STR Applicant Renewal Form 1of 3
Short-term Rental
License Renewal
Use this form to renew an existing license for 2019. HRMC 5.10 allows for up to four annual license
renewals prior to full reapplication. License renewal is an expedited process but still requires the
following steps prior to submission:
1. Fire & Life Safety Self-Review
Review the attached Fire & Emergency Safety checklist and confirm that your short-term rental
continues to meet the standards of licensure. Third-party inspection is not required for renewals.
2. Annual Neighbor Noticing
For vacation homes only: The municipal code requires annual notice to neighbors within 250-ft of
the short-term rental informing them of the local contact for the property. Notification can either be
by mailing a flyer or posting a placard with the same information. Please sign and include the
provided affidavit of annual notice included in the license renewal packet. If you need an updated
mailing list for your neighbors, please email planning@cityofhoodriver.com
2019 Annual License Renewal Fee: $156
2019 License Renewal Deadline: January 15
th
, 2019
Include payment with your renewal application. Credit card payments can be taken over the phone by
calling the Planning Dept. at (541) 387-5210. Credit card payments incur a 3% fee. Do not pay your
license fee through your Transient Room Tax account because the payment will not be properly applied.
*New for 2019* The City of Hood River now has an optional online portal to report and pay transient
room tax. If you are interested in using this service, please call the Finance Dept. at (541) 387-5260
for access instructions and to obtain your unique reporting PIN number.
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STR Street Address: _____________ License #
Primary Owner's Name: ______________________________________________________________________
Mailing Address: ____________________________________________________________________________
City: ______________________________________________ State/Zip: _______________________________
Preferred Telephone: ____________________________Email: _______________________________________
Where should the reprinted and updated short-term rental license be mailed, check one:
Owner’s mailing address
Property’s physical address (if different from owner’s mailing address)
Property Manager’s address
Other, please specify:
For City Staff Use Only
Date Received:
Received by:
Filing Fee Paid:
STR License Renewal Form 2of 3
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If different than owner,
Authorized Agent (Property management company or other designee authorized to act on owner’s behalf):
___________________________________________________________________________________________
Mailing Address: _____________________________________________________________________________
City: _______________________________________________ State/Zip: _______________________________
Preferred Telephone: ______________________________Email: ______________________________________
Local Representative (Emergency contact who can respond to complaints within 30 minutes travel time):
Name________________ Address: ____________________________________
Telephone: ___________________
Type of Rental (check one): ______ Hosted Homeshare _______ Vacation Home Rental ______Both
Listing Number or Website Addresses, list all that apply (e.g. VRBO/Airbnb/rental website number, acct. #, URL):
URL#1 _________________________________________________________________________________________
URL#2 _________________________________________________________________________________________
URL#3 _________________________________________________________________________________________
Additional Owner's Name (if applicable): ________________________________________________________
Mailing Address (City/State/Zip): ________________________________________________________________
Preferred Telephone: ____________________________Email: _______________________________________
Additional Owner's Name (if applicable): ________________________________________________________
Mailing Address (City/State/Zip): ________________________________________________________________
Preferred Telephone: ____________________________Email: _______________________________________
STR License Renewal Form 3of 3
By completing and signing this application I (we) affirm that:
Initial next to each statement and sign at the bottom
Initial
_____
The operation of the short-term rental unit is in compliance with any applicable private covenants.
_____
I (we) have reviewed the Fire and Emergency checklist provided with this license renewal application and
affirm that the short-term rental still meets all requirements therein.
_____
The tenants will be provided a parking diagram verifying the location of all parking spaces available for the
short-term rental and the diagram will be posted in a prominent location within the short-term rental. The
designated parking spaces will be available for use by short-term rental tenants. Note: This requirement is not
applicable to a small sub-group of “grandfathered” properties that will discontinue operations after October
12
th
, 2021 if sufficient parking is not provided.
_____
Operation of the short-term rental will comply with Good Neighbor Guidelines and all applicable state and
federal laws. The Good Neighbor Guidelines will be provided to tenants in the rental agreement or by posting
it in a prominent location within the short-term rental.
_____
The approved license for the short-term rental will be posted in the interior of the dwelling adjacent to the
front door.
_____
I (we) have read and understand Hood River Municipal Code (HRMC) regulating Short-term Rentals
(HRMC Title 17 and HRMC Title 5 Chapter 10)
_____
I (we) will maintain updated contact information, including mailing address, phone number, and email
address, during the period of licensure for the purposes of official communication about the short-term
rental, including service of any notice, warning letter, citation or complaint related to the short-term rental.
Updated property contact forms are available at: http://ci.hood-river.or.us/Short-Term_Rentals
_____
I (we) consent to service of any warning letters, citations, and complaints by mail at the designated mailing
address of the primary short-term rental owner provided on this Short-term Rental Applicant Information
Form
_____
I (we) will ensure the Short-term Rental license number is included in all advertisements (online, print, or
other type of media)
_____
The information contained herein is true and correct to the best of my knowledge. I (we) understand that
providing false information in this application shall be a violation of the City of Hood River Municipal Code,
and shall be grounds to deny the application, void the approval, enjoin the use, and revoke a Short-term
Rental license issued for the property.
SIGNATURES: All Owners must sign (Corporate or LLC owned parcels require authorized signatures)
______________________________________________________________________________
Owner Signature Printed Name Date
_____________________________________________________________________________________
Owner Signature Printed Name Date
_____________________________________________________________________________________
Authorized Agent Signature Printed Name Date
1. SmokeAlarms
a) Homehassmokealarmsoneverylevel
b) Homehasasmokealarmineverybedroom
c) Smokealarmsar elocatedoutsideeachseparatesleepingarea
d) Smokealarmsarelocatedatleast10feetfromastationaryorfixedcookingappliance
e) Forlargerhomes(wheretheinteriorfloorareaonagivenlevel
isgreaterthan1,000squarefeet),thereisanaverage
ofatleast1smokealarmforevery500feet
f) Allsmokealarmsareworking
2. CarbonMonoxideAlarms
a) Homehasacarbonmonoxidealarmoutsideeachseparatesleepingarea
b) Homehasacarbonmonoxidealarmoneverylevel
c) Carbonmonoxidealarmsareworking
3. General
Safety
a) Housenumberisvisiblefromthestreet
b) Doors&WindowsusedforescapeopeneasilyͲnotblockedbyfurniture,securitybars,ornailed/paintedshut
c) Securitybars,ifpresent,haveaquickreleaseͲdevice
d) HotWaterHeaterissetnohigherthan120degreesFahrenheit
4. FlammableAppliances
a) Thingsthatcanburnareatleast
3feetfromthefurnace
b) Furnaceisinspectedandcleanedannually
c) Chimneyisinspectedannuallyandcleanedasneeded
d) Clothesdryerlintfilterandventpipeareclean
5. ThroughouttheHome
a) Ifsmokingisallowedonproperty,thereareapprovedcontainerstoreceiveburningcigarettebutts
b) Minimumlightandventilation
6. Kitchen
a) Thingsthatcan
burnareremovedfromtheimmediateareaofthestovetop
b) Tipoverdeviceonstove
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7. Living/FamilyRoom
a) Ifthereisafireplace,ithasproperscreenandhearth
b) Thingsthatcanburnareatleast3feetfromspaceheatersandfireplaces
8. Bedrooms
a) AllbedroomshavetwowaysoutͲwindowsandadoororseparatedoors͖ĂŶĚ
9. Garage
a) Thereisasoliddoorbetweengarageandresidence
b) Flammablesarestored
properly
10. OutsidetheHome
a) OutsideelectricalreceptaclesareGFCIandtheyareingoodworkingcondition
b) Thereisnorubbish,trash,brushortreetrimmingsaccumulationontheproperty,ontheroof,orinthegutters
c) Barbecuegrillisonlyusedoutdoors
d) Swimmingpoolfilter,heaterorhottubisproperlygrounded
e) Exit
pathisclearandunobstructedtopublicway
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11. Electrical
a) KitchenandbathroomshaveGFCIoutletsoncountertopsurfaceswithin6feetofrunningwateroutletsandtheyare
workingproperly
b) Allreceptacleandswitchfaceplatesareinstalledandingoodcondition
c) ReceptacleshavebeentestedandareingoodworkingconditionͲnoevidenceofarcingoroverheating
d) Switchesareingood
conditionͲnoevidenceofarcingoroverheating
e) Lightingfixturecanopiesarefastenedinplaceandfixtureisingoodcondition
f) Bulbsinlightfixturesarethecorrectwattageforthelightingfixture
g) Flexiblecordsandcables(extensioncords)arenotusedasfixedwiring,runthroughholesinwalls,ceilingorfloor,
run
throughdoorwaysorwindows,orundercarpets,orattachedtobuildingsurfaces
h) PanelboardanddistributionequipmentisaccessibleforinspectionandingoodconditionͲnoevidenceofoverheating,
corrosion,orotherdamage
12. StairSafety
a) Stairsareprovidedwithhandrail(s)
b) Stairscanbeilluminatedfornighttimeuse
c) Stairtreaddepthandriser
heightareuniform
d) Guardrailsareinplace
13. PostGoodNeighborGuidelines
1. Smokealarmsareinterconnectedsowhenonesounds,theyallsound
2. Homehasahomefiresprinklersystem
3. Nolitcandlesarepermittedinhome
4. Smallappliancesareunpluggedwhennotinuse
5. Theuseofportablespaceheatersisnotallowed
6. Allsecond
floorbedroomshaveanemergencyescapeladderstoredinaconspicuousplace
7. Gaspoweredequipmentisstoredinanoutsideshedorgarage,separatefromthehome
8. Gasolineisstoredinanapprovedsafetycontainerinanoutsideshedorgarage,separatefromthehome
9. Swimmingpoolorhottubisenclosed
byafourͲsidedfenceandlockedgate
RecommendedItems
CityofHoodRiverShortͲTermRental
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Short Term Rental Operating License
Affidavit of Annual Notice
Important: Required for Vacation Home Rentals Only, not Hosted Homeshares
I,___________________________, certify that I have provided annual notice to property
owners and residents within 250 feet of the short-term rental location or that I will post a
placard, as permitted by the City of Hood River Municipal Code Title 18 (Sign Regulations) or
substantially similar to the model placard provided in the Short-term Rental Application Packet,
where it can be seen from the public right-of-way. This notice or placard provides:
1. Local contact person
2. Emergency 24/7 phone number
3. STR license number
STR Address: ____________________________________
Please attach:
a copy of your notice or a mockup of your placard, or
list of adjacent property owners notified
Signature
Date