TRE2019-00017 City of Tigard, Oregon • 13125 SW Hall Blvd. • Tigard, OR 97223
TIGARD
04/22/2019
GUSTAFSON, DIXIE M TRUST
13880 SW 115TH AVE
TIGARD, OR 97223
Re: Tree Removal Permit Record Number: TRE2019-00017
Dear GUSTAFSON, DIXIE M TRUST:
On 04/22/2019 you submitted an application for tree removal at 13880 SW 115TH
AVE. Your application specified that:
3 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:
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 - TRE2019-00017.
Best regards,
l'fJ14A° ateAPiL—
Community Planning Division
City of Tigard
I
RECEIVED
City of Tigard I COMMUNITY DEVELOPMENT DEPARTMENT APR 2 2 2019
,
Submittal Requirements - Tree Removal Permit Applicatio8ITY OF TIGARD
PLANITIGARD Requisitos para Aplicar- Solicitud de Permiso para Removervo`efG/ENGINEERING
/lr
Please review this page, and then fill Por favor lea esta pagina, y despues
out the permit application. Ilene la Solicitud.
REMOVAL CRITERIA CRITERIO DE REMOCION
For a simple review process:applications must address Para una revision simple:el solicitante debe declarar sobre uno o
one or more of the relevant removal criteria for the type mds de los criterios de remotion apropiados para el tipo de drbol
of tree you propose to remove. The removal criteria can que propone eliminar. Los criterios de remotion se pueden
be found in the Urban Forestry Manual as follows: encontrar en el Alannal Forestal 1.lrbano en estas sectiones:
• Street Tree:Section 3 • Arbol en la calle:Section 3
• Median Tree:Section 5 • Arbol en un medio publico:Section 5
• Sensitive Lands Tree:Section 6 • Arbol en tierra sensitiva:Section 6
• Development-required Tree:Section 7 • Arbol requerido por tin area de desarrollo:Section 7
• Urban Forestry Fund Tree:Section 8 • Arbol requerido por el Fondo Forestal Urbano:Section 8
• Heritage Tree:Section 9 • Arbol Monumental:Seaton 9
• Documentation of the conditions described • Documentacion sobre las condiczones declaradas debe ser
must be included (e.g.arborist report, incluida (ejemplo—reporte del contratista arbolista,
photographs,site plan,tree risk assessment form, fotografias,piano, evaluation de riesgo del eirbol, etc.). El
etc).Tree replacement is required unless reempla_zo del drbol es necesario excepto cuando lo contrario
otherwise stated in the approval sea indicado en la aprobacion.
**The Urban Forestry Manual is written in English. Please **El Manual Forestal Urbano estei escrito en ingles. Por favor
contact the Planning Department ifyou need the information in llame al departamento de Planificacion o mande un correo
another language at 503-718-2421 or email elects nico para obtener la information en otro lenguaje al 503-
tigardplannerondu0@tigard-or.gov. 718-2421 o tigardplanneronduty@tigard-or.gov**
APPLICANT
For your application to be considered complete,you will need to submit ALL of the REQUIRED SUBMITTAL
ELEMENTS.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. Please contact the
Planning Department with questions at 503-718-2421 or via email tigardplanneronduty@tigard-or.gov.
SOLICITANTE
Para que la solicitud sea considerada completa, necesita entregar TODOS los ELEMENTOS NECESARIOS PARA
APLICAR Si el duel y el solicitante son personas diferentes:el solicitante debe ser el comprador de registro o el inquilino con
autoriiacidn por escrito del duerio o de un agente delpropietario.El duel o agente debe firmar esta solicitud o dar autoriiacion
por escrito. Por favor contactanos en el Departamento de Planificacidn con sus preguntas 503-718-2421 o por email
tigardplanneronduty@tigard-or.gov.
' ..- —.... -. . - - -. .... - - •. - :.A.:vaWeP•�FYiib•.(P.k34iYYl$ 4rkkw.Pc'.Yti4i4NexAAF
City ofTigard • 13125 SW Hall Blvd. • Tigard,Oregon 97223 • wwwtigard-or.gov • 503-718-2421 • Page 1 of 4
Y
This page left blank intentionally.
Esta pagina esta en blanco intencionalmente.
City ofTigard • 13125 SW Hall Blvd. • Tigard,Oregon 97223 • wwwtigard-or.gov • 503-718-2421 • Page 2 of 4
r
f
City of Tigard I COMMUNITY DEVELOPMENT DEPARTMENT
1,1 . " Tree Removal Permit Application
Solicitud de Permiso para Remover Arboles
TIGARD R.. . .an.
PROPERTY ADDRESS I DIRECCION DE LA PROPIEDAD
&00 I SW i Y` ` / REQUIRED SUBMITTAL
Address (Direction): /1Yvo ELEMENTS
REQUISITOS PARA APLICAR
APPLICANT I SOL ITANTE
XOwner's Signature/Written
Name (Nombre) .• ; • �, Authorization
Address (Direccidn): /3 f I r ' �lc irma del dueno/Autorizaczon por
�r� ti,�Q i scrito
Phone(Tel)• Q1 4).47,i Email:3v .,57 Q��`�6
7
XII Site Plan(show location&
Owner(Duefio): LW�ame as applicant species of each tree,2 copies)
(Igual al solicitante) Crnquis(Indicar ubicaciony especie de
CONTRACTOR/ARBORIST INFORMATION cada drbol,2 copias)
INFORMACION DEL CONTRATISTA/ARBOLISTA1 Documentation(from removal
Company (Compania): criteria)
Documentacidn(del criterlo de
Contact person (Contacto): remocidn)
ISA/CCB#: / Expiration(Expiracidn): *Application Fee(complex only)
Pago (solo para el proceso complejo)
Address (Direazdn):
Phone (Tel): Email:
TREE INFORMATION—to be completed by applicant
INFORMACION DEL ARBOL 1 solicitanicIA-
ndebe completer este parte
I ORSl'_�11:I: t SL ONLY
Tree species (Especze del arbol): Solo lura 115(1 (Id I)Cr5011.1I
#of trees (#de drboles):,.3 REVIEW PROCESS
Tree location (Ubicacion del drbol): ja Simple ❑ Complex
Fee(complex only):
Reason(s)for Tree Removal I Razones para cortar el arbol .rvr r� _OOb t l
Case No.: 1
I. SIMPLE REVIEW PROCESS I PROCESO DE REVISION SIMPLE
Related Case No(s):
❑ Tree is a hazard as determined ❑ Tree is dead(Athol esti muerto) Application accepted:
by an Arborist(El eirbol es un
CI Removal Fl21t'T
peliro segrin to determinadopor unRemoval required for approved land use or By: Date:
arbolista) building permit(Necesario para la aprobacion
de un permiso de use de suelo o construccion) Application determined com lete:
❑ Tree is in an advanced state of GN
121
decline (Athol este en estado de Roots are causing damage By: Date:
deterioro avan<ado) (Las rakes estan causando dark)
Translated:
CI Thinning necessary to protect other trees
CI Conflicts with TSP Project
(Conflicto con un proyecto de (Es necesario ralear para proteger otros drboles) By: Date: -_
transportacion TSP) ❑ Location does not meetlan standards
l� � 1:\C.ommunity Development\Land Use Applications\02_Forms
(Ubicacion no cumple con normas de plantacidn) and Templates\Land Use Applications Rev.119/2018
❑ Species is on nuisance tree list
(La especie este en la lista de eirboles ❑ Recommended by fire marshal
problematicos) (Fue recomendado por el marircal de incendios)
❑ It is infested with pests or disease ❑ Tree has sustained physical damage
(Esta infestado con plagas o (Arbol este firicamente danado)
enfermedades)
For colnple.retiewprocess see nextpage I Para el proceso de a uurdn empl jo tra lapr ied=peigina
City ofTigard • 13125 SW Hall Blvd. • Tigard,Oregon 97223 • wwwtigard-or.gov • 503-718-2421 • Page 3 of 4
I
TREE REMOVAL PERMIT APPLICATION
II. COMPLEX REVIEW PROCESS (check applicable reason and provide brief proposal summary)
PROCESO DE REVISION COMPT.FJO(Marque el motivo apbcabley de una explicacion breve)
LI Blocking views or solar access ❑ Undesirable species ❑ Other (explain below)
(Bloqueo de vista o acceso solar) (Especie no deseada) Otro (explique debajo)
Please leave blank for staff I Dejar en blanco para el personal
THE APPLICANT SHALL CERTIFY THAT: EL SOLICITANTE CERTIFICA QUE:
• The above request does not violate any deed restrictions • La solicitud anterior no viola ninguna astriction de las
that may be attached to or imposed upon the subject escrituras de la propiedad que pueda ser conectada a o impuesta
property. sobre la propiedad en cuestion.
• If the application is granted,the applicant will exercise the • Si la solicitud es concedida,el solicitante jercerd los derechos
rights granted in accordance with the terms and subject to concedidos de acuerdo con los terminosy sujeto a las condicionesy
all the conditions and limitations of the approval. limitations de la aprobacion.
• All of the above statements and the statements in the plot • Todas las declarations anterioresy las declarations en el
plan,attachments,and exhibits transmitted herewith,are croguis,los documentos adjuntos,y muestras trasmitidas,son
true;and the applicants so acknowledge that any permit verdaderas;y los solicitantes asi reconocen gue cualquier permiso
issued,based on this application,and may be revoked if it is concedido, basado en esta solicitud,puede ser avocado si se
found that any such statements are false. encuentra que alguna de estas afirmaciones es falsa.
• The applicant has read the entire contents of the • El solicitante ha leido todo el contenido de la aplicacion,
application,including the policies and criteria,and incluyendo las politicasy criteriosy comprende los requisitos para
understands the requirements for approving or denying the aprobar o negar la solicitud.
application.
SIGNATURES of each owner of the subject property required.
FIRMAS de cada dueno de la propiedad en cuestion requeridas.
e2L-
Applicant's signature (Firm el solicitante) Print name (Nombre) Date (Fecha)
4 4 d
Owner's signature (Firma ch. dueno) Print name (Nombre) Date (Fecha)
Owner's signature (Firma del dueno) Print name (Nombre) Date (Fecha)
Authorized agent's signature Print name (Nombre) Date (Fecha)
(Firma de agente autori ado)
City ofTigard • 13125 SW Hall Blvd. • Tigard,Oregon 97223 • www.tigard-or.gov • 503-718-2421 • Page 4 of 4
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Scale: 0.00 Miles
City of Tigard
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13125 SW Hall Blvd
Tigard. OR 97223 I
Map Created: (503) 639-4171
04222019 www.tigard-or.gov TIGARD
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