Report (2) DocuSign Envelope ID:08ABE211-D9F2-4DA5-97BD-855CB8A1A009
RECEIVED
ApR
City ofTigard 6 2023
CITY OF TIC,,> D
Deferral Until Occupancy Request BUILDING DIVISION
I c, l:n Washington County Transportation Development Tax(TDT),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: 3/30/2023 Site Address: 15249 SW Flatcreek Ln
Project River Terrace Crossing Land Use Case or
Name: Building Permit#: MST2023-00111
(Pacific Lifestyle Homes)
Tax Lot 2S1080C11000 Total Parks
#: Amount*: $11,I130:00
Lot 118
TDT Total TSDC
Amount: N/A Amount*: $12,004.00
*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 for Parks-Neighborhood River Terrace.
This constitutes my request to defer payment of the TDT,TSDC,and Parks 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 if the TDT is greater 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.
DocuSiyned by:
`
��°ASS fiat outtn, 4/4/2023
Property Owner: P `„p ,Fa Date:
Developer: ( Date: Y?
Permit Coordinator. if/4
_detfrielVLI Date: 4/6/2023
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