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HOP2012-00028 CITY OF TIGARD HOME OCCUPATION PERMIT • COMMUNITY DEVELOPMENT Permit #: HOP2012 -00028 � � 1 3125 SW Hall Blvd., Tigard OR 97223 503.718.2421 Date Issued: 06/06/2012 TIGARD 13125 2S111 BA04900 Jurisdiction: Tigard Applicant Name: Ice Cream Sales Business Address: 14235 SW 97TH AVE Nature of Business: Mobile ice cream sales -Office at this address Business Name: Generate Extrn Noise: No Sq Ft - Detached: Days /Hours of Operation: 8 am to 9 pm Sq Ft - Residence: Bus. Vehicles Garaged @ Res: No Sq Ft - Business: Outside Storage: No SIC Code: 5960 Exterior Sign ?: No Paid Non Res Empl: No Cust/Client @ Res: No Pick/Deliv @ Res: No 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 Signature CITY OF TIGARD RECEIPT 13125 SW Hall Blvd., Tigard OR 97223 • 503.639.4171 TIGARD Receipt Number: 187049 - 06/06/2012 CASE NO. FEE DESCRIPTION REVENUE ACCOUNT NUMBER PAID HOP2012 -00028 Home Occupation Permit - Type I 100 - 0000 -43116 $89.00 HOP2012 -00028 Home Occupation Permit - Type I - LRP 100 - 0000 -43117 $13.00 Total: $102.00 PAYMENT METHOD CHECK # CC AUTH. CODE ACCT ID CASHIER ID RECEIPT DATE RECEIPT AMT Check 7784 HWATKINS 06/06/2012 $102.00 Payor: Carmen Lichtenstein Total Payments: $102.00 Balance Due: $0.00 Page 1 of 1 CITY OF TIGARD RECEIPT „„ � g 13125 SW Hall Blvd., Tigard OR 97223 503.639.4171 TIGARD Receipt Number: 187050 - 06/06/2012 CASE NO. FEE DESCRIPTION REVENUE ACCOUNT NUMBER PAID HOP2012 -00028 Business License 100 - 0000 -43001 $80.50 Total: $80.50 PAYMENT METHOD CHECK # CC AUTH. CODE ACCT ID CASHIER ID RECEIPT DATE RECEIPT AMT Check 7784 HWATKINS 06/06/2012 $80.50 Payor: Carmen Lichtenstein Total Payments: $80.50 Balance Due: $0.00 Page 1 of 1 • City of Tigard Home Occupation — Type I A lication TIGARD �� GENERAL INFORMATION C I I Property Address /Location: /, � "' a 5 LA ' C q Ave. Tax Map & Tax Lot #: AS/// D4 ° W DO Zone: 1 ` $ S' Property Owner/Deed Holder(s)*: cJ / &4c - Carmen tiGht 2s . Address: ' "b 235 c9 p A ` 7 TT e /� I� Phone: (5D3) 63' - 614/ 6 City/State: I G]RJL 6& Zip: -L /Rb� _l Applicant*: Aid Li viC`1 t� /e1/4 Address: I ( S SW 77 Ave, ) r, Phone: ( 63f - 6 M i6 City/State: I l "// cJ J 70k Zip: E-mail: q7 2 l - file 5661)5 " y 333 '(. corn Business Name: Nature of Business: TCe Cram Cif Business Phone: (50,9'1 13 306 q *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 FOR STAFF USE ONLY REQUIRED SUBMITTAL ELEMENTS Case /Permit No.: /4 /20) z Dbj -eg Filing Fee Rec'd: $ d- Receipt No. / pd" X 67O y A � Application Form Application Approved By: l 4 �/ Date Approved: ' //p 7 [ Owner's Signature /Written Authorization Co Plan /Zone Designa 'on: Er/Proof of Business License Certificate A f 2- 6. 7 Filing Fee: $102.00 Business License Paid Yes 122 No ❑ Business License Receipt No. /f7 ' v Revised: 7/1/2011 I: \CURPLN \Masters \Land Use Applications \HOP1App.docx City of Tigard I 13125 SW Hall Blvd., Tigard, OR 97223 I 503 - 718 -2421 I www.tigard- or.gov I Page 1 of2 HOME OCCUPATION CONDITIONS AND STANDARDS 1. Home occupations may be undertaken only by the principal occupant(s) of a residential property; 2. There shall be no more than three deliveries per week to the resident by suppliers; 3. There shall be no offensive noise, vibration, smoke, dust, odors, heat or glare noticeable at or beyond the property line resulting from the operation. Home occupations shall observe the provisions of TDC Chapter 18.725 (Environment Performance Standards); 4. The home occupation shall be operated entirely within the dwelling unit and a conforming accessory structure. The total area which may be used in the accessory building for either material product storage and /or the business activity shall not exceed 528 square feet. Otherwise, the home occupation and associated storage of material and products shall not occupy more than 25 percent of the combined residence and accessory structure gross floor area. The indoor storage of materials or products shall not exceed the limitations imposed by the provision of the building, fire, health and housing codes; 5. A home occupation shall not make necessary a change in the Uniform Building Code use classification of a dwelling unit. Any accessory building that is used must meet Uniform Building Code requirements. 6. More than one business activity constituting two or more home occupations shall be allowed on one property only if the combined floor space of the business activities does not exceed 25 percent of the combined 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 material, and spray painting or spray finishing operations that involve toxic or flammable material which in the judgment of the Fire Marshall pose a dangerous risk to the residence, its occupants, and /or surrounding properties. Those individuals who 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 associate with the use; 8. No home occupation shall require any on or off - street parking other than that normally required for a residence; 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 building c.) Junk and salvage operations; and d.) Storage and /or sale of fireworks. 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. In addition, a Home Occupation Type I shall not permit: A. Outside volunteers or employees to be engaged in the business activity other than the persons principally residing on the premises; B. Exterior signage which identifies the property as a business location; C. Clients or customers to visit the premises for any reason; and D. Exterior storage of materials. I (applicant) hereby certify that I have read and understand the above conditions and standards for the operation of a home occupation. I acknowledge that this home occupation approval may be revoked if the above conditions and standards have not been complied with and /or the home occupation is otherwise being conducted in a manner contrary to the Tigard Community Development Code (18.742). Revocation due to a violation of the home occupation requirement(s) cannot be renewed for a minimum peri d of o . e ye . (18.742.080). Ap licant's Signature Date ..c./______________ " . ,--- -----,. s S' ature ate Owner's Signature Date Authorized Agent's Signature Date Print Name Title Phone Number City of Tigard I 13125 SW Hall Blvd., Tigard, OR 97223 I 503 I 1 www.tigard or.gov I 1 Page 2 of2 1111 " City of Tigard For quicker processing, T IGARD Business L App please fill out completely. Calendar Year:r 0 New ❑ Renewal (check one) B b 4rs NESS INFORMATION: MAILING ADDRESS: Lidd, heir, Doing Business as Name Registered Business Name / SW frl Ave, ►ga3s sw a7"` Ave Address (if home address, please see Home Occupation Permit Address information below) A 17R‘.1 17 d 0R f 7 a9JN City State Zip City V / State Zip 0 173q. J c Owner /Emergency Contact Names & Telephone: Telephone Fax 1 (503D 1( 3 - 3o 6f * Email Address for Tusiness License Correspondence 2. Business Code from back of form: 51I 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: l ro "t 0. Number of full time equivalent employees,* including the owner, within Tigard: �- 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: FOR OFFICE USE ONLY: City of Tigard' Atm: Business License License # 13125 SW Hall Blvd. Tigard, OR 97223 Date: $ Amount: If you ' questions about your business license, HOP #: call 5 r 3' •� 1 j or send an email to buslic @tig,ard.or.gov / ' atI2 HOP Type: - v Effective Date: ign, e of Business Owner Date 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. VOFS/Finance/Business Tax Application (rev. 11.28.07) PENALTY: Violation of 1 [1( ( 31.1_ c)). 1 t;.rt?rd EtitSS17C l.ict:nsc 4. )Tc)l(i.r C°-!3:Ei m .. a Li: . . :.13 ( . t .i,,,, tiiii in ?t"l{S "�,y ('�`( @�' Ciit'Yif° & s a civil { p t.initlik [( t tit !{ ,' °3f ),))(i -t t t dirt (r}' \ tit "t,? il onii r i. r ift : , ' ;; C`t r 1 ,tf " =li p , 1 ;,IL `^ ,> t.`t - ,. N COTE: 'I h @ }}%s1li �ti1 tZ r�iLi�::� {I (,431.3 �� W. T. ,, i : i, :t�'• i.4 ,. �a. C.t i�.�.�:.t)f E.n t) �. .e.` ..5 � t S). € ✓(,t 1, .....b r } {1i hf t(h(H.113o t1 ants {.ttt',.tsstiti ?,, coni kitirc l° nd rintitConit .L £''im \T t(nin rhc clr't," ,1ciU1S i i in- krt. NOTE: h :, �S :irci i�t till {`trial .(rear L0)K'k 1(0 :1:t` i c i ' cIi t.' , rO, ,, k' , 1 -, t- t1 ._' 111 d1R I, k al _. .- . _ tiH,Hnc'ti�. (.iced : tt 1:04 it ' ( . : ,, , , ,tr \ct , , Cntk r L lit , - '(T:' E ,.,. 5 ,:' ,lw ift,AT` BUSINESS TYPE CODES (Check appropriate code and also write' in nutnher on front of form) A ,RICULTURE, FORESTRY & FISHING ❑ 4120 Taxicabs ❑ 6 6500 Real Estate Including Cemeteries C3 0700 Agriculture Services 0 4130 Intercity & Rural Highway Passenger ❑ 6512 Nonresidential Building Operators ❑ 0740 Veterinary Services Transportation 6513 Apartment Building Operators C) 0780 Landscape; Horticultural Services (:3 4140 Passenger Transportation Charter Service ) 6530 Real Estate Agent Managers ❑ 0800 Forestry 4' 70 Terminal & Service Facilities for Motor Vehicle C. 6600 Any Combination of Real Estate, Insurance, Loans 0 4210 Trucking, Local & Long Distance & Law Offices MINING 0 4220 Public Warehousing L•,. 6710 Holding Offices which Hold or Own Securities to ❑ 1440 Sand & Gravel ❑ 4230 Terminal Maintenance for Motor Freightt Transport Exercise Control over Companies ❑ 440O Water Transportation ❑ 6720 Investment Offices CONSTRUCTION 0 4500 Transportation by Air 0 6730 Trust - Management of the Funds of Individual ❑ 1500 General Building Contractor ❑ 4600 Pipelines. Except Natural Gas Trust & Foundations ❑ 1520 Residential Building Construction C 4700 Misc. Transportation Services ❑ 6790 Misc. Investors O 1540 Nonresidential Building Construction C 4810 Telephone Communication (Wire & Radio) O 1610 Highway & Street Construction ❑ 4820 Telegraph Communication ( fire & Radio) SERVICES ❑ 1620 Heavy Construction 0 4830 Radio & Television Broadcasting 7000 Hotels. Rooming Houses, Camps & Other Lodging O 1710 Plumbing, Heating & Air Conditioning C 4890 Misc. Communication Services (NEC) Places ❑ 1720 Painting & Paper Hanging ❑ 4910 Electric Services ❑ 7210 Laundry. Cleaning & Garment Services ❑ 1730 Electrical Work ❑ 4920 Gas Production & Distribution ❑ 7220 Photographic Studios (Portrait) ❑ 1740 Masonry. Stonework & Plastering ❑ 4930 Combination Electric & Gas & Other Utility ❑ 7230 Beauty Shops & Barber Shops ❑ 1750 Carpentry & Floor Work 0 4940 Water Supply 0 7250 Shoe Repair, Shoe Shine & Hat Cleaning Shops O 1760 Roofing & Sheet Metal Work ❑ 4950 Sanitary Services C 7260 Funeral Services & Crematories ❑ 1770 Concrete Work ❑ 4970 Irrigation Services 10 7290 Personal Seri ices ❑ 1780 WaterWell Drilling L1 7310 Advertising 0l 1790 Misc Special Trade Contractors WHOLESALE TRADE J 7320 Credit Reporting, Mercantile Reporting. 0 5010 Motor Vehicles, Automotive Parts & Supplies Adjustment & Collection Agencies MANUFACTURING = 5020 Furniture & Horne Furnishings _ 7330 Mailing. Reproduction, Commercial Art, ❑ 2010 Meat Products ❑ 5030 Lumber & Other Construction Materials Photography & Stenographic Services ❑ 2020 Dairy Products ❑ 5040 Sporting Recreational. Photo. Hobby Goods, lbys ❑ 7340 Services to Dwelling & Other Buildings ❑ 2030 Canned & Preserved Fruits/Vegetables & Supplies ❑ 7350 News Syndicates ❑ 2040 Grain Mil: Products 0 5050 Metals & Minerals, Except Petroleum ❑ 7360 Personnel Supply Services ❑ 2050 Bakery Products ❑ 5060 Electrical Goods ❑ 7370 Computer & Data Processing Services ❑ 2060 Sugar & Confectionary Products ❑ 5070 Hardware, Plumbing & Heating Equipment & 7390 Misc Business Services C 2070 Fats & Oil Supplies ❑ 7400 Management & Public Relations (Consulting) ❑ 2080 Beverages , 5080 Machinery, Equipment & Supplies 0 7510 Automobile Renting & Leasing ❑ 2090 Food Preparations & Products ❑ 5090 Misc. Durable Goods ❑ 7520 Automobile Parking ❑ 2110 Cigarettes & Tobacco Products ❑ 5110 Paper & Paper Products ❑ 7530 Auto Repair Shops ❑ 2200 Textile Mill Products ❑ 5120 Drugs. Proprietors & Sundries ❑ 7540 Automotive Service, except Repair ❑ 2300 Apparel & Other Finished Products ❑ 5130 Apparel. Piece Goods & Notions ❑ 7620 Electrical Repair Shops ❑ 2400 Lumber & Wood Products ❑ 5140 Groceries & Related Products ❑ 7630 Watch. Clock & Jewelry Repair ❑ 2500 Furniture & Fixtures ❑ 5150 Farm- Product Raw Materals ❑ 7640 Reuphoisters & Furniture Repair t:::1 2600 Paper & Allied Products ❑ 5' 60 Chemicals & Allied Products 0 7690 Misc: Repair Services ❑ 2700 Printing & Publishing ❑ 5170 Petroleum & Petroleum Products ; 7810 Motion Picture Production & Distribution & Allied Cl 2810 Industrial inorganic Chemicals 0 5180 Beer, Wine & Distilled Alcoholic Beverages Services ❑ 2820. Plastics Materials & Synthetics C 5190 Misc; Nondurable Goods _i 7830 Motion Picture Theaters ❑ 2830 Drugs ❑ 7910 Dance Halls, Studios & Schools ❑ 2840 Soap, Detergents & Cleaning Preparations RETAIL TRADE ❑ 7920 Theatrical Producers ❑ 2850 Paints, Varnishes & Allied Products ❑ 5200 Building Materials Dealers ❑ 7930 Bowling Alleys. Billiard & Pool Establishments ❑ 2860 Industrial Organic Chemicals ❑ 5260 Retail Nurseries & Garden Stores 0 7940 Commercial Sports C 2870 Agricultural Chemicals 0 5300 General Merchandise Stores ❑ 7990 Misc Amusement & Recreation Services ❑ 2890 Misc. Chemical Products 0 5400 Food Stores Including Candy ❑ 8000 Membership Sports & Recreation Clubs ❑ 2910 Petroleum Refining 5510 Motor Vehicle Dealers (New and Used) ❑ 8010 Offices of Licensed Physicians ❑ 2950 Paving & Roofing Materials 0 5530 Auto & Home Supply Stores ❑ 8020 Offices of Licensed Dentists ❑ 2990 Products of Petroleum & Coal ❑ 5540 Gasoline Service Stations ❑ 8030 Offices of Licensed Osteopathic Physicians ❑ 3000 Rubber & Misc. Plastic Products ❑ 5550 Boat Dealers 0 8040 Offices of Other Health Practitioners ❑ 3100 Leather, Tanning & Finishing & Leather Products 0 5560 Recreation & Utility Trailer Dealers 8050 Nursing & Personal Care Facilities ❑ 3200 Stone. Clay, Glass & Concrete Products C 5570 Motorcycle Dealers ❑ 8060 Hospitals ❑ 3300 Primary Metal Industries ❑ 5590 Misc. Automotive Dealers ❑ 8070 Medical & Dental Laboratories ❑ 3400 Fabricated Metal Products ❑ 5600 Apparel & Accessory Stores ❑ 8080 Outpatient Care Facilities 1 :1 3500 Machinery. Except Electrical _i 5700 Furniture & Home Furnishing Stores ❑ 8090 Misc Health & Allied Services ❑ 3600 Electrical & Electronic Machinery, EquipiSupplies '_ 5800 Eating and Drinking Places ❑ 8100 Legal Services ❑ 3710 Motor Vehicles & Equipment 10 5910 Drug Stores & Proprietary Stores ❑ 8200 Educational Services - Libraries, Schools CT 3720 Aircraft & Parts ❑ 5920 Liquor Stores El 8220 Individual & Family Social Services ,� 0] 3730 Ship & Boat Building & Repairing 01 5930 Used Merchandise Stores 3 8330 Job Training & Related Social Services 0 3740 Railroad Equiprrrent _1 5940 Retail Goods Stores — sporting, bicycles, books, 3 8350 Child Day Care Services ❑ 3750 Motorcycles. Bicycles & Parts stationary, jewelry, hobby 10 8360 Residential Care ❑ 3790 Misc. Transportation Equipment 5960 Nonstore Retailers D 8400 Museums Botanical & Zoologic:al Gardens ❑ 3800 Measuring, Analyzing & Controlling Instruments 0 5970 Catalog & Mail Order Houses ❑ 8910 Engineering & Architectural Services ❑ 3910 Jewelry, Silverware & Plated Ware 5980 Fuel & Ice Dealers ❑ 8930 Accounting, Auditing & Bookkeeping ❑ 3930 Musical Instruments ❑ 5990 Misc. Retail Stores (NEC) ❑ 8990 Misc Services ❑ 3940 Toy & Amusement, Sporting & Athletic C 9200 Justice. Public Order & Safety ❑ 3950 Pens. Pencils & Other Office & Art sts Materials FINANCE, INSURANCE & REAL ESTATE ❑ 3960 Costume Jewelry, Novelties, Buttori4 & Notions ❑ 6000 Banking TAX EXEMPT ❑ 3990 Misc. Manufacturers G 6100 Credit Agencies Other than Banks ❑ 009 Tax Exempt or Non -Profit Organization' 0 6200 Security & Commodity Brokers, Dealers TRANSPORTATION, COMMUNICATIONS, ELECTRIC, Exchanges & Services GAS & SANITARY SERVICES ❑ 6300 Insurance Including Insurance Carriers of all Types 'TAX EXEMPT — A copy of the organization's Letter of ❑ 4000 Railroad Transportation ❑ 6330 Insurance Carriers Determination" from the IRS must be submitted in order to ❑ 4110 Local & Suburban Passenger Transportation ❑ 6400 Insurance Agents. Brokers & Service waive the Business License Fee.