HOP1996-00049 4
City of Tigard CITY OF TIGARD
Washington County, Oregon
TYPE II HOME OCCUPATION
NOTICE OF DECISION c=> BY THE PLANNING DIRECTOR
This is to notify property owners within 250 feet. that the below named person(s)
have been approved for a Home Occupation Permit.
EFFECTIVE DATE: May 23, 1996
Business Name: Imagen ABA: Same
Name of Applicant Stephen Thomson File No.: HOP 96-0049
Property Address: 10477 SW Riverwood Lane City: Tigard State:Oregon Zip: 97224
Tax Map&Lot No.: WCTM 251 14BB. Tax Lot 14700 Zone: R-12
Nature of Business: Home office to operate a one station hair dressing business.
Notice is hereby given that the Planning Director's Designee for the City of Tigard has APPROVED this Home Occupation.
No business activity shall begin until after the appeal period has expired.
THIS HOME OCCUPATION IS SUBJECT TO THE FOLLOWING CONDITIONS:
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 residence 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 the Tigard Community
Development Code (TCDC) Chapter 18.090, Environmental 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 materials 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 provisions 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 and be in conformance with
TCDC Chapter 18.144 of this title;
6.) More than one (1) 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
(The Tigard Business Tax requires payment for only one (1) Business Tax if the same owner is operating more than
one approved business at the same location. Although payment for each separate business is not required, it is
required that all names of the businesses' which are currently in operation at that location be specifically listed on the
Business Tax Certificate and be visibly posted at the business location.
HOP 96-0C49/TYPE II DBA: IMAGEN NOTICE OF DIRECTOR'S DECISION
7.) There shall be no storage any distribution of toxic or flammable materials and spray painting or spray finishing
operations that involve toxic c nmable material which in the judgment o Fire Marshall pose a dangerous risk
to the residence, its occupai. , and/or surrounding properties. Those ir.,..iiduals which are engaged in home
occupations shall make available to the Fire Marshal, for review, the Material Safety Data Sheets which pertain to all
potentially toxic and/or flammable materials associated 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) Ongoing mechanical repair conducted outside of an entirely enclosed building.
(c) Junk and salvage operations.
(d) Storage and/or sale of fireworks.
10.) There shall be no exterior storage of vehicles of any kind used for the business except one commercially licensed
vehicle of not more than three-quarters ton GVW which may be parked outside of a structure or screened area.
11.) There shall be no storage of materials, goods, and equipment unless screened entirely from view by a solid fence.
Storage shall not exceed five (5) percent of the total lot area and shall not occur within the front yard or the required
side yard setback.
TYPE-II HOME OCCUPATIONS ALLOW THE FOLLOWING ACCORDING TO THE TCDC CHAPTER 18.142.050:
(a) One non-illuminated sign, not exceeding 1.5 square feet, which shall be attached to the residence or
accessory structure or placed in a window;
(b) No more than one outside volunteer or employee who is not a principal resident of the premises:
(c) No more than six daily customers or clients. Customers and clients may not visit the business between
the hours of 10:00 p.m. and 8:00 a.m. and shall not generate excessive traffic or monopolize on-street
parking;
(d) Storage of materials, goods, and equipment which is screened entirely from view by a solid fence.
Storage shall not exceed five percent of the total lot area and shall not occur within the front yard or the
required side yard setback.
If any of the preceding conditions are not met, this Home Occupation
Permit will be immediately invalidated.
Notice was posted at City Hail and mailed to: XX The applicant and owners.
XX Owners of record within the required distance.
THE DECISION SHALL BE FINAL ON MAY 23, 1996, UNLESS AN APPEAL IS FILED.
Any party to the decision may appeal this decision in accordance with Section 18.32.370 of the Community Development
Code which provides that a written appeal must be filed with the CITY RECORDER within ten (10) days after notice is given
and sent.
The deadline for filing of an appeal is 3:30 PM on Thursday May 23, 1996.
If you have any questions, please call the City of Tigard Planning Department at Tigard City Hall, 13125 SW Hall Boulevard,
Tigard, Oregon 97223, (503) 639-4171.
5/13/96
PREPARED BY: Bonnie Mulhearn, Development Services Technician DATE
/j Z{L; .tv `�
��- l / 5/13/96
APPROVED BY: Richard Bewersdcrf, Senior Planner DATE
HOP 96-0049/TYPE II DBA: IMAGEN NOTICE OF DIRECTOR'S DECISION
• A')
City of Tigard,Oregon
AFFIDAVIT OF MAILING
STATE OF OREGON )
County of Washington )ss.
City of Tigard )
I, Patricia L. Lunsford, being first duly sworn/affirm, on oath depose and say:
that I am an Administrative Specialist II for The City of Tigard, Oregon.
❑ That I served NOTICE OF (AMENDED C) PUBLIC HEARING FOR:
(Check box above,it applic.ble) (check appropriate box below) (Enter Public Heanng Date above)
❑ City of Tigard Planning Director
❑ Tigard Planning Commission
❑ Tigard Hearings Officer
❑ Tigard City Council
rig That I served NOTICE OF (AMENDED ❑) DECISION FOR:
(Check box above,if applicable) City of Tigard Planning Director
:_l That I served NOTICE OF (AMENDED ❑) FINAL ORDER FOR:
(Check box above.if applicable) (check appropriate box below)
Li City of Tigard Planning Director
❑ Tigard Planning Commission
❑ Tigard Hearings Officer
❑ Tigard City Council
❑ That I served OTHER NOTICE OF FOR:
A copy of the PUBLIC HEARING NOTICE/NOTICE OF DECISION/NOTICE OF FINAL ORDER/OTHER NOTICE(S)
of which is attached, marked Exhibit "A", was m--ed to each _na r:• person(s) at the addres (s) shown on the
attached ist(s), marked Exhibit 7B", 9, the " d- of it 199 tr , and deposited
in the U ited States Mail on the _ day if _
iz 199�stage prepaid.
ez ! 1 A / -'7z9
Prepared Notice •
af te' —
Subscribed and sworn/affirmed before me on the day of ..4 aw A , 19
',Z*' OFFICIAL SEAL ��Q
DIANE M JELDERKS l "�
S i NOTARY PUBLIC-ORE GON
®;;>r COMMISSION NO.046142
NOT RY PUBLIC OREGO
MY COMMISSION EXPIRES SEPTEMBER 07,1999 My Commission Expires: / %'�/
�
Z7JFILE INFO.:
NAME(S)��0m5�r 2 ,r✓
CASE NO(S): / r o q‘___011.07
TYPE OF NOTICE&DATE:
EX ,BIT
am` �
AU- �
City of Tigard CITY OF TIGARD
Washington County, Oregon
TYPE II HOME OCCUPATION
NOTICE OF DECISION c=> BY THE PLANNING DIRECTOR
This is to notify property owners within 250 feet, that the below named person(s)
have been approved for a Home Occupation Permit.
EFFECTIVE DATE: May 23, 1996
Business Name: Imagen DBA: Same
Name of Applicant: Stephen Thomson File No.: HOP 96-0049
Property Address: 10477 SW Riverwood Lane City: Tigard State:Oregon Zip: 97224
Tax Map&Lot No.: WCTM 2S1 14BB, Tax Lot 14700 Zone: R-12
Nature of Business: Home office to operate a one station hair dressing business.
Notice is hereby given that the Planning Director's Designee for the City of Tigard has APPROVED this Home Occupation.
No business activity shall begin until after the appeal period has expired.
THIS HOME OCCUPATION IS SUBJECT TO THE FOLLOWING CONDITIONS:
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 residence 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 the Tigard Community
Development Code (TCDC) Chapter 18.090, Environmental 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 materials 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 provisions 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 and be in conformance with
TCDC Chapter 18.144 of this title;
6.) More than one (1) 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
(The Tigard Business Tax requires payment for only one (1) Business Tax if the same owner is operating more than
one approved business at the same location. Although payment for each separate business is not required, it is
required that all names of the businesses' which are currently in operation at that location be specifically listed on the
Business Tax Certificate and be visibly posted at the business location.
•
HOP 96-0049/TYPE II DBA: IMAGEN NOTICE OF DIRECTOR'S DECISION
7.) There shall be no storage F ' distribution of toxic or flammable mater and spray painting or spray finishing
operations that involve toxic mmable material which in the judgment o. ...e Fire Marshall pose a dangerous risk
to the residence, its occupants, and/or surrounding properties. Those individuals which are engaged in home
occupations shall make available to the Fire Marshal, for review, the Material Safety Data Sheets which pertain to all
potentially toxic and/or flammable materials associated 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) Ongoing mechanical repair conducted outside of an entirely enclosed building.
(c) Junk and salvage operations.
(d) Storage and/or sale of fireworks.
10.) There shall be no exterior storage of vehicles of any kind used for the business except one commercially licensed
vehicle of not more than three-quarters ton GVW which may be parked outside of a structure or screened area.
11.) There shall be no storage of materials, goods, and equipment unless screened entirely from view by a solid fence.
Storage shall not exceed five (5) percent of the total lot area and shall not occur within the front yard or the required
side yard setback.
TYPE-II HOME OCCUPATIONS ALLOW THE FOLLOWING ACCORDING TO THE TCDC CHAPTER 18.142.050:
(a) One non-illuminated sign, not exceeding 1.5 square feet, which shall be attached to the residence or
accessory structure or placed in a window;
(b) No more than one outside volunteer or employee who is not a principal resident of the premises;
(c) No more than six daily customers or clients. Customers and clients may not visit the business between
the hours of 10:00 p.m. and 8:00 a.m. and shall not generate excessive traffic or monopolize on-street
parking;
(d) Storage of materials, goods, and equipment which is screened entirely from view by a solid fence.
Storage shall not exceed five percent of the total lot area and shall not occur within the front yard or the
required side yard setback.
If any of the preceding conditions are not met, this Home Occupation
Permit will be immediately invalidated.
Notice was posted at City Hall and mailed to: XX The applicant and owners.
XX Owners of record within the required distance.
THE DECISION SHALL BE FINAL ON MAY 23, 1996, UNLESS AN APPEAL IS FILED.
Any party to the decision may appeal this decision in accordance with Section 18.32.370 of the Community Development
Code which provides that a written appeal must be filed with the CITY RECORDER within ten (10) days after notice is given
and sent.
The deadline for filing of an appeal is 3:30 PM on Thursday May 23, 1996.
If you have any questions, please call the City of Tigard Planning Department at Tigard City Hall, 13125 SW Hall Boulevard,
Tigard, Oregon 97223, (503) 639-4171.
Ci(y1�/1/L� /1 t/1ULAW"` 5/13/96
PREPARED BY: Bonnie Mulhearn, Development Services Technician DATE•
/ 5/13/96
APPROVED BY: Richard Bewersdorff, e for Planner DATE
•
HOP 96-0049/TYPE II DBA: IMAGEN NOTICE OF DIRECTOR'S DECISION
HOP 6N-49 (p3. /of3)
`r' I ;` :3
2S114BB-14100 2S114BB-13900
ADEN, JEFFREY L AND LEISA M ALLISON,JEFFREY S
10420 SW KENT ST 17330 S CALLAHAN
TIGARD,OR 97224 MOLLALLA,OR 97038
2S115AA-02300 2S114BB-14900
ANGIER, DAVID SCOTT ARRIGONI, CYNTHIA L&JAMES M
10560 SW KENT ST 10433 SW RIVERWOOD LN
TIGARD,OR 97223 TIGARD,OR 97223
2S114BC-05000 2S114BB-15100
BARBISAN,TONY C AND DEBRA M CALL, STEPHEN J&BARBARA L
10363 SW BONANZA WAY 10409 SW RIVERWOODS LANE
TIGARD,OR 97224 TIGARD,OR 97224
2S115AA-04000 2S114BC-04800
CEDERBERG, MARK A&CINDY K COLEMAN, RALH D&MARILYN A
10567 SW KENT 10417 SW BONANZA WAY
TIGARD,OR 97223 TIGARD,OR 97224
2S114BB-12500 2S114BB-14500
CONNOLLY, KIERAN P&ALLISON M CUMMINS, DONALD&SHERRY
10470 SW TITAN LN 10498 SW KENT ST
TIGARD,OR 97224 TIGARD,OR 97224
2S115AA-04300 2S115AD-07400
DAY, STEPHEN A AND LINDA C DICKSON, DONALD K&CAROL A
10519 SW KENT ST 10543 SW RIVER DR
TIGARD,OR 97223 TIGARD,OR 97224
2S114BC-04500 2S114BB-14000
DIXON, KENNETH L& KIMBERLEE A DOLFAY, KRISTIN K&EDWARD C
10496 SW BONANZA WAY 10408 SW KENT ST
TIGARD,OR 97224 TIGARD,OR 97224
2S114BB-15000 2S114BB-14300
EVANS, MICHAEL J AND LAURIE R FIDDES, RUSSELL GORDON AND
10411 SW RIVERWOOD LANE DEBRAH SUE
TIGARD,OR 97224 10454 SW KENT CT
TIGARD,OR 97224
25115AD-02000 2S114BB-12400
FLOREY, FRANCIS BRADLEY GROSS,MICHAEL F&E RAND!
AND KATHLEEN MARIE 10458 SW TITAN LN
10400 SW TUALATIN DR TIGARD,OR 97223
TIGARD,OR 97224
2S115AA-04200 2S114BB-12800
GULLHOLM, BJORN&ELLEN M L HANSEN,JERALD W
10531 SW KENT ST 10465 SW KENT ST
TIGARD,OR 97224 TIGARD,OR 97224
f+oP 1I q 695 . .20f3)
•
25114BB-15300 2S114BB-13800
HARTLEY, PAMELA J HARTMAN, DAVID L&JO RENEE
10375 SW RIVERWOOD LN 10374 SW KENT ST
TlGARD,OR 97224 TIGARD,OR 97224
2S115AD-00100 2S115AA-04100
HATTON, FLOYD W&BARBARA W HILDRETH,JAMES S/JOANNE P
10512 SW TUALATIN DR 10553 SW KENT ST
TIGARD,OR 97224 TIGARD,OR 97223
2S114BB-14600 2S114BB-13200
HOWLAND, HAROLD M AND RUTH J JEANFREAU,MICHAEL P
4620-A SW CALDEW 16429 SW 104TH AVE
PORTLAND,OR 97219 TIGARD,OR 97224
2S114BC-05100 2S115AD-02100
KAY, MICHAEL D&PAMELA K KELLY, DAMIAN J AND
10321 SW BONANZA WAY RUSH,JUDY L
TIGARD,OR 97224 10452 SW TUALATIN DR
TIGARD,OR 97224
2S114BC-04600 2S114BC-04400
KNECHT,ANNA M LINDER,GERALD P&KAREN M
10483 SW BONANZA WAY 10484 SW BONANZA WAY
TIGARD,OR 97224 TIGARD,OR 97224
25114BB-12700 2S115AA-02000
LONG, LARRY L AND PAMELA A MAY,JOHN DAVID&JACQUELYN E
10487 SW KENT ST 10504 SW KENT DR
TIGARD,OR 97224 TIGARD,OR 97224
2S114BC-04900 2S115AA-08000
MELVIN, MARY ANN& ROBERT S TR MILLER, DONALD A&
10395 SW BONANZA WAY DIANA I
TIGARD,OR 97224 10516 SW TITAN LANE
TIGARD,OR 97224
2S114BB-14700 2S114BB-12900
OHLING, REBEKAH MARY OLSON,STEVEN D&ELLEN M
10477 SW RIVERWOOD LN 10443 SW KENT ST
TIGARD,OR 97224 TIGARD,OR 97224
2S114BB-15200 2S115AA-02200
RODGE, LOUIS ROSS,JEFFREY A&GAYLA
10397 SW RIVERWOOD LANE 10548 SW KENT ST
TIGARD,OR 97224 TIGARD,OR 97224
2S114BC-04300 2S114BB-13000
RUSSELL, PETER A&ERIN M SELLERS, ROBERT E AND REBECCA
10468 SW BONANZA WAY 10421 SW KENT LANE
TIGARD,OR 97224 TIGARD,OR 97224
14 Pate-4c1 (/ 3 o 3)
M S
2115AD-07300 2S114BC-04700
SKURDAHL, BRUCE A&DAWN I SMITH, EVAN T&LORI J
10565 SW RIVER DR 10459 SW BONANZA WAY
T►GARD,OR 97224 TIGARD,OR 97224
2S114BB-14400 2S115AA-02100
STANFIELD, LINDA M STRAIN,JAMES M/DEBORAH C
10476 SW KENT ST 10526 SW KENT ST
TIGARD,OR 97224 TIGARD,OR 97224
2S115AD-06400 2S114BB-13100
TALLEY, CHARLES D®INA F THOMAS,JOHN M&JACQUELINE T
10558 SW RIVER DR 16465 SW 104TH AVE
TIGARD,OR 97224 TIGARD,OR 97224
2S114BC-01601 2S114BB-12300
TIGARD, CITY OF_ = TROLDAHL, SUSAN L
13125 SW H 10436 SW TITAN LN
PO BO 397 TIGARD,OR 97224
RD,OR 97223
2S115AD-07200 2S114BB-14200
ULRICH, STEVEN J/DEBORAH A VANDERBURG, LUTHER L III AND
10587 SW RIVER DR KARLA L
TIGARD,OR 97223 10432 SW KENT ST
TIGARD,OR 97224
2S114BB-14800 2S114BB-12600
VELASQUEZ, DANIEL E&LYNETTE VERNON, STEVEN J AND MELCENA R
10455 SW RIVERWOOD LN 10492 SW TITAN LANE
TIGARD,OR 97224 TIGARD,OR 97224
2S115AD-02200 2S115AD-07500
WAY, MICHAEL E AND PATRICIA L WOODS,JOHN R&LISA M
10494 SW TUALATIN DR 10521 SW RIVER DR
TIGARD,OR 97224 TIGARD,OR 97223
STEPHEN THOMSON
10477 SW RIVERWOOD LANE
TIGARD OR 97224
A. City of Tigard, Oregon
FOR STAFF USE ONLY
HOME OCCUPATION II APPLICATION CASE NO. /-40t4--/6-- OO
CITY OF TIGARD, 13125 SW Hall OTHER CASE NO'S: d TJ
Tigard, Oregon 97223 - (503) 639-4171 RECEIPT NO. ^ �>(fl'�Dpp A' /n�AA
APPLICATION ACCEPTED BY: ,i"ul Pots—
DATE:
1. GENERAL INFORMATION Application elements submitted:
PROPERTY ADDRESS/LOCATION (A) Application form (1)
o S i iGi- I i2- / 41°0 (B) Owner's signature/written
SITE SIZE n authorization
PROPERTY OWNER/DEED HOLDER* !`�}F )4 �$N5o L/ Y (C) Tax Map and Tax Lot No.
ADDRESS/OA?? Ss•J Jej/61 4.504NOFkKi E .-9$-776 (D) Title transfer instrument (1)
CITY !7 /9r2.0 ZIP ' ' 7 7 24 (E) Plot plan (1 copy)
APPLICANT* (F) Applicant's statement (1 copy)
ADDRESS [ PHONE (G) Filing Fee $50 - Type II
CITY ZIP
BUSINESS NAME /Pi 4 C7 DATE DETERMINED TO BE COMPLETE:
*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 with written authorization. The owner(s) FINAL DECISION DEADLINE:
must sign this application in the space provided on page two
or submit a written authorization with this application.
COMP. PLAN/ZONE DESIGNATION:
2. PROPOSAL SUMMARY
The owners of record of the subject property
request approval of a home occupation to
allow(be specific) N.P.O. Number:
Planning Director Approval Date:
3. Specify whether you are using a detached building on
your property and give dimensions: Business Tax:
/ vt'
4
3. List any variance or other land use actions to be considered as part of this application:
4. Applicants: To have a complete application you will need to submit attachments
described below:
A. One application form with signature or written authorization
B. One copy of the title transfer instrument (eg. deed)
C. One copy each of the attached question sheet and floor plan
D. Filing fee: Type I - $10 Type II - $50
5. THE APPLICANT(S) SHALL CERTIFY THAT:
A. The above request does not violate any deed restrictions that may be attached
to or imposed upon the subject property.
B. If the application is granted, the applicant will exercise the rights granted in
accordance with the terms and subject to all the conditions and limitations of
the approval.
C. All of the above statements and the statements in the plot plan, attachments,
and exhibits transmitted herewith, are true; and the applicants so acknowledge
that any permit issued, based on this application, may be revoked if it is found
that any such statements are false.
D. 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.
DATED this t0 day of 21 ` , 19 C
SIGNATURES of each owner (eg. husband and wife) of the subject property. '
MIIMILt,40as 1110)A.. • !!!..'
iireargre
ormov.
Revised 11/21/91
TO APPLY FOR A HOME OCCUPATION PERMIT, PLEASE ANSWER THE FOLLOWING
QUESTIONS:
1. Will you have any paid employees working in the home in conjunction with the
business who are not residents of the home?
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2. Will you have customers/clients coming to your residence? If so, how many per day?
(4, 5 L 5 ""it4-( .) ( �1 APPc,l r-sT r`C/--=}1
3. Will you have deliveries or pickups made of products or supplies to your residence? If
so, how many and what type?
E./6-5
Spoa
4. What will your hours and days of operation be?
F q-
5. Will the business generate any noise which can be heard outside of the structure?
D
6. How many square feet is your residence and how many square feet will be devoted to
the operation of your business, including storage areas?
/ 4-1 /$6
7. What vehicles will be associated with the business that are garaged at the residence?
• r--1151 . •
8. Do you intend to store any materials, vehicles or products outdoors at the premises in
conjunction with the business?
9. Will you have any signs or advertising visible from the exterior of the premises?
Nc
10. Please show the floor layout of your house and the area to be used for your home
occupation on the attached graph paper. Please designate those areas which shall
be utilized 1) entirely for the home occupation and 2) partially for the home
occupation. Please designate the approximate dimensions of the rooms(s) to be used
for the home occupation.
n:\word\comdevlhopermtl
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05-43139f OMB No 2502-0265
Escrow Number HUD-1(3-86) RESPA.HB 4305
. DEPARTMENT OF HOUSING AND URBAN DEVELOPMENT B. TYPE OF LOAN:
SETTLEMENT STATEMENT 1. ❑ FHA 2. ❑ FMHA 3.❑ CONV. UNI1.S.
4. ❑ VA 5. ❑ CONV. INS.
TRANSAMERICA 6. FILE NUMBER 7. LOAN NUMBER
TITLE INSURANCE COMPANY 8. 4313980,1
MORTG. INS.CASE NO.
_ LOAN NUMBER 719799-9
C. NOTE: This_jorm is furnished to give you a statement of actual settlement costs. Amounts paid to and by the settlement agent are
shown. Items marked "(p.o.e.)" were paid outside the closing: they are shown here for information purposes and are
not included in the totals.
D. NAME AND ADDRESS OF BORROWER E NAME AND ADDRESS OF SELLER F. NAME AND ADDRESS OF LENDER
Rebekah Mary Ohling Wendall L. Pelham II
Dawn M. Pelham
10477 SW Riverwood Lane 122 West 200 North
Tigard, Oregon 97224 Hyrum, Utah 84319
G. PROPERTY LOCATION H. SETTLEMENT AGENT I.SETTLEMENT DATE:
10477 SW Riverwood Lane Transamerica Title Insurance Company 07-28-92
Tigard, Oregon 97224 Funding Date:
PLACE OF SETTLEMENT 07-30-92
5285 S.W. Meadows Road
Lake Oswego, Oregon 97035
J. SUMMARY OF BORROWER'S TRANSACTION K. SUMMARY OF SELLER'S TRANSACTION
100. GROSS AMOUNT DUE FROM BORROWER: 400. GROSS AMOUNT DUE TO SELLER
101. Contract sales price 106000.00 _401. Contract sales price
102. Personal property 402. Personal property
103. Settlement charges to borrower(line 1400) 521.00 403.
104. Escrow Reserve Account 1970.99 404.
toSATransfer Fee 125.00 405A
l05BOhling (Aug 1 payment) 943.88 405B
105C 405C
105D 405D
105E 405E
105F 405F
105G 405G
105H 405H
Adjustments for items paid by seller in advance Adjustments for items paid by seller in advance
I 106. City/town taxes $ to 406. City/town taxes $ to 1
107. County taxes $ to 407. County taxes $ to
108. Assessments $ to 408. Assessments $ to
109. 409.
110. 410.
111. 411.
112. 412.
120. GROSS AMOUNT DUE FROM BORROWER: 109560.87 420. GROSS AMOUNT DUE TO SELLER:
200. AMOUNTS PAID BY OR IN BEHALF OF BORROWER: 500. REDUCTIONS IN AMOUNT DUE TO SELLER:
201. Deposit or earnest money 1000.00 501. Excess deposit (see instructions)
202. Principal amount of new loon(s) 502. Settlement charges to seller (line 1400)
203. Existing loon(s) taken subject to 79768.50 503. Existing loon(s) taken subject to
204. Add'l Deposit or Earnest Money 24006.00 504. Payoff of first mortgage loan
205. Trust Deed to Seller 4000.00 505. Payoff of second mortgage loan
206. 506.
207. 507.
208. 508.
209A 509A
209B 509B
209C 509C
209D 509D
209E 509E
209F 509F
209G l 509G
Adjustments for items unpaid by seller Adjustments for items unpaid by seller
210. City/town taxes $ to 510. City/town taxes $ to
211. County taxes 12260.14 7-1 to7-28 166.72 511. County taxes $ to
212. Assessments $ to 512. Assessments $ to
213. Interest 22.95 7-1 to 7-28 619.65 513.
214. 514.
215. 515.
216. 516.
220. TOTAL PAID BY/FOR 10956087 520. TOTAL REDUCTION AMOUNT
.
BORROWER DUE SELLER
300. CASH AT SETTLEMENT FROM/TO BORROWER: 600. CASH AT SETTLEMENT TO/FROM SELLER:
301. Gross amount due from borrower(line 120) 109560.87 601. Gross amount due to seller (line 420)
302. Less amounts paid by/for borrower (line 220) ( 109560.87 ) 602. less reductions in amount due seller(line 520) (
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303. CASH(DFROMI(DTO)BORROWER 0.00 603. CASH(DTO)(DFROM)SELLER
.: Form 3092-6
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