Report City of Tigard / z , c RTC
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T[G A R Washington County Transportation Development Tax (1'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).
I Date: 4/24/2023
Site Address:
_.__. 15643 SW Vanderwood Ave.
Project River Terrace Crossing Land use Case or
Name: (Stone Bridge Homes) Building Permit#: MST2023-00150
1 Tax Lot Total Parks $11,830.00
#. Lot 14 Amount*;
TDT
Total TSD
Amount: N/A Amount*: C $12,004.00
*The total TSDC amount shown above is the sum of$7760.00 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 0(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 reater 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: ____ _,._ K 'R IZ Date: 4-19-2023
Developer: _.., _ _ 04/2 0/2 0 2 3
._...._ Date:
Permit Coordinator: __ Date: 4/24/2023