TRE2017-00066 City of Tigard, Oregon • 13125 SW Hall Blvd. • Tigard, OR 97223
III
TIGARD
09/06/2017
Darrell Looney
2929 NW 29th Ave
Portland, OR 97210
Re: Tree Removal Permit Record Number: TRE2017-00066
Dear Darrell Looney:
On 09/06/2017 you submitted an application for tree removal at 12885 SW PACIFIC
HWY. Your application specified that:
1 Pine
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 - TRE2017-00066.
Best regards,
Community Planning Division
City of Tigard
RECEIVED
City of Tigard SEP 0 6 2017
II1,1r
COMMUNITY DEVELOPMENT DEPARTMENT
' - CITY OF TIGARD
TIGA _ Tree Removal Permit Application PLANNING/ENGINEERING
PROPERTY INFORMATION
/2���. S, � [ REMOVAL CRITERIA
Address/location: W /4N 4-G fi A....dt/ If you are applying fora simple review, •
/ your application must address one or
APPLICANT INFORMATION more of the relevant removal criteria for
the type of tree you propose to remove.
Name: /..„...eiif/'fe H 4.m r.,A e
1-4 The removal criteria can be found in the
Address: „2 A.-) Lc/_ V'e . Urban Forestry Manual as follows:
City/state: (2,-f-/, ....t p Zip: 912 ' 0 •Street Tree:Section 3
Phone:5-3 7-7o f- f� Email: -dAr/c t i e-0,5 t-..;,'�i ejo,L c-)44 •Median Tree:Section 5
,.� •Sensitive Lands Tree:Section 6
Owner: rJ��/:e4,./ 2..¢-kik ❑ Same as applicant •Development-required Tree:Section 7
•Urban Forestry Fund Tree:Section 8
CONTRACTOR/ARBORIST INFORMATION •Heritage Tree:Section 9
Name: J—+tie.Jtriewt.st\rt In c -4— •Documentation(e.g.arborist report,
photographs,site plan,tree risk
ISA/CCB#: 414519 / i51'ia3 Expiration date: ca .10469 assessment form,etc.)of the
Address: et) BoX 3b1 conditions described must be included.
Tree replacement is required,unless
City/state: .SGesleloaSe_ / Die. __ 1 zip: 1705(.p otherwise stated in the approval.
Phone:5€73-5bH-37af Email: 41W-19ie5r' e �j 1c,�•(vC�-►
Contact person: SCA J '"t-"^� �/ FOR STAFF I:SE °NIA
REQUIRED SUBMITTAL ELEMENTS
TREE REMOVAL INFORMATION—to be completed by applicant Ownet's'Sigtture/Written .\uthoriiation
Tree species; ?irte..— Num.of trees: 1 tc/Plotl'lan(sL+ra loeati011:&.species
Tree location: 12 88S Sv✓ e -e /khan,* * (Si_feed-)
of tree,2 copies)
, X Do ent non(are itmoval c;eai)
Reason(s) for Removal 1I ping Fee(complex only)
SIMPLE REVIEW PROCESS
Nti R W PROCESS
Simple 0 Campiex
❑ Tree is a hazard 0 Removal required for approved
O Tree is in an advanced state x7/2
land use or building permit Fee(complex..onl�y): 1011'
of decline ❑ Tree is dead Caw No ---772E.- nue
.- nue
❑ Location conflicts with LI Roots are causing damage Related Case No(s)•
TSP project
0 Thinning necessary to protect Tax Lot ID: . ‹S
• Species is on nuisance tree list other trees
❑ Tree is infested with pests [ie Location does not meet Application acccpird:
or disease planting standards l3)': 4---g. Dare: --,` �' 4
$j Tree has sustained physical ❑ Recommended by fire marshal Application determined complct
damage By: LS Darer.
b\r1,101`RPI\,Ni,ans,'J.-qui is(r[:idis:.nq„ IL.1.::11 ?,,;
Continued on reverse-for complex review see page 2
City of Tigard • 13125 SW Hall Blvd. • Tigard,Oregon 97223 • wwwtigard-or.gov • 503-718-2421 • Page 1 of 2
COMPLEX REVJEW PROCESS(checkappl cable ltbbsaef proposalsuommary).
0 Blocking views or solar access 0 Undesirable species O 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 thatmay 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.
SIGNATU :- of each owner of the subject property required.
130A41-Le 4 SNT,A-4-..f) qfr/l7
Applicat r s signature 40PF Print name / // Dare
Owner's signature Print name Date
Owner's/ P 'nt name Date
Aaditriti Amide 4c/ell /000ey /ZY/l 7
Aut:lorized agen s s *nature Print name Date
TREE REMOVAL PERMIT APPLICATION
City of Tigard • 13125 SW Hall Blvd. • Tigard,Oregon 97223 • www:tigard-or.gov • 503-715-2421 • Page 2 of 2
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