TRE2017-00037 City of Tigard, Oregon • 13125 SW Hall Blvd. • Tigard, OR 97223
I IGARD
05/09/2017
August Peverly
15532 SW Pacific Hwy
PMB 304
Tigard, OR 97224
Re: Tree Removal Permit Record Number: TRE2017-00037
Dear August Peverly:
On 05/09/2017 you submitted an application for tree removal at 10835 SW
PATHFINDER WAY. Your application specified that:
1 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:
Sensitive Lands Tree Replacement Required
Approved with conditions:
The applicant shall plant a replacement tree for each tree removed, or pay a fee in
lieu of planting, in accordance with the Sensitive Lands Tree Replacement
Standards in Section 6, part 2 of the Urban Forestry Manual.
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- TRE2017-00037.
Best regards,
Community Planning Division
City of Tigard
RECEIVED
City of Tigard MAY 0 9 2017
COMMUNITY DEVELOPMENT DEPARTMENT
. ■ CITY OF TIGARD
TICiARD
Tree Removal Permit Applicationi�Nr�ttnlPn1rINEERING
PROPERTY INFORMATION
REMOVAL CRITERIA
Address/location: 10835 SW Pathfinder Way, Tigard, OR, United States If you are applying fora simple review,
your application must address one or
APPLICANT INFORMATION more of the relevant removal criteria for
Name: Kurt Schumacher the type of tree you propose to remove.
The removal criteria can be found in the
Address: 10835 SW Pathfinder Way
Urban Forestry Manual as follows:
City/state: Tigard OR Zip: 97223 •Street Tree:Section 3
Phone: 503-880-25781?mai1: phantarch@comcast.net •Median'Free:Section 5
@
•Sensitive Lands Tree:Section 6
Owner: _ le Same as applicant •Development-required Tree:Section 7
•Urban Forestry Fund Tree:Section 8
CONTRACTOR/ARBORIST INFORMATION •I leritage Tree:Section 9
Name:
Evergreen Tree Services •Documentation(e.g.arborist report,
photographs,site plan,tree risk
ISA/CCB#: / 199579 Expiration date: 10/10/2019 assessment form,etc.)of the
Address: 15532 SW Pacific Hwy, PMB#304 conditions described must be included.
Tree replacement is required,unless
Cite/state: Tigard OR Zip: 97224 otherwise stated in the approval.
Phone: 503-625-4595 Email: 503-625-4595
Contact person: August Peverly FUR STAN' I SE ONLY
�R/EQUIRED SUBMITTAL ELEMENTS
1�4
TREE REMOVAL INFORMATION—to be completed by applicant Owne?s Signature/Written Authorization
Tree species: Cedar Num.of trees: 1 l Site/PlotPlan(show locttiot&species
of tact,tree,2 copies)
Tree location: Backyard middle " )
Documentation(see removal criteria)
Reason(s) for Removal ling Fcc(complex only)
,yi REVIEW PROCESS z� 51MPLE REVIEW PROCEg'3
IX Simple ❑ Complex
6' Tree is a hazard ❑ Removal required for approved
® Tree is in an advanced state land use or building permit Fee(complex only): 174
of decline ❑ 'Tree is dead Case No.: ,t/ __ + a Ital
❑ Location conflicts with ❑ Roots arc causing damage Related Case Ito.(s):
TSP project
❑ Thinning necessary to protect Tax Lot ID: �iD V.–kin/69 t0
• Species is on nuisance tree list other rices
Application accepted: .
"Tree is infested with pests ❑ Location does not meet JJ �
or disease planting standards By: 1.--��. Date:
SZ Tree has sustained physical ❑ Recommended by fire marshal Applicationndeternvned compile
damage By: j�-`\ Date:
r«:ultri.Nw...\i.,nv wu.kr.P1.. Rev.1+/ii/Z1M
Continued on reverse-for complex review see page 2
City of Tigard • 13125 SW Hall Blvd. • Tigard,Oregon 97223 • wwwtigard-or.goc • 503-718-2421 • Page 1 of 2
COMPLEX REVIEW PROCESS(check applicable with brief proposal suaunary)
❑ Blocking views or solar access 0 Undesirable species 0 Other(explain below)
APPLICANTS
To consider an application complete,you will need to submit ALL of the REQUIRED SUBMITTAL ELEMENTS
as described on the front of this application in the"Removal Criteria"box.When the owner and the applicant are different
people,the applicant must be the purchaser of record or a lessee in possession with written authorization from the owner
or an agent of the owner.The owner(s)must sign this application or submit a written authorization with this application.
THE APPLICANT(S) SHALL CERTIFY THAT:
• The above request does not violate any deed restrictions that may be attached to or imposed upon the subject property.
• If the application is granted,the applicant will exercise the rights granted in accordance with the terms and subject to all the
conditions and limitations of the approval.
• All of the above statements and the statements in the plot plan,attachments,and exhibits transmitted herewith,are true;and
the applicants so acknowledge that any permit issued,based on this application,may be revoked if it is found that any such
statements are false.
• The applicant has read the entire contents of the application,including the policies and criteria,and understands the
requirements for approving or denying the application.
SIGNATURES of each owner of the subject property required.
i-24.,
Kurt Schumacher 5/7/2017
Aplicant' ,tgnature Print name Date
___.1 Print
Schumacher 5/7/2017
Owner"fit .ture Print name Date
Owner's signature Print name Date
Authorized agent's signature Print name Date
TREE REMOVAL PERMIT APPLICATION
City of Tigard • 13125 SW Hall Blvd. • Tigard,Oregon 97223 • www.tigard-or.gov • 503-718-2421 • Page 2 of 2
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