Report (2) DocuSipn Envelope ID:08ABE211-09F2-4DAS-97BD-855CB8A1A009 i P
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k 7 12023
City of Tigard
11 Deferral Until Occupancy Request _1 � 4°1
i 1,_; ,1,1, Washington County Transportation Development Tax(ID'!),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:. 45/112023 Site Address: 15859 SE Bluewater Terrace
p1Oject River Terrace Crossing end Use Case or MST2023-00169
Name: Building Permit#:
(Pacific Lifestyle Homes)
Tax Lot 2S108DC25900 Total Parks $11,830.00
#: Lot 124 Amount*:
TDT Total TSDC $12,004.00
Amount: NIA Amount*:
'The total TSDC amount shown above is the sum of$7.760.00 for TSDC-Improvement,$448.00 for TSDC-
Reimbursement,and$3.796.00 for TSDC-River Terrace,if applicable..
*The total Parks SDC amount shown above is the sum of$6.812.00 for Parks-Improvement,$ 1.887.00 for Parks-
Reimbursement,and either$ N/A for Parks-Neighborhood or$3.131.00(or Parks-Neighborhood Rimer Terrace.
This constitutes my request to defer payment of the TDT,TSDC,end Parks SDC*,as provided above,
until occupancy.
Payment of the TDT,TSDC,and Parks SDCs may be deferred until issuance of the occupancy permit. In
requesting this option,I understand that any deferred TDT,TSDC,and Parks SDCs must be paid prior to final
inspection or issuance of an occupancy permit.
TDT may only be deferred U the TDT is greater than the amount for a singe-family residence. 1 further
understand that the amount of TDT due on deferred obligations shall be the amount in effect at the time of
issuance of the building permit.
For a deferral request to be accepted kWh the Property Owner and the Developer must sign this request.
r ocu$i$ned by:
1/44S 'riac.MUUA. 4/10/2023
Property Owner: oFn7Fc5s71o4*Fe Date:
-e.g
Developer - Date: ( '/v
Permit Coordinator: _ Date: 5/1/2023