HOP2010-00052 •
i
le - ` 1 { ` C ITY OF TIGARD HOME OCCUPATION PERMIT
4, - Permit #: HOP2010 00052
°, COMMUNITY DEVELOPMEN
., Date Issued: 08/18/2010
li ARD1 13125 SW Hall Blvd., Tigard OR 97223 503.639.4171
.F:l;r y; fi :l Parcel: 2S104AA02100
Jurisdiction: Tigard
Applicant Name: Vandervort
Business Address: 12335 SW 127TH AVE
Nature of Business: Type I application for handbound journals and guest books, paper goods and crafts. Sell on
line.
Business Name: Paper and Linen Generate Extrn Noise: No
Sq Ft - Detached: Days /Hours of Operation:
Sq Ft - Residence: Bus. Vehicles Garaged @ Res:
Sq Ft - Business: Outside Storage: No
SIC Code: 5960 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).
XR —e-A--,- - y•–&–,, ) /r YiA,1- I Jcm-
Approved By Permittee Signature
HOME OCCUPATION
TYPE I APPLICATION
City of Tigard Permit Center 13125 SW Hall Blvd, Tigaivi OR 97223
Phone 503.639.4171 Fax: 503.598.1960
GENERAL INFORMATION
Property Address /Location: 1 Z• 94 I zr fA) L
Tax Map & Tax Lot # : to" � ' Zone: D2,�3 .1714 FOR STAFF USE ONLY
Property Owner /Deed Holder(s) *: ' 1 L j1 I ,j1/ Case /Permit No.: /i )C / 0 " 0 0 Os Z
1 'ND '
Address: tOg3C Syu I2f Phone: Filing Fee Rec 6 "
T 093 - Receipt No.:
City` ► f Zip: ‘/�i,2
Application Approved By:
Applicant*: ( ( UMnCVr Date Approved: i31
Address: /Z / i2 Phone: b___3)_1ALgia,
Business Phone: (g\ f)`r u stisb Comp Plan/Zone Designation:
City: ! /� 12c Zip: 0
Business Name: ,iP LJA/ ji/ Business Licenses Paid? El Yes ❑ No
Nature of Business: , dfr • if , �♦ (fl .. / .a � i i ..jr„ Business License Receipt No.
,. 410) i , � Ma _ / Rev. 7/1/09
is \curpin \ masters \land use applications\home occupation permit-Type 1
Si .il/' • /1, f / i► 4 i i , / 11/1 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 imposed upon the subject property. 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. El Owner's Signature /Written Authorization
✓ All of the above statements and the statements in the plot plan, attachments, ❑ Proof of Business License Certificate
and exhibits transmitted herewith, are true; and the applicants so acknowledge El Filing Fee: $
that any permit issued, based on this application, may be revoked if it is found 1
that any such statements are false. I
✓ 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(s) of Standards:
a residential property;
According to Tigard Development Code Chapter
2. There 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 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.
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 License
Certificates;
7. There shall be no storage and/or distribution of toxic or flammable Applicant's Signature:
material, and spray painting or spray finishing operations that involve toxic
or flammable material which in the judgement of the Fire Marshall pose a �/�� �'
dangerous risk to the residence, its occupants, and/or surrounding / (' V tt 1
properties. Those individuals which are engaged in home occupation shall �/� ,
make available to the Fire Marshall for review that Material Safety Data Date:
Sheets which pertain to all potentially toxic and /or flammable materials
associate with the use;
8. No home occupation shall require any on or off -street parking other than Owner's Signature:
that normally required for a residence;
9. The following uses are not allowed as home occupations: 0 .4 , ,i r r . , )
a.) Auto-body repair and painting; Date: // Y1/4 7 -o/4}
b.) On -going mechanical repair conducted outside of an entirely enclosed
building;
c.) Junk and salvage operations; and
d.) Storage and/or sale of fireworks. Owner's Signature:
to Them shall Jae _no exterior storage of v ehicles oLany 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 e ¢
area. Date: 441
2
II li
CITY OF TIGARD RECEIPT
,,,g 13125 SW Hall Blvd., Tigard OR 97223
503.639.4171
TIGARD
Receipt Number: 179123 - 08/18/2010
CASE NO. FEE DESCRIPTION REVENUE ACCOUNT NUMBER PAID
HOP2010 -00052 Home Occupation Permit - Type I 1003100 -43116 $88.00
HOP2010 -00052 Home Occupation Permit - Type I - LRP 1003100 -43117 $13.00
Total: $101.00
PAYMENT METHOD CHECK # CC AUTH. CODE ACCT ID CASHIER ID RECEIPT DATE RECEIPT AMT
Cash KPEERMAN 08/18/2010 $101.00
Payor: Paper and Linen
Total Payments: $101.00
Balance Due: $0.00
Page 1 of 1
City of Tigard
• For quicker processing,
T 1 G A R D Business License Application please fill out completely.
Calendar Year: 2t 1 v hJ New ❑ Renewal (check one)
BUSINESS INFORMATION: MAILING ADDRESS:
?i9 AND L A16-d LI LI E V AND �1/DP-a
Doing Bu siness as Name Registered Business Name
/2-5E G/ I2 l N I.' I2g3S 1 zqm ftu U 4E
Address (if home address, please see Home Occupation Permit Address
information below) Ti/ifreip O / n 2 1 3
Ti6pl. g722S City State Zip
City \ I- (.11L)S-010-67n1 State Zip
T I Sb ) U/� - Q5 Owner /Emergency Contact Names & Telephone: ((Q
e ephon F 1• ,i_g� i /�' ' / ' I / gb i ;lb
L�2 VMV0 6r2 IZ first . COM
Email Address for Business License Coriespondence 2.
Business Code from back of form: 5q (00
OTHER BUSINESS INFORMATION NEEDED:
Tax Exempt Status Approval #: Contractor #:
(Attach copy of Organization's "Letter of Determination" from the IRS) (Attach a copy of the Oregon State Contractor's License)
Business start up date: OS/i V/t o
Number of full time equivalent employees,* including the owner, within Tigard: 1.
Business License fee due this calendar year (see fee schedule or pro -rated schedule).
*NOTE: Tigard Business License fee is based on the number of people employed by the company and who are working in Tigard.
For the purpose of computing the business license fee, the term "employee" includes the owner as well as his /her spouse if also
engaged in the business. To compute the number of full-time equivalent employees, estimate the total number of hours worked by
all employees (per year) and divide by 2,080.
HOME OCCUPATION PERMIT: If your business is operated from your home in Tigard, and you use the home as an office or place of
business, you must obtain a Home Occupation Permit through our Permit Center. Please call 503 - 639 -4171 for additional information.
TEMPORARY USE: If your business in Tigard is of a temporary nature, (performing at the Tigard Library, for example), you must obtain a
temporary Business License. Complete this form and return it to the City of Tigard.
PLEASE RETURN APPLICATION AND REMIT PAYMENT TO:
City of Tigard FOR OFFICE USE ONLY:
Attn: Business License
13125 SW Hall Blvd. License # : / l //
Tigard, OR 97223 Date: 8 O
$ Amount: 3 9. 75
If you have questions about your business license, HOP #: Zv /V - 000 5:0.-•
call 503 - 639 -4171 or send an email to huslic @tigard.or.gov
HOP Type:
0etQ v/� D Effective Date: 8 /1 /)
ature of Business Owner Da
The information provided on this application is public record. Submitting this application does not assume zoning compliance for
your business type. Please contact the Planning Department at 503 - 639 -4171 for business zoning questions.
I/OFS/Finance /Business Tax Application (rev. 11.28.07)
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} CITY OF TIGARD
;. ,.;..;.:.:..,, RECEIPT
13125 SW Hat Blvd., Tigard OR 97223
503 639 4171
TIGARD
Receipt Number: 179124 - 08/18/2010
CASE NO. FEE DESCRIPTION REVENUE ACCOUNT NUMBER PAID
06POS- 00000 -#0000 Business Tax 1003100 -43001 $39.75
Total: $39.75
PAYMENT METHOD CHECK # CC AUTH. CODE ACCT ID CASHIER ID RECEIPT DATE RECEIPT AMT
Check 0101 KPEERMAN 08/18/2010 $39.75
Payor: Ppaper and Linen / Leslie Vandervort
Total Payments: $39.75
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