TRE2018-00047 Jgg'
City of Tigard, Oregon • 13125 SW Hall Blvd. • Tigard, OR 97223
' C
TIGARD
06/20/2018
Adam Haas
8160 NE Mauzey Ct.
Hillsboro, OR 97124
Re: Tree Removal Permit Record Number: TRE2018-00047
Dear Adam Haas:
On 06/20/2018 you submitted an application for tree removal at 10650 SW 121ST
AVE. Your application specified that:
1 European White Birch
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:
Development Tree Replacement Required
Approved with conditions:
The applicant shall plant a replacement tree for each tree removed, or pay a fee in
lieu of planting, in accordance with the Development Tree Replacement Standards
in Section 7, part 2 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 7, part 2 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- TRE2018-00047.
Best regards,
Community Planning Division
City of Tigard
RECEIVED
City of Tigard JUN 2 0 2018
:111111 . COMMUNITY DEVELOPMENT DEPARTMENT
CITY OF TIGARD
TIGARDTree Removal Permit Application PLANNING/ENGINEERING
PROPERTY INFORMATION
OO S O s ` 21 S p,,_�.Q_ REMOVAL CRITERIA
Address/location: " If you are applying for a simple review,
your application must address one or
APPLICANT INFORMATION more of the relevant removal criteria for
Name:
Adnryl .'x ac the type of tree you propose to remove.
The removal criteria can be found in the
Address: 8\lop 0 E r 16,� (2_ Urban Forestry Manual as follows:
r-� rrrr
City/state: \V\c'OC)Yb ,, V1 Zip: 9-1 ' k--1 •Street Tree:Section 3
Phone: SUS-S7-- -19(36‘ Email: adG 141 ( )'1 W `e-e 5r-e&I u-(i •Median Tree:Section 5
•Sensitive lands Tree:Section 6
Owner: 0 Same as applicant CG`11r Development-required Tree:Section 7
•Urban Forestry Fund Tree:Section 8
CONTRACTOR/ARBORIST INFORMATION •Heritage Tree:Section 9
Documentation(e.g.arborist report,
Name: S�� �pl, ���� P
i-� 1 photographs,site plan,tree risk
ISA/CCB#: V�J / 0611,13 P Expiration date: tp 1301 e) assessment form,etc.)of the
conditions described must be included.
Address:
Treereplacementis required,unless
City/state: Zip: otherwise stated in the approval.
Phone: Email:
Contact person: F t)ii -,•1 \I i I ,;i. 0\1.1
REQUIRED SUBMITTAL ELEMENTS
TREE REMOVAL INFORMATION--to be completed by applicant 0-fawner s Signature/Written Authorization
Tree species: Q ( JyP\
`Lo Num.of trees: 1 Site/P1otPlan(show location&species
Tree location: �-` 0 of cacktree,2 copies)
PI Documentation(see removal criteria)
Reason(s)for Removal only)
REVIEW PROCESS
SIMPLE REVIEW PROCESS
Simple ❑ Complex
❑ Tree is a hazard ❑ Removal required for approved
land buildingpermit Fee(complex only):
use or
❑ Tree is in an advanced
state of decline ■ Tree is dead Case No.: 1 R.'26-f$-QG '
❑ Location conflicts with ❑ Roots are causing damage Related Case No.(s):
❑ TSP project
0 Thinning necessary to protect Application accepted:
Species is on nuisance tree other treesal Vaget/FlistB}: � Date:
0 Location does not meet Application determined complete:
❑ Tree is infested with planting standards By: ‘f., Date: 0
7/Z
pests or disease
0 Recommended by fire marshal
0 Tree has sustained l:\Community Devclopm nt\1.nd Use Applications\02forms and
Templates\Lind 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 • www.tigard-or.gov • 503-718-2421 • Page I of 2
COMPLEX REVIEW PROCESS(check applicable with brief proposal summary)
❑ Blocking views or solar access O Undesirable species ❑ Other (explain below)
APPLICANTS
To consider an application complete,you will need to submit ALL of the RtEQUIRED SUBMITTAL ELEMENTS
as described on the front of this application in the"Removal Criteria"box.\XThen 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 he 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.
SIG► • • of each owner of the subject property required.
A,C7 flEn 6- Is- 16
Ar^lieant's si at ureG Print name Date
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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