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HOP2001-00082 CITY OF TIGARD HOME OCCUPATION PERMIT TYPE: I DEVELOPMENT SERVICES PERMIT#: HOP2001-00082 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 DATE ISSUED: 8/8/2001 APPLICANT NAME: KERRIE JERGESEN BUSINESS ADDRESS: 11185 SW 109TH AVE PARCEL: 1S134DB-03900 ZONING: R-4.5 JURISDICTION: TIG NATURE OF BUSINESS: Vending machines BUSINESS NAME: JAMIE & TONI VENDING CORP SQ FT - DETACHED: GENERATE EXTRN NOISE: N SQ FT - RESIDENCE: DAYS/HOURS OF OPS : SQ FT - BUSINESS: BUS. VEHICLES GARAGED @ RES: N SIC CODE: PAID NON RES EMPL: N OUTSIDE STORAGE: N CUST/CLIENT @ RES: N EXTERIOR SIGN?: N PICK/DELIV @ RES: N 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 (18.42). Permit revocation due to a violation of requirement(s) of this Home Occupation Permit cannot be renewed for a minimum period of one year. (18.142.090). ermittee Signa re Issued by 4 . HOME OCCUPATION TYPE I APPLICATION :ITY OF TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 FAX: (503) 684-7297 'ENERAL INFORMATION Droperty Address/Location: 0✓r~° Tax Map & Tax Lot / 5 15 q-6 6-0 3 900 Zone: • J Property Owner/Deed Holder(s)': ~~2r r, ~.e r y 2 FOR STAFF USE ONLY Address: 111Y5 S4J N ? 4" AV-- Phone:-%_3 6 7 o -F/ ! i I Case/Permit No.: 00~ City: q C.r cQ Zip: 9 72-Z-3 Other Case No.(s): Applicant': Y►, I -e- ,J~ r 4 P s_ c 1!J~ Filing Fee Rec'd.:$~ Address: I I I S S i y 9 LA- A-/-Phone: So-3 6 2.0 f l l Receipt No.: 5 ~ ~ Application Approved By: Business Phone: _ Date Approved: i City: Zip: 7 2_Z_3 Business Name: w,~ e -To n t V R vt c~ qj ~yJ7 Comp Plan/Zone Designati n: _ Nature of Business: VR kic(, ,,.Q to-L I+ Business Tax Paid? l(~ Yes ❑ No Business Tax Receipt O. Rev. 11126/98 r\curpln\masters\hopl.doc 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 in the space provided on the back of this form or submit a written authorization with this application. REQUIRED SUBMITTAL ELEMENTS THE APPLICANT SHALL CERTIFY THAT: ✓ The above request does not violate any deed restrictions that ✓ Application Elements Submitted: may be attached to or imposed upon the subject prope ft ✓ If the application is granted, the applicant will exercise the rights C~1--Application Form granted in accordance with the terms and subject to all the E-Owner's Signature/Written Authorization conditions and limitations of the approval. E~[- Proof of Business Tax Certificate ✓ All of the above statements and the statements in the plot plan, attachments, and exhibits transmitted herewith, are true; and the ED" Filing Fee: C.O.T. F $ 30.00 applicants so acknowledge that any permit issued, based on this URB. SVCS. Fee: $175.00'; application, may be revoked if it is found that any such statements are false. ✓ The applicant has read the entire contents of the application, including the policies and criteria, and understands the requirements for approving or denying the application. 1 1. Home occupations may be undertaken only by the principal 10. There shall be no exterior storage o1 occupant(s) of a residential property; vehicles of any kind used for the business except that one commercially 2. There shall be no more than three deliveries per week to the licensed vehicle of not more than three- resident by suppliers; quarters ton GWV may be parked outside of a structure or screened area. 3. There shall be no offensive noise, vibration, smoke, dust, odors, heat or glare noticeable at or beyond the property line resulting Standards: from the operation. Home occupations shall observe the provisions of TDC Chapter 18.725 (Environment Performance According to Tigard Development Code Standards); Chapter 18.742.050, a Home Occupation Permit - Type I shall exhibit no evidence that a 4. The home occupation shall be operated entirely within the business is being conducted from the dwelling unit and a conforming accessory structure. The total premises. Home Occupation Permits - Type I area which may be used in the accessory building for either shall not permit: material product storage and/or the business activity shall not exceed 528 square feet. Otherwise, the home occupation and A. Outside volunteers or employees to be associated storage of material and products shall not occupy more engaged in the business activity other than 25 percent of the combined residence and accessory than the persons principally residing on structure gross floor area. The indoor storage of materials or the premises; products shall not exceed the limitations imposed by the provision B. Exterior signage which identifies the of the building, fire, health and housing codes; property as a business location; C. Clients or customers to visit the premises 5. A home occupation shall not make necessary a change in the for any reason; and Uniform Building Code use classification of a dwelling unit. Any D. Exterior storage of materials. accessory building that is used must meet Uniform Building Code requirements. I hereby certify that I have read and understand the above conditions and 6. More than one business activity constituting two or more home standards for the operation of a home occupations shall be allowed on one property only if the combined occupation. I acknowledge that this home floor space of the business activities does not exceed 25 percent occupation approval may be revoked if the of the combined gross floor area of the residence and accessory above conditions and standards have not been structure. Each home occupation shall apply for a separate home complied with and/or the home occupation is occupation permit, if required per this chapter, and each shall also otherwise being conducted in a manner have separate Business Tax Certificates; contrary to the Tigard Community Development Code (18.742). Revocation due 7. There shall be no storage and/or distribution of toxic or flammable to a violation of the home occupation material, and spray painting or spray finishing operations that requirement(s) cannot be renewed for a involve toxic or flammable material which in the judgement of the minimum period of one year (18.742.080). Fire Marshall pose a dangerous risk to the residence, its occupants, and/or surrounding properties. Those individuals which are engaged in home occupation shall make available to Applicant's Signature: the Fire Marshall for review that Material Safety Data Sheets ,c • _ 1~~ which pertain to all potentially toxic and/or flammable materials associate with the use; Date: -i 8. No home occupation shall require any on or off-street parking other than that normally required for a residence; Owner's Signature: 9. The following uses are not allowed as home occupations: ,I~°y-~►" Date: a.) Auto-body repair and painting; b.) On-going mechanical repair conducted outside of an entirely enclosed building; c.) Junk and salvage operations; and Owner's Signature: d.) Storage and/or sale of fireworks. Date: 2 - 1 Receipt 27200100000000003261 Date: 0810812001 T I D E M A R K COMPUTER SYSTEMS, INC, Line Items: Case No Tran Code Description Revenue Account No. Amount Due BUSTAX Business ax - 22.9000 @ 1.0 100-0000-430000 $22.90 HOP2001-00082 Type Permit Fee 100-0000-438000 $30.00 Payments: 1 Method Payer Bank No Acct Check No Confirm No. Amount Paid Check KERRIE J JERGESEN 0 3797 $52.90 TOTAL AMOUNT PAID: $52.90