Report (3) f S R
City of Tigard
• "71 Deferral Until Occupancy Request x'Y "
523
T l 0 A RD. Washington County Transportation Development Tax (TDT),TranspclrE t 6i '- l . stem
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: ,. //b/ 2oz3 Site Address: 15698 SW EVERGLADE AVE
Project River Terrace Crossing Land Use Case or MST2023-00222 '
Name: Ichijo Building Permit#:
Tax Lot 2S108DC30600 Total Parks $11,830.00
#: Lot 161 Amount*:
TDT N/A Total TSDC
Amount 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,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 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.
I/till/au:15
Property Owner: Date: 5/16/2023
Wattek Watron May 16,2023
Developer:
Date:
5/31/2023
Permit Coordinator: Date: