Permit Support Document U0408
15bc ' Cooly W Ln
City of Tigard
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Deferral Until Occupancy Request
T 1 G A R D Washington County Transportation Development Tax CI DT),Transportation and Parks System
Development Charges (SDCs)
This form is to be signed and submitted prior building permit issuance or,if no building permit is required, then
upon land use approval(TMC 3.24,as amended by Ordinance No. 21-09).
Date: 11/14/2022 Site Address: 15103 SW Coolwater Ln
Project River Terrace Crossing Land Use Case or MST2022-00448
Name: (Pacific Lifestyle Homes) Building Permit#:
Tax Lot 25108DC05000 Total Parks
#: Lot 55 Amount*: $11,830.00
TDT N/A Total TSDC
Amount: Amount*: $12,004.00
*The total TSDC amount shown above is the sum of$7,760.00 for TSDC-Improvement, $448.00 for TSDC-
Reimbursement, and$3 705 D0 for TSDC-River Terrace,if applicable..
*The total Parks SDC amount shown above is the sum of S6,812.00 for Parks-Improvement, $ 1,887.00 for Parks-
Reimbursement,and either$ N/A for Parks-Neighborhood or$ 3,131.00 for Parks-Neighborhood River Terrace.
This constitutes my request to defer payment of the TDT,TSDC,and Parks SDCs, as provided above, to
prior to final inspection.
Payment of the TDT,TSDC, and Parks SDCs may be deferred until issuance of the occupancy permit. In
requesting this option, I understand that any deferred TDT,TSDC, and Parks SDCs must be paid prior to final
inspection.
TDT may only be deferred if the TDT is greater than the amount for a single-family residence. I further
understand that the amount of TDT due on deferred obligations shall be the amount in effect at the time of
issuance of the building permit.
For a deferral request to be accepted both the Property Owner and the Developer must sign this request.
Property Owner: Date: ll///ZD2 .f
Developer: MAX ( I W ar Date:
Permit Coordinator: (4 i(A4t3,!�(J Date: 11/14/2022