HOP2016-00019 CITY OF TIGARD HOME OCCUPATION PERMIT
•IN COMMUNITY DEVELOPMENT Permit#: HOP2016-00019
13125 SW Hall Blvd.,Tigard OR 97223 503.718.2421 Date Issued: 07/05/2016
T I�' R D9 Parcel: 1S135DB04700
Jurisdiction: Tigard
Applicant Name: Kids Learning for Success
Business Address: 11435 SW 92ND AVE
Nature of Business: Writing reading curricula for sale to school districts.
Business Name: Generate Extrn Noise:
Sq Ft-Detached: Days/Hours of Operation:
Sq Ft-Residence: Bus.Vehicles Garaged @ Res:
Sq Ft-Business: Outside Storage:
SIC Code: Exterior Sign?:
Paid Non Res Empl:
Cust/Client @ Res:
Pick/Deliv @ Res:
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 requirements)of this Home
Occupation Permit cannot be renewed for a minimum period of one year. (18.742.070).
11 -7-
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pprovec# y ermitfee Signature
RECEIVED
ill : . . City of Tigard JUL 0 5 2016
e COMMUNITY DEVELOPMENT DEPARTMENT
1, ^•T" ^r TIGARD
TIGARD Home Occupation Type I Application
Property address/location: REQUIRED SUBMITTAL
l i 4 3 5 5 W 42hd Ave- ELEMENTS
Tax map and tax lot #: 7 Owner's Signature/Written
Authorization
Business name: k iTd S L Go-rrl,-ns a, s c4„e s.,
Business License Fee Paid
Business phone: C So g, A 0 to - ?8 30 Home Occupation Permit Fee Paid
Detailed description of business: (Attach additional sheets if necessary)
Wr, >F� R aCt'l3 Cueel'c.u1a. FOR STAFF Ftil: ONL\
�1 Case No.: 14 V f LO l&, 000! !
Application fee: 1 ' ...3
Business license fee: V c1
Comp plan/zone designation:
Applicant*: JPX rti Cra t)CA--
Address:
.A'Address: 1 l434- S W
Cit 4e_ Application approved/permit issued:
City/state: fe�4Y ( d IC Zip: '17223 By: a P Date: 1/571 h
Phone:6-03.8'04..78'2 0 Email: ke9aJe)-)Q kids Iearn;15 a ✓ 1.\CURPLN\Masters\land Use Applications Rev.08/21/2014
sueeess.e e✓ t
�.,{ When the owner and the applicant are
PROPERTY OWNER/DEED HOLDERS) Lxf Same as Applicant different people,the applicant must be
the purchaser of record or a lessee in
Name:
possession with written authorization
Address: from the owner or an agent of the owner.
The owner(s)must sign this application
City/state: Zip: in the space provided on the back of this
form or submit a written authorization
Phone: Email: with this application.
BUSINESS DATA—Applicant to complete all items in this section
Business type code (business license): Residence (sq. ft.): Days/hours of operation:
Tel go ,2500 4141m/del
Outside storage: Detached building: ❑ Yes VI No Business (sq. ft. dedicated to business):
❑ Yes VI No If yes, sq. ft.: 3 3o
Customers/clients at residence : Business vehicles garaged at residence: Exterior si n:
❑ Yes LA No idor-e- ❑ Yes No
City of Tigard • 13125 SW Hall Blvd. • Tigard,Oregon 97223 • www.tigard-or.gov • 503-718-2421 • Page 1 of 2
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 period of one year(18.742.080).
(rte711 )1e2(1-/ CrC4-1— -7/6 b
Applicant's atitre Print name Date
Pp �
Applicant's signature Print name Date
14r16-7 CrC- / .&"/ 6
Owner'sg na2re Print name Date
Owner's signature Print name Date
HOME OCCUPATION—TYPE I APPLICATION
City of Tigard • 13125 SW Hall Blvd. • Tigard,Oregon 97223 • wwwtigard-or.gov • 503-718-2421 • Page 2 of 2
1
1r
•
TIGARD
City of Tigard
July 29, 2016
Kids Learning for Success
Attn: Kerry Gavett
11435 SW 92nd Ave.
Tigard, OR 97223
Re: Permit No. HOP2016-00019
Dear Applicant:
The City of Tigard has processed a refund for overpayment of permit fees on the above
referenced permit for the following:
Site Address: 11435 SW 92nd Ave.
Project Name: Kids Learning for Success
Job No.: N/A
Refund: ® Check#2218551 in the amount of$44.50.
❑ Credit card "return" receipt in the amount of$
❑ Trust account "deposit" receipt in the amount of$
Notes: Refund overpayment of business license fees.
If you have any questions please contact me at 503.718.2430.
Sincerely,
40
Dianna Howse
Building Division Services Coordinator
Enc.
I:\Budding\RefuniNAn ,SCO i}g441pwpgon 97223 • 503.639.4171
TTY Relay: 503.684.2772 • www.tigard-or.gov
City of Tigard
TIGARD Accela Refund Request
This form is used for refund requests of land use, development engineering and building permit
application fees. Receipts, documentation and the Request for Permit Action form (if applicable) must
be attached to this request form. Refund requests are due to Accela System Administrator by
each Wednesday at 5:00 PM. Please allow up to 3 weeks for processing of refunds. Accounts
Payable will route refund checks to Accela System Administrator for distribution to applicant.
PAYABLE TO: Kids Learning for Success DATE: 7/22/2016
Attn: Kerry Gavett
11435 SW 92nd Ave. REQUESTED BY: Dianna Howse
Tigard, OR 97223 BR
TRANSACTION INFORMATION:
Receipt#: 404810 Case#: HOP2016-00019
Date: 7/5/2016 Address/Parcel: 11435 SW 92nd Ave.
Pay Method: Check Project Name: Kids Learning for Success
EXPLANATION: Charged full price instead of prorated busines license rate. Refund difference.
REFUND INFORMATION:
Fee Description From Receipt Revenue Account No. Refund
Example: Building Permit Fee Example: 2300000-43104 $Amount
Cash Over 100-0000-48001 $44.50
TOTAL REFUND: $44.50
APPROVALS: SIGN URES/DATE:
If under$5,000 Professional Staff
If under$12,500 Division Manager
If under$25,500 Department Manager
If under$50,000 City Manager
If over$50,000 Local Contract Review Board
FOR TIDEMARK SYSTEM ADMINISTRATION USE ONLY
Case Refund Processed: Date: 7,2-9//o By: 'tel
I:\Building\Refunds\RefundRequest.doc x 09/01/2010
City of Tigard • COMMUNITY DEVELOPMENT DEPARTMENT
.
Request for Permit Action
13125 SW Hall Blvd. •Tigard,Oregon 97223 • 503-718-2439 • www.tigard-or.gov
TO: CITY OF TIGARD
Building Division
13125 SW Hall Blvd.,Tigard,OR 97223
Phone: 503-718-2439 Fax: 503-598-1960 TigardBuildingPermits@tigard-or.gov
FROM: ❑ Owner ❑ Applicant ❑ Contractor , 'City Staff
Check(✓)one
REFUND OR Name:
INVOICE TO: (Business or Individual) KC r r/ ve 4
Mailing Address: l 4435 ',.v CP r\4 PCVP
City/State/Zip: —l—i •, 6 I •
Phone No.: SO 3- 9y - -7 2 "j 0
PLEASE TAKE ACTION FOR THE ITEM(S) CHECKED (1):
❑ CANCEL/VOID PERMIT APPLICATION.
Er REFUND PERMIT FEES (attach copy of original receipt and provide explanation below).
❑ INVOICE FOR FEES DUE (attach case fee schedule and provide explanation below).
❑ REMOVE/REPLACE CONTRACTOR ON PERMIT (do not cancel permit).
Permit #: --HO P 2-0)(0' 000/q
Site Address or Parcel#: jl t/3S .(G /IUa-
Project Name: A//SS 1...--67)126J/n/6- se[ �6u.SS
Subdivision Name: Lot#:
EXPLANATION: 2I,d ✓ o4- C he r -1" e. p r d rpt 4ecl bus)c e s s
L.C o r Y G 1 7/1. hovod ha L-e. cse)
Signature: 4 Date: —7/(6 /! (p
Print Name: y ,, �` U
Refund Policy
1. The city's Community Development Director,Building Official or City Engineer may authorize the refund of:
• Any fee which was erroneously paid or collected.
• Not more than 800/s of the application or plan review fee when an application is withdrawn or canceled before review effort
has been expended.
• Not more than 80%of the application or permit fee for issued permits prior to any inspection requests.
2. All refunds will be returned to the original payer in the form of a check via US postal service.
3. Please allow 3-4 weeks for processing refund requests.
Route to Sys Admin: Date By Route to Records: Date 7/2.9
Refund Processed: Date?/?-�j /A, By Invoice Processed: Date By
Permit Canceled: Date N/t By Parcel Tag Added: Date By
I:\Building\Forms\RegPermitAction_092314.doc