIGARD Business Li cense A li please lease fi Mort processing, to
�� lease ll out completely.
Calendar Year: 2 ° / 3
New 0 Renewal (check one)
BUSINESS INFORMATION:
? (2t,0 A cc - t D cc z Sc c,--..5- MAILING ADDRESS:
' r
Doing Business as Name �/ / cc-e. S t�i lS
Registered Business Name
Address (if home address, please see Home Occupation Permit Address 5+
information below)
1 ` � 0�2 17 ,22-3
- re__ a �
City State City J State Zip
y0 - '�80 - Sr] �Ib Zip
5 03 - /o3 -/ R
Telephone II II p Fax 7/ Owner/Emergency Con act Names & T p
YY1
r)-r `1 0 uh OO r cot/I& 1. /4.4 �i r /. �'� c 7D 3 /c7 —57f O
Email Address for Business License Co respondence J
2.
Business Code from back of form: 70/ ( 0
OTHER BUSINESS INFORMATION NEEDED:
Tax Exempt Status Approval #:
Contractor
(Attach copy of Organization's `Letter of Determination" from die IRS (atta #:
t (Attach a copy of the Oregon State Contractor's License)
Business start up date:
/ „2e/ 3
Number of full time equivalent employees,* including the owner, within Tigard:
Business License fee due this calendar year (see fee schedule or pro -rated schedule). a _ 5
*NOTE: Tigard Business License fee is based on the number of people employed by the company and who are working in Tigard.
For the purpose of computing the business license fee, the term "employee" includes the owner as well as his /her spouse if also
engaged in the business. To compute the number of full-time equivalent employees, estimate the total number of hours worked by
all employees (per year) and divide by 2,080.
HOME OCCUPATION PERMIT: If your business is operated from your home in Tigard, and you use the home as an office or place of
business, you must obtain a Home Occupation Permit through our Permit Center. Please call 503 -639 -4171 for additional information.
TEMPORARY USE: If your business in Tigard is of a temporary nature, (performing at the Tigard Library, for example), you must obtain a
temporary Business License. Complete this form and return it to the City of Tigard.
PLEASE RETURN APPLICATION AND REMIT PAYMENT TO:
City of Tigard FOR OFFICE USE ONLY:
Attn: Business License
13125 SW Hall Blvd. License #
Tigard, OR 97223 Date:
If you have questions about your business license, $ Amount:
call 503-6394171 or send an email to hllslicQ.tigard.nrgnv HOP #: �fCPao /� OCOS�
(1/1 "J CLZ( f . h- i / / HOP Type: �
Signature of B 'iness Ownez �� Effective Date: l I ZO i 3
Date
The information provided on this application is public record. Submitting this application does not assume zoning compliance for
your business type. Please contact the Planning Department at 5 03- 639 -4171 for business zoning questions.
VOFS/FInance/Business Tax Application (rev 1121 07)
s'•'-4'rii >i }••
constitutes a'Glass II. . 4 : Infracttori a nd cr i:,.-
V iolation of the City of Tigard Business License Ordinance t s cost and witness f ees f an n A ,
PENALTY: day plus hearing . �-. y: jai
carries a civil penalty of up to$1'SO.00per y of violation s.,, r,. , r•. •:, •• ,ti -•
, . Y• •r n { - t'�_. _ ?P�'+'L;:s •r ''� Pti ! $;t'.: �:f, {: e . :.4� :. �-,_;: ,' ° o-L o oL: �"' � ; �:'.=
- p �`. '�,., •1: �., estnettons .Ong.:
4 ;b s'tin osed =ieaS -r " : ,- .47 �,:- ,:D ;"-nt.nel'i , � . ,
d lVlunici al�Code•7e24 X1.20,(' )_ �f. , .z; . >_:�:: r. v= F,,' . r _. + '��; ,:,��:�.:�:;•�• .,�.
NOTE ' . 'The:Titi - -- - :,aP�-1 : i °.y; -�. _ = . iF:_, -_ a e�ct Timrts-v T' - -
v J '• lcom tnerctal "and(n oncommerc tal wit11 .. 7 r . 1 ' ',
? _ iS 0 11t 'tattOn'''d _''''''.o- ;∎11-.: :'f - -T' .. _ ., `�� ■ ` _ cts,the sellin 'o; s:'ors_tervices;in any City;P:, • ` ''''''''''''''.2'''''';‘,'''''''''
d�MiiiiiciP?al'Ct de,7r52080;(a)i�restn g f_, , .; inc 7 .,._
•
NOTE Tl e:Tigar P.:>s.r :. -7s - �L,,'. .r, .,,„ ._;.;
fi• .. L location
liy -1�='' `y; "royal or endor`setnent'to operate biusiness:ora
n "se.dties iin - r9 PP, -, -a 4, = -,
NOTE A Biisiness'I:ice ;�,, not ?� �p1y Ci ,a i. , �;r::•`:,' 1-
. o
BUSINESS TYPE CODES
(Check appropriate code and also write in number on front of form)
❑ 6500 Real Estate Including Cemeteries
❑ 4120 T Passenger 0 6512 R eal s te Building Cemeteries
AGRICULTURE, FORESTRY & FISHING ❑ 4130 Intercity & Rural Highway 9 ❑ 6513 Apartment Building Operators
❑ 0700 Ve Veterinary Transportation Services
❑ 0740 Laterinary Services D 6530 Real Estate Agent Managers
D 0780 Landscape; Horticultural Services ❑ 4140 Passenger n l & Service Facilities Charter Mr Motor ee 0 6600 Any Combination of Real Estate, Insurance, Loans
❑ 4170 Terminal & Service Faalilies for Motor Vehicle & Law Offices
❑ 0800 Forestry ❑ 4210 Trucking, Local & Long Distance O
or o
Hold i
ding ❑ 6710 Holding Offices whch Hol Own Securities to
❑ 4220 Public Warehousing Exercise Control over ld or Companies
MINING ❑ 4230 Terminal Maintenance for Motor Freight Transport e c s
❑ 1440 Sand 8 Gravel ❑ 4400 Water Transportation 0 6720 Ex ❑ 6730 Thies — leC Control
ent Offices of the Funds of Individual
CONSTRUCTION 0 4500 Transportation by Air Trust & Foundations
General Building Contractor 0 4600 Pipelines, Except Natural Gas ❑ 6790 Misc. Investors
❑ 1500 ❑ 4700 Misc. Transportation Services
CI 1520 Residential nr de Building Construction C struc ❑ 4810 Telephone Communication (Wire & Radio) SERVICES
❑ 1540 Nonresidential S Building Construction ❑ 4820 Telegraph Communication (Wire & Radio)
❑ 1610 Highway &Street Construction ❑ 4830 Radio & Television Broadcasting ❑ 7000 Hotels, Rooming Houses, Camps & Other Lodging
Places
❑ 1620 Heavy ng, Heating ❑ 4890 Misc. Communication Services (NEC) ❑ 7210 Paundry. Cleaning 8 Garment Services
❑ 1710 Plumbing, Pap a Air Conditioning O 4910 Electric Services ❑ 7220 Photographic Laundry, Cleaning
Studios (Poem )
❑ 1720 Painting l Paper Hanging ❑ 4920 Gas Production & Distnbution ❑ 7230 Beauty ph tudi Barber (Portrait)
❑ 1730 Masonry, Work ❑ 4930 Combination Electric & Gas & Other Utility ❑ 7250 Shoe y Shops Shoe Shine & Hat Cleaning Shops
❑ 1740 Masonry, & Fl W r Plastering ❑ 4940 Water Supply
❑ 1750 Carpentry n & S ee Work ❑ 4 950 Sanitary Services 0 7260 Funeral Services & Crematories
311 7290 Personal Services
O 1760 Roofing & So Metal Work ❑ 4970 Imgatron Services ❑ 7310 P S
D 1770 Concrete Work 0 7320 Cr Reporting, Mercentile Reporting,
D 1780 Water Well al Trade WHOLESALE TRADE CdLstme & ng, Me rc a Agencies
❑ 1790 Misc Special Trade Contractors ❑ 5010 Motor Vehicles, Automotive Parts & Supplies 1
MANUFACTURING O 5020 Furniture & Home Furnishings D 7330 Mailing, Reproduction, Commercial Art,
Photography & Stenographic Services
❑ 5030 Lumber & Other Construction Materials
D 2010 Meat Dairy Products ❑ 5040 Sporting Recreational. Photo. Hobby Goods, Toys D 0 7340 73 0 News Services to iDwellling & Other Buildings
O 2020 Ca d & Preserved & Supplies ❑ 7360 Personnel Supply Services
O 2030 Canned & Products Far is /Vegetables 0 5050 Metals & Minerals. Except Petroleum O 7370 Computer & Data Processing ices Services
❑ 2040 Grain Mil Products ❑ 5060 Electncal Goods ❑ 7390 Misc ut & D a rcs
O 2050 Bakery Products ❑ 5 070 Hardware, Plumbing & Heating Equipment &
❑ 2060 Sugar & Confectionary Products Supplies ❑ 7400 Management & Public Relations (Consulting)
O 2070 Beverages r Oct 0 7510 Automobile Renting & Leasing
❑ 5080 Machinery, Equipment & Supplies O 7520 Automobile Parking
❑ 2080 Foodrages ❑ 5090 Misc. Durable Goods ❑ 7530 Auto Repair Shops
CI 2090 Food Preparations & Tobacco c Product ❑ 5110 Paper & Paper Products
O 2110 Cigarettes & To uct ❑ 5120 Drugs, Proprietors & Sundries D 7540 Automotive Service, except Repair
so Products
❑ 2200 Textile Mill Products Apparel. Piece Goods & Notions D 7620 Electrical Repair Shops
Apparel & Other Products Products 0 5130 APP ❑ 7630 Watch, Clock & Jewelry Repair
❑ 2300 APP ❑ 5140 Grocenes & Related Products ❑ 7640 Reupholsters & Furniture Repair
❑ 2400 Lumber & Fixtures Products ❑ 5150 Farm - Product Raw Materials ❑ 7690 Reupholsters
Repair & Services ❑ 2500 paper & led Products CI 5160 Chemicals & Allied Products
❑ 2600 Paper g Allied Prongcts ❑ 5170 Petroleum & Petroleum Products 0 7810 Motion Picture Production & Distribution & Allied
Services
❑ 2700 Printing & Publishing ng ❑ 5180 Beer, Wine & Distilled Alcoholic Beverages 0 7830 Motion Picture Theaters
D 2810 Plastics Materials Synthetics ❑ 5190 Misc Nondurable Goods
❑ 7910 Dance Halls, Studios & Schools
❑ 2820. Plastics Materials & Synthetics ❑ 7920 Theatrical Producers
❑ 2830 Drugs RETAIL TRAD D 7930 Theatrical l Pr d B & Pool Establishments
O 2840 Soap, Detergents & Cleaning d ucts ions ❑ 5200 Building Materials Dealers ❑ 79 BommgrAl Sports ill
❑ 2850 Paints, Varnishes & Allied Products ❑ 5260 Retail Nursenes & Garden Stores 0 7990 Misc Amusement & Recreation Services
❑ 2860 Agricultural l CaemChemicals ❑ 5300 General Merchandise Stores
❑ 2870 Mi sc . C heat ical Products ❑ 5400 Food Stores Including Candy ❑ 8000 Membership Sports & Recreation Clubs
O 2890 Petroleum eum Refining Products CI 8010 Offices of Licensed Physicians
❑ 2910 Petroleum Refining ❑ 5510 Motor Vehicle Dealers (New and Used)
❑ 2950 Paving & Roofing Materials D 5530 Auto & Home Supply Stores ❑ 8020 Offices of Licensed Dentists
❑ 8030 Offices of Licensed Osteopathic Physicians
Products of Petroleum & Coal ❑ 5540 Gasoline Service Stations O 8040 Offices of Other Health eo Ph
O 2990 ❑ 5550 Boat Dealers D 8050 Nursing of Personal Care Facilities
D 3000 Rubber & Misc. n & Plastic hingucts D 8060 Hospitals
❑ 3100 Leather. Clay, Glass & & Concrete a Leather Products 0 5570 Motorcycle Dealers Trailer Dealers ❑ 8070 Medical & Dental Laboratories
O 3200 Stone, Metal Glass & Concrete Products ❑ 5590 Misc. Automotive Dealers ❑ 8080 Me & Cara Lab
❑ 3300 Primary ed Metal Ia Prods 0 5600 Apparel & Accessory Stores
❑ 3400 Fabricated Motel Proeccts ❑ 8090 Misc Health & Allied Services
Machinery, Except Electrical ❑ 5700 Furniture & Furnishing Stores ❑ 8100 Legal Services
❑ 3500 lies 0 5800 Eating and Drinking Places CI 8200 Legal Educational vi Services libraries, Schools
O 3600 Motor i le s & Electronic Machinery, EquipASupP ❑ 5910 Drug Stores & Proprietary Stores
O 3710 Motor Vehicles & Equipment
❑ 3720 Aircraft & Parts ❑ 5920 Liquor Stores D 8320 Individual & Family Social Services
Building O 593
0 5940 Retail Goods Stores — sporting, bicycles, books. 0 8350 Child Day Care Services
❑ 3730 Ship & Boat Binding & Repairing 5930 Used Merchandise Stores ❑ 8330 Job Training & Related Social Services
❑8360 Residential Care
O 3740 Railroad Equipment stationary, jewelry, hobby ❑ 8400 Museums Botanical &Zoological Gardens
D 3750 Misc. Transportation r tatio n q Equipment ❑ 5960 Nonstore Retailers
0 3790 Misc. Measuring, Analyzing n Equipment D 8910 Engineering & Architectural Services
D 3800 Jewelry. Silverware Amazing & Controlling ed Ware Instruments ❑ 5970 Catalog i e Mail Order Houses CI 8930 Accounting, Auditing & Bookkeeping
❑ 5980 Fuel &Ice Dealers ❑ 8990 Misc Services
❑ 3910 Jewelry, Instruments 8 Plated Wane ❑ 5990 M Retail Stores (NEC) ❑ 9200 Misfi Services
Public Order & Safety
❑ 3930 T & l Instruments Sporting & Athletic
❑ 3940 Toy & Amusement, Bpd g TAX EXEMPT
❑ 3950 Pens, Pencils & Other Office &Artists Materials FINANC INSURANCE 8 REAL ESTA 0 009 Tax Exempt or Non -Profit Organization'
O
3960 Misc . M Manufacturers ers Novelties, Buttons 8 Notions 0 6100 Banking rdit Agencies Other than Ba Coe Jewelry,
❑ 3990 Mi. aufactur ❑ 6200 Security & Commodity Brokers. Dealers
TRANSPORTATION, COMMUNICATIONS, ELECTRIC, Exchanges & Services
6300 Insurance Including Insurance Carriers of all Types TAX EXEMPT — A copy of the organization's "Letter of
GAS 0 0 Railroad SERVICES ❑ 6330 Insurance Carriers Determination from the IRS must be submitted in order to
❑ 411
❑ 4110 Local & c & Transportation urbPas ❑ 6400 Insurance Agents, Brokers & Service
waive the Business License Fee.
Suburban Passenger Transportation