Report DocuSign Envelope ID:08ABE211-D9F2-4DA5-976D-855CB8A1A009
City of Tigard
Deferral Until Occupancy Request
l i, 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(TUC 3.24,as amended by Ordinance No.21-09).
Date: 5/1/2023 Site Address: 15149 SW HUNTWOOD ST
Project Land Use Case or MST2023-00170
River Terrace CrossingBuilding #:
(Pacific Lifestyle Homes)
Tax Lot 2S108DC22600 Total Parks
#: R22delgg Amount*: $11,830.00
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-Rives 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 for Parks.Neighhodtood Rimer l erraee.
This constitutes my request to defer payment of the TDT,TSDC,and Packs SDCs,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 I►!J ., ' ,, , is . t ' . 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 high the Property Owner and the Developer must sign this request.
oeeasigeed by:
[Fuss ti tanaat, 4/10/2023
Property Owner: oealFcss71• Date:
-4
Developec y Date: 14/d-43
5/1/2023
Permit Coordinator: Date: