TRE2018-00020 City of Tigard, Oregon • 13125 SW Hall Blvd. • Tigard, OR 97223
TIGAR )
03/29/2018
Geovanni Hagens
2740 NW 22nd PI
Portland, OR 97210
Re: Tree Removal Permit Record Number: TRE2018-00020
Dear Geovanni Hagens:
On 03/29/2018 you submitted an application for tree removal at 13665 SW FERN ST.
Your application specified that:
1 Douglas Fir
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 - TRE2018-00020.
Best regards,
—;;44;L__
Community Planning Division
City of Tigard
DocuSign Envelope ID:5E5B5568-889D-4401-9182-ED095F19C81C
City of Tigard
REC8VED
/: COMMUNITY DEVELOPMENT DEPARTMENT
. imi MAR 292018
Tree Removal Permit ApplicationCOFTGARD
TI GAR.D
PROPERTYINFORMATION
REMOVAL CRITERIA
Address/location: 13665 SW Fern St. Ti ga rd, OR 97223
If you are applying for a simple review,
your application must address one or
APPLICANT INFORMATION more of the relevant removal criteria for
Name:
CERTIFIED ARBORISTS PORTLAND LLC the type of tree you propose to remove.
The removal criteria can be found in the
Address: 2950 NW 29TH AVE- SUITE 400 Urban Forestry Manual as follows:
PORTLAND, OR 97210
City/state: Zip: •Street Tree:Section 3
Phone:
503-226-7143 EXT-5Email: GEOVANNI@URBANFORESTPRO.COM •Median Tree:Section 5
Alexis Gibson •Sensitive Lands Tree:Section 6
Owner: ❑ Same as applicant •Development-required Tree:Section 7
•Urban Forestry Fund Tree:Section 8
CONTRACTOR/ARBORIST INFORMATION •Heritage Tree:Section 9
Name: CERTIFIED ARBORISTS PORTLAND LLC •Documentation (e.g.arborist report,
#PN5950A 195616 03/18/18 photographs,site plan,tree risk
ISA/CCB#: / Expiration date: assessment form,etc.)of the
Address:
2740 NW 22ND PL conditions described must be included.
Tree replacement is required,unless
City/Ci /state: PORTLAND, OR Zip: 97210
state: otherwise stated in the approval.
Phone503-226-7143 EXT-5 Email: GEOVANNI@URBANFORESTPRO.COM
Geovanni Hagens
Contact person: FOR STAFF U S L ONLY
QUIRED SUBMITTAL ELEMENTS
TREE REMOVAL INFORMATION—to be completed by applicant Owner's Signature/Written Authorization
Douglas Fi
Tree species: Num.of trees:r 1
Site/PlotPlan(show location&species
Tree location:
Front yard. Right hand side of each tree,2 copies)
Documentation(see removal criteria)
Reason(s) for Removal
ng Fee(complex only)
REVIEW PROCESS
SIMPLE REVIEW PROCESS
Simple ❑ Complex
❑ Tree is a hazard ❑ Removal required for approved OW\
land use or buildingpermit Fee(complex only}:
❑ Tree is in an advanced
state of decline ❑ Tree is dead Case No.:IRCOL& '"Oft9a40
❑ Location conflicts with
� Roots are causing damage Related Case No.(s):
❑ TSP project
❑ Thinning necessary to protect Application accepted:
❑ Species is on nuisance tree other trees
list By: S Date:
® Location does not meet Application determined comple .:
111Tree is infested with planting standards By: b—S Date: _ ,,? Ie
pests or disease
❑ Recommended by fire marshal
® Tree has sustained !:\Community Development\Land Use Applications\02_Forms and
Templates\Land Use Applications Rev.12/14/2017
physical damage
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
DocuSign Envelope ID:5E5B5568-889D-4401-9182-ED095F19081 C
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 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 understands the
requirements for approving or denying the application.
SIGNATUR,E4sgsrolaowner of the subject property required.
AaI, 'S Geovanni Hagens 3/29/2018
.--3BDBAB4EA7D6491...
Applicant's S*44,ttlaKinedby: Print name Date
_.4-1•14:4, a Alexis Gibson 3/22/2018
-3A8F1169AF034D5...
Owner'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-or.gov • 503-718-2421 • Page 2 of 2
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