HOP2017-00010 CITY OF TIGARD HOME OCCUPATION PERMIT
IIICOMMUNITY DEVELOPMENT Permit#: HOP2017-00010
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2421 Date Issued: 03/01/2017
Parcel: 1 S 133AC09000
Jurisdiction: Tigard
Applicant Name: Holly C. Clark Insurance
Business Address: 10855 SW 130TH AVE
Nature of Business: Type I Home Occupation Permit for insurance business. No customers/clients or employees
shall visit the home.
Business Name: Holly C. Clark Insurance Generate Extrn Noise: No
Sq Ft-Detached: 0 Days/Hours of Operation: Varies
Sq Ft-Residence: 1582 Bus.Vehicles Garaged @ Res: 1
Sq Ft-Business: 350 Outside Storage: N/A
SIC Code: 6400 Exterior Sign?: No
Paid Non Res Empl: No
Cust/Client @ Res: No
Pick/Deliv @ Res: No
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).
—'------------,-- -- _______ z?-7' ' 1/a14 ' •*"-J-
Approved By rmittee •nature
15/z. RECEIVED
City of iligard MAR 01 2017
111111 . COMMUNITY DEVELOPMENT DEPARTMENT
Home Occupation Type I A CIGARD
� T
1E RING
TIGARD Type
Property address/location: / A7 - - 57-1
REQUIRED SUBMITTAL
ELEMENTS
Tax map and tax lot #: ()wner's Signature/Written
/
Authorization
Business name: L% L- •i , , JL/ 4-X4
— L
l�f
usiness License
nse Fee Paid
Business phone: ....e5.-C: 2. /2_7--'5 L.L.
Home Occupation Permit Fee Paid
Detailed escription of usiness: (Attar dditio 1 sheets if necessary)
— FOR STAFF USE ONLY
Case No.: /MO A �I - +,J0
Application fee: vif - 3
Business license fee: 09
Comp plan/zon designation:
Applicant': 21.---27 //
Address: �1 Ar Application Application approved/permit issue
-' /? By: /
Date: �� 1�
City/state: �'�� a E ip• %'7O
? . or 4: in
Phon : 11d\Masters\land Use Applications Rev.08/21/2014
* When the owner and the applicant are
PROPERTY OWNER/DEED HOLDER(S)* ame as Applicant different people,the applicant must be
the purchaser of record or a lessee in
Name: possession with written authorization
Address: from the owner or an agent of the owner.
The owner(s)must sign this application
City/state: Zip: in the space provided on the back of this
form or submit a written authorization
Phone: Email: with this application.
9--p 6BUSINESS DATA—Applicant to complete all items in this section
Business type code s' .s license):/ G; Residence (s . ft.): Days/hour of o•eration:
-ST' ' . 1. . /.€ _ ...0
Outside stor e: Detached building: ElYes i. o Business (sq. f diva to smess):
111 Yes No If yes,sq. ft.: ��/ ,`
t�. s/clients at sidence: Business ve ' s ga a d at residence: Exterior si
A Yes No 0 Yes No
City of Tigard • 13125 S\X 1 lall Blvd. • Tigard,Oregon 97223 • wwwtigard-or.gov • 503-718-2421 • Page 1 of 2
HOME OCCUPATION CONDITIONS AND STANDARDS
1. 1 lome 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.
• I to me occupations shall observe the provisions of"I'DC 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 Marshall 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.)On-going mechanical repair conducted outside of an entirely enclosed building;
c.)`Junk and salvage operations;and
d.)'Storage and/or sale of fireworks.
10. 'llrere 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 arca.
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 signage which identifies the property as a business location;
C. Clients or customers to visit the premises for any reason;and
I). 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 comp.ed with and/or the home occupation is otherwise being conducted in a manner contrary to the Tigard Community
Devel. • • -nt Code(18.742).Revocation due a violation of the home occupation requirement(s)cannot renewed for a
min'• u period of o. ye. : 742.080).
i
7/7C7—//7 el/4 _Ad
App 'cant's sit r ature Print name Dat;
Applicant's signature Print name Date
Owner's signature Print name Date
Owner's signature Print name Date
HOME OCCUPATION—TYPE I APPLICATION
City of Tigard • 13125 SW Hall Blvd. • Tigard,Oregon 97223 • www.tigard-or.gov • 503-718-2421 • Page 2 of 2