HOP2018-00002 CITY OF TIGARD HOME OCCUPATION PERMIT
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COMMUNITY DEVELOPMENT Permit#: HOP2018-00002
Tigard OR 97223 503.718.2421
13125 SW Hall Blvd.,Ti Date Issued: 01/11/2018
TIGARD9
Parcel: 2S109DB09500
Jurisdiction: Tigard
Applicant Name: Dancing Ancestors Home Occupation
Business Address: 13140 SW BLACK WALNUT ST
Nature of Business: Spiritual Guidance home occupation
Business Name: Dancing Ancestors Generate Extrn Noise: No
Sq Ft-Detached: 0 Days/Hours of Operation: part time
Sq Ft-Residence: 3126 Bus.Vehicles Garaged @ Res: 1
Sq Ft-Business: 80 Outside Storage: No
SIC Code: 8990 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).
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Opp ccd—it)
Approved By Permittee Signature
IIICITY OF TIGARD RECEIPT
i ! 13125 SW Hall Blvd.,Tigard OR 97223
503.639.4171
TIGARD
Project Name: Dancing Ancestors Home Occupation
Site Address: 13140 SW BLACK WALNUT ST
Receipt Number: 415024 - 01/11/2018
CASE NO. FEE DESCRIPTION REVENUE ACCOUNT NUMBER PAID
HOP2018-00002 Home Occupation Permit-Type I 100-0000-43116 $125.00
HOP2018-00002 Business License 100-0000-43001 $91.00
Total: $216.00
PAYMENT METHOD CHECK# CC AUTH.CODE ACCT ID CASHIER ID RECEIPT DATE RECEIPT AMT
Check 1506 MBILODEAU 01/11/2018 $216.00
Payor: Nicholas Literski
Total Payments: $216.00
Balance Due: $0.00
Page 1 of 1
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RECEIVED
City of Tigard JAN 1 1 2018
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COMMUNITY DEVELOPMENT DEPARTMENT CITY OF TIGARD
Home Occupation �T e I Application
GINEERINGIGARD
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Property address/location: 13140 SW Black Walnut St.
REQUIRED SUBMITTAL
Tigard, OR 97224 ELEMENTS
Tax map and tax lot #: 2S 109DB09500 id Owner's Signature/Written
DancingAncestors LLC Authorization
Business name: ,...� (� I P��{
Business License Fee Paid
Business phone: 253-486-3528
Home Occupation Fee Paid
Detailed description of business: (Attach additional sheets if necessary)
Spiritual guidance/coaching (long distance via Skype, Zoom, etc.), FOR STAFF usE ONLYCase No.(s): 440P'2:01 6 oUJ O 2-
writing, media, public speaking, workshops and seminars
Related Case No.(s):
Application Feer l 2S
# of non-resident employees: None Application Accepted:
By: � �(.✓71/� /IS
Date: t
Date Determined Complete:
Applicant`: Nicholas S. Literski
By: O/}A Date: /11/I Lb
Address: 13140 SW Black Walnut St.
I:\Community Development\Land Use Applications\02_Forms
City/state: Tigard Lip: 97224 and Templates\Land Use Applications Rev.12/14/2017
Phone: 253-486-3528 Email: nliterski@comcast.net
*When the owner and the applicant are
different people,the applicant must be the
* purchaser of record or a lessee in possession
PROPERTY OWNER/DEED HOLDERS) CI Same as Applicant with written authorization from the owner
Name: Nicholas S. Literski & Christopher A. Sam or an agent of the owner.The owner(s)
13140 SW Black Walnut St. must sign this application in the space
Address: provided on the back of this form or
submit a written authorization with this
City/state: Tigard, OR Zip: 97224 application.
Phone: 253-486-3528 Email: nliterski@comcast.net
BUSINESS DATA—Applicant to complete all items in this section
Business type code (business license): Business (sq. ft. dedicated to business): Residence (sq. ft.):
8990 80 sq. feet shared personal/business 3,126
Detached building: ❑ Yes X No Business vehicles garaged at residence: Customers/clients at residence:
If yes,sq. ft: 1 personal vehicle used partly for business ElYes 14 No
Deliveries/pick-ups at residence: Days/hours of operation: Outside storage: Exterior sign:
❑ Yes R No Variable,part time ❑ Yes IX No ❑ Yes 14 No
City of Tigard • 13125 SW Hall Blvd. • Tigard,Oregon 97223 • wwwtigard-or.gov • 503-718-2421 • Page 1 of 2
HOME OCCUPATION APPROVAL STANDARDS
All home occupations except those that have proven nonconforming status shall comply with all of the following:
1. Ilome occupations may be undertaken only by the principal occupant(s)of a dwelling unit.
2. There shall be no more than 3 deliveries per week to the residence 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.
4. The home occupation shall be operated entirely within the dwelling unit and a conforming accessory structure.The total area that 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 materials and products shall not occupy more than 25 percent of the ccombined residence and accessory
structure gross floor area,but in no case shall the portion of the home occupation occupying the accessory use exceed 528 feet.The indoor storage
of materials or products shall not exceed the limitations imposed by the provisions of the building,fire,health and housing codes.
5. A home occupation shall not make necessary a change in the state building code use classification of a dwelling unit.Any accessory
building that is used shall meet state 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 by this chapter.
7. There shall be no storage and/or distribution of toxic or flammable materials,and spray painting or spray finishing operations that
involve toxic or flammable materials that in the judgment of the fire marshal pose a dangerous risk to the residence,its occupants,and/
or surrounding properties.Those individuals that are engaged in home occupations shall make available to the fire marshal for review
the material safety data sheets that pertain to all potentially toxic and/or flammable materials associated 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.Ongoing mechanical repair conducted outside of an entirely-enclosed building;
c. Junk and salvage operations;
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 1 commercially licensed vehicle of not more than 0.75 ton
gross vehicle weight(GVW)may be parked outside of a structure or screened area.
In addition,The following characteristics of a Type I home occupation shall be prohibited:
1. Outside volunteers or employees to be engaged in the business activity other than the persons principally residing on the premises;
2. Exterior signs that identifies the property as a business location;
3. Clients or customers to visit the premises for any reason;
4. 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(18.760).Revocation due to a violation of the home occupation requirement(s)cannot be renewed for a
minimum period of one year(18.760.060).
AZ/4 Nicholas S. Literski 01/01/2018
Applicant's signature Print name Date
Applicant's signature Print name Date
J.‘ Nicholas S. Literski 01/01/2018
Owner's signature Print name Date
o --
Christopher A. Sam 01/01/2018
Owner's signature Print name Date
HOME OCCUPATION—TYPE I APPLICATION
City of Tigard • 13125 SW Hall Blvd. • Tigard,Oregon 97223 • wwwtigard-or.gov • 503-718-2421 • Page 2 of 2