TRE2020-00005 City of Tigard, Oregon • 13125 SW Hall Blvd. • Tigard, OR 97223
i
TIGARD
02/19/2020
LUKOWSKI, DAVID J
6690 SW VENTURA DR
TIGARD, OR 97223
Re: Tree Removal Permit Record Number: TRE2020-00005
Dear LUKOWSKI, DAVID J:
On 02/19/2020 you submitted an application for tree removal at 6690 SW VENTURA
DR. Your application specified that:
3 Western Red Cedar
is/are proposed for removal. Based on the information supplied on your application,
this is a simple tree removal permit request.
City staff has reviewed your application and based on the relevant approval criteria in
the Urban Forestry Manual, your application has been:
Approved, no replacement required
Approved
This decision is final and valid for a period of up to one year after issuance unless
otherwise specified. Nothing prevents you from submitting another tree permit
application if the conditions and circumstances surrounding this removal have
changed.
If you have any questions, please contact us at arborist@tigard-or.gov or
503-718-2421. Please be sure to reference record number - TRE2020-00005.
Best regards,
Community Planning Division
City of Tigard
City ofTigard ICOMMUNITY DEVELOPMENT DEPARTMENT RECEIVED
" Tree Removal Permit Application FEB 1 9 2020
Solicitud de Permiso para Remover Arboles CITY OF T IGARD
TI GARD PLANNING/ENGINEERING
a
PROPERTY ADDRESS I DIRECCION DE LA PROPIEDAD
Address (Direction): 6690 SW Ventrua Dr, Tigard OR 97223 REQUIRED
E EMENTSITTAL
REQUISITOS PARA APLICAR
APPLICANT I SOLICITANTE
(N ) David Lukowski Owner's Signature/Written
Name ombre: Authorization
Address (Direction): 6690 SW Ventrua Dr, Tigard OR 97223 Firma del dueno/Autorixacionpor
541-914-9386 david.lukowski@gmail.com esaito
Phone (Tel): Email: @g
Site Plan(show location&
Owner(Dueao): 2 Same as applicant species of each tree,2 copies)
(Igual al solicitante) Croquis(Indicar ubicaciony optic de
CONTRACTOR/ARBORIST INFORMATION calla drbol,2 copias)
INFORMACION DEL CONTRATISTA/ ARBOLISTA Jz' Documentation(from removal
Company(Campania): Mike's Tree Service criteria)
Mike Schwab Documentation(del criteria de
Contact person(Contacto): remotion)
ISA/CCB#: /94729 Expiration(Expiration): t Application Fee(complex only)
Address (Direction): 6545 SW Alfred, Tigard OR 97223 Pago (soh pans elproceso rompljo)
Phone(Te4: 503-680-0767 Email:
TREE INFORMATION—to be completed by applicant
INFORMACION DEL ARBOL — el solicitante debe completar esta parte
FOR STAFF USE ONLY
Tree species (E.petie deldrbol): Thuja plicata (Western Red Cedar) s„It,para„so del personal
#of trees (#de eirboles): 3 REVIEW PROCESS
Tree location (Ubicacion del drbol): SW Corner 6690 SW Ventrua Dr / Simple ❑ Complex
Fee(complex only):
Reason(s)for Tree Removal I Razones para cortar el arbol Case No.: f JE 00 OOS-ey„
I. SIMPLE REVIEW PROCESS I PROCESO DE REVISION SIMPLE
Related Case No(s):
Et Tree is a hazard as determined ❑ Tree is dead(Arbol estd muerto) Application accepted:
by an Arborist(El drbol es un 2/
peligro se,gbn to determinado por on ❑ Removal required for approved land use or By: i+� G Date: _
arbolista) building permit(Necesario pans la aprobation
de un permiso de use de suelo o construction) Application determined complete:
0 Tree is in an advanced state of /�
decline(Athol estd en estado de ❑ Roots are causing damage By: 4f)1? Date: '2/i q
deterioro avanado) (Las rakes estdn causondo dale)
Translated:
❑ Thinning necessary to protect other trees
❑ Conflicts with TSP Project (Es necesario ralearpara proteger otros drboles) By: Date:
(Congtto con un pnyecto de
transportation TSP) ❑ Location does not meet air l standards
P � I:\Community Development\Land Use Apptintioro\fY2_Foema
CI Species is on nuisance tree list
(Ubieation no cumple con norms de plantation) and Temphtes\Land Use App6®twins Rev.09/2018
(La epecie estd en la lista de drboles ❑ Recommended by fire marshal
problemdticor) (Fue recomendado por el mariscal de incendios)
❑ It is infested with pests or disease ❑ Tree has sustained physical damage
(Estes infestado con plaga.o (Arbol esti fuuamente dalado)
enfermedades)
For complex rerielr proem c see nexepap,e I Pam elpmesodeeenifttazoncvnmeo lea kpdavuapigina
City ofTigard • 13125 SW Hall Blvd. • Tigard,Oregon 97223 • www.tigard-or.gov • 503-718-2421 • Page 3 of 4
TREE REMOVAL PERMIT APPLICATION
II. COMPLEX REVIEW PROCESS (check applicable reason and provide brief proposal summary)
PROCESO DE REVISION COMP!.FJO(Marque el mailso aplicabley di ana exp&cadin breve)
❑ Blocking views or solar access D Undesirable species ❑ Other (explain below)
(Blaqueo de vista o acceso solar) (Erpede no deseada) Otro (explique debajo)
Please leave blank for staff I Dejar en blanco para el personal
THE APPLICANT SHALL CERTIFY THAT: EL SOLICITANTE CERTIFICA QUE:
• The above request does not violate any deed restrictions • La solicitud anterior no viola ninguna restriccidn de las
that may be attached to or imposed upon the subject escrituras de la propiedad que pueda ser conectada a o impuesta
property. sobre la propiedad en cuestion.
• If the application is granted,the applicant will exercise the • Si la solicitud es concedida,el solicitante jercera his derechos
rights granted in accordance with the terms and subject to concedidos de acuerdo con los terminosy sujeto a las condicionesy
all the conditions and limitations of the approval limitadones de la aprobaddn.
• All of the above statements and the statements in the plot • Todas las declaracianes anterioresy has declaraciones en el
plan,attachments,and exhibits transmitted herewith,are eraquis,los documentos ad untos,y muestras trasmitidas,son
true;and the applicants so acknowledge that any permit trrdaderas;y los solicitantes ast reconocen que cualquierpermiso
issued,based on this application,and may be revoked if it is concedido, basado en esta solicitud,puede ser revocado si se
found that any such statements are false. encuentra que alguna de estas afnrmadones es falsa.
• The applicant has read the entire contents of the • El solicitante ha leido todo el contenido de la aplicacion,
application,including the policies and criteria,and incluyendo las poltticasy criteriosy comprende los requisites para
understands the requirements for approving or denying the aprobar o negar la solicited
application.
SIGNATURES of each owner of the subject property required.
FIIRMAS de cada dueiio�de la propiedad en cuestion requeridas.
1 JJ n "' David Lukowski 2/18/2020
Applicant's signature1 (Firma del solicitante) Print name (Nombre) Date (Fecha)
NI 9 . David Lukowski 2/18/2020
Owner's signature (Firma del demo) Print name (Nombre) Date (Fecha)
Owner's signature (Firma del duerio) Print name (Nombre) Date (Fecha)
Authorized agent's signature Print name (Nombre) Date (Fecha)
(Firma de agente autor*ado)
City ofTigatd • 13125 SW Hall Blvd. • Tigard,Oregon 9727i • wwwtigard-or.gov • 503-718-2421 • Page 4 of 4
2/18/2020 Gmail-6690 SW Ventrua Dr-Dead Tree Removal Assessment
MGmail David Lukowski <david.lukowski@gmail.com>
6690 SW Ventrua Dr - Dead Tree Removal Assessment
1 message
David Lukowski <david.lukowski@gmail.com> Tue, Feb 4, 2020 at 9:35 AM
To: splreview@cleanwaterservices.org
I submitted a prescreen last week for a tree removal assessment. After speaking with Lindsay Overmiller, I am submitting
the following information to help you investigation. The current plan for these trees is to have them topped to the point
they are no longer a danger of striking something if they fall. (See attached arborist assessment)
If you need any further information please contact me,
David Lukowski
541-914-9386
Satellite view of the trees to be removed in reference to the creek and house.
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View of the trees from the Ventrua Dr looking East.
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2/18/2020 Small-6690 SW Ventrua Dr-Dead Tree Removal Assessment
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Clean Water Services File Number
CleanWater Services 20-000525
Sensitive Area Pre-Screening Site Assessment
1. Jurisdiction: Tigard
2. Property Information (example 1 S234AB01400) 3. Owner Information
Tax lot ID(s): Name: David Lukowski
1S125DD03500, IS125DD10400 Company:
Address: 6690 SW Ventura Dr
QB Site Address: 6690 SW Ventura Dr City, State, Zip: Tigard, OR, 97223
City, State, Zip: Tigard, OR, 97223 Phone/Fax: 541-914-9386
Nearest Cross Street: Ventura PI E-Mail: david.lukowski@gmail.com
4. Development Activity (check all that apply) 5. Applicant Information
0 Addition to Single Family Residence(rooms,deck,garage) Name: David Lukowski
O Lot Line Adjustment 0 Minor Land Partition Company:
O Residential Condominium 0 Commercial Condominium
O Residential Subdivision 0 Commercial Subdivision Address: 6690 SW Ventura Dr
0 Single Lot Commercial ❑ Multi Lot Commercial City, State,Zip: Tigard, OR, 97223
Other 3 TREES Phone/Fax: 541-914-9386
Tree Removal Next to stream E-Mail: david.lukowski@gmail.com
6. Will the project involve any off-site work? 0 Yes la No 0 Unknown
Location and description of off-site work
7. Additional comments or information that may be needed to understand your project
Lot 1S125DD03500 contains 2 dead cedar trees, Lot 1S125DD10400 Contains 1 dead cedar tree. Tigard requested removal.
This application does NOT replace Grading and Erosion Control Permits,Connection Permits, Building Permits,Site Development Permits,
DEO 1200-C Permit or other permits as issued by the Department of Environmental Quality, Department of State Lands and/or Department of
the Army COE. All required permits and approvals must be obtained and completed under applicable local,state,and federal law.
By signing this form,the Owner or Owner's authorized agent or representative,acknowledges and agrees that employees of Clean Water Services have authority to enter
the project site at all reasonable times for the purpose of inspecting project site conditions and gathering information related to the project site. I certify that I am
familiar with the information contained in this document,and to the best of my knowledge and belief,this information is true,complete,and accurate.
Print/Type Name David Lukowski Print/Type Title
Signature ONLINE SUBMITTAL Date 1/31/2020
FOR DISTRICT USE ONLY
❑ Sensitive areas potentially exist on site or within 200'of the site. THE APPLICANT MUST PERFORM A SITE ASSESSMENT PRIOR TO ISSUANCE OF A
SERVICE PROVIDER LETTER. If Sensitive Areas exist on the site or within 200 feet on adjacent properties,a Natural Resources Assessment Report may also
be required.
❑ Based on review of the submitted materials and best available information Sensitive areas do not appear to exist on site or within 200'of the site.This Sensitive
Area Pre-Screening Site Assessment does NOT eliminate the need to evaluate and protect water quality sensitive areas if they are subsequently discovered.This
document will serve as your Service Provider letter as required by Resolution and Order 19-05, Section 3.02.1. All required permits and approvals must be
obtained and completed under applicable local,State,and federal law.
Based on review of the submitted materials and best available information the above referenced project will not significantly impact the existing or potentially
sensitive area(s)found near the site.This Sensitive Area Pre-Screening Site Assessment does NOT eliminate the need to evaluate and protect additional water quality
sensitive areas if they are subsequently discovered.This document will serve as your Service Provider letter as required by Resolution and Order 19-05,Section
3.02.1. All required permits and approvals must be obtained and completed under applicable local,state and federal law.
❑ This Service Provider Letter is not valid unless CWS approved site plan(s)are attached.
❑ The proposed activity does not meet the definition of development or the lot was platted after 9/9/95 ORS 92.040(2). NO SITE ASSESSMENT OR SERVICE
PROVIDER LETTER IS REQUIRED.
Reviewed by Date 2/14/2020
Once complete, email to: SPLReview@cleanwaterservices.org • Fax: (503)681-4439
OR mail to: SPL Review, Clean Water Services, 2550 SW Hillsboro Highway, Hillsboro, Oregon 97123
Revised 6/2017
2/18/2020 Gmail-6690 SW Ventrua Dr-Dead Tree Removal Assessment
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Work order from Arborist who assessed the Dead trees.
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