Report DocuSign Envelope ID:08ASE211-D9F2-4DA5-978D-855038A1A009
I: ,,1 8 "2:3
City ofTigard
C117 0,7 7D
Deferral Until Occupancy Request
IN
_ r
Washington County Transportation Development Tax(I'D'1),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: t .-7,-7.,,, 76-72,-1 Site Address: 15159 SW COOLWATER LN
Project Land Use Case or
Namc River Terrace Crossing Dumb%permit#: ..--4,..2y....00 1c41.-
(Pacee Lifestyle Homes)
Tax Lot 2S108DC t(6%00 mid perks
#: Lot 53 Ansount*: $11,830.00
TDT Total TSDC $12,004.00
Amount: WA Amount*:
'The total TSDC amount shown above is die sum of$7.760.00 for TSDC-Improvement.$448.00 for TSDC-
Reimbursement,and$3.796.00 for TSDC-River Terrace,if applicable..
*Mx total Parks SDC amount shown above is the sum of$6.812.00 for Parks-Impetwernent„$ t8Ø7.O0 for Parks-
Reimbursement,and either S NIA for Parks-Neighbothoixl or$3.131.00 for Patirs-Ntittli Waver Terme.
This constitutes my request ladder pagan=of the TDT,TSDC,and Parks SDCs,as posoideti above,
until occupancy.
Payment of the TDT,TSDC,and Parks SDCs may be deferred until issuance of the occupancy petal& In
requesting obis option,I understand dlan 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 , ))i ' , . ,I,. , , I huffier
understand that the amount of Tiir ow on deferred obligations shall be the amount in effect se the rime of
issuance of the building permit.
For a deferral request to be accepted jggh the Property Owner and the Developer muss sign this request.
,OaciPSIOned br•
IL. liauitiuk,
Property Owner: Date: 5/4/2023
-,,
Developer: Date:
Permit Coordinator: „....7__..
Date: 5--- E., /..., *