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TRE2017-00052 • City of Tigard, Oregon • 13125 SW Hall Blvd. • Tigard, OR 97223 TIGARD 07/31/2017 August Peverly 15532 SW Pacific Hwy PMB 304 Tigard, OR 97224 Re: Tree Removal Permit Record Number: TRE2017-00052 Dear August Peverly: On 07/31/2017 you submitted an application for tree removal at 11948 SW 129TH PL. Your application specified that: 1 Sycamore Maple 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 - TRE2017-00052. Best regards, Community Planning Division City of Tigard RECEIVED JUL 2 7 2017 IN City of Tigard COMMUNITY DEVELOPMENT DEPARTMENTCITY OF TIGARD ANNING/'ENGINEERING T I c AR D Tree Removal Permit Application PROPERTY INFORMATION 11948 SW 129th PI,Ti REMOVAL CRITERIA Address/location: gard,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: (Henry Pan) 2 l iflE/V 4 pAiv1 until UA z 1 1 of the type of tree you propose to remove. // The removal criteria can be found in the Address: 11948 SW 129th PI Urban Forestry:Manual as follows: City/state: Tigard,OR Zip: 97223 •Street Tree:Section 3 Phone: 650-918-2148 •Median Tree:Section 5 F_.mail: •henrypzh[dlhotmail.com •Sensitive Lands Tree:Section 6 Owner: 121 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: offce@evergreentsl.com Contact person: August Peverly ] ,H , I l I - I).I ,, REQUIRED SUBMITTAL ELEMENTS TREE REMOVAL INFORMATION—to be completed by applicant tA Owner's Signature/Written Authorization Tree species: Sycamore Num.of trees: 1 tASite/PlotPlan(show location ac species Tree location: left side of property of cub tree,2 copies) Documentation(sec removal criteria) Reason(s)for Removal 10 Ming Fee(complex only) SIMPLE REVIEW PROCESS REVIEW PROCESS 14 Simple 0 Complex 0 Tree is a hazard 0 Removal required for approved I` ❑ Tree is in an advanced state land use or building permit Fee(complex only): P)Pr of decline ❑ Tree is dead Case No.:—TEF,..ae))- -- ©4COS-- ❑ Location conflicts with Gd' Roots are causing damage Related Case Na )- TSP project ❑ Thi g necessary to protect Tax Lot ID: I5/ hh/ tion! O Species is on nuisance tree list other trees ❑ Tree is infested withpests Application a ptcd. V Location does not meet l or disease planting standards By Date: 429/��' ❑ Tree has sustained physical ❑ Recommended by fire marshal Applicayioa ermined compl�r/_ / )I� damage By: L.. Date: I tAQ1*A)t'1 a,u.. .U. Appboaeons Rev 11/II/20l4 Continued oa reverse-for complex review see page 2 City of Tigard • 13125 SW Hall Blvd. • Tigard,Oregon 97223 • wwwtigard-or.gov 1• 503-718-2421 • Page 1 of2 COMPLEX REVIEW PROCESS(check applicable with brief proposal summary) ❑ Blocking views or solar access ❑ Undesirable species ❑ 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: • r1' •_ ' • . 1 . t• 9• . 1 a--r cos 1■11 I 1 1 at.1 . .t • 1 • t1•.• I •.•a a - I. • •.-W. • 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 arc 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 EGh owner of the subject property required. / 'k / d z-g/�°/2 pplicant's gnnture Print nape Date ZitillP,ilrf � / 0/z1/..,20(7 er's st attire Print naihe l �� Date 64014-4444124 Glum. qua AIL 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 M nn � ?low' su91 J ti�(1))1( 11' z rJ ' i, RA. .t K C ti T> - v, d Iii.. • �,; is f. r 'ik s a :�; f' q si M t.•4 •G r.t: N. .1.7 "� � Y t y �Iy K,• •. ...� .3t`, .moi ? •:-- •• _•• _ y_�.�y .1.i'...... , 1(^i 1• •> 'ice T �t J!►' i !'err i.r_. ,. , - . . .,,-...z.(.. ,;f .,•-....t..... .,,.. • -.,,• - ,. ' I fs ��, ,p n-- _ , •• • k‘. •fr 1....44. a,`: l r g to'