Permit FOR OFFICE USE ONLY—SITE ADDRESS:
This form is recognized by most building departments in the Tri-County area for transmitting information.
Please complete this form when submitting information for plan review responses and revisions.
This form and the information it provides helps the review process and response to your project.
City of Tigard • COMMUNITY DEVELOPMENT DEPARTMENT
Transmittal Letter
c,n h l I 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.718.2439 • www.tigard-or.gov
TO: G//� �f DATE RECE VED:
IN DEPT: BUILDG DIVISION RECEIVED
FROM: ,Di ,4* JUL 62021
CITY OF TIGARD
COMPANY: '+
4-� �`�'� i"`j BUILDING DIY ISION
,p
PHONE: C 5 , (00 f1" By: J •
EMAIL: GTO lG i e-Ar ., r cyr%
RE: 66 `l5 5-L i �tJG,/7J �G. M<5 /mil`/
(Site A dress) (Permit umber)
Lryvd/
(Project name or su • sion name and lot number)
ATTACHED ARE THE FOLLOWING ITEMS:
Copies: Description: Copies: Description:
Additional set(s) of plans. Revisions:
Cross section(s) and details. Wall bracing and/or lateral analysis.
Floor/roof framing. Basement and retaining walls.
Beam calculations. Engineer's calculations.
Other(explain): •
REMARKS: F„,r6tWe,lniy
FO O E USE ONLY AA-
Fees
Routed to Permit Technic' : Date: 77 _ _/ Initials:
Due: ❑Yes ,NNoo Fee Description:,, Amount Due:
$
Special
Instructions:
Reprint Permit(per PE): ❑ Yes ❑No ❑ Done
Applicant Notified: Date: Initials:
I:\Building\Fortes\TransmiltalLetter-Revisions 073120.doc
•• •• •• • • • • ••
• • • • • • •
• • •• •• • • • • • •
••• • • •• • • • •
AAI
♦ w • • •
• • • • • ••
afghan associates,ioc, • • • • • ••
ENGINEERING
5• • ••• ••
• • . •••
a•
6.
• • • D ••• ••• ••
July 8, 2021 •• •. ;[[i •• "•
••• ••• ••` •J�: •��.f •w•
Mr. Branden Taggart • •
• •. ...
•
Senior Permit Technician •• • ••••• •.• �. •
City of Tigard
13125 SW Hall Blvd.
Tigard, Oregon 97223
RE: 6645 SW Ventura Place—Sauna Shed Approved plans
Permit# MST 2021-00014 shall be on job site.
AAI Project No. A20157.00
Dear Branden,
As requested by John Annand, we have reviewed connecting the post to the concrete
footing with post bases in lieu of embedding the wood posts in the footings. The following
are acceptable:
• CBS44 post base with (2) 5/8" diameter galvanized A307 machine bolts to the post.
• CBSQ44-SDS2.5 post base with (14) 'A"x 2" SDS Simpson wood screws to the post.
•
For each of these post base options, #4 hairpins with 2'-0" extensions within the concrete
shall be provided. These hairpins shall be 1-1/2" clear from the top of the footing. Where
bracing connects to the post in each direction, the hairpins shall be installed in each
direction.
Please feel free to contact us if there are any questions or concerns. SITE COPY
Sincerely,
4g.t /V' G�RUc7URg uc.,%-,cam J� V'� 0A-t ro, 1 1
�.ED PROFF �f
`j��G r N
Ugo G. Costa, S.E. 8311391 City"-A of sngard
Associate �((An�npproved P-laa
OREGON , " \" Date / a
Pk. poa • 111• �, "'
10,
410G ca5.
EXPIRES: 12/31/21
4875 SW Griffith Drive I Suite 300 I Beaverton,OR 197005
503.620.3030 I tel 503.620.5539 I fax w w w . a a i e n g . c o m
City of Tigard • COMMUNITY DEVELOPMENT DEPARTMENT
Request for Permit Action
711
1-;t_;,.R D 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@ttiigaarrd-or.gov
FROM: _ Owner El Applicant n Contractor [sty Stan
Check(✓)one
REFUND OR Name:
INVOICE TO: (Business or Individual) D emi-ii- e '/Ca/bol4 L.rhlo1lt�47
Mailing Address: 449 Lj,5- c zJ j1 itA i 1
City/State/Zip: iA Vital , �ate17 �
Phone No.: GG -11 i) 02-1t,_..11 ir3(0
PLEASE TAKE ACTION FOR THE ITEM(S) CHECKED (1):
U A.► VOID PERMIT APPLICATION.
7
C REFUND e JRMIT FEES (attach copy of original receipt and provide explanation below).
ji "VOICE FOR FEES DUE (attach case fee schedule and provide explanation below).
Permit#: �3Tp �,2 I"'—W0 ill
Site Address or Parcel #: (p $ P.) t/U/h../a i01,
Project Name: Z,,ijd 0
Subdivision Name: Lot#:
EXPLANATION: ik f�..a 74,J Gi Cyr le-ram,0. ' lv
siL, !4,`f- '.s5- C�v,5 , dvv Ce}nthtif 7 red.4.l?Silfy ice/ 4-4r't 74yfri v+ l'ci7.- {/
Signature: � r- Date: 6,/is/
�/
Print Name: 13rzwde ,,y._,
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 80%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.
FOR OFFICE USE ONLY
Route to Sys Admin: Date Z/ij,)/ By Route to Records: Date eiyip 2,0 By 4,0 c)
Refund Processed: Date VO, 2/ By e Invoice Processed: Date By
Permit Canceled: Date Bye, Parcel Tag Added: Date By
I:\Building\Forms\RegPermitAction_1 0518.doc
H
TIGARD
City of Tigard
September 10, 2021
Brianna Lindley
6645 SW Ventura P1
Tigard, OR 97223
Re: Permit No. MST2021-00014
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: 6645 SW Ventura PI
Project Name: Lindley
Job No.: N/A
Refund: ® Check#240490 in the amount of$97.26.
❑ Credit card"return" receipt in the amount of$
❑ Trust account"deposit"receipt in the amount of$
Notes: Valuation reduced from$25,000 to$6,969 resulting in an overpayment of permit
fees. Refund difference of$97.26.
If you have any questions please contact me at 503.718.2430.
Sincerely,
/*C167e1A-,€.4.-4--
Dianna Omelas
Building Division Services Coordinator
Enc.
I:\Building\Refunds4.4 s5aWnt f k xpayEgm46Pregon 97223 • 503.639.4171
TTY Relay: 503.684.2772 • www.tigard-or.gov
IIIII
1 City of Tigard
n 1t i, 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: Brianna Lindley DATE: 9/6/2021
6645 SW Ventura P1
Tigard, OR 97223 REQUESTED BY: Dianna Ornelas
TRANSACTION INFORMATION:
Receipt#: 433318 Case#: MST2021-00014
Date: 3/16/2021 Address/Parcel: 6645 SW Ventura P1
Pay Method: Check Project Name: Lindley
EXPLANATION: Valuation reduced from$25,000 to$6,969.00 resulting in an overpayment of permit
fees. Refund difference.
REF r ,T' `OR MJ.F i<-)'_
Fee Dcseripuon From 1iiv4 eipt Revenue Account No. - Refund
' - ,fie:, Example: 2300000-43104 $Amount
Cash Over 100-0000-48001 $97.26
TOTAL REFUND: $97.26
APPROVALS: SIGNATURES/DATE:
If under$5,000 Professional Staff
If under$12,500 Division Manager ,Cyr-.a ,g P J f 1
____.
If under$25,000 Department Manager ))
If under$100,000 City Manager
If over$50,000 Local Contract Review Board
,f, `ss;
FOR ACCELA SYSTEM ADMINISTRATION USE ONLY
Case Refund Processed: Date: y//d/'y/ By: 4CCO
I:\Building\Refunds\RefundRequest.doc x 09/01/2010
CITY OF TIGARD RECEIPT
13125 SW Hall Blvd.,Tigard OR 97223
503.639.4171
TIGARD
Project Name: Lindley
Site Address: 6645 SW VENTURA PL
Receipt Number: 436384 - 09/10/2021
CASE NO. FEE DESCRIPTION REVENUE ACCOUNT NUMBER PAID
M ST2021-00014 $-97.26
Total: $-97.26
PAYMENT METHOD CHECK# AUTH CODE ACCT ID CASHIER ID RECEIPT DATE RECEIPT AMT
Check 240490 DHOWSE 09/10/2021 $-97.26
Payor: Brianna Lindley
Total Payments: $-97.26
Balance Due: $97.26
Page 1 of 1
CITY OF TIGARD RECEIPT
1 13125 SW Hall Blvd.,Tigard OR 97223
503.639.4171
TIGARD
Project Name: Lindley
Site Address: 6645 SW VENTURA PL
0/Z./6/A -C___
Receipt Number: 433318 - 03/16/2021
CASE NO. FEE DESCRIPTION REVENUE ACCOUNT NUMBER PAID
MST2021-00014 DC Provision Review, SF-Ping 100-0000-43112 $103.00
MST2021-00014 Info Process/Archiving-Lg$2.00(over 230-0000-43135 $8.00
11x17)
MST2021-00014 Info Process/Archiving-Sm$0.50(up to 230-0000-43135 $6.50
11x17)
MST2021-00014 Erosion Control w/Development 640-0000-43134 $80.70
MST2021-00014 Cash Over 100-0000-48001 $97.26 -
MST2021-00014 Building Permit-Additions,Alterations, 230-0000-43104 $180.17
Demolition
MST2021-00014 Plan Review 230-0000-43106 $117.11
MST2021-00014 12% State Surcharge-Building 100-0000-24001 $21.62
Total: $614.36
PAYMENT METHOD CHECK# AUTH CODE ACCT ID CASHIER ID RECEIPT DATE RECEIPT AMT
Check 7490070 PUBLICUSERO 03/16/2021 $614.36
Payor:
Total Payments: $614.36
Balance Due: $0.00
Page 1 of 1
CITY OF TIGARD RECEIPT
f . : > 13125 SW Hall Blvd.,Tigard OR 97223
503.639.4171
TIGARD
Project Name: Lindley
Site Address: 6645 SW VENTURA PL
Receipt Number: 433318 - 03/16/2021
CASE NO. FEE DESCRIPTION REVENUE ACCOUNT NUMBER PAID
MST2021-00014 DC Provision Review, SF-Ping 100-0000-43112 $103.00
MST2021-00014 Info Process/Archiving-Lg $2.00(over 230-0000-43135 $8.00
11x17)
MST2021-00014 Info Process/Archiving-Sm$0.50(up to 230-0000-43135 $6.50
11x17)
MST2021-00014 Erosion Control w/Development 640-0000-43134 $80.70
MST2021-00014 Cash Over 100-0000-48001 $97.26
MST2021-00014 Building Permit-Additions,Alterations, 230-0000-43104 $180.17
Demolition
MST2021-00014 Plan Review 230-0000-43106 $117.11
MST2021-00014 12%State Surcharge-Building 100-0000-24001 $21.62
Total: $614.36
PAYMENT METHOD CHECK# AUTH CODE ACCT ID CASHIER ID RECEIPT DATE RECEIPT AMT
Check 7490070 PUBLICUSERO 03/16/2021 $614.36
Payor:
Total Payments: $614.36
Balance Due: $0.00
71
Community Development
■ • Accela Cashier Transaction
n Finance Department Route Slip
Date: 6//$-/a-./.
To: - Angela Whitney
I,i7 Lutz
From: Dianna Howse / grz e-A)
Re: Receipt#(s): 'J73)g
The following cashier transaction has been processed
and included in the Accela Revenue Account Report:
Check Refund (already deducted in
Springbrook by Finance when check was cut)
Credit Card Refund
Reversal:
Other: A4,75 a,,, f d-t c; 'r.W
�a )/ $`G,%?. ass.Sy./ /�v�TfYC1) f - vc.Sf../7 /v 1N
a r e-it v r- 1� 7, a?-ea
T3ank you!
Page 1 of 1
I:\Building\Forms\RteShp-FinanceReq.102517.doc
CITY OF TIGARD FEE AND PAYMENT HISTORY
NI 8 . 13125 SW Hall Blvd.,Tigard OR 97223
503.639.4171
TIGARD
MST2021-00014 - 6645 SW VENTURA PL, TIGARD, OR 97223
Lindley
Fee Description Revenue Fee Amount Invoiced Paid Date Paid Payment Receipt# Due
Account Number Method
12%State Surcharge-Building 100-0000-24001 $21.62 $21.62 $21.62 3/16/2021 Check 433318 $0.00
Building Permit-Additions,Alterations, 230-0000-43104 $180.17 $180.17 $180.17 3/16/2021 Check 433318 $0.00
Demolition
Cash Over 100-0000-48001 $97.26 $97.26 $0.00 $97.26
DC Provision Review, SF-Ping 1 00-0000-431 1 2 $103.00 $103.00 $103.00 3/16/2021 Check 433318 $0.00
Erosion Control w/Development 640-0000-43134 $80.70 $80.70 $0.00 $80.70
Info Process/Archiving-Lg$2.00 (over 230-0000-43135 $8.00 $8.00 $8.00 3/16/2021 Check 433318 $0.00
11x17)
Info Process/Archiving-Sm$0.50(up to 230-0000-43135 $6.50 $6.50 $6.50 3/16/2021 Check 433318 $0.00
11x17)
Plan Review 230-0000-43106 $295.07 $295.07 $295.07 3/16/2021 Check 433318 $0.00
Plan Review 230-0000-43106 $-177.96 $-177.96 $0.00 -$177.96
Totals for Fees $614.36 $614.36 $614.36 $0.00
Receipt# Payment Method Check# Payor: Receipt Date Receipt Amount
433318 Check anonymous 03/16/2021 $614.36
Total Payments: $614.36
Balance Due: $0.00
CITY OF TIGARD MASTER PERMIT
COMMUNITY DEVELOPMENT ` Permit#: MST2021-00014
13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 i OA Date Issued: 06/10/2021
T t i ;�t C7 9iol Parcel: 1S125DD01200
Jurisdiction: Tigard
Site address: 6645 SW VENTURA PL
Subdivision: WASHINGTON SQUARE ESTATES Lot: 32
Project: Lindley
Project Description: Construct 143 sq ft sauna shed addition with deck and deck cover.
BUILDING
Floor Areas Required Setbacks Required
Stories: 1 Bedrooms: 0 First: 0 sf Basement: 0 sf Left: 5 Parking Spaces: 0
Height: 0 Bathrooms: 0 Second: 0 sf Garage: 0 sf Front: 0 Smoke
Dwelling Units: 0 Third: 0 sf Right: 5
Detectors: No
Total: 0 sf Value: $6,969.04 Rear: 5
PLUMBING
Sinks: 0 Water Closets: 0 Washing Mach: 0 Laundry Trays: 0 Rain Drain: 0 Urinals: 0
Lavatories: 0 Dishwashers: 0 Floor Drains: 0 Sewer Lines: 0 SF Rain Storm Sewer: 0
Tubs/Showers: 0 Garbage Disp: 0 Water Heaters: 0 Water Lines: 0 Drains: 0 Catch Basins: 0
Bckflw Prevntr: 0
Footing Drain: 0 Ice Maker: 0 Hose Bib: 0 Backwater Value: 0
Other Fixtures: 0
Drywell-Trench Drain: 0
Other Fixture Units:
MECHANICAL
Fuel Types Air Conditioning: N Vent Fans: 0 Clothes Dryers: 0
Heat Pump: N Hoods: 0 Other Units: 0
Furn<100K: 0 Vents: 0 Woodstoves: 0 Gas Outlets: 0
Furn>=100K: 0
ELECTRICAL
Residential Unit Service Feeder Temp Srvc/Feeders Branch Circuits
1000 sf or less: 0 0-200 amp: 0 0-200 amp: 0 W/Svc or Fdr: 0
Ea add'I 500 sf: 0 201-400 amp: 0 201-400 amp: 0 W/O Svc/Fdr: 0
Mfd Home/Feeder/Svc: 0 401-600 amp: 0 401-600 amp: 0
601-1000 amp: 0 601+amp-1000v: 0
1000+amp/volt: 0
ELECTRICAL-RESTRICTED ENERGY
SF Residential
Audio&Stereo: N HVAC: N Security Alarm: N Vaccuum System: N Garage Opener: N All
Other: N Other Description: Ecompasing: N
BUILDING INFO
Class of Work: Type of Use: Type of Constr: Occupancy Group: Square Feet:
ALT SF VB R-3 0
Owner: Contractor:
LUCHTERHAND,NICHOLAS ANDREW OWNER Required Items and Reports(Conditions)
LINDLEY,TAMMI LYNN BRIAN LINDLEY
LINDLEY,BRIANNA M 6645 SW VENTURA
6645 SW VENTURA PL TIGARD,OR 97223
TIGARD,OR 97223
PHONE: PHONE:
FAX:
Total Fees: $614.36
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will
be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more the 180
days. ATTENTION: Oregon law requires y. to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR
952-001-0010 through OAR 001-0090. YoA.y obtain)/.y of rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344.
„�i• g-C. ,- 72.4-12G6/1 -,Issued By: ��/ ! "i /� Permittee Signature:
Call 503.639.4175 by 7:00 a.m.for the next available inspection date.
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
Branden Taggart /" /- /Lf
From: Branden Taggart
Sent: Tuesday, June 15, 2021 2:47 PM
To: darenlindley@gmail.com
Cc: archjda2@aol.com
Subject: Building Permit Refund: MST2021-00014 - 6645 SW Ventura Place
i Hello Daren,
7; We were informed that Clean Water Services requires erosion control inspections due to the sensitive lands region
surrounding your property. After adding the erosion control fee to your existing permit, we noticed that there was a
t plan review fee adjustment that was not invoiced prior to the issuance of this permit. This adjustment covered the cost
of the new erosion control fee, and it also left a credit of$97.26. This amount will be mailed to you in the form of a
t refund check in approximately 6-8 weeks.
Please note that after the erosion control measures are in place, the Initial Erosion Control inspection (code 750) will
need to be scheduled followed by the Final Erosion Control inspection (code 798) through our website:
http://inspections.tigard-or.gov/WebOnlinelnspections. We apologize for this oversight. Please let me know if you have
questions or concerns.
Thank you,
1
IrBranden Taggart
City of TigardSenior Permit Technician
Community Development
13125 SW Hall Blvd
Tigard, OR 97223
(503)718-2449
brandent@tigard-or.gov
1
FOR OFFICE USE ONLY—SITE ADDRESS:
This form is recognized by most building departments in the Tri-County area for transmitting information.
Please complete this form when submitting information for plan review responses and revisions.
This form and the information it provides helps the review process and response to your project.
Mil City of Tigard • COMMUNITY DEVELOPMENT DEPARTMENT
Transmittal Letter
TIGARD 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.718.2439 • www.tigard-or.gov
TO: �
a//�, �f DATE RECE VE I _
DEPT: BUILDI&G DIVISION
JUL 62021
iv
FROM: ,u7Lef CITY OF TiGARL
COMPANY: 94:..L Itivairveemie, BUILDING DI - •.
PHONE: �S713) 4000_30la By:0 I•
EMAIL: [Ago a l a i e/VGI - C GY`n
RE: (A 9- 5� LJ,1tL4IrzL PL. 7 ,57,E r-fir`/
(Site Address) (Permit umber)
(Project name or subdivision name and lot number)
ATTACHED ARE THE FOLLOWING ITEMS:
Copies: Description: Copies: Description:
Additional set(s)of plans. Revisions:
Cross section(s) and details. Wall bracing and/or lateral analysis.
Floor/roof framing. Basement and retaining walls.
Beam calculations. Engineer's calculations.
Other(explain):
REMARKS: F , i Inv /e/L/G/.
FO OFF E USE ONLY
Routed to Permit Ter: Date: '7a•S-;-/ Initials: Aft
Fees Due: ❑ Yes \NQ Descnption:. Amount Due:
r () , 61-- ss 12'5 -
Special
Instructions:
Reprint Permit(per PE): ❑ Yes ElNo El Done
Applicant Notified: __ Date: 2/ j(., ,L( Initials:
L:\Building\Forms\TransmittalLetter-Revisions_073120.doc
•
AAI afghan associates,inc. RECEIVED
ENGINEERING
JUL 8 7.021
July 8, 2021 CITY OF TIGARCJ
BUILDING DIVISION
Mr. Branden Taggart
Senior Permit Technician
City of Tigard
13125 SW Hall Blvd.
Tigard, Oregon 97223
`'s}7 p v2 I C'_t
RE: 6645 SW Ventura Place—Sauna Shed shall be on job site.
Permit# MST 2021-00014
AAI Project No. A20157.00
Dear Branden,
As requested by John Annand, we have reviewed connecting the post to the concrete
footing with post bases in lieu of embedding the wood posts in the footings. The following
are acceptable:
• CBS44 post base with (2) 5/8" diameter galvanized A307 machine bolts to the post.
• CBSQ44-SDS2.5 post base with (14)1/2'x 2" SDS Simpson wood screws to the post.
•
For each of these post base options, #4 hairpins with 2'-0" extensions within the concrete
shall be provided. These hairpins shall be 1-1/2" clear from the top of the footing. Where
bracing connects to the post in each direction, the hairpins shall be installed in each
direction. OFFICE COPY
Please feel free to contact us if there are any questions or concerns.
Sincerely, — COO L
(JI,ULt S Ss PI
/11. SaVCTUR4
yC���O PROFF `n 7 wC
Ugo G. Costa, S.E. 444 k" 83,l91tporcavad Kips
Associate 1A k-si4ki Date 7
rOREGON'J - - -
' • 10, 2� `P
GAG, COS
EXPIRES: 12/31/21
4875 SW Griffith Drive I Suite 300 I Beaverton,OR 197005
503.620.3030 I tel 503,620.5539 I fax w w w . a a i e n g . c o m
CITY OF TIGARD MASTER PERMIT
■T . COMMUNITY DEVELOPMENT Permit#: MST2021-00014
13125 SW Hall Blvd.,Tigard OR 97223 503.718.2438 Date Issued: 06/10/2021
T i i;A h n g Parcel: 1 S125DD01200
Jurisdiction: Tigard
Site address: 6645 SW VENTURA PL
Subdivision: WASHINGTON SQUARE ESTATES Lot: 32
Project: Lindley
Project Description: Construct 13'x11'sauna shed/deck and deck cover.
BUILDING
Floor Areas Reauired Setbacks Required
Stories: 1 Bedrooms: 0 First: 0 sf Basement: 0 sf Left: 5 Parking Spaces: 0
Height: 0 Bathrooms: 0 Second: 0 sf Garage: 0 sf Front: 0 Smoke
Dwelling Units: 0 Third: 0 sf Right: 5
Detectors: No
Total: 0 sf Value: $6,969.04 Rear: 5
PLUMBING
Sinks: 0 Water Closets: 0 Washing Mach: 0 Laundry Trays: 0 Rain Drain: 0 Urinals: 0
Lavatories: 0 Dishwashers: 0 Floor Drains: 0 Sewer Lines: 0 SF Rain Storm Sewer: 0
0
Tubs/Showers: 0 Garbage Disp: 0 Water Heaters: 0 Water Lines: 0 Drains: Catch Basins: 0
Bckflw Prevntr: 0
Footing Drain: 0 Ice Maker: 0 Hose Bib: 0 Backwater Value: 0
Drywell-Trench Drain: 0 Other Fixtures: 0
Other Fixture Units:
MECHANICAL
Fuel Types Air Conditioning: N Vent Fans: 0 Clothes Dryers: 0
Heat Pump: N Hoods: 0 Other Units: 0
Fum<100K: 0 Vents: 0 Woodstoves: 0 Gas Outlets: 0
Furn>=100K: 0
ELECTRICAL
Residential Unit Service Feeder Temp Srvc/Feeders Branch Circuits
1000 sf or less: 0 0-200 amp: 0 0-200 amp: 0 W/Svc or Fdr: 0
Ea add,500 sf: 0 201-400 amp: 0 201-400 amp: 0 W/O Svc/Fdr: 0
Mfd Home/Feeder/Svc: 0 401-600 amp: 0 401-600 amp: 0
601-1000 amp: 0 601+amp-1000v: 0
1000+amp/volt: 0
ELECTRICAL-RESTRICTED ENERGY
SF Residential
Audio&Stereo: N HVAC: N Security Alarm: N Vaccuum System: N Garage Opener: N All
Other: N Other Description: Ecompasing: N
BUILDING INFO
Class of Work: Type of Use: Type of Constr: Occupancy Group: Square Feet:
ALT SF VB R-3 0
Owner: Contractor:
LUCHTERHAND,NICHOLAS ANDREW OWNER Required Items and Reports(Conditions)
LINDLEY,TAMMI LYNN BRIAN LINDLEY
LINDLEY,BRIANNA M 6645 SW VENTURA
6645 SW VENTURA PL TIGARD,OR 97223
TIGARD,OR 97223
PHONE: PHONE:
FAX:
Total Fees: $614.36
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will
be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more the 180
days. ATTENTION: Oregon law requires you follow the ules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR
952-001-0010 through 0 -001-0090. ou m .btain a c.,o<f rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344.
Issued By: /4 /f Permittee Signature: ...e t,. -,
23-,
Call 503.6 z5 by 7:00 a.m.for the next available inspection date.
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
1
Building Permit Application RECEIVED ",a7
Residential FOR OFFICE USE ONLY
City of Tigard JAN 19 2021 Received
Date/By ��- Permit xu.:�, �p\I-t
1111 " 13125 SW Hall Blvd.,Tigard,OR 97223 a Phone: 503.718.2439 Fax: 503.598.1960 CITY OF TIGARD DPinat �� yt I ' Other Permit:
y:Review
11r‘Ail i> Inspection Line: 503.639.4175 BUILDING DMMON Date Ready/$y. /�, /� . ( Ants: 61 See 1'age2 for
Internet: www.tigard-or.gov shod il 1 ;/6[// - ` Supplemental Information
TYPE OF WORK REQUIRED DATA:1-AND 2-FAMILY DWELLING
,Kew construction ❑Demolition Permit fees*are based on the value of the work performed.
0 Addition/alteration/replacement El Other: Indicate the value(rounded to the nearest dollar)of all
equipment,materials,labor,overhead, dprofit for e
CATEGORY OF CONSTRUCTION work indicated on this application. (4A , 014
Valuation:
/ ❑ 1-and 2-family dwelling ❑Commercial/industrial
XAccessory building ❑Multi-family Number of bedrooms:
❑Master builder 0 Other: Number of bathrooms:
JOB SITE INFORMATION AND LOCATION Total number of floors:
Job site address:44 l t...1-1-0 ILA 1 A .
New dwelling area: square feet
is
City/State/ZIP: T i 4,„,,,p, 1 c)�-I_e-1, ,,...i. .2, —i .. -a 3 Garage/carport area: se"iare feet
Suite/bldgJapt.no.: Project name: A Li i...j%/ `J t� e_3>. Covered porch area:
l.lr� 4uare feet
Cross street/directions to job site: Deck area:ar(�, LOG.--
OG e_D quare feet
4.s Ni 1%�-il T Li 2 A G'L.A..C. CD F~'I - Otherrsft'tictme��Y�7€ square feet
'I'V . J VE-f' "r'J iz-/ . i .17._I N,./ REQUIRED DATA:COMMERCIAL-USE CHECKLIST
Subdivisidg A"J ii i•J is)"riz. 1�..1 to Li rL.v...,I Lot AQt-/3 a. Permit fees*are based on the value of the work performed.
Tax map/parcel no.: �- e ,- T b f.Q 4' 5 Indicate the value(rounded to the nearest dollar)of all
P/P S I �- b -'i 2��� equipment,materials,labor,overhead,and the profit for the
DESCRIPTION OF WORK work indicated on this application.
/;,v to J-. j i r± iy I c ' X I t '._ c.. Valuation: $
Se r✓G GZ noviacr-G l� f t & `V r ( Existing building area: square feet
�/I`Uf- 7�i.7-4S GG/P c 4.a,L oh L, New building area: square feet
/ R PROPERTY OWNER ❑ TENANT Number of stories:
Name: er ►Z.I,,..s,y�;-ii.Li :,-‘ t_ I ,•-•-i t _ ti_"Y' Type of construction:
Address: 142,4v q-5 ,•w \/ kF 1,1--s-: tz 'i-..st .. c...E.. Occupancy groups:
City/State/ZIP: . ..i y A s> .1 Q cz- y G c.1 C1 .1 2�-b Existing:
Phone:( ) Fax:( ) New:
APPLICANT El CONTACT PERSON BUH.DING PERMIT FEES*
(PleasBusiness name:J of 1 i.I Tom. i=a 1,1 t,.i A. r' "{'s reviewe fee(or rofeeosit):schedule)
` ~ `C '�' Structural plan deposit):
Contact name: J iZ 1-3 t�.S diz. ice:► . /a. N'i
Address: FLS plan review fee(if applicable):
Z t Log-�: S . .t- 1. L.IV T �... ..1 IZ r�.o.'fl
City/State/ZIP: Total fees due upon application:
i"1 c.t�.\t:r�".�i C7 a.-��._`, E� Cl-7 t..,4.t> Amount received:
Phone:503) 7-5ti -- i i r5. Fax::( )
E-mail: �,'h� , PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
J ,ACh L��--� Cx..�t �`}Y'Y", Commercial and residential prescriptive installation of
CONTRACTOR roof-top mounted Photovoltaic Solar Panel System.
Business name: g344 r• (/ Submit two(2)sets of roof plan with connection details
and fire department access,along with the 2010 Oregon
Address: Solar Installation Specialty Code checklist.
City/State/ZIP: Permit Fee(includes plan review $180.00
and administrative fees):
Phone:( ) Fax:( ) State surcharge(12%ofpermit fee):. $21.60
CCB tic.: Total fee due upon application: $201.60
Authorized signature CeOn This permit application expires if a permit is not obtained
within 180 days after it has been accepted as complete.
*Fee methodology set by Tri-County Building Industry
Print name: ti L7?1 t..t > i11v i4A,sJp'ADate: '1/t G/Z i Service Board.
I:\Building\Permits\BUP-RESPemutApp.doc 02/242011 440-4613T(ll/02/COM/WEB) A
City of Tigard I//q LJ
111111
COMMUNITY DEVELOPMENT DEPARTMENT
TIGARD Building Permit Review — Residential
Building Permit #:
Site Address: 667s- E v.e2 !`a Pt
Project Name: L h a'itt last AI j Lot #:
Planning Review
Pr osal: WA) AnaL_
Verify address/suite# active in Accela. tierMver Terr e: LIG No ❑ Yes,River Terrace Review Addendum
Sity Plan Elements: ' Erosion Control
copies of site plan on 8-1/2"x 11"or 11 x 17"paper ❑Retained trees with drip line and tree protection measures
le 'prawn to scale(standard architect or engineer scale) ❑Footprint of new structure(including decks)and FFE
rth arrow Utility locations&easements(required for new and additions)
e address,project or subdivision name and lot number `� Sidewalk/driveway approach
IZ' plicant information(name and phone number) 1 Location of wells/septic systems
wdimensions and building setback dimensions El/Street tree size,type and location
are footage of buildings to be demolished 121§treet names
VrExi - g structures on site VComer elevations(2'contours if more than 4'differential)
�Ni:.t area,building coverage area,percentage of coverage and >1,000 sf of impervious area created or replaced? ❑Yes❑ 4Q N
1 impervious area(a plicable if R-7,R-12,R-25&R-40) If yes,is a storm water quality facility shown? Yes o
D Clean Water ervices—Service Provider Letter (lot platted prior to 9/10/1995):
Required: Yes,applicant was notified ❑ No Received: 0 Yes No
Water Meter Fixture Unit Worksheet—Additions,Remodels and ADUs
Required: 0 Yes,applicant was notified ❑ No Received: 0 Yes 0 No
SDC Exemption for ADU applied for: 0 Yes ❑ No Received: ❑ Yes ❑ No
Public Facilities Improvement(PFI)Permit:
Required: 0 Yes,applicant was notified 0 No $plied For: 0 Yes 0 No,stop intake
and Use Case#: me Zoning: R.-y S—
Sd Required Setbacks: Front: Rear: Side: Street Side: arage:461--
Vi Building Height: Max.Height: /g— Actual Height: 11-1.2
andscape Area: % 0 Lot Coverage Max: %
Entrance Set back no more than 8'from street-facing wall 0 Parallel to s r offset 45 degrees or less
Windows ❑ It • 12%of area of all street-facing facades
Garage 0 Garage door is ' d widest street-facing wall 13 Yes ❑ No,one of the following is met:
0 Door extends no mo n 5'from wall ere is a covered porch extending beyond garage.
❑ Door extends no more than 5' wall and there is a 12 sq ft.window above garage on 2nd floor.
0 Garage door width is 0 ' r ess 0 5 ° ess of facade 0 60%or less and includes 7 of following:
❑ Covered po Recessed entrance 0 W t ❑ 1'Roof eave 0 Roof offset
O F. gles ❑ Lap Siding ❑ Roof pitch ❑ Ga ' or gambrel roof 0 Dormer
Accent siding tom■ v endow trim 0 Window recess 0 Win rojection 0 Balcony
•1`►4 4 isual ClearanFe ID .rban Forestry Plan
Y.4 skive Lands: N Yes 0 No Type: e�U}2e�
� nditions met prior to issuance of building permit
N es:
Approved By Planning: ,/ Date: 1/20'D/
Revisions (after Building Submittal only) Reviewer Date
Revision 1: ❑ Approved 0 Not Approved
Revision 2: 0 Approved 0 Not Approved
I:1Building\Forms\BldgPermitRvw_RES_122419.docx
Building Permit Submittal
Original Submittal Date: 1\ \cl\ 2_\
Site Plans: #
Building Plans: # 3
Building Permit#: 2 Enter building permit#above.
Workflow Routing: a Planning R Engineering Ca'Permit Coordinator El' Building
Workflow Sign-off: 0 Sign-off for Planning(include notes from planning review)
Route Application Documents: [Engineering: (1) copy of permit application, (1) site plan, (1) building plan and
original plan review routing form.
[Building: original permit application,site plans,building plans, engineer and
beam calculations and trust details,if applicable,etc.
Notes:
By Permit Technician: 01� V Gnu C Date: \ 2-1 l Z
Engineering Review
®'Slope at building pad: /t /
Q"--Conditions "Met"prior to issuance of building permit M/°`''
ER'lEasements (encroachments)per engineering conditions of approval and plat 11/41-
1Yrciater Quality/Quantity Facility:
Assess Water Quality Fee in-lieu: ❑ Yes Er
-No
Assess Water Quantity Fee in-lieu: ❑ Yes 2/No
LIDA Facility on lot: 0 Yes R'No
[rFinal Plat Recorded: h (c..._
❑ NOT Approved by Engineering: Date:
Notes:
9'Approved by Engineering: d- 1gria,ett Date: i I 0/Zia l
Revisions (after Building Submittal only) Reviewer Date
Revision 1: 0 Approved 0 Not Approved
Revision 2: 0 Approved 0 Not Approved
ermit Coordinator Review
Conditions "Met"prior to issuance of building permit
Approved,NOT Released: Date:
Notes:
Revisions(after Building Submittal only)
Revision Notice 1: Date Sent to Applicant:
Revision Notice 2: Date Sent to Applicant:
SDC Exemption: 0 Received [Does not app
SDC Fees Entered: Wash Co Trans Dev Tax: 0 Yes /A
Tigard Trans SDC: 0 Yes /•
Parks SDC: 0 Yes 0/J /A
LIDA ❑ Yes ►� N/A
OK to Issue Permit
Approved by Permit Coordinator: — 4 Date: /A--el7
I:\Building\Forms\BldgPennitRvw_RES_122419.doc x
9
5` Q� �,, w� CleanWater' Services
GottOS
June 01,2021
BRIANNA LINDLEY �
6645 SW VENTURA PL
TIOARD,OR 97223
RE: Addition of detached sauna and walkway at existing single-fandly residence
CWS file 21-0010'72(Tax map 1S125DD Tax lot 01200)
Clean Water Services has received your Sensitive Area Certification for the above referenced site.
District staff has reviewed the submitted materials including site conditions and the description of your
project. Staff concurs that the above referenced project will not significantly impact the existing Sensitive
Areas found near the site. In light of this result,this document will serve as your Service Provider letter
as required by Resolution and Order 19-5,Section 3.02.1,as amended by Resolution and Order 19-22.
All required permits and approvals must be obtained and completed under applicable local,state,and
federal law.
In order to comply with Clean Water Services water quality protection requirements the project
must comply with the following conditions:
1. No structures,development,construction activities,gardens,lawns,application of chemicals,
uncontained areas of hazardous materials as defined by Oregon Department of Environmental Quality,
pet wastes,dumping of materials of any kind,or other activities shall be permitted within the sensitive
area or Vegetated Corridor which may negatively impact water quality,except those allowed in R&O
19-5,Chapter 3,as amended by R&O 19-22.
2. Prior to ground disturbing activities,an erosion control permit is required.Appropriate Best
Management Practices(BMP's)for Erosion Control,in accordance with Clean Water Services'
Erosion Prevention and Sediment Control Planning and Design Manual,shall be used prior to,during,
and following earth disturbing activities.
3. Removal of native,woody vegetation shall be limited to the greatest extent practicable.
4. Applicant shall enhance onsite Vegetated Corridors in the areas outlined on attached site plan.
5. Prior to installation of plant materials,all invasive species vegetation within the Vegetated Corridor
shall be removed per methods described in Clean Water Services' Integrated Pest Management Plan,
2019.During removal of invasive vegetation,care shall be taken to minimize impacts to existing
native tree and shrub species.
6. Should final development plans differ significantly from those submitted for review by Clean Water
Services,the applicant shall provide updated drawings,and if necessary,obtain a revised Service
Provider Letter.
This Service Provider Letter is not valid unless CWS-approved site plan is attached.
if you have any questions,please feel free to call me at(503)681-3653.
Sincerely,
o
Lindsey Obermiller
Environmental Plan Review
Attachments( 1 )
2550 SW Hillsboro Highway,Hillsboro,Oregon 97123 p:503.681.3600 f.503.681.3603 cleanwaterservices.org
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