HOP2018-00050 VOIDED
H0P2018 - 00050
CLARA SERVICES
n
S
.
TIGARD
City of Tigard
January 24, 2019
Clara Luz Pineda
11287 SW 81St Ave.
Tigard, OR 97223
Re: Permit No. HOP2018-00050
Dear Applicant:
The City of Tigard has canceled the above referenced permit(s) and encloses a refund for the
following:
Site Address: 11287 SW 81St Ave.
Project Name: Clara Services
Job No.: N/A
Refund Method: ® Check#231052 in the amount of$134.00.
❑ Credit card "return" receipt in the amount of$
Note: Please allow 2-5 days for this refund transaction to be
credited to your account by the company that issued your card.
❑ Trust account"deposit"receipt in the amount of$
Comment(s): Duplicate permit created in error (see HOP2018-00046). Refund 100%
of application fees.
If you have any questions please contact me at 503.718.2430.
Sincerely,
-..•41141,
Dianna Howse
Building Division Services Supervisor
Enc.
13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.639.4171
TTY Relay: 503.684.2772 • www.tigard-or.gov
i C City of Tigard
T[G A R D Accela Refund Request
This form is used for refund requests of land use, development engineering and building permit
application fees. Receipts, documentation and the Request for Permit Action form (if applicable) must
be attached to this request form. Refund requests are due to Accela System Administrator by
each Wednesday at 5:00 PM. Please allow up to 3 weeks for processing of refunds. Accounts
Payable will route refund checks to Accela System Administrator for distribution to applicant.
PAYABLE TO: Clara Luz Pineda DATE: 1/18/2019
11287 SW 81St Ave.
Tigard, OR 97223 REQUESTED BY: Dianna Howse
SC
TRANSACTION INFORMATION:
Receipt#: 420227 Case#: HOP2018-00050
Date: 11/5/2018 Address/Parcel: 11287 SW 81St Ave.
Pay Method: CreditCard Project Name: Clara Services
EXPLANATION: Duplicate permit(see HOP2018-00046) created in error. Refund 100% of application
fees per Sam Copelan.
REFUND INFORMATION:
Fee Description From Receipt Revenue Account No. Refund
Example: Building Permit Fee Example: 2300000-43104 $Amount
Application Fee 100-0000-43116 $134.00
TOTAL REFUND: $134.00
APPROVALS: SIGNA ES 1 .TE:
If under$5,000 Professional Staff O .
If under$12,500 Division Manager
If under$25,000 Department Manager
If under$100,000 City Manager
If over$50,000 Local Contract Review Board
FOR ACCELA SYSTEM ADMINISTRATION USE ONLY
Case Refund Processed: Date: /4:'-//j By:X7/
I:\Budding\Refunds\RefundRequest.doc x 09/01/2010
CITY OF TIGARD RECEIPT
t 13125 SW Hall Blvd.,Tigard OR 97223
F
503.639.4171
TIGARD
Project Name: Clara Services
Site Address: 11287 SW 81ST AVE
Receipt Number: 421254 - 01/25/2019
CASE NO. FEE DESCRIPTION REVENUE ACCOUNT NUMBER PAID
H0P2018-00050 $-134.00
Total: $-134.00
PAYMENT METHOD CHECK# CC AUTH. CODE ACCT ID CASHIER ID RECEIPT DATE RECEIPT AMT
Check 231052 DHOWSE 01/25/2019 $-134.00
Payor: Clara Luz Pineda
Total Payments: $-134.00
Balance Due: $134.00
Page 1 of 1
UPICITY OF TIGARD RECEIPT
I . 13125 SW Hall Blvd.,Tigard OR 97223
503.639.4171
TIGARD
Project Name: Clara Services
Site Address: 11287 SW 81ST AVE
6''/2(6 7174L _
Receipt Number: 420227 - 11/05/2018
CASE NO. FEE DESCRIPTION REVENUE ACCOUNT NUMBER PAID
HOP2018-00050 Application Fee 100-0000-43116 $134.00
Total: $134.00
PAYMENT METHOD CHECK# CC AUTH.CODE ACCT ID CASHIER ID RECEIPT DATE RECEIPT AMT
Credit Card 195115 ALINDOR 11/05/2018 $134.00
Payor: Clara Luz Pineda
Total Payments: $134.00
Balance Due: $0.00
Page 1 of 1
VOID
City of Tigard • COMMUNITY DEVELOPMENT DEPARTMENT / fri 404.9
!L I
•
Request for Permit Action
TIGARD 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503-718-2439 • www.tigard-or.gov
TO: CITY OF TIGARD
Building Division
13125 SW Hall Blvd.,Tigard,OR 97223
Phone: 503-718-2439 Fax: 503-598-1960 TigardBuildingPermits tigard-or.gov
FROM: ❑ Owner ❑ Applicant ❑ Contractor City Staff
Check(1)one
REFUND OR Name: Prvc.L INVOICE TO: (Business or Individual) C IVA
Mailing Address: (1Z8� s�,/ go} Aat.
City/State/Zip: �i J Q 'f-12,3
Phone No.: `J�3) 7,1'O" 09 41
PLEASE TAKE ACTION FOR THE ITEM(S) CHECKED (✓):
/CANCEL/VOID PERMAPPLICATION.
REFUND PERMIT FEESIT(attach copy of original receipt and provide explanation below).
❑ INVOICE FOR FEES DUE (attach case fee schedule and provide explanation below).
Permit#: I+OlO '-0005 D
Site Address or Parcel #: 112-9 S J 81LIAA113 )Q\LCP4�
J
Project Name: C LOf ,ct-'/ices
Subdivision Name: Lot#:
EXPLANATION: CD Crt 41-.4b .+* -r oht �&rs,e s. yid t r-cSUAJ 11010"WOW
bit Jr'\t I�u�,ft. tS a Ac4 Li;{-I, l'O P 201 -000`16. an NT
CorrCON eja 1u LA
(rt\ thig P1 -NA fvi- Ar441ZAb4.
Signature: Date: ( 2/-7-‘)If
Print Name: )ep.oc( (11414\
Refund Policy
1. The city's Community Development Director,Budding Official or City Engineer may authorize the refund of:
• Any fee which was erroneously paid or collected.
• Not more than 80%of the application or plan review fee when an application is withdrawn or canceled before review effort
has been expended.
• Not more than 80%of the application or permit fee for issued permits prior to any inspection requests.
2. All refunds will be returned to the original payer in the form of a check via US postal service.
3. Please allow 3-4 weeks for processing refund requests.
FOR OFFICE USE ONLY
Route to Sys Admin: Date By Route to Records: Date/' 75 /9 By 1 r
Refund Processed: Date /P/9' By4e* Invoice Processed: Date By
Permit Canceled: Date / /c/9 By. Parcel Tag Added: Date By
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74 CITY OF TIGARD HOME OCCUPATION PERMIT
r COMMUNITY DEVELOPMENT Permit 0: HOP2018-00050
13125 SW Hall Blvd. Tigard OR 97223 503.718.2421 Date Issued: 11/05/2018
Parcel: 1S136CB06700
Jurisdiction: Tigard
Applicant Name: Clara Services
Business Address: 11287 SW 81ST AVE
Nature of Business: Home occupation located at 11287 SW 81st Ave for janitorial and housekeeping business
Business Name: Clara Services Generate Extrn Noise: No
Sq Ft-Detached: 0 Days/Hours of Operation: 8AM-8PM
Sq Ft-Residence: 1326 Bus.Vehicles Garaged @ Res: None
Sq Ft-Business: 30 Outside Storage: None
SIC Code: 8990 Exterior Sign?: No
Paid Non Res Empl: No
CusVClient le Res: No
PickiDeliv 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).
AWita
Ap.oved By Permittee Signature
Cop y
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REGbJVIL)
City of Tigard (COMMUNITY DEVELOPMENT DEPARTMENT NOV 0 5 2018
a " Home Occupation Typc I Application
114
t" CITY OF TIGARD
1 I CARD_ OcupaciOn de .Hogar Solicitud Tipo I PLANNING/ENGINEERING
BUSINESS INFORMATION(INF()RAIACION DEI.NEG(X:1O):
Address ireccion): ,, REQUIRED SUBMITTAL
Ojai
Address
SO $W a V\ G4 hick. 41225 ELEMENTS
Tax lot number(Ni mern de/ote): tS% b C D a b 1 S+ RI Q1 11.S'TI 1).S.PARA AP11G>11(
Business name (Nombre del negoao): _UbJQ Sof S1%Cts? )(Owner's Signature/Written
Business phone (Tel de/ne&odo): 411- 2_1 -5‘tt — (;3-270-04 lq Authorization *
Firma del duenolA utoritiacion por ercrito
# of non-resident employees (# de empleados no-habitantes): 0
Business License Fcc Paid
Pagar cuota de licentia de negoci
Detailed description of business:(Attach additional sheets if necessary)
A/
(Desmrpdan detallada del negoao..'lliadir mar ho.jru Ji es necesario) Jd l Iolne Occupation Fee Paid
San%1cr:<ua 4(1'4 t L e 5 A» 1.tcrosC u t t t to r 41.Ak Pagar comfit de Ocrepaci6n de Hogar
*If owner and applicant are different
people: (1)the applicant must be the
purchaser of record or a lessee in
Please leave blank Marlow evade ea Were) possession of written authorization from
Translation of detailed business description: the owner or an agent of the owner,OR
(2)the owner(s)must sign this application.
*Si el dueno y el solicitante son personas
diferentes:(1)ci solicitante debe ser el
APPLICANT*(MI i(.r114\713 *) comprador de registro o el inquilino con
Name (Nombre): C`LMrs;„ k V►=. r she eta autorizacic n por escrito del duerio ode un
agentc del propietario,0(2)el dueiio o
Address* (Direcaon): 1\2.%1 5w ?'SF Mt agente dobe firmar esta solicitud.
Ti!peck , O R co 223
Phone (Tel): 'C3 ' 110 ' 0 41q FOR STAFF t SI:ONI.ti
PARA l'SO DL'/.PL RSO.V 1/.
Email: OUY Mikti 3 �? SWlex:1. LOV4
Case No(s): kOI 1D{8 ~CCO gi)
PROPERTY OWNER/DEED HOLDER(S) * Related Case No(s):
1)('1::11)1)1:1_ 1 PROP!I !MI)0 PROP ILTA RIO!)I: T:SCRITURAS * `3�
Application Fee:
C Same as .Applicant (1stral al So/icitaute)
Owner 1 (Daeo 1) Application Accepted:
Name (Nombre): c tl t h tr v Dcku;1k By: Al, Date: 111516
Address (Direction): 151%1 'SW V4,4 Au , Ti ra t()c.. '1122.3 Date Determined Complete:
Phone ( e/): C L 3 - 4t1_ < Li By: AL Date: tt 1611g
j &
Email: Translation of Business Description:
Owner 2 or Agent ( .+'& LDueaflo 2 o` gente): By: Date:
L
Name (Nombre): L �v..Z PvACiik I:\Community t)evelopment\Land Use Applications
Address(Direct on): `'V atl .14,4 04. 1141 T 41(....tck u V.4 y 7 22,j 02_I arms and Templates\Land Use Applications
Rev.7/23/2018
Phone (Tel): CC g 110 - c 4 14
City ofTigard • 13125 SW I lall Blvd. • Tigard,Oregon 97223 • wwwtigard-or.gov • 503-718-2421 • Page 1 of.3
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BUSINESS DATA—' Applicantplease answer all items in this section
DAT OS DEL NEGOQO Sof:dietedt poor fewer tnnhtk lodes los scgrrnto5 de esia onion
Business type code(business license) Space dedicated to business: Residence Area—(square feet):
CorfiooQdr',gado(dr banaa de organo) &pado de demo al nada. �1 Arra dr Reridenaa—(pies diadradns):
IMO � (sq.ft./ ire csadrador) 7 a (sq.ft./pies madrados)
Detached building? ❑Yes(St) II No #of business vehicles garaged at Will customers/clients visit residence?
(Edrficio Apartado?) residence: C.lrentes tsfitar=la rrsidenda?
If esro�tidc sq.ft. #de crhicuhos pan too del neso:ro vie se
•1' estadonaran en kr rrddenaa? ❑ Yes(.5:) No
(Sia si. aut++stos pies tttrarbbtdos? C.)
Deliveries/pick-ups-maximum 3/week? Days/hours of operation: Outside storage? Exterior sign?
E.ed r/exlry a dr pagarhna—mat:i.m 3/stemma? Dian/home dr operadot: pAbmaarnarrsiento ear v oil di wren)en el exterior?
0 Yes(Si) (1bi iti o ae r i t10S 0 Yes(St) ['No ❑ Yes(Si) e No
INFORMATION ABOUT APPROVAL STANDARDS
(Ad ed from Dearhpment Coda Cheioter 18.760)
Please check-off ✓each statement to confirm you have read and understand the following:
Who can obtain and operate a business with a Home Occupation Permit?
Li O• nly the principle occupant(s)of a dwelling can obtain and run a business out the home.If owner is not the occupant,the occupant must obtain
approval from the owner or an agent of the owner to apply for a IMP.
Can I have employees on the premises?
0 No.Nom-resident employees or volunteers of the occupation business may NOT do work on the property.
Can I see clients at my home?
❑ No.Type I Home Occupations do not allow any clients or customers to visit the home.A Type II I tome Occupation is necessary to allow this
type of use.
Can I receive deliveries at my home?
'❑ Yes,a maximum of three business related deliveries arc allowed per week.
How can I use the property for the business?
0 Any space dedicated for the business cannot be more than 528sq ft..nor can it exceed 25°°of the total residential area.
0 All activities of the business must remain entirely within the dwelling.
0 No exterior storage of materials is allowed.
0 if an accessory detached structure is used for the business,it must meet state building code requirements and cannot change the classification of
the dwelling unit in accordance with the state building code.
What about parking and business vehicles?
Ll One commercially licensed business vchide is allowed to be stored on the property.The vehicle cannot weigh more than.75 tons.
❑ The business cannot requir, ami on or off-street parking that would exceed what is already required for the dwelling.
How many HOP's can be operated from one home?
to M• ore than one business can be up,rated within a dwelling,but each business occupation must obtain a separate IMP permit.in addition,the
total combined arca used to:all Home Occupations cannot exceed 528sq.ft.or occupy more than 25°4 of the residential area.
NOTE:The following activities are prohibited with any home occupation:
❑ 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 iudgme•nt of the fire marshal pose a dangerous risk to the residence,its occupants,and/or surrounding properties.
(Individuals 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.)
❑ A• uto-body repair and painting
0 Ongoing mechanical repair conducted outside of an entirely-enclosed building
❑ Junk and salvage operations.
❑ Storage and/Or sale of fireworks.
Offensive noise,vibration,smoke,dust,odors,heat or glare noticeable at or beyond the property line resulting from the operation.
0 Exterior signs that identify the['opt rty as a business location.
City olTigard • 13125 SW I tall Blvd. • Tigard,Oregon 97223 • wwwtigard-or.gov • 503-718-2421 • Page 2 of
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INFORMACION SOBRE LAS CONDICIONES DE APROBACION
(Adaptadn de la section 18,760 del 0154 de desarm/lo)
Por favor marque /cads frase para reafirmar que leyd y entendid to siguiente:
eQure'n uede obtenir y operar tin negocio con un permiso de ocupacidn de hogar?
So/amlentr los habitanles principules dr xnu vivienda pneden adgninr y operar no negocio desde el misnlo hoar.Si e/dnedo no rs e/habitant,.el habitant(debt obtenir el
consenliniiento del duerio o agent?del dwtio para soli,itar ten permiso dr oce:pumion.
cPuedo toner cmplcados en la propiedad?
No.Los emtleados no-babitantes o ro/wwlarios del negocio NO pueden trabujar desde el hoar.
dPucdo atcnder clicntcs en mi hogar?
N• o.Las ocapadonei 1'ipo-I no permilen que los clientes viie/en el hogar.Se requiter um peree iso dt Ocupacion de l iogar 7 ipo II para este xso.
r Pued�fi recibir correspondencia de paqueteria en mi hogar?
v ) S• i,It permiten ern meivinro de fres entregas de roma par semana para t/negocio.
e Ceinio ue du utilizer la prupic dad para nii empresa?
Cualguier esparia dfdicada al use del negoaio.no puede ocwpar mnis de 528 pies cuadrados,ni puede e-viceder 25%del dna total de hi residencia.
rsti Todas his actiridades de la empresa dcben permanecer comp/etamente dextro dr la riraenda.
(ii No se permit(el abmaarnamiento de maturates afxera del hogar.
(L' Si"iv sit edifcio acctrorio independicote para sw ntpaio,este debt cnmplbr coli el codigo estatal de construction.)no pmdt causal sin cambia a la clasificacien de la
uirirnda de acwerdo con el codigo estatal de conslruaion.
d}'quit dray del estacionamientn y vehiculos para el use del negocio?
7 Solo an uthiaelo comreerialmente acreditado puede ser estacionado em/a propiedad. El rebicxlo no puede pear ends dt.75 toneladas.
El negocio no debt requiemt estacionanurnto denim o feeera dr la propiedad en cantidades seas alli de lo gwe,a requiem para urea residencia.
1Cuanttos permisos de Ocupacidn de Ilogar(f1OP)se pueden tenet en una vivienda?
.'J S• t pueedr operar mas de am megaic,dentro de xna riuienda.pero cada negocio necesita obtener in propio proviso de oc7ipa,ion(1IOP).Ademtais,el area total gar se nlillce
para todos los negcios no pevede ser mil de 528 pits cuoadrado.;o mass del 25%del area residential
NOTA: Se REIM=las actin lades siguientcs en una ocupacidn de hogar:
Almannamitnto j/o distnbwcion di materiales Iehiros o inflamablrs,mi operaeionts de pintxra en aerosol o de acabado por pxhrri;aelan axe impligwen material?'fovicot
o inflamabies vet,a juicio del mariscal de flap,ronutitnyan ern Hugo peltgroso para he residenrta,ins ocarpan esyl o propeedades cercanas. (Los indu:dwos respocsabks par
is ocwpacion de hogar pondran a disposition del meariscal de fwe;o hofs con lou datas de seguridad dt todos los matenales pohmria/menu l6.vicos•yl o inflamabies asociados
ton el negocio.)
Reparation y pintwra de unlornolilts;
L Re• paration seminar,'ftereeestoeuente reabcadu afirera de we edlficio conipletamentc cerrado
U Operation,'di chalarra y rrc obro dr maleriales.
Almacreramientoil o meta de fwegos artiJiiciales
Rwidar aftersic-os,vibration,',hump,pelvo,olores,calor o deslwnrbra nirnte,que If notes desde n mat a//a dr la linea de prop/dad ref:Monk del nrgo•io.
l nuni74f/letrer-oe ex-mica r aur idcnti/ianrn(r propiedad como on logar de nerocios.
SIGNATURE(S)—FIRMA(S)
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 he renewed for a minimum period of one year(18.760.060).
1'e►(el soheitantc)certifico por la prencnte yuc he kilo y ctlflt tido las condicioncs y csrandares anteriores para rl funcionamicnro do una ocupacicin do
hogar.Reconoaeo mut:crura aprobacit'►n de ocupaciAn de hogar puede ser revocada si las condiciones y Inc nortnas antcdichas no eec ban complicit y/o Ia
ocupacitin de hope se ceera llevando a cabo do una mantra contraria al ctidigo do decarrollo de la comunidad de Tigard(16..760).1.2 anulacitin debido a
una violacinn tie los rcquisitos de Ia neupacii'►n de hogar no or puede renovur por un period()minima do un alio(18.760.060).
#X7/1;p4; g,146) 'ORu /a �1 f����i.�r/C1 gate:/q 4 Il - .r -42
Applicant's Signature(firma del Solicrlante) Print name(Nombre) late(Fnha)
A ;l; ZY 1�
Owner l Signature(firma del Maio 1/ Print name(Nombre) Date(Fechai
Owner 2 or Agent Signature(Firma del 1)xeeio2 o i i,tenir) Print name(Nombre) Date(frecha)
City ofTigard • 13125 SW Hall Blvd. • Tigard,Oregon 97223 • wwwctigard-or.gov • 503-718-2421 • Page 3 of3
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O
l J
tt
Samuel Copelan
From: Lizbeth Lutz
Sent: Thursday, December 20, 2018 4:26 PM
To: Samuel Copelan
Subject: RE: HOP2018-00046 and HOP2018-00050
They only have one license and the HOP attached to it is 2018-00046
Liz Lutz
City of Tigard
Finance Department
503.718.2487
From:Samuel Copelan
Sent: Wednesday, December 19, 2018 12:41 PM
To: Lizbeth Lutz<Lizbeth@tigard-or.gov>
Subject: HOP2018-00046 and HOP2018-00050
Hi Liz,
We discovered that two HOPs were created for the same business. Can you please check and see if two Business
Licenses were also paid for this one business?
Thanks,
Sam Copelan
Assistant Planner
City of Tigard; Community Development
13125 SW Hall Boulevard
Phone: (503)-718-2450
Email: Samuelc@tigard-or.gov
DISCLAIMER: E-mails sent or received by City of Tigard employees are subject to public record laws. If requested, e-mail
may be disclosed to another party unless exempt from disclosure under Oregon Public Records Law. E-mails are retained
by the City of Tigard in compliance with the Oregon Administrative Rules"City General Records Retention Schedule."
1
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CITY OF TIGARD HOME OCCUPATION PERMIT
COMMUNITY DEVELOPMENT Permit#: HOP2018-00046
13125 SW Hall Blvd, T i and OR 97223 503.718.2421 Date Issued: 10/74/2018
�''�l l� Parcel: 1S136CB06700
Jurisdiction: Tigard
Applicant Name: Clara Services
Business Address: 11287 SW 81ST AVE
Nature of Business: Janitorial Services. All housekeeping duties Located at 11287 SW 81st Ave.
Business Name: Clara Services Generate Extrn Noise: No
Sq Ft-Detached: Days/Hours of Operation: varies
Sq Ft-Residence: 6969.6 Bus.Vehicles Garaged @ Res: No
Sq Ft-Business: 30 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).
r/ja (fitrIA-- 4 I,
Approved By Permittee Signature
•, 1:2)
6;4:
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.
R:~ "
City of Tigard I COMMUNITY DEVELOPMENT DEPARTMENT
Home Occupation Type I Application
T I A R D Ocupacion de Hogar Solzcrtt d Tepo I
BUSINESS INFORMATION(INF()RM ACI()N DEL NEG()CI()):
Address Direction): REQUIRED SUBMITTAL
\2Z LA,/ Z15+ A4 t Ticy,•+-cl , CR. a 12'13 ELEMENTS
'l'ax lot number(Humero de lote): 15 1 _ 1
(. ��:, 1 Rio iI.S'I`I(),S'PA RA AP1iC.=1K
Business name (Nombre del nezgocio): ( 1(A r a. 4.- '1('(''''..)
oz. Owner's Signature/Written
Business phone (Tel del negotio): 01-1 f --2..1-1 - 1:;( i•ii (,--0'.',- 2,10- r,t r -i i Authorization
F'rma del dueio/Auloritiacion por erc7ilo
#of non resident employees (#de empleados no-habiianles): r.J
Business License Fee Paid PSI
Pat ar a ota de litentia de negotio
Detailed description of business: (Attach additional sheets if necessary) �/
)ertri cion detallada del ne ocio.Aiadir ma's hour si es necesario L� Nome Occupation Fee Paid
0a^;i./3 6p,1 SUr,,),t g,� all trw,u5r,1(,e,cQ,nA au.},e,4 Paaar cuota de Ocupacion de Hogar
*If owner and applicant are different
people:(1)the applicant must be the
purchaser of record or a lessee in
:':rase leave blank(PorJas'ordejarrot oath)ex b1aav) possession of written authorization from
Translation of detailed business description: the owner or an agent of the owner,OR
(2)the owner(s)must sign this application.
*Si ci dueno y el solicitante son personas
diferentes:(I)el solicitante debe ser el
APPLICANT*(SOLIC I ANrI'F_ comprador de rcgistro o el inquilino con
Name (Nombre): 004(0, k\},,"1. p1 autorizacion por escrito del dueno o de un
Q� !. \ A •,, agentc del propietario,0(2)el dueno o
Address* (Direction): 112 7 <A �. k agente dehe fu-mar esta solicited.
T i carr d , O 1& cVl22'S
Phone (le!): ‘03 210 - u41 I rOIH STAFF I i:()NIA'
!'IRA I sr)/)! I !'L/?'().\.-t/.
—4 Email: �av;tc,A13Q. O 4.ca w
Case No(s): i PLo ig - 0 0041
PROPERTY OWNER/DEED HOLDER(S)* Related Case No(s):
UUENO DE I.A PROPIEDAD 0 PROPIET ARIO DE F_SC,W7URAS*
❑ Same as Applicant (Igual al Solititante)
Application Fee: - A ill.6-0
Owner 1 (Due* 1) Application Accepted:
Id-1/61-(
Name (Nombre): c.‘\kber\ Oa..v.la By: S( I)atc:
Address (Dirrciion): 1_111.11 6tZ 8b} tve, 3-'5044, 0 V:. q123 Date Determined Complete:
Phone Wel): r0' o11 of - a(let By: . 4 Date: 94
Email: Translation of Business Description:
Owner 2 or Agent (Dueio 2 o.-1gente): By: S C Date: `C)-1-1-'i'
Name (Nombre): Ck&or ,%, WI, V„A-ee.C.. I: tt,mm,uun Urvrhppmrnt\Land Urr i►ppLwucma\
Address (Direction): I kt.2, 1 °AZ kh4- 141 I D•Y Q}.. "11 z.z Ii2_I orm.and Template%\Land ore Applications
U C � Itc�•.7/23/2(�iR
Phone (Tek 4'03- ?.1 c - O41 a
City ofTigard • 13125 SW Hall Blvd. • Tigard,Oregon 97223 • wwwtigard-or.gov • 503-718-2421 • Page 1 of3
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BUSINESS DATA— Applicant please answer all items in this section
1),.:110.S.DEL.N/..;60(.10 —.S'oh rilan/r por./aster contest(lodos los se enenlos de esla section
Business type code(business license) Space dedicated to business: Residence Arca-(square feet):
(odit;o de neQodo(de Minaa dr ne o!io) 1 sspario dedlrado a/nrgorio: //rra de IZrtsideria-(pies ruadrados).•
9(14;0 3 (sq.ft./pies crradrados) C3ri() .(7 (sq.ft./pref,urdrarloi)
Detached building? Dyes(St) "Nor #of business vehicles garaged at Will customers/clients visit residence?
(I?dririo separado?) residence: /(./ienles kritaran/a nuidenaa?
#de vrhhxelos parr less del mot*vie se Ci
i f yes,provide sq. ft. rstar•�•..� en la rrsidentra? 0 Yes(Si) Li No
(Si of si,pean/os pies alrulrados?)
0
Deliveries/pick-ups-maximum 3/week? Days/hours of operation: Outside storage? Exterior sign?
tinrtiww/enter de pagvrterra-mdxirno 3/summa? Dias/boras dr operinidn: lA/narenomiento or? tl.eteres en e/exterior?
0 Yes(Si) LNcs -a- GI,etend 5 0 Yes(Sr) No 0 Yes(Si) E(No
INFORMATION ABOUT APPROVAL STANDARDS
(Ark/Med./rum Deve/opentn1 Code Chapter I ri)
Please checkoff I each statement so confirm you have read and understand the
Who can obtain and operate a business with a Home Occupation Permit?
(-1 Only the principle occupant(s)of a dwelling can obtain and run a business out the horse.If owner is not the occupant,the occupant must obtain
approval from the owner or an agent of the owner to apply for a I lOP.
Can I have employees on the premises?
No. N.n resident employees or volunteers of the occupation business may NOT do work on the property.
Can I see clients at my home?
C._1 No.Type I I Ionic Occupations do not allow any clients or customers to visit the home.A Type Ii Home Occupation is necessary to allow this
type of use.
Can I receive deliveries at my home?
1'cs,a maximum of three business related deliveries arc allowed per week.
How can I use the property for the business?
Any space dedicated for the business cannot be more than 528sq ft.,nor can it exceed 25%of the total residential area.
All activities of the business must remain entirely within the dwelling.
No extrrit or storage of materials is allowed.
if an accessory detached structure is used for the business,it must meet state building code requirements and cannot change the classification of
the dwelling unit in accordance with the state building code.
What about parking and business vehicles?
(One commercially licensed business vehicle is allowed to be stored on the property.The vehicle cannot weigh more than.75 tons.
i_.._.) The business cannot require any on or off-street parking that would exceed what is already required for the dwelling.
How many HOP'S can be operated from one home?
t. ) More than one business can 1w operated within a dwelling,but each business occupation must obtain a separate 1101'permit.In addition,the
total connnhsned area used for all I ionic Occupations cannot exceed 528sy.ft.or occupy more than 25%of the residential area.
NOTE:The following activities are prohibited with any home occupation:
1 ) 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.
(Individuals engaged in home tic(ul,atilnts 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.)
(_i Auto body repair and painting
L) ()agoing mechanical repair conducted outside of an entirely enclosed building
0 Junk and salvage operations.
O Storage and/or sale tat fireworks.
O Offensive noise,vibration,smoke,dust,odors,heat or glare noticeable at or beyond the property line resulting from the operation.
n Fxteriot signs that identify the property as a business location
City ofTigard • 13125 SW Hall Blvd, • Tigard,Oregon 97223 • wwwtigard-or.gov • 503-718-2421 • Page 2of3
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INFORAMACION SOBRE LAS CONDICIONES DE APROBACION
(A d ptado de la section de/i odiko de desarrallo)
Por favor marque ✓cada frase para reafirmar que leyd y entendio to siguiente:
eQuien puede obtencr)'operar un negoclo con un permiso de ocupacirin de hogar?
USalamente los babitantes princspalrs de una ciioenda piellen adqurrirj operas in negocio dude el'canto hogar,Si el duedo no cl el habitants,e1 habitanre debt obttner el
consentimiento del doth o agents del direio para solidtar in pernrito de ormpation.
c PuedQ tcncr cmpleados en 1a propiedad
Et i _\".o.I.in e„rpleadol no habetantes o ooLvniacios del negocio NO pseeden trabajar desde el hogar.
ePucdo atendcr clientes en mi hogar?
E.-0,11 :'\o. 1 as oarpaiones'lipis I no permtten gide los tenter ivaten el hogar.Sr rrquierr in pmwiso de Oarpadon de Hogar Tipo II para este nso.
sPuedo recibir correspondencia de paqueterla en mi hogar?
NASi.se pernriten in mrh'imo dr fres entrri!ac de,vrrrr,por_remand para el ruga°.
c COm puedo utilisar la propicdad pars mi empress?
14 Cualquier espaio dedic ado al ulo del'legaio.no puede oarpar mar de 528 pies aradrados,ni puede eacvder 25%del dna total de la rrtidenaa.
3,i
Todas las aaividadel tie la enepresa debt,'pemcane.rr cnmpietamtnte dentro dr la tisaenda.
No se permite el almacenamiento de materialu ajuera del hogar.
' ,J Si uta in edifieio a tesono indepenrlr-ente para ix negocio,este de/e camplir ton ei eodigo utatal de ronsrrucadn)no puede anular in cambio a la clasinea.cdn de la
txvienda de aarerrlo ton el cddrgo eltalai de a nstruee dn.
el'que ay del estacionamiento y t'rhiculos pars'el use del negocio?
Solo in re iaelo cvmenialmenle acTrd talo puede ser utacionado err la prvpiedad El vehiculo no puede pour mas do,'5 toneladas.
El ncgodo no deft rrgscenr(staaonamiento denim o(n'e'rd de la pmpiedad en cantidadu ads alli ele k.que)a'wirier para una rrlidenaa.
eCudnt s permisos de Ocupacidn de Hogue(HOP)Sc pueden tenet en una tiviends?
MI Se puede operar mus de in negoe o dentin de una vivrenda.pero coda negocio"tarifa obtener IN pmupto permiso dt ocxpadon(HOP).Ademas.el arra total que se utiGtr
para todos las negonns no puede ser coir de 528 pies cuadrados o nerds del 25%del arra rrlidenciaL
NOT : Se prohlbcrl las actividades siguientes en una ocupacldn do hogar:
i._: Almaanamiento)/0 ebstribucion de materrales tdcxicos o in/lamabks.ni operaciones de pintara en aerosol o de a,a&adn,Por puhrriia,Tein air inrp/lgicen matcriales toti.n,
o in/1amab/es que,ajiicio rel manta/deftly.conshrtigan in riesge peligroso pats la rrurienaa,sus oarpantu,/o propreaadcs arranas. (1.ks rnaivuauos rrsporuaota per
la oaepaddn de hogar pondran a dksposiadn del maimal de/'ergo hojas con to,data:de requridad de todos los materiales potenaalmente tax cvi)/o injlamables atm-webs
con el ncgodo.)
it Reparation.)pintura de automdtiles:
Reparation neecdniea frr ientemente irabtiada afaera de in ediiao cvmpkta ente cereus
Operaaonu de ebatama) rreobro de materraks.
Alma.rnanriento_)/o wow de Argos artrfidaes
Radar oftruiool.vibradone.c,hum°,po/to.°fomes,calor o dellumbramiento que se note::desk o Inds aUa dr la tinea de propiedad rum/tante del ncgo do.
CT t :-nuncios//etrenn eateriorrs que idcnti/iquen la propiedad tomo in Lugar de negocio.
SIGNATl1RE(S)—FIRMA(S)
I(applicant)hereby certify.that I have read and understand the aim e conditions and standards fur the operation of a home occupation.i
acknowledge that this home occupation approval mai be revoked if the above conditions and standards have not been complied with
and/or the home occupation is otherwise tieing conducted in a manner contrary to the Tigard Community Development Code(1I, t, .
Revocation due to a violation of the home ocrupat. requirement(s)cannot be renewed for a minimum period of one year(1 lotih g)).
Yu(el„,lscitante)ter is tic,,por Ia preset i re clue he leido y entiendo las cunt l(is'nes y e stindares anteriores para el funcsonamicnto do una ocupacii n de
hogar. Reconoico clue esta aprobaci/m de ocupaciin de hogar puede ser revocada si las condiciones y las normas antedichas no se han cumplido y/o la
s cupaciint de hogar se esti llev and°a cabo de una manera comtraria al c/xligo de desarrollo de la comunidad de'1 igard('- •s i).La anulacidin debido a
una violacsun do los requisitos do la ocupacii>n de hogar no se puede renovar pot un period°minimo de un ant)( , )
44Y C\wci ?.,icAci Icy- 9V- IK
App'cant's Signature(Firma del.Sokcitante) Print name(Nombre) late(Fecba)
d c(1116 PIc1 je •a - I
Owner I Signature(Firma del Uueio l) 1'nnt name(Nambrr) Date(Ferrbo)
Owner 2 or Agent Signature(Firma del Dueio2 o Agents) Print name(Number) Date(Few)
i. ■ 1.l..Y4,64�- ,.vonlaeorms, Ari-wwalla..Via: .. - .-..
City of Tigard • 13125 SW Hall Blvd. • Tigard.Oregon 97223 • wwwtigard-or.gov • 503-718-2421 • Page 3 of
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IxCITY OF TIGARD RECEIPT
1 13125 SW Hall Blvd.,Tigard OR 97223
503.639.4171
TIGARD
Project Name: Clara Services
Site Address: 11287 SW 81ST AVE
Receipt Number: 420110 - 10/24/2018
CASE NO. FEE DESCRIPTION REVENUE ACCOUNT NUMBER PAID
H0P2018-00046 Application Fee 100-0000-43116 $134.00
Total: $134.00
PAYMENT METHOD CHECK# CC AUTH.CODE ACCT ID CASHIER ID RECEIPT DATE RECEIPT AMT
Debit Card 111548 SCOPELAN 10/24/2018 $134.00
Payor: Clara Luz Pineda
Total Payments: $134.00
Balance Due: $0.00
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