TRE2019-00019 City of Tigard, Oregon • 13125 SW Hall Blvd. • Tigard, OR 97223
I 'GARDE
04/29/2019
Daniel Nebergall
16090 SE Mcloughlin Blvd
Milwaikie, OR 97222
Re: Tree Removal Permit Record Number: TRE2019-00019
Dear Daniel Nebergall:
On 04/29/2019 you submitted an application for tree removal at 6713 SW BONITA
RD 200. Your application specified that:
2 Cedar
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 - TRE2019-00019.
Best regards,
Community Planning Division
City of Tigard
RECEIVED
City of Tigard I COMMUNITY DEVELOPMENT DEPARTMENT APR 2 9 2019
IG
MIII
Tree Removal Permit Application PLANNING/ENG'PI
INE RING
TIGARD Solicitud de Permiso para Remover Arboles
,,,,,, „,m,/ .,,,,,,,,,,,,„�„�,,,r,,,,,
PROPERTY ADDRESS I DIRECCION DE LA PROPIEDAD
REQUIRED SUBMITTAL
Address (Direction): (1111.(. S Li Bon.,1c, 17.J
p
ELEMENTS
REQUISITOS PARA APLICAR
APPLICANT I SOLICITANTE
Owner's Signature/Written
Name (Nombre): 0CIAi e ( Mebergu H ('*--f kr%ole 17'zt Ser✓,c e Authorization
Address (Dirección): I(1 d Q O S E ritk(0 J9't l to (Sl vd V`1,,lU►ct,✓ie,€ 41c./.% Firma del dueno/Autorizacion por
escrito
Phone(Tel): G S3- G 21 3 Email:Ci H u fl 43 C on/g st.uk`r
y Site Plan (show location&
Owner(Duerr"o): ❑ Same as applicant species of each tree,2 copies)
(Igual al solicitante) Croquis(Indicar ubicaciony especie de
CONTRACTOR/ARBORIST INFORMATION cada arbol,2 copias)
INFORMACION DEL COfNTRATISTA/AEBOLISTA - Documentation (from removal
Company(Compania): C I t1 (J oke AV i 5ervl t( criteria)
Documentation(del criterio de
Contact person(Contacto): Dein,'€I vete Iy a(( remotion)
ISA/CCB#: 1116i A' / (00 b q i Expiration(Expiration): Jor•t 3o ZDZZ Nik Application Fee (complex only)
Pago (solo para el proceso compl jo)
Address (Dirección): (GAD St plc 1 ouytt o lS Id a fk,/w4 Vic:' ( 9122,7
Phone (Tel): 'S 3 '& 313 Email: 111`-f Wf 3 e ("t c 5f.(f
er
TREE INFORMATION—to be completed by applicant
INFORMACION DEL ARBOL — el solicitante debe completar esta parte
FOR STAFF USE ONLY
Tree species (Especie del arbol): (11A I Solo para use del personal
#of trees (# de arboles): 2to r REVIEW PROCESS
Tree location(Ubicacion del eirbol): /VW Gereq r 04 101) (i1.11 j C. R Simple ❑ Complex
Fee(complex only):
Reason(s)for Tree Removal I Razones para cortar el Athol ��'o -�p'q
Case No.:-
I. SIMPLE REVIEW PROCESS I PROCESO DE REVISION SIMPLE
Related Case No(s):
El Tree is a hazard as determined ❑ Tree is dead(Arbol estcimuerto) Application accepted:
by an Arborist(El arbol es un
CIL(21 f L-1
peligro Begun to determinado por un Removal required for approved land use or By: Date:
arbolista) building permit(Necesario para la aprobacion
de un permiso de urn de suelo o construction) Application determined complete:
❑ Tree is in an advanced state of
decline(Arbol esta en estado de CI Roots are causing damage By: Date: 412A 1 41
deterioro avantado) (Las raices estdn causando dano)
Translated:
CI Conflicts with TSP Project CIThinning necessary to protect other trees
(Es necesario ralear para proteger otros arboles) By: Date:
(Conflict°con un proyecto de u,(
transportation TSP) Location does not meet planting standards l:\Community Development\Land Use Applications\02_1 orms
(Ubicacion no cumple con normas de plantation) and'templates\Land Use Applications Rev.09/2018
❑ Species is on nuisance tree list
(La especie esta en la lista de arboles ❑ Recommended by fire marshal �wR
problematicos) (Fut recomendado por el mariscal de incendios) 'CSS- 1►u' ' 0-fC Oti/v
❑ It is infested with pests or disease ❑ Tree has sustained physical damage c( U((U/r,('41 .
(Estd infestado con plagas o (Arbol estd fzricamente danado) 1
enfermedades)
For complex reviewproceiss see nextpage I Pau elproceso de ceji'caion comp/rho ata/apraarraapagba
City ofTigard • 13125 SW Hall Blvd. • Tigard,Oregon 97223 • www.tigard-or.gov • 503-718-2421 • Page 3 of 4
TREE REMOVAL PERMIT APPLICATION
II. COMPLEX REVIEW PROCESS (check applicable reason and provide brief proposal summary)
PROCESO DE REVISION COMPT FJO(Marque el maim aplicabley de una expk'cadon breve)
❑ Blocking views or solar access ❑ Undesirable species [d Other (explain below)
(Bloqueo de vista o acceso solar) (Especie no deseada) Otro (expligue debajo)
The t-(ttS l4 ' D Uc•.✓•`
Ike SPa« ANS 41'(" f/i',t,r®
k"C 40 CloSt d(dol/
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 restriction de las
that may be attached to or imposed upon the subject escrituras de la prropiedad 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 jercera 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 declaraciones anterioreiy las declaraciones en el
plan,attachments,and exhibits transmitted herewith,are croquis,los documentos ad untos,y muestras trasmitidas,son
true;and the applicants so acknowledge that any permit verdaderac,y los solicitantes asi reconocen que cualquierpermiso
issued,based on this application,and may be revoked if it is concedido, basado en esta solicitud,puede ser revocado 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 laspoliticasy criteriosy comprende los requisitospara
understands the requirements for approving or denying the apyobar o negar la solicitud.
application.
SIGNATURES of each owner of the subject property required.
FIRMAS de cada dueno de la propiedad en cuestion requeridas.
0-Ci 11411/401dou ;el Neker'a((
Applicant's signature (Firma del solicitante) Print name (Nombre) Date echa)
Owner's signature (Firma del 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 autorkado)
City ofTigard • 13125 SW Hall Blvd. • Tigard,Oregon 97223 • wwwtigard-or.gov • 503-718-2421 • Page 4 of 4
Gary Nebergall
(503) 969-7917 (4Cij'MTieSensiee1inctWide .
Daniel Nebergall Andrew Nebergall
(503) 997-9757 16090 SE McLoughlin Blvd (503) 793-5090
Certified Arborist Milwaukie OR 97267
PN 7179-A (503) 653-6873
CCB#100699 Liability Policy#52HHUOK3579 SAIF Policy#485761
Authorization to Apply for Tree Permit
I, / or/476/4
ob CL`' f, Property Owner or Designated Representative
give City Wide Tree Service, Inc. or any of this company's
representatives, authorization to request and sign for
any necessary tree permits on our behalf.
FO7 I�L /A 4-C4 . Dated: 4.1/ 4,//
Signature of Property Owner or
Designated Representative
Property Address
Contact telephone numbers
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