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CITY OF TIGARD
EXPENDITURE REQUEST
This form is a multi-use form. Appropriate receipts and documentation must be attached to this
form. Approved request due Tuesday 5:00 PM to A/P for checks by Friday(week opposite
payroll only).
VENDOR NO.: DATE: September 5, 1996
PAYABLE TO : Lousli, Byron & Deborah REQUESTED BY: Patty Lunsford
DBA: Budget Blinds
13944 SW Leah Terrace
Tigard, OR 97224
MISCELLANEOUS EXP ENDITURES:
Date Description, Invoice No., etc. Account No. Amount
8/7/96 Home Occupation permit fee is 10-438000 $50.00
refundable as the applicants
decided to locate their business at
a commercial site rather than
operate the business from their
home. See receipt No. 96-282626
(Ref.: HOP 96-0091-"VOID")
Mileage$0.31
APPROPRIATION BALANCE:N CA AS OF: IL`LA PURCHASING:
APPROVALS:
(IF UNDER$50) Section Manager/Professional Staff
(IF UNDER$2500) Division Manager
(IF UNDER$7500) Department Manager
(IF UNDER$25000) City Administrator
(IF OVER$25000) Local Contract Review Board
i:\citywide\expend.dot
CITY OF TIGARD - RECEIPT OF PAYMENT RECEIP [ NO. :96-282626
CHECK AMOUNT : 50. 00
NAME : BUDGET BLINDS CHSH AMOUNT : 0. 00
ADDRESS : 13944 SW LEAH TERR. PAYMENT DATE : 08/07/96
TIGARD OR SUBDIVISION :
97224-
PURPOSE OF PAYMENT AMOUNT PAID PURPOSE OF PAYMENT AMOUNT PAID
LAND USE APPL HOP96-0091 50. 00
HOP96-0091
14353 SW BENCHVIEW TERR.
TOTAL AMOUNT PAID - - - -> 50. 00
ACTIVE CASE: Grp Smry Edit Prcl Name Actn Cond Log-note Fee Doc Tag Misc Xit
List related cases in project group # 5781
OaHOME OCCUPATIONaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaa
o :HOP96-0026 : PROJECT:BUDGET BLINDS EAST : STATUS :C : UPD: 08/06/96 : :JDA: °
o APPLICANT:CRAIG CULLEY PRIM. . : - °
o SITE ADDRESS : 14353 SW BENCHVIEW TERR °
u aDESCRIPTION OF HOME OCCUPATION (1) aaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaac
o Mobile blind service Thy r?e-c-v„(t.`, ,
°
0
uaBUSINESS NAME:aaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaac
o :BUDGET BLINDS EAST °
o SQUARE FOOTAGE, DETACHED BLDG: 0 : GENERATE EXTERNAL NOISE' •N• °
o SQUARE FOOTAGE, RESIDENCE 0 : DAYS/HOURS OF OPERATION °
o SQUARE FOOTAGE, BUSINESS • 0 : °
o SIC CODE BUS . VEHICLES GARAGED @ RES °
o PAID, NON-RESIDENT EMPL' •N• °
o CUSTOMERS/CLIENTS @ RES' •N• OUTSIDE STORAGE °
° PICKUP/DELIV. @ RES' •N• °
o ZONING •R-7 EXTERIOR SIGN? . :N: °
o RESOLUTION °
u aNOTES (3) aaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaac
o HOP Type I °
aaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaa1
ACTIVE CASE : Grp Smry Edit Prcl Name Actn Cond Log-note Fee Doc Tag Misc Xit
List related cases in project group # 5781
OaHOME OCCUPATIONaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaa
o :HOP96-0091 : PROJECT:BUDGET BLINDS : STATUS : P : UPD: 08/07/96 : :CJS: °
o APPLICANT:LOOSI, BYRON & DEBORAH PRIM. . :MST94-0203 : °
o SITE ADDRESS : 14353 SW BENCHVIEW TERR 0
uaDESCRIPTION OF HOME OCCUPATION (1) aaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaac
° Moblie window treatment business . 0
o 0
adBUSINESS NAME:aaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaac
o :BUDGET BLINDS °
o SQUARE FOOTAGE, DETACHED BLDG: 0 : GENERATE EXTERNAL NOISE' •N• °
o SQUARE FOOTAGE, RESIDENCE • 2850 : DAYS/HOURS OF OPERATION 0
o SQUARE FOOTAGE, BUSINESS • 300 : :M-F 9-5 0
o SIC CODE BUS. VEHICLES GARAGED @ RES 0
o PAID, NON-RESIDENT EMPL' •Y• :CHEV ASTRO °
o CUSTOMERS/CLIENTS @ RES' •N• OUTSIDE STORAGE °
° PICKUP/DELIV. @ RES' •Y• :NONE °
o ZONING •R-7 EXTERIOR SIGN? . :N: °
O RESOLUTION °
uaNOTES (3) aaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaac
O 0
aaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaai
06-25-19% 02: 14PM FROM _.O.T. i,IPTER 5795556 P.02
i
,. A City of Tigard, Oregon
i
1.V\ FOR STAFF USE ONLY
HOME OCCUPATION APPLICATION At,(' CASE NO.I-IOP96-aogj
CITY OF TIGARD, 13125 SW Hali, �`q� I�1 OTHER CASE •'_:
Tigard, Oregon 97223 - (503) 639-4171 $1 ` 4 v RECEIPT O. •�- o�g oZ6,j,,� �'
1� APPLICA e •
D TE: (q—ES-
1. GENERAL INFORMATION (Pi ()1 61° ) ° Application el nts submftteu
PROPERTY ADDRESS/LOCATION 14353 S,V lication form (1)
. e..4.-1c1-1..4e/IA/ T____cL --ri' a...-c.1 ore R7�y
,y a l (B) Owners signature/writte
TAX MAP AND TAX LOT NO. k'5/cine Skn„yy't-/p(ai , , authorization
l
• (C) Title transfer instrument (1)
SITE SIZE /3,0 v `f'q a4.--- - _ ' -{-
_ t,/-16) Plot plan (1 copy)
PROPERTY T-
OWNER/DEED HOLDER' eb0/-04'1 5'St 1
(E) Applicant's statement (1 copy)
ADDRESS ISO. 13o x 17 r 4 ' PHONE 64-7 (o9 (F icing Fee $10 - Type I
CITY L -O • ZIP el 70 a S Filing Fee $59 • Type II
APPLICANT' .I�y e"ayi 4 r '(0O 't-. LOO %,
ADDRESS IMF-3G3 S.W. VetA/ PHONE 590- 383te
CITY "T1._c..—c ZIP Q 7124 DATE DETERMINED TO BE COMPLETE
BUSINESS NAME -ji,A6t e4-- s Corloi 5 _._ -
'When they owner and the applicant a,., drfferent people, the
applicant Itnust be the purchaser of rt '.a or a lessee ii FINAL DECISION DEADLINE:
possessioi with written authorization , um the owner of an
agent of the owner with wrrtten authorization. The owner(s)
must sign ithis application in the space provided on page two COMP. PLAN/ZONE )ESIGNATION:
or submit a written authorization with this application.
k--
2. PROPOSAL SUMMARY
The owners of record of the subject property N.P.Q. Number:
request approval of a home occupation to
allow (be specific) (1r10br(t: cndoa! 1�tu..-Ivv►en+
- tL6 rl e' ' Planning Director Approval Date:
Business Tax:
3. Specify whether you are using a detached building on
your property!/anti give dimensions:
1 — —
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?
One pt( d employee. ?eve+ - fim�
2. Will you have customers/clients coming to your residence? If so, how many per day?
No ne
3. Will you have deliveries or pickups made of products or supplies to your residence? If
so, how many and what type?
Pally - 11P
4. What will your hours and days of operation be?
q oo.. ooh
5. Will the business generate any noise which can be heard outside of the structure?
I. ILI
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?
2Q50 squ air e_ 4 e-k- ir, r-e5∎ de11C
'Soo 5� c�,-� -�� 2 used Ln u� u�i.heSs
7. What vehicles will be associated with the business that are garaged at the residence?
U I e„,0/{go V 1.0 ( ciiev Ac fro)
8. Do you intend to store any materials, vehicles or products outdoors at the premises in
conjunction with the business?
Ary
9. Will you have any signs or advertising visible from the exterior of the premises?
N0
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.
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_____ , k .
06-25-1996 02: 14PM FR01. C.O.T. WATER TO 5795556 P.0'
G. 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 '7 day of Z'u l,/ , 19 !fir
SIGNATURES of each owner (eg. husband and wife) of the subje« •roperty.
_ ✓ a'?i
Devised 11/21191
1
CITY OF TIGARD
OREGON
PROPERTY OWNER/OPERATOR APPROVAL FORM
c(- �e.u/t- s � , being the true legal owner of the
I, 9 9
(Please Print)
property located at 14353 5.W. BenchVieW -ist'✓. Tigard, Oregon give my
approval for the current tenant, d e k al t r'cA s , residing at the
above mentioned property, my permission to operate a business at this location in
accordance with the City of Tigard's home occupation permit ordinance.
6-C&Oa 0
RL' 5S.a-
fw.ier/Authorized Representative's Signature
t;.0Ci -7 — S (Jr
Owner/Authorized Representative's Phone Number
4:2 OM if
Date Signed
H\LOGIN\DSTS\H OPOWN ER
13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 TDD (503) 684-2772
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