HOP2018-00006 CITY OF TIGARD HOME OCCUPATION PERMIT
a COMMUNITY DEVELOPMENT Permit#: HOP2018-00006
13125 SW Hall Blvd.,Tigard OR 97223 503.718.2421 Date Issued: 01/30/2018
T I c_.A 1{.1) 9 Parcel: 1S133CD14600
Jurisdiction: Tigard
Applicant Name: Breccia Geotechnical Testing, LLC
Business Address: 11833 SW TALLWOOD DR
Nature of Business: Provide Geotechnical Laboratory testing, including natural moisture content, Atterberg limits,
and percent fines.
Business Name: Breccia Geotechnical Testing, LLC Generate Extrn Noise: No
Sq Ft-Detached: 0 Days/Hours of Operation: 6PM-8PM
Sq Ft-Residence: 1900 Bus.Vehicles Garaged @ Res: No
Sq Ft-Business: 150 Outside Storage: No
SIC Code: 8910 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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W y 1
Approved By Permittee Signature
City of Tigard
�, ° COMMUNITY DEVELOPMENT DEPARTMENT
TIGARD Home Occupation Type I Application
Property address/location: 11833 SW Tallwood Dr.
Tigard,OR 97223 REQUIRED SUBMITTAL
ELEMENTS
Tax map and tax lot#: 1 S 133CD 14600 Owner's Signature/Written
Business name:
Breccia Geotechnical Testing,LLC uthorization
971-246-1324 B�siness License Fee Paid
Business phone: W/Home Occupation Fee Paid
Detailed description of business:(Attach additional sheets if necessary)
Provide Geotechnical Laboratory Testing,including natural moisture content,
Atterberg limits,and percent fines. Case No.(s): oto ma
Related Case No.(s):
'—
Application Fee: l 2 S'0 i)
#of non-resident employees: None Application Accepted: �l
By:
Sc Date: 1- 'o-if
pp Farid Sariosseiri Date DeterminedcComplete:
Applicant*: �S
Address:
11833 SW Tallwood Dr. By Date:
Tigard,OR I:\Community Development\Land Use Applications\02_Forms
City/state: g Zip: 97223 and Templates\Land Use Applications Rev.12/14/2017
971-246-1324breccia eolab ailcom
Phone: Email: g @lam
*When the owner and the applicant are
different people,the applicant must be the
PROPERTY OWNER/DEED HOLDER(S)* IX. purchaser of record or a lessee in possessionSame as Applicant with written authorization from the owner
Name: or an agent of the owner.The owner(s)
must sign this application in the space
Address: provided on the back of this form or
submit a written authorization with this
City/state: Zip: application.
Phone: Email:
BUSINESS DATA—Applicant to complete all items in this section
Business type code (business license): Business (sq.ft.dedicated to business): Residence(sq.ft.):
8910 150 1,900
Detached building: ❑ Yes No Business vehicles garaged at residence: Customers/clients at residence:
If yes,sq. ft: W f A ❑ Yes Ct No
Deliveries/pick-ups at residence: Days/hours of operation: Outside storage: Exterior sign:
[i] Yes 51, No 6iI\ ❑ Yes No ❑ Yes PrNo
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. Home 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
mini period of one year(18.760.060).
17()76//iPfet.,.., Farid Sariosseiri 1/30/2018
Applicant' .ignatur: Print name Date
Ensieh Biria 1/30/2018
Applicant's Signa a Print name Date
7/1_,(')
raVI d -S GfY`CS560t 1 /30/2-0(e
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
IIICITY OF TIGARD RECEIPT
i a 13125 SW Hall Blvd.,Tigard OR 97223
503.639.4171
TIGARD
Project Name: Breccia Geotechnical Testing, LLC
Site Address: 11833 SW TALLWOOD DR
Receipt Number: 415297 - 01/30/2018
CASE NO. FEE DESCRIPTION REVENUE ACCOUNT NUMBER PAID
HOP2018-00006 Home Occupation Permit-Type I 100-0000-43116 $125.00
HOP2018-00006 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 1901 SCOPELAN 01/30/2018 $216.00
Payor: Farid Sariosseiri
Total Payments: $216.00
Balance Due: $0.00
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