TRE2018-00065 City of Tigard, Oregon • 13125 SW Hall Blvd. • Tigard, OR 97223
IIGARD
09/24/2018
PETERSON, CHAD JEREMY
KING, SHARON ROSE
12309 SW KATHERINE ST
KING CITY, OR 97223
Re: Tree Removal Permit Record Number: TRE2018-00065
Dear PETERSON, CHAD JEREMY:
On 09/24/2018 you submitted an application for tree removal at 12309 SW
KATHERINE ST. Your application specified that:
1 Ponderosa Pine
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:
Sensitive Lands 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 Sensitive Lands Tree Replacement
Standards in Section 6, part 2 of the Urban Forestry Manual.
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- TRE2018-00065.
Best regards,
Community Planning Division
City of Tigard
ED
Cl ofTigard alyd COMMUNITY DEVELOPMENT DEPARTMENT
"' Tree Removal Permit Application SEP 2 4 2018
s ..F
Solicitud de Perimso para Remover.Arboles CITY OF TIGARD
:TIGARD • AI,► /ENGINEERING
PROPERTY ADDRESS I DIRECCION DE LA PROPIEDAD
REQUIRED SUBMITTAL
Address (Diaccidn): 12309 SW Kolbe/um St Tigard, OR 97223 ELEMENTS
REQUISITOS PARA APLICAR
APPLICANT 1 SOLICITANTE
Owner's Signature/`Vritten
Name(Nombre): Chad Peterson Authorization
Address (Dircccion):12309 SW Katherine StTigard.OR 97223 Firma del duerio/Autoriwcion par
escrito
Phone(Tel):541-868-4349 Email:c.petersn@mail.com
Or
0 Site Plan(show location&
Owner(Duerio): Chad Peterson Ga Same as applicant (Igual al solicitante) species of each tree,2 copies)
CONTRACTOR/ARBORIST INFORMATION C vquis(Indicar iibicationy eapecie de
INFORMACION DEL CONTRATISTA/ARBOLISTA coda brbol,2 capias)
Company(Campania): Q El Documentation(from removal
Contact person(Cot/facto). /V/ ' criteria)
Documentacion(del arterio de
ISA/CCB#: / Fxpiratinn (F ini oo r j ocioit)
Address (Di,pP,yon) pplication Fee (complex only)
Pago(solo para elpracrso comp!jo)
Phone(Tell: Email:
TREE INFORMATION—to be completed by applicant
INFORMACION DEL ARBOL — el solicitante debe completar esta parte
• FOR STAFF USE ONLY
Tree species(Especie del drbol): Par Solo Para nso dd Personal
#of trees (#de dr boles): 1 REVIEW PROCESS
Tree location Ubicacioa del drbo : NE Corner ofproperty Simple ❑ Com lex
Fee(complex only)::
Reason(s)for Tree Removal f Razones para cortar el arbolC'
• 'Case.No.:,
I. SIMPLE REVIEW PROCESS I PROCESO DE REVISION SIMPLE
°:Related:Case Nos . :....
❑ Tree is a hazard as determined (Athol estd muetro . ' . .
Tree is dead
`.::Appiicatiati.acxept�1:; ':::: � .:. :.. :. ..
by an Arborist(El drbal es un
peligro Begun to deteriirinado par rrn ❑ Removal required for approved land use or i:By:.::..: : D
. _Date:..:47:i: -.:.
arliolista) building permit(Necesarlo para la aprrlhacion : .:• ;
de rut pertniso de use de suelo o constitrccion) .:.Application determined complet :
❑ Tree is in an advanced state of : :
decline Arbol estd e r estado de ' .. 4fiel
U Roots are causing damage ` :By: ./ :: :Date:.:..-;
( (Las rakes estdn c'ausaudo dao)
deterior o auaRado)
'Translate
111 Conflicts with TSP Project
❑ Thinning necessary to protect other trees
Con Bela con nn rn edo de (Es rrecesano ralearparn prnteger otrns drboles) By:. f :. Date:
nanspanacion TSP) ❑ Location does not meet planting standards J\Comm unity Dewlap»lent\J.and Use Applies!ions\02 rortt,s
(Ubicaci0rr no crrriiple con rronnas de plantacidn) and Templates\Land Use Applinttiods Rev.09/21118
❑ Species is on nuisance tree list
(La e.pecie estd en In lista de drboles ❑ Recommended by fire marshal
prableurdticas) (Fire rrcomendada pore!r»ariseal de inane/los)
❑ It is infested with pests or disease ❑ Tree has sustained physical damage
(Esta irfestado con plagas o (Arbol estdfrsicamente daiado)
errferruedades)
FM'complex review proems see nestpage! Pau el fni iso de rt7_lien idn conrple/o I tti!r1plO.\7lilaJXlfna
.._._ -..-._. i ,--.•--•-..„..-e,.-. ...n.•-.......ar.r_v ».-.. ...... .....a.::ter..... _»..wn.,..--...... ......n . .......r..w.»»..n.... .....r.._..... . r..:......e..nar.
1
City ofTigard • 13125 SW Hall Blvd. • Tigard,Oregon 97223 • wwwtigard-or.gov • 503-718 2'121 • Page 3 of 4
TREE REMOVAL PERMIT APPLICATION
IL COMPLEX REVIE\V PROCESS (check applicable reason and provide brief proposal summary)
PROCESO DE RE VISION COMPLEJO(Marque e1 motivo*lit-able).di una explieaddn hive)
❑ Blocking views or solar access ❑ Undesirable species ❑ Other (explain below)
(Dloqueo de vista o acceso solar) (Erpecie no deseada) Oft (expligme debajo)
..c.:
please leave blank for stiff I.efur.el�blarrco pettier el persona! .,-,. ... . :.s
. • • • wx#
THE APPLICANT SHALL CERTIFY THAT: EL SOLICITANTE CERTIFICA QUE:
• The above request does not violate any deed restrictions • La solicitud anterior no viola ningruta m.rtriccidn de las
that may be attached to or imposed upon the subject esciitrurrs de la propiedad que pireda ser conec/ada a o impuesta
property. ,fobre la propiedad err cuestion.
• If the application is granted,the applicant will exercise the • Si la solicited es concedida,el solicitante e errera los deiechos
rights granted in accordance with the terms and subject to concedidos de acuerdo con los ternrinosy sajeto a las ctrndicionesy
all the conditions and limitations of the approval. limitaciones de la apivbacion.
• All of the above statements and the statements in the plot • Todas las declaraciones anterioresy las declaraciones en el
plan,attachments,and exhibits transmitted herewith,are crngnic, los docrtrrrentos adjuntos,y muestras trastnitidas,son
true;and the applicants so acknowledge that any permit verdaderar,y los.colicitantes asl reconocon que cualquierper7niso
issued,based on this application,and may be revoked if it is eoncedido, basado en esta solicited,puede ser revacado si se
found that any such statements are false. et/crtentra que algrrna de estas afirrrraciones esfalsa.
• The applicant has read the entire contents of the • El solicitante ha leido todo el contenido de/a aplicacion,
application,including the policies and criteria,and incleyendo las politicasy criteriosy compr'nde los requisitos para
understands the requirements for approving or denying the aprobar a negar la solicitud.
application.
SIGNATURES of each owner of the subject property required. '
FIRMAS de cada dueno de la propiedad en cuestion requeridas.
ate4/i. e-,i.--%—___ Chad 1);,,i--e csq-/g le
Applicant's signature (Firma del solicitante) Print name (Nombre) Date (Fecha)
0(lexi"Fre,e,-,—_____________ ._____ La_+_f_JCILan----- 9-is- 19 _
O let's signa -e (Firirra del direrio) Print name (Nombre) Date (I�echa)
44CAP2711'
�� i
O net's signa re (Firma del deerro) Print name (Nombre) Date (Fecha)
Authorized agent's signature Print name (Nombre) Date (Fecha)
(Firma de agente airtori ado)
_.. _.._�__._....�_.... .. ..._._._._, __ _.____
. . .
1
City ofTigard • 13125 SW Hall Blvd. • 'Tigard,Oregon 97223 • www.tigard-or.gov • 503-715-2421 • Page 4 of 4
i
i
11
RECEIVED
SEP 2 4 2018
CITY QF-11Cl'ARD
PLANNING/ENG1NEERING
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