TRE2017-00068 City of Tigard, Oregon • 13125 SW Hall Blvd. • Tigard, OR 97223
111! •i
TIGARD
09/11/2017
WYNKOOP, DANIEL L & DEBRA K
11245 SW 112TH AVE
TIGARD, OR 97223
Re: Tree Removal Permit Record Number: TRE2017-00068
Dear WYNKOOP, DANIEL L & DEBRA K:
On 09/08/2017 you submitted an application for tree removal at 11245 SW 112TH
AVE. Your application specified that:
1 Japanese 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 - TRE2017-00068.
Best regards,
Community Planning Division
City of Tigard
RECEIVED
City of Tigard SEP 0 7' 2017
iINCOMMUNITY DEVELOPMENT DEPARTMENT
■ CITY OF TIGARD
TIGARD
Tree Removal Permit Application PLANNING/ENGINEERING
PROPERTY INFORMATION
REMOVAL CRITERIA
Address/location: 11245 SW 112th Ave,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: Dan Wynkoop the type of tree you propose to remove.
The removal criteria can be found in the
Address: 11245 SW 112th Ave Urban Forestry Manual as follows:
City/state: Tigard, OR Zip: •Street Tree:Section 3
503-720-9556 dlw nkoo mail.com •Median Tree:Section 5
Phone: Email: Y P@9 •Sensitive Lands Tree:Section 6
Owner: CVf 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 Zip: 97224 otherwise stated in the approval.
Phone: 503-625-4595 Email: office@evergreentsl.com
Contact person: August Peverly 1 OR ,1,1.1 1 t l: u\1.\
QUIRED SUBMITTAL ELEMENTS
TREE REMOVAL INFORMATION—to be completed by applicant Owner's Signature/Written Authorization
Tree species: Cryptomeria Num.of trees: 1 Site/PlotPlan(show location&species
Tree location:
Frontyard right corner of property of 'tree,2 copies)
W, Documentation(sec removal criteria)
Reason(s) for Removal
•• g Fee(complex only)
SIMPLE REVIEW PROCESS REVIEW PROCESS
li. Simple ❑ Co plex
❑ Tree is a hazard I=1Removal required for approved � j e
❑ Tree is in an advanced state land use or building permit Fee(complex onnlly) 1 v�'(( 1
of decline ❑ Tree is dead Case No.: �-d
20
❑ Location conflicts with ❑ Roots are causing damage Related Case No.(s):
TSP project ❑ Thinning ng necessary to protect Tax Lot ID: l S�w`f1'�,r�`2��1 v
❑ Species is on nuisance tree list other trees
Application accepted:
❑ Tree is infested with pests 12r Location does not meet
or disease planting standards By: Date:
❑ Tree has sustained physical ❑ Recommended by fire marshal Applicatio determined complet •
damage By: .1--), Date: /I
1:\CURPI.N\MSer s\I nd U.Apphuti<n. Rev 12/11/200
Continued on reverse-for complex review see page 2
1111Mie •00•1111,
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)
0 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 APPLICANTS) 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.
SIGN URES of each owner of the subject pro erty required.
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Applic is si re
APrint name Date
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Owner's stgna e Print name
I Date
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Owner's signator Print name Date
Authorized agent's signature Print name Date
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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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