HOP2009-00087
CITY OF TIGARD HOME OCCUPATION PERMIT
i COMMUNITY DEVELOPMENT Permit#: HOP2009-00087
i 13125 SW Hall Blvd., Tigard OR 97223 503.639.4171 Date Issued: 12/22/2009
Parcel: 2S103D000825
Jurisdiction: Tigard
Applicant Name:
Business Address: 11294 SW VIEWMOUNT CT
Nature of Business: Type I application for manufacturers representative business
Business Name: Pacific Coast Mold Supply LLC Generate Extrn Noise: No
Sq Ft - Detached: Days/Hours of Operation:
Sq Ft - Residence: Bus. Vehicles Garaged @ Res: One
Sq Ft - Business: Outside Storage: No
SIC Code: Exterior Sign?: No
Paid Non Res Empl: No
Cust/Client @ Res: No
Pick/Deliv @ Res: Yes
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. (18.742.010).
Approve By Permittee Signature
HOME OCCUPATION
TYPE I APPLICATIO
City oT Tzgard Permit Center 73725 SIB' Hall Blvd., Tigard, O 7 2
Pbor.~: 503.639.4979 Fax.s03.s9R.1960 DEC 2 2 2001,
CITY OF TIGARL
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GENERAL INFORMATION
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Property Address /Location:
S/03 ~t✓ FOR STAFF USE ONLY
Tax Map & Tax Lot T Zone:
Property Owner,/Deed Holder(s)*: ~M M4v'~Gue ¢ Case/Permit No.:'y
Address: Phone: Filing Fee Rec'd.:$
Receipt No.: CP 34'(P
city Zip:
Application Approved By: _S-, T72L
Applicant*: ~
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Address:%\290 S W UJ%t \y\t) y--" L k'.Thone: JCA
Business Phone: S03 -'503 - 3 708 Comp Plan/Zone Designation:
City: { 1 a.val / Zip: 0.? 2Z3
Business Name:PCC\ Y% e (50C.-ST 661A SuTpts, ULC. Business Tax Paid? E Yes ❑ No
'Mature of Business: Business Tax Receipt No.
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When the owner and the applicant are different people, the applicant must bu
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 may be ✓ Application Elements Submitted:
attached to or imposed upon the subject property.
✓ 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
❑ Owner's Signature /Written Authorization
the approval.
❑ 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 applicants so E] Filing Fee: $40.00
.acknowledge that any permit issued, based on this 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.
l
I Home occupations may be undertaken only b.y rite principal occupant(s) of a Standards:
residential property;
According to Tigard Development Code Chapter
2. There shall be no more than three delivenes 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
3. There shall be no offensive noise, vibration, smoke, dust, odors, heat or Permits - 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 C. Clients or customers to visit di(--- 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.
2ti percent of the combined residence and accessory structure gross floor
area. The indoor storage of matenals 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 housing above conditions and standards for the operation of a
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 budding wrath and/or the home occupation is otherwise being
that is uscd must meet L'rufonn Building Code requirements. conducted in a manner contrary to the Tigard
Community Development Code (18.742j.
0 More than one business activity constituting two or more home occupations Revocation due to a violation of the home
shall be allowed on one property only if the combined floor space of the occupation requirement(s) cannot be renewed for a
business activities does not exceed 25 percent of the combined gross floor mimmtm period of one year (18.742080).
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;
There shall be no storage and/or distribution of toxic or flammable material,
and spray painting or spray finishing operations that involve toxic or Applicant's Signa re:
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 Date: //D 4
associate with the use;
S. No home occupation shall require any on or off-street parking other than
that normally required for a residence; Owner's Signature:
The following uses are not allowed as home occupations:
a.) Auto-body repair and painting;
b ,l On-going mechanical repair conducted outside of an entirely enclosed Date:
building; '
c.) iurik and salvage operations; and
d.' Storage and/or sale of fireworks.
Owner's Signature:
10. 'lldnere 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.
Date:
CITY OF TIGARD RECEIPT
13125 SW Hall Blvd., Tigard OR 97223
503.639.4171
i
Receipt Number: 176366 - 12/22/2009
CASE NO. FEE DESCRIPTION REVENUE ACCOUNT NUMBER PAID
HOP2009-00087 Home Occupation Permit - Type 1 1003100-43116 $35.00
HOP2009-00087 Home Occupation Permit - Type 1 - LRP 1003100-43117 $5.00
Total: $40.00
PAYMENT METHOD CHECK # CC AUTH. CODE ACCT ID CASHIER ID RECEIPT DATE RECEIPT AMT
Check 001004 STREAT 12/22/2009 $40.00
Payor: Pacific Coast Mold Supply LLC
Total Payments: $40.00
Balance Due: $0.00
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CITY OF TIGARD RECEIPT
13125 SW Hall Blvd., Tigard OR 97223
503.639.4171
Receipt Number: 176367 - 12/22/2009
CASE NO. FEE DESCRIPTION REVENUE ACCOUNT NUMBER PAID
06POS-00000-#0000 Business Tax 1003100-43001 $79.50
Total: $79.50
PAYMENT METHOD CHECK # CC AUTH. CODE ACCT ID CASHIER ID RECEIPT DATE RECEIPT AMT
Check 001004 STREAT 12/22/2009 $79.50
Payor: Pacific Coast Mold Supply LLC
Total Payments: $79.50
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