HOP2010-00021 ,! CITY OF TIGARD HOME OCCUPATION PERMIT
COMMUNITY DEVELOPMENT Permit #: HOP2010 -00021
TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.639.4171 Date Issued: 04/09/2010
Parcel: 2S102CA00230
Jurisdiction: Tigard
Applicant Name: Hinsvark
Business Address: 13140 SW ASH DR
Nature of Business: Type I application for all natural skin and body care company
Business Name: Alexandra Avery Purely Natural 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).
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Approved By Permittee Signature
HOME OCCUPATION
TYPE I APPLICATION
City of Tigard Permit Center 13125 SW Hall Blvd., Tigard, OR 97223
T I G A R D Phone: 503.639.4171 Fax: 503.598.1960
GENERAL INFORMATION
Property Address /Location: / 3140 Si / D Y-
FOR STAFF USE ONLY
Tax Map & Tax Lot #: aZ .S I Z.CR - 00 2 30 Zone:
40i" is
Property Owner /Deed Holder(s) *: / /hs % `i oe-r X5 /6 ,1 At Svtt Case /Permit No.: i O/ )OOc)'/
Address: /311 0 S /9s A lO • Phone: / Filing Fee Rec'd.:$ �n
City: 7
`,cad U Zip: 9 7 22 3 Receipt No.: � ? � , _l
'/ / / Application Approved By: S.. I l
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Applicant *: e.40 wfl !71 n 6 _L-r c�
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A � / 76 7-3 Date Approved: 19 1t O
Address: A Li ? rte¢ �Ia..- - Phone: a ce -2 9 5
Business Phone: 51)..3 ` 4 3 C ' 7-g Comp Plan /Zone Designation:
City: net/ t ua !`r ( Zip: 673 1-
Business Name: 4/e/A7l2 Ake4y f ipc4 7 11.436 ' / Business Tax Paid? �I'es ❑ No
Nature of Business: / nalvra -7 / 5'K///? iwel y Business Tax Receipt No.
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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 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
the approval. El Owner's Signature /Written Authorization
✓ ❑ 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 ❑ 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.
1
1. Home occupations may be undertaken only by the principal occupant ) of a Standards:
residential property;
.According to Tigard Development Code Chapter
2. There shall be no more than three deliveries per week to the resident by 18.'42.050, a I-Iorne Occupation Permit - Type 1 shall
suppliers; exhibit no evidence that a business is being
conducted from the premises. Home Occupation
3. '!here 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.
1 Ionic occupations shall observe the provisions of TDC Chapter 18. - 25 .1. Outside volunteers or employees to be engaged
(Emironmcnt Pcrfommnce 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 sig age which identifies the property
a conforming accessory stnrcture. The total area which may be used in the as a business location;
accessory buikhng for either material product storage :And 'or the business C. 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.
2.5 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 housing above conditions and standards for the operation of a
codes; home occupation. 1 acknowledge that this home
occupation approval maw be revoked if the above
5. "t home occupation shall not make necessary a change in the Uniform conditions and standards have not been complied
Building Code use classification of a dwellir unit. Any accessory building yvith and /or the horn 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. - -12).
G. :Afore than one business activity constituting two or more horn occupations Revocation due to a violation of the home
shall be allowed on one property o 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 minimum period of one year (18.742.080).
area of the residence and accessory structure. Each home occupation shall
apply for a separate home occupation pemtit, if required per 111:s chapter,
and each shall also have separate Business Tax Certificates:
- !here shall he no storage and; or distribution of toxic or tlarnntal)1;! material.
and spray painting or spray finishing operations that involve toxic or Applicant's Signature:
flammable material which in the judgement of the Fire Marsh tll pose a
dangerous risk to the residence, its occupants, and, or surrounding
properties. Those individuals which are engaged in home occupation shall t�l/?, y\ i/i1151/
make available to the Fire \larshall for review that A!aerial Safety Data
Sheets which pertain to all potentially toxic and /or flammable materials Date: 2,2 1
associate with the use;
8. No home occupation shall require any on or off - street parking other than
that normally required fora residence: Owner's Signature:
9. Ile following are not allowed as home occupations:
a.) Auto -body repair and painting,
b.) On -going mechanical repair conducted outside of an entirely enclosed Date: 1/9/11.7
building;
c.) Junk and salvage operations; and
d.) Storage and/or sale of fireworks.
Owner's Signature:
10. There shall be no exterior storage of vehicles of any kind used fi)r the
business except that one commercially licensed vehicle of not more than
three - quarters ton GA" \V may be parked outside of a structure or screened
area.
.Date:
Alexandra Avery Purely Natural is an all - natural skin and body care company that makes
it's products in small handmade batches using only pure plant, nut, and seed oils, herbal
extracts, pure therapeutic -grade essential oils and other nutritive ingredients. There are
no artificial chemicals or preservatives in our products, only products that could be
ingested (but we wouldn't recommend it!) as well as applied to the skin. The bulk of our
inventory is kept in a storage unit, and only the most used ingredients are kept in the
home. A power drill, stovetop (professionally installed with Tigard permit), Hobart
mixer, blender and microwave are the only electric appliances used in the making of our
products.
III CITY OF TIGARD RECEIPT
q
0 131 25 SW Hall Blvd., Tigard OR 97223
503.639.4171
- TIGARD
Receipt Number: 177493 - 04/09/2010
CASE NO. FEE DESCRIPTION REVENUE ACCOUNT NUMBER PAID
HOP2010 -00021 Home Occupation Permit - Type 1 1003100 -43116 $35.00
HOP2010 -00021 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
Cash STREAT 04/09/2010 $40.00
Payor: Vernon Hinsvark
Total Payments: $40.00
Balance Due: $0.00
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11111 CITY OF TIGARD RECEIPT
4
Q 13125 SW Hall Blvd., Tigard OR 97223
503.639.4171
•TIGARD
Receipt Number: 177494 - 04/09/2010
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
Cash STREAT 04/09/2010 $79.50
Payor: Vernon Hinsvark
Total Payments: $79.50
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