HOP2007-00071
HOME OCCUPATION PERMIT
CITY OF TIGARD TYPE:
COMMUNITY DEVELOPMENT PERMIT HOP2007-00071
13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 8/7/2007
APPLICANT NAME: FLEMMING J ERIKSTRUP
BUSINESS ADDRESS: 13036 SW BROADMOOR PL
PARCEL: 2S104DB-01400 ZONING: R-4.5 JURISDICTION: TIG
NATURE OF BUSINESS: Type I application for a recruiting business
BUSINESS NAME: ERIKSTRUP INC
SO FT - DETACHED: GENERATE EXTRN NOISE: N
SO FT - RESIDENCE:
DAYS/HOURS OF OPS
SO FT - BUSINESS: BUS. VEHICLES GARAGED @ RES: 1
SIC CODE: OUTSIDE STORAGE: NO
PAID NON RES EMPL: N EXTERIOR SIGN?: N
CUST/CLIENT @ RES: N
PICK/DELIV @ RES:
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).
Approved By Permittee Sign e
HOME OCCUPATION
TYPE I APPLICATION
Cuy q'Trgvd Permit Gender 13125 SWHaU BAd, Tigmt OR 97223
Phow 503.639.4171 Fax: 503.598.1960 -
GENERAL INFORMATION
Property Address/Location: /3o3& fw t?fLoAO/sc-rm2 0/-.
FOR STAFF USE ONLY
Tax Map & Tag Lot Z Sly' OQ - o/Z/G1G Zone: 0 Z3. 7
Property Owner/Deed Holder(s)*: -4c37'ily; N(, t CA"'rf sR?&; Case/Permit No.: /-k ,200'7 vim' 1
Address: 1-7a,?d r&AJ 91ZoAa91AwXA hone: -572 Filing Fee Rec'd.:$
Gty: Zip: ~-Z217 Receipt No.: 0-0'7 Sin r
Ti•G/~i'LO ~~~~-T'
Application Approvedi By
Applicant*: ~G~jyfi.}✓G f: YL~i(~TNiY/o Date Approved:/
Syr
Address: /,?oTG sw 8/7c./r 4tr e ZZPhone:
Business Phone: S?i~-,f 7-9 - le/7 Comp Plan/Zone Designation:
City. 7 1r6, NLO zip: 7, Z? '-!t.
Business Name: G-Zf~77Zw70 1NC Business Tax Paid? ❑ Yes ❑ No
Nature of Business: 2tT~/2yi Tit ✓G Business Tax Receipt No.
Rev. 7/1/07
c\curpin\nwters\Innd use applications\home occupation permit-Type 1
app.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.
THE APPLICANT SHALL CERTIFY THAT: REQUIRED SUBMITTAL ELEMENTS
✓ The above request does not violate any deed restrictions that may be
attached to or imps s ed upon the subject properly ✓ Application Elements Submitted:
✓ If the application is granted, the applicant will exercise the rights granted in Application Form
accordance with the terms and subject to all the conditions and limitations of
the approval. [ Owner's Signature/Written Authorization
✓ All of the above statements and the statements in the plot plan, attachments, Proof of Business Tax Certificate
and exhibits transmitted herewith, are true; and the applicants so acknowledge Filing Fee: $40.00
that any permit issued, based on this application, maybe revoked if it is found
that anysuch statements are false.
✓ The applicant has read the entire contents of the application, mckxhng 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 occupant(s) of Standards:
a residential property;
According to Tigard Development Code Chapter
2. Them shall be no more than three deliveries per week to the resident by 18.742.050, a Home Occupation Permit - Type I shall
suppliers; exhibit no evidence that a business is being conducted
from the premises. Home Occupation Permits -
3. There shall be no offensive noise, vibration, smoke, dust, odors, heat or Type I shall not permit
glare noticeable at or beyond the property line resulting from the operation.
Home occupations shall observe the provisions of TDC Chapter 18.725 A. Outside volunteers or employees to be engaged
(Environment Performance Standards); in the business activity other than the persons
principally residing on the premises;
4. The home occupation shall be operated entirely within the dwelling unit and B. Exterior signage which identifies the property
a conforming accessory structure. The total area which may be used in the as a business location;
accessory building for either material product storage and/or the business G Clients or customers to visit the premises for
activity shall not exceed 528 square feet. Otherwise, the home occupation any reason; and
and associated storage of material and products shall not occupy more than D. Exterior storage of materials.
25 percent of the combined residence and accessory structure gross floor
area. The indoor storage of materials or products shall not exceed the I hereby certify that I have read and understand the
limitations imposed by the provision of the building, fire, health and above conditions and standards for the operation of a
housing codes; home occupation. I acknowledge that this home
occupation approval may be revoked if the above
5. A home occupation shall not make necessary a change in the Uniform conditions and standards have not been complied
Building Code use classification of a dwelling unit. Any accessory building with and/or the home occupation is otherwise being
that is used must meet Uniform Building Code requirements. conducted in a manner contrary to the Tigard
Community Development Code (18.742).
6. More than one business activity constituting two or more home Revocation due to a violation of the home occupation
occupations shall be allowed on one property only if the combined floor requirement(s) cannot be renewed for a minimum
space of the business activities does not exceed 25 percent of the combined period of one year (18.742.080).
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 Tax 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 Applicant's Signature:
or flammable material which in the judgement of the 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 the Fire Marshall for review that Material Safety Data
Sheets which pertain to all potentially toxic and/or flammable materials Dane: S - / - o
associate with the use;
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:
a.) Auto-body repair and painting;
b) On going mechanical repair conducted outside of an entirely enclosed Date: o
building;
c.) Junk and salvage operations; and
Q Storage and/or sale of fireworks.
Owner, Signature:
10. There 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
area. r
te:
2
X
DEPARTMENT OF THE TREASURY
INTERNAL REVENUE SERVICE
CINCINNATI OH 45999-0023
Date of this notice: 01-11-2007
Employer Identification Number:
016840.353034.0074.002 2 AB 0.554 1075 20-8130275
Form: SS-4
Number of this notice: CP 575 A
ERIKSTRUP INC For assistance you may call us at:
13036 SW BROADMOOR PL 1-800-829-4933
TIGARD OR 97223-1783
6840 IF YOU WRITE, ATTACH THE
STUB OF THIS NOTICE.
WE ASSIGNED YOU AN EMPLOYER IDENTIFICATION NUMBER
Thank you for applying for an Employer Identification Number (EIN). We assigned
you EIN 20-8130275. This EIN will identify your business account, tax returns, and
documents, even if you have no employees. Please keep this notice in your permanent
records.
When filing tax documents, please use the label we provided. If this isn't
possible, it is very important that you use your EIN and complete name and address
exactly as shown above on all federal tax forms, payments and related correspondence.
Any variation may cause a delay in processing, result in incorrect information in your
account or even cause you to be assigned more than one EIN. If the information
isn't correct as shown above, please correct it using tear off stub from this notice
and return it to us so we can correct your account.
Based on the information from you or your representative, you must file the
following form(s) by the date(s) shown.
Form 941 04/30/2007
Form 1120 03/15/2008
Form 940 01/31/2008
If you have questions about the form(s) or the due dates(s) shown, you can call
or write to us at the phone number or address at the top of the first page of this
letter. If you need help in determining what your tax year is, see Publication 536,
Accounting Periods and Methods, available at your local IRS office or you can download
this Publication from our Web site at www.irs..gov.
If you believe your yearly employment taxes will be $1,000 or less for the tax
year (average annual wages of $4,000 or less), please contact us on 1-800-829-0115.
You will be required to file Form 944, Employer's Annual Federal Tax Return, rather
than Form 941, Employer's Quarterly Federal Tax Return. This return will be due
annually, on January 37, following the end of the tax_ year. You can pay your tax
liability annually when you file your return, or you may choose to make more frequent.
deposits to reduce the balance due with your annual return. If you use a Reporting
Agent or Tax Practitioner, inform him or her of your Form 944 filing requirement. If
your annual liability rises to $2,500 or more, you will be required to make deposits.
If you do not make the required deposits, you may be subject to penalties and/or
interest. Please refer to Publication 15 (Circular E), Employer's Tax Guide, for
deposit requirements and for more details on the Form 944 annual filing program.
aWn
Date of Notice: 2/08/07
DEPARTMENT OF
REVENUE
955 Center Street NE
Salem OR 97301-2555 43593327
ERIKSTRUP INC
13036 SW BROADMOOR PL
TIGARD OR 97223
Notice of Registration
Oregon Business Identification Number (BIN): 1304441-2
Congratulations on your new business. We have processed your Combined
Employers Registration. Your business has been assigned the Business
Identification Number (BIN) listed above. Please refer to this number when
you communicate with the Department of Revenue.
You will receive Oregon payroll payment coupons and report forms within 10
days. If you are required to make a payment before receiving your coupons,
include your BIN, tax program, tax year, and quarter for which you are paying
on a separate sheet of paper.
The following is information for your business:
--All state withholding payments are due the same day your federal
payments are due.
--Payments can be made using the department's Electronic Funds Transfer
(EFT). If you are federally mandated to pay electronically, you must also
pay Oregon electronically.
--Oregon Department of Revenue administers two transit districts excise tax
programs. Transit payroll tax is imposed on most employers who pay wages
for services performed in the Tri-Met or Lane Transit districts (LTD)
--Tri-Met serves the Portland Metropolitan area, which includes parts
of Multnomah, Washington, and Clackamas counties.
--LTD serves the entire Eugene-Springfield urban area as well as several
rural areas. - -
--The current transit tax rate is located in the Oregon Combined Payroll
Tax Reports booklet, on the web site at www.oregon.gov/DOR or by calling
503-945-8091.
--Information is available on the Internet at www.oregon.gov/DOR
Need more information? Call taxpayer assistance in Salem at 503-945-8091.
TTY (hearing or speech impaired; machine only): 503-945-8617 (Salem) or 1-800-
886-7204 (toll-free from an Oregon prefix).
ADA: Alternative formats available. Call 503-378-4988 (Salem) or 1-800-356-
At-~t ooO~p~~pUv~~l .
i25 S`t' t{a11 Blvd. Amount Paid
9'!223 so3.63g. 2~2~~~
Ord' oR Itece1pt Q'i 12QQ'1 3500
date: Revenue Account No 5-00
100-0000-438000 so 00
100-0Q00"438050
tion Line Item'total.
Permit Fee
T Paid
rap
Code [ N~~.1 Type 1 Amount
,o [LRPF~ LR Planning Surcharge
d
Now Receive 40 00
2007-0001
APPrOVaI No X40.00
200~-000? 1 By Mail
.cCt.lCheck Nn'
lD Payment 'Total.
User
1024
' payer ST
ethod
ERIKSTRUP tN~
;heck