Report DocuSign Envelope ID:08ABE211-D9F2-4DA$-978D-855CB8A1A009 RECEIVED
- ' 1 i 2023
City of Tigard
CITY OF TIC:_I
litDeferral Until OccupancyRequest BUILDING Di VISION
-t i,,A It l l Washington County Transportation Development Tax(I D'!),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).
Data 5/15/2023 Site Address: 15099 SW HUNTWOOD ST
Project Land Use Case or
Name: RtverTerrat:e Crossing Building Permit#: MST2023-00204
(Peak Lifestyle Homes)
Tax Lot 2S108DC08700 Total Parks
#: Lot 94 Amount*: $11,830.00
TDT Total TSDC $12,004.00
Amount, N/A Amount*:
*The total TSDC amount shown above is the sum of$7.760.00 for TSDC-Improvement,$448.00 for TSDC-
Reimbursement,and$3.79860 for TSDC-River Terrace,if applicable..
"The total Parks SDC amount shown above is the sum of$6.812 00 for Piuks.Improvem t,$ 1.887.00 for Parks-
Reimbursement.and either$ H/A for Parks-Neighborhood or$1111.0 for Parks-Nciglibuthoar i stoma.
This constitutes my,request to payment of the TDT,TSDC,and Parks SW*as presided above,
until occupancy.
Payment of the TDT,TSDC,and Parks We may be deferred until issuance of the occupancy petait In
requesting this*prim,I understand that any deferred'TDT,TSDC,and Parks SDCs musthe paid prior to final
inspection or issuance of an occupancy pemut.
TOT may only be deferred' ''F b •, . 1 I fin er
understand that the amount of TlYrthle on deferred chligadoin shell be tie artemot in effect at de time of
issuance of the building permit.
For a deferral request to be accepted heti the Property Owner and the Developer must sign this request.'
goad er:
SS tit.0641 n..Property Owner: L_'
Ips e. Date, 5/12/2023
Walter Walton May 12 2023
Developer:Walter Watson(May 12.202314 02 MOT) Datel ,
Pennit Coordinator: Date; 5/15/2023