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TRE2017-00039 City of Tigard • COMMUNITY DEVELOPMENT DEPARTMENT 11,1111 Request for Permit Action T I i A R I-) 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503-718-2439 • www.tigard-or.gov TO: CITY OF TIGARD kt. rt 1 ,,,, Building Division 4 ' 13125 SW Hall Blvd.,Tigard,OR 97223dA$'I--- / � �� Phone: 503-718-2439 Fax: 503-598-1960 TigardBuildingPermits@tigard-or.gov FROM: [l Owner ❑ Applicant ❑ Contractor ® City Staff Check(1)one REFUND OR Name: INVOICE TO: (Business or Individual) Mailing Address: City/State/Zip: Phone No.: PLEASE TAKE ACTION FOR THE ITEM(S) CHECKED (✓): CANCEL/VOID PERMIT APPLICATION. REFUND PERMIT FEES (attach copy of original receipt and provide explanation below). INVOICE FOR FEES DUE (attach case fee schedule and provide explanation below). REMOVE/REPLACE CONTRACTOR ON PERMIT (do not cancel permit). Permit #: TRE2017-00039 Site Address or Parcel#: 7340 SW Hermoso Way Project Name: Lyman Subdivision Name: N/A Lot #: N/A EXPLANATION: This case was created in error; no permit is required to remove this tree. Date: 1/30/18 -1___S:-fije_:7:1_, Signature: —�— Print Name: I,ina Smith Refund Policy I. 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 • Not more than 80%of the application or plan review fee when an application is withdrawn or canceled before review effort has been expended.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 By Route to Records: Date /2 4r- By ../ Refund Processed: Date •J/,- Bydat Invoice Processed: Date By Permit Canceled: DateL.2//J B Parcel Tag Added: Date By I:\Building\Forms\RegPermitAction_ 923144(doc City of Tigard, Oregon • 13125 SW Hall Blvd. • Tigard, OR 97223 111 I WARD 05/17/2017 August Peverly 15532 SW Pacific Hwy PMB 304 Tigard, OR 97224 Re: Tree Removal Permit Record Number: TRE2017-00039 Dear August Peverly: On 05/17/2017 you submitted an application for tree removal at 7340 SW HERMOSO WAY. Your application specified that: 1 Apple 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: Street Tree Replacement Required Approved with conditions: The applicant shall plant a replacement tree for each tree removed in accordance with the Street Tree Planting Standards in Section 2, part 1 of the Urban Forestry Manual. Existing trees may be considered as replacement trees if they meet all applicable species, size, condition and location requirements in Section 2, part 1 and were not already required to be planted or preserved by the Tigard Municipal Code. 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 - TRE2017-00039. Best regards, Community Planning Division City of Tigard RECEIVED INCity of Tigard MAY 17 2017 = COA1mL'NITY DEV1 L(:)PIt1L?NT 1) PART11fENT 1, CITY OF TIGARD TIGARDTree Removal Permit Applcatio1 ING/ENGINEERING PROPERTY INFORMATION REMOVAL CRITERIA Address/location: 7340 SW Hermoso Way, Tigard. OR, United States If you are applying for a simple review, your application must address one or APPLICANT INFORMATION more of the relevant removal criteria for Name: Kyle Lyman the type of tree you propose to remove. 7340 SW Hermoso Way The removal criteria can be found in the Address: Urban Forestry Manual as follows: City/state: Tigard, OR 7ip: 97223 •Street Tree:Section 3 Phone: 503-753-8531 Email: klyman@rosendin.com • Median Tree:Section 5 •Sensitive Lands Tree:Section 6 Owner: li'Same as applicant •Development-required Tree:Section 7 •Urban Forestry Fund Tree:Section 8 CONTRACTOR/ARBORIST INFORMATION •Heritage 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 City/state: Tigard, OR lip: 97224 otherwise stated in the approval. Phone: 503-625-4595 Email: office@evergreentsl.com Contact person: August Peverly Hitt.tt. r\i i t !Ni. o N.1.n REQUIRED SUBMITTAL ELEMENTS TREE REMOVAL INFORMATION—to be completed by applicant X Owner's Signatufe/Wm Authorization Tree species: App1e Num.of trees: 1 K5ite/P1otPlari(show location&species Tree location: backyard left side of cad2 copies) )'l Documentation(see removal criteria) Reason(s) for Removal vOVIling Fee(complex anly) jibji 't'f*tt��N,�q �. :::'!-,7v.4-:i- -i�v. ��ty ni�,,7^� : WPcm yf plex LI Tree is a hazard ❑ Removal required for approved i2r Tree is in an advanced state land useor building permit Fee(complex _1 ��)L:C SSC/3? of decline ❑ Tree is dead Case No.: CvVtel ❑ Location conflicts with ❑ Roots are causing damage Rimed Case No.(s): TSP project ❑ Thinning necessary to rotect �q/ €� P Tax Lot Ill: .lo1 30I�Cl f ❑ Species is on nuisance tree list other trees tX Tree is infested with pests 111Location does not meet Application accepted: or disease planting standards By: /...- Date: ❑ 'Free has sustained physical ❑ Recommended by fire marshal Application determined complete damage By: .1._.\ Date: . ..\0.4,,..,,u,...„„...,,.....Appiaiin, Rev.12/11/23M1 Continued on reverse-for complex review see page 2 City of Tigard • 13125 SW Hall Blvd. • Tigard,Oregon 97223 • www.tigard-or.gov • 503-718-2421 • Page 1 of 2 COMPLEX REVIEW PROCESS(check applicable with brief proposal summary) ❑ Blocking views or solar access ❑ Undesirable species ❑ Other(expLam below) APPLICANTS To consider an application complete,you will need to submit ALL of the REQUIRED SU_BMITtAT 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 understancs the requirements for approving or denying the application. SIGNATURES of each owner of the subject property required. pplicant's signature Print name _ / Date O s signature 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 • wwwtigard-ot.gov • 503-718-2421 • Page 2 of 2 5 w h err(1) ,9 y N ..____ ____._.,_. ._. \iv* J Ref 5110.50 wcAY S , _`___ 40 v feelace4 w;+k ecic-krn rthA • '\. 4 t P ffit`,*4 I t ....SPrr . .,. , .,.-... , ..... 1.2. , 4 ' S' . . •ir , k•• Ilk . . i k ..., • - ' .:,....,, . . ;... 1 : ... ,......„,...., . - , ., .01, •f '." Ilk •-... ,i, „„ ,......„..,:„. • . Ar•—•` • • • -lor 4 ,'...,fli A , W v f.4% • ,., • ,, , • r . , ......:' 4. . ., . ... .4: . F 7 . . . . • ' .,„..-- ,7,.. Iit...i es.:,-,-;;:rliti t ,' • . .,... --:.• ,'-': . .,,,:41, • oi', - 7 • -- , i.:61.• ,.'.v',..., - .... , . ' ii. . " 'H.,-•,.,: '.• .... - ' • - . ..v... ...: ...I':,„.- .