TRE2017-00051 City of Tigard, Oregon • 13125 SW Hall Blvd. • Tigard, OR 97223
TIGARD
07/24/2017
JERAND, DOUGLAS R & SHARI J
11240 SW ELLSON LN
TIGARD, OR 97223
Re: Tree Removal Permit Record Number: TRE2017-00051
Dear JERAND, DOUGLAS R & SHARI J:
On 07/24/2017 you submitted an application for tree removal at 11240 SW ELLSON
LN. Your application specified that:
1 Unknown
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 - TRE2017-00051.
Best regards,
1111111.10.- /.fv7L-)
Community Planning Division
City of Tigard
REC8VED
City of Tigard JUL 2 4 2017
_ COMMUNITY DEVELOPMENT DEPARTMENT:1111 CITY OF TIGARD
Tree Removal Permit App1icatoNN1NG/
ENGNEER1I�G+
TIGARD
V.W..92MICE114..11..2;
PROPERTY INFORMATION
REMOVAL CRITERIA
Address/location: I I ''O s w CA kS t✓e-... Lr, tA Ar If you arc applying for a simple review,
lJ
your application must address one or
APPLICANT INFORMATIONmore of the relevant removal criteria for
Name: �
4 )a t k 4S ra IN a the type of tree you propose to remove.
The removal criteria can be found in the
Address: 1 1 D-40 5 w G i S(5?-- LAN., Urban Forestry Manual as follows:
City/state: 11Tio4 / O 2- Zip: 2-Z3 •Street Tree:Section 3
• Median Tree:Section 5
Phone:(5.43.)539 Lt5 Email: DES At D@ 14-tr ►AiL, •Sensitive ndectionTree:Section 6
Owner: U k ,5 (i Teal/1,P geme as applicant •Development-required Tree:Section 7
•Urban Forestry Fund Tree:Section 8
CONTRACTOR/ARBORIST INFORMATION •Heritage Tree:Section 9
•Documentation (e.g.arborist report,
Name:
photographs,site plan,tree risk
ISA./CCB#: / Expiration date: assessment form,etc.)of the
Address: conditions described must be included.
Tree replacement is required,unless
City/state: Zip: otherwise stated in the approval.
Phone: Email:
Contact person: FOR STAFF 1 51 ONLY
REQUIRED
N1.1-
REQUIRED SUBMITTAL ELEMENTS
TREE REMOVAL INFORMATION—to be completed by applicant Owner's Signature/Written Authorization
Tree species: Num.of trees: , Site/PlotPlan(show location&species
j� of cacti tree,2 copies)
Tree location: S f ir,e
Documentation(see removal criteria)
Reason(s) for Removaltoi ling Fee(complex only)
SIMPLE REVIEW PROCESS REVIEW PROCESS
Simple 0 Complex
❑ Tree is a hazard 0 Removal required for approved l
❑ Tree is in an advanced state land use or building permit Fee(complex only): e� Croce
of decline "free is dead Case No.: A)/4.
❑ Location conflicts with ❑ Roots are causing damage Related Case No.(s):
TSP project ❑ Thinning necessary toprotect
Tax Lot ID:
❑ Species is on nuisance tree list other trees
Application accepted:
❑ Tree is infested with pests ❑ Location does not meet
or disease planting standards By: J S Date: .";b1"149.--
❑ Tree has sustained physical ❑ Recommended by fire marshal Application determined complete:
damage
By: i1S Date: "21 l3-
I'.CLRI'1\\MI:,st.,\Lwd Um:.1pphcahons Rc- 121I11211I-I
Continued on reverse-for complex review see page 2
w.��;:.v.,,.,.r;J,t,.•F:,.'_4 i;c.. .'�+�?y5,='h'•2i:'fe.>:�ti:t'F.u:6TiYL'!'.ID...£'^Yt.i�td:Y7L�D�='.iFt:�i:_.;pd1'-CCF.fi.7,Yiilra@'f6.'zRR`Edi'43TtRfziFS. ziklWiah•86S'>i7L..'.:-....+rm'9A're:".iri$StSt9FF.k15?1UR' YJt2:itin:�fSS'wXJixhl&i91HfFn1iT6.�kb: S19P�'OiAs:Y:.4'[ARtliFfl.]tr$h►XS`N
City of Tigard • 13125 SW Ball 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 ErOther(explain below)
'u1142 ss 2' I.
fin)0/4 rc w A-1-'
' -VlP •
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 arc 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,arc 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.
„earl_ 411(4_AYIA 71)0V\01 ks P. 1-erAy\O -7\a411-1
ant' ature Pf`t namel Date
,� A . h 1 44 111
's s e attire Print namW Date
Qin ‹./- b
Owner's signature Print name Date
Authorized agent's signature Print name Date -
TREE REMOVAL PERMIT APPLICATION
City of Tigard • 13125 SW I Tall Blvd. • Tigard,Oregon 97223 • www.tigard-or.gov • 503-718-2421 • Page 2 of 2
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