HOP 18-80 PACIFIC CHRISTIAN COUNSELING
CTR. HOP 1.8-8C
12525 Svc 68th Ave.
City of Tigard
Ms. Debra Stewart
P.O. Box 233397
Tigard, Oregon 97223
Dear Ms . Stewart;
Please apply our home application permit fee
to our site development application on the
property of 12525 S.W. 68th Ave. Tigard, OR 97223
If you have any questions please call me at 639-9523
Sincerely ,
Mary Cro urs
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HOME OCCUPATION PERMIT RENEWAL
. I
This renewal application shall include
the following:
1. The required fee as established by
the City Council (420.00).
cliYOFTIGA LW 2. One (1) copy of the sheet of
1 questions with respcnses.
3. A list of names and addresses of
all persons who are property
owners of record within 250 feet
of the site.
No application for renewal will be accepted unless it is accompanied by all of
the above.
APPLICANT• Dtephen W. Peirce, Ph.D.
ADDRESS: 1-2525 S. W. 68th Ave.
Is applicant the occupant of residence on site? Yes.
BUSINESS NAME: Pacific Christian Counseling Center
EXPIRATION DATE OF CURRENT BUSINESS TAX CERTIFICATE:
HOME TELEPHONE NUMBER: 639-9523 BUSINESS PHONE: 6399523
EXPLAIN THE NATURE OF THE BUSINESS.. .Bl. SPECIFIC. . .
Marriage aril family oottnseling, iixliv7.dual therapy
This renewal application shall be submitted to the Planning Department for
review. Certain conditions may be added to the approval cf this permit.
To continue commencement of your business, you must also renew your Business
Tax Certificate.
F L �LL
S gna rea eT �
If approved, your. Home Occupation Permit Renewal will be valid for one year
and shall be renewed annually. You will be notified in the mail of the
Director's decision.
PLEASE CO14PLETE ALL QUESTIONS
ON THE BACK OF THIS FORM.
(0257P)
1
TO APPLY FOR A HOME OCCUPANCY RENEWAL PLEASE ANSWER THE FOLLOWING QUESTIONS:
1. Do you have any paid employees who don't reside at the home?
No.
2. Do you have customers/clients coming to your residence? If so how many
per day?
Yes. About 4
3. Do you have deliveries or pickups made of products or supplies to your
residence? If so, how many and what type?
Occasional. UPS, a couple times a month
4. What will your hours and days of operation be?
7:00 A.M. to 11:00 P.M. 7 days a week.
5. Does the business generate any noise which can be heard outside of the
structure?
No.
6. How many square feet is your residence and how many square feet are
devoted to the operation of your business, including storage areas?
7. What vehicles are associated with the business that are garaged at the
residence?
None.
8. Do you store any materials, vehicles or products outdoors at the premises
In conjunction with the business?
No.
9. flo you have any signs or advertising visible from the exterior of the
premises?
tb.
10. Please show the floor layout of your house and the area used for your home
occupation an the attached graph paper. Please designate those areas
which are utilized 1) entirely for the Home occupation and 2) partially
for the home occupation. Please designate the approximate dimensions of
the room(s) used for the home occupation.
Same as before.
11. Have you made any changes to your business since your original application
as approved by the Director?
Nf).
(dnj/0257P)
..I
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v
January 24, 19Po
Mr. Steven Pierce
12525 SW 68th Avenue
Tigard, OR 97223
Dear Mr. Pierce:
Due to administrative modifications in 1985, the collection of renewal fees
for home occupations will henceforth be made at the same time your business
tax renewal is due. Our records show that your current home occupation permit
expires in May, 1986 and that your business tax expires in July, 1986 .
1 am therefore writing to inform you that your home occupation permit will now
be renewed in July, 1986 and that we will not expect you to pay for the extra
months.
Should you have any questions, please feel free to call me at 639-4171—
Sincerely,
Deborah A. Stuart
Assistant. Planner
DAS:bsl8
HOME OCCUPATION PERMIT RENEWAL
0
This application shalt include the
following:
I. The required fee as established by
the City Council.
CITYOFF TI17ARD 2. One (1) copy of the sheet of
(� �(jJ questions with responses.
3. A list of names and addresses of
all persons who are property
owners of record within 100 feet
of the site. j ,' O„ '/
No application for renewal will be accepted unless it is accompanied by a u o
the above.
APPLICANT: J� 'te- A a,� w. Pe-l r L e
ADDRESS:
Ti J '777- '3
Is applicant tyhe dccupent of residence on ai.te? Ye s
BUSINESS NAME: PA( iTiL LI1/i17�i �✓� ( ' Nr11�°lana cel �er
HOME TELEPHONE NUMBER: 9- 9f 2 3 BUSINESS PHONE 6 3 y- i S 1
EXPLAIN THE NATURE OF THE BUSINESS. . .BE SPECIFIC. . .
This renewal application shall be submitted to the Planning Department for
review. Certain conditions may be added to the approval of this permit .
To continue commencement of your business, you must also renew your Business
Tax Receipt.
(Signatu e) (Date
If approved, your Home Occupation Permit Renewal will be valid fo► one year
and shall be renewed anually.
PLEASE COMPLETE ALL QUESTIONS
ON THE BACK OF THIS FORM.
(0757P)
i
TO APPLY FOR A HOME OCCUPANCY RENEWAL PLEASE ANSWER THE FOLLOWING QUESTIONS:
1. Do you have any employees who don't reside at the home?
A/
I /0
2. Do you have customers/clients coming to your residence? if so how many
per day? y;
S
3. Do you have deliveries or pickups made of products or supplies to your
residence? If so, how many and what type.
4. What are your hours and days of operation be?
rveyu1yr � Our S 1�� � oUyS
S. Does the business generate any noise which can be heard outside of the
structure?
6. How many square feet is your residence and how many square feet are
devoted to the operation of your business, including storage areas?
Z 00/ Z 5-0
7. What vehicles are associated with the business that are garaged at the
residence?
r
S. Du you store any materials, vehicles or products outdours at the PLtaibc-
in con junction with the but iness? JL;`
9. Do you have any signs or advertising visible from the exterior of the
premises? nll `
10. Please show the floor layout of your house and the area used for your home
occupation on the attached graph paper. Please designate those areas
which are utilized 1) entirely for the home occupation and 2) partially
for the home occupation. Please designate the approximate dimensions''ll of
the room(s) used for the hone occupation. �C X 11 ' U X r"
11. Haveyou made any changes to your business since your original application
as approved by the Director? n
IV �i
(dmj/0257P)
FILE #
HOME OCCUPATION PERMIT APPLICATION
ORDJNANCE # 79- 92
PASSED
APPLICANT Stephen W. Peirce
BUSINESS NAME Pacific Christian Counseling Center
HOME/BUSINESS ADDRF�s 12525 S. W. 68th Ave. Tigard, OR 97223
HORSE TELEPHONE NUMBER — BUSINESS TEI..EPHONE NUMBER 639-9523
TAY MAP # TAX LOT #
DDNE DESIGNATION _
NATURE OF THIS REQUEST . . . BE S P E C I F I C . . . . . . . . . . . . . . . . . . . . . . .
I want toot move ffV existing business from 7000 S. W. Hampton *2019
Tigard, OR to 12525 S. W. 68th Ave., also in Tigard. I counsel
and work with individuals, couples and families.
This application shall be submitted to the Planning Director for review. ,Certain
conditions may be added to the approval of this permit.
Prior to cunwncement of business, ,you will obtain a Business License.
LICENSE NUMBER
SIGNATURE ���j,�,�,r_!/�., _ DATE
10/22/79%Tw-