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Permit (82)r FOR OFFICE USE ONLY-SITE ADDRESS: This form is recognized by most building departments in the Tri-County area for transmitting information. Please complete this form when submitting information for plan review responses and revisions. This form and the information it provides helps the review process and response to your project. City of Tigard • COMMUNITY DEVELOPMENT DEPARTMENT 11 IN " Transmittal Letter TIGARD 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.718.2439 • www.tigard-or.gov TO: /e DATE RECEIVED: DEPT: BUILDING DIVISION RECEIVED AUG 1 4 2019 FROM: Is oC Ko,_v+v,e CITY OF TIGARD BUILDING DIVISION COMPANY: p �` � r1 , e c "? b o /� PHONE: di- 3 _ r�.)ji -bS6 �/ ���� - Z��r3-0514- By: //(( RE: °� la � � Gall S4 k) 0.11e0� btA. ci Top � t0 (Site Address) (Permit Number) (Project name or subdivision name an of number) ATTACHED ARE THE FOLLOWING ITEMS: Copies: Description: Copies: Description: J Additional set(s) of plans. Revisions: Cross section(s) and details. Wall bracing and/or lateral analysis. Floor/roof framing. Basement and retaining walls. Beam calculations. Engineer's calculations. Other(explain): ca. S P A REMARKS: FOR OFFICE USE ONLY R tted to Permit Tec ician: Date: g• 2� - ) I Initials: Fee ❑ No Fee Description: Amount Due: •� 1- r Pl Y-Q1C 4 o Sni $ $ $ Special Instructions: Reprint Permit (per PE): ❑Yes J Noi ❑ Done Applicant Notified:yam, . Date: ��( Initials: - I:\Build ng\Forms\TransmittalLeuer-Revisions_061316.doc CITY OF TIGARD / - BUILDING PERMIT COMMUNITY DEVELOPMENT /y ''ry'' --rmit#: BUP2017-00178 and OR 97223 503.718.2439 13125 SW Hall Blvd.,Ti Date Issued: 11/01/2017 Tfc 1{ C7 9 Parcel: 1 S 135AC04100 Jurisdiction: Tigard Site address: 9010 SW OAK ST Project: Oak Street Apartments Subdivision: ASHBROOK FARM Lot: 15 Project Description: Building A-95 unit apartment building. 5/4/2018: REPRINT permit to correct number of units. Contractor: THE SPANOS CORPORATION Owner: DBG OAK STREET LLC 10100 TRINITY PARKWAY, 5TH FL 2164 SW PARK PL STOCKTON, CA 95219 PORTLAND, OR 97205 PHONE: 209-478-7954 PHONE: FAX: Specifics: FEES Type of Use: MF Description Date Amount Class of Work: NEW Type of Const: VA Plan Review 07/13/2017 $29,815.67 Occupancy Grp: R-2 Occupancy Load: Parks SDC Reimbursement 11/01/2017 $75,993.00 Dwelling Units: 95 Parks SDC Neighborhood 11/01/2017 $119,985.00 Stories: 5 Height: 0 ft Parks SDC Improvement 11/01/2017 $323,644.00 Bedrooms: 140 Bathrooms: 140 DC Provision Review,COM New-Bldg 11/01/2017 $178.50 Value: $15,367,578 DC Provision Review,COM New-Ping 11/01/2017 $178.50 Permit Fee-RES-New Construction 11/01/2017 $50,525.78 12%State Surcharge-Building 11/01/2017 $6,063.09 Floor Areas: Plan Review-Fire Life Safety 11/01/2017 $20,210.31 Metro Const.Excise Tax 11/01/2017 $12,000.00 Total Area: 143792 Tig-Tual School CET-Residential 11/01/2017 $181,177.92 Accessory Struct: 0 Plan Review 11/01/2017 $3,026.09 Basement: 0 Additional Plan Review 01/30/2018 $500.00 Carport: 0 Covered Porch: 0 Deck: 0 Garage: 0 Mezzanine: 0 Total $823,297.86 Required: Required Items and Reports(Conditions) Fire Sprinkler: Yes Parapet: Fire Alarm: Yes Protected Corridors: Yes Smoke Detectors: Yes Manual Pull Stations: Accessible Parking: 0 This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0090. You may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344. Issued By: Permittee Signature: 4.2A7 ,/aG./ Call 503.639.4175 by 7:00 a.m.for the next available inspection date. This permit card shall be kept in a conspicuous place on the job site until completion of the project. Approved plans are required on the job site at the time of each inspection. . CITY OF TIGARD BUILDING PERMIT f ,� 1 . COMMUNITY DEVELOPMENT Permit#: BUP2017-00178 TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 11/01/2017 Parcel: 1 S 135AC04100 Site address: 9010 SW OAK ST Jurisdiction: Tigard Project: Oak Street Apartments Subdivision: ASHBROOK FARM Project Description: Building A-100 unit apartment building Lot: 15 Contractor: THE SPANOS CORPORATION Owner: 10100 TRINITY PARKWAY, 5TH FL DBG OAK STREET LLC 2164 SW PARK PL STOCKTON, CA 95219 PORTLAND, OR 97205 PHONE: 209-478-7954 PHONE: FAX: Specifics: FEES Type Date Amount of Use: MF Class of Work: NEW Type of Const: VA Plan Review 07/13/2017 $29,815.67 Parks SDC Reimbursement 11/01/2017 $75,993.00 Occupancy Grp: R-2 Occupancy Load: Dwelling Units: 95 Parks SDC Neighborhood 11/01/2017 $119,985.00 Parks SDC Improvement 11/01/2017 $323,644.00 Stories: 5 Height: 0 ft DC Provision Review,COM New-Bldg 11/01/2017 $178.50 Bedrooms: 140 Bathrooms: 140 Value: $15,367,578 DC Provision Review,COM New-Ping 11/01/2017 $178.50 Permit Fee-RES-New Construction 11/01/2017 $50,525.78 12%State Surcharge-Building 11/01/2017 $6,063.09 Floor Areas: Plan Review-Fire Life Safety 11/01/2017 $20,210.31 Metro Const.Excise Tax 11/01/2017 $12,000.00 Total Area: 143792 Tig-Tual School CET-Residential 11/01/2017 AccessoryStruct: 0 $181,177.9230 Plan Review 11/01/2017 $3,026.09 Basement: 0 Carport: 0 Covered Porch: 0 Deck: 0 Garage: 0 Mezzanine: 0 Total $822,797.86 Required: Required Items and Reports(Conditions) Fire Sprinkler: Yes Parapet: Fire Alarm: Yes Protected Corridors: Yes Smoke Detectors: Yes Manual Pull Stations: Accessible Parking: 0 This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0090. You may o tain a copy of the rules or direct questions to OUNC by calling 503.232 1987 or 1.8.1.'32.2344. Issued By: �i y vc fj� r Permittee Signature: c Call 503.639.4175 by 7:00 a.m.for the next available inspectio •ate.e. This permit card shall be kept in a conspicuous place on the job site until c. pletion of he project. Approved plans are required on the job site at the time of each inspection. Building Permit Application L b 6-) A (10-a-4-19 Commercial CI� RE Y FOR OFFICE USE oNw City of Tigard Received ' '� 13125 SW Hall Blvd.,Tigard,OR 97223 Date/By: 02�} /7 ,I Permit No.:/14 p�(7 171 Phone: 503.718.2439 Fax: 503.59gg,��q(> Plan Review Inspection Line: 503.639.4175 J U IY 9 2 7 Date/By: ,ft )tj 2 Cr Other Permit: w TIGARD p Date Ready/: Duns: Internet: www.tigard-or.gov (� OF g .Y Notified Method: �/. I Supplemental See Page 2 for CITY ,)-[ I iGAR ��i /�/ Information i j J �e�! !h, t e l REQUIREDDATA:1-;AND 2 AMILY` LING ❑New construction � = � . . .. _,R�,.,.� ❑Demolition Permit fees*are based on the value of the work performed. { ❑Addition/alteration/replacementIndicate the value(rounded to the nearest dollar)of all 0 equipment,materials,labor,overhead,and the profit for the CATEGORY OF CONSTRUCTIONwork indicated on this application. 0 1-and 2-family dwelling ❑Commercial/industrial Valuation: $ 0 Accessory building jg Multi-family Number of bedrooms: 0 Master builder 0 Other: Number of bathrooms: JOB SITE INFORMATION AND LOCATION Total number of floors: S Job site address: 9e(/10 S W O4k T tZ,E.E-t- New dwelling area: s uare feet City/State/ZIP: q T'I rr t A z. 0.z. 9 71-ZZ Garage/carport area: square feet Suite/bldg./apt.no.: 1 Project name: 0Q1e. Apkrr rite t,7'S Covered porch area: square feet Cross street/directions to job site: 90,0 4 OR w Sl-izce.,- Deck area: square feet Other structure area: square feet REQUIRED DATA:COMMERCIAL-USE CHECKLIST ;a x:7.4(0 -1135 4G 0 d/QfQjF'` 2 szsiwY��I Lot no.: Permit fees*are based on the value of the '" Tax map/parcel no.: Z5235�cp�y3�,?J 3S� q��yy Indicate thework performed. 15,235 }[ejyL i value(rounded to the nearest dollar)of all equipment,materials,labor,overhead,and the profit for the OF 2� 6 " IPTTOI�F; `ikiRK ' " � DESCR4 work indicated on this application. '411/41hS 1 - �, t ng �� $ •�- q 1 �Lt ,1Jft— 00 """`.-�J Existing building area: s uare feet _ New building area: square feet ' PROPERTY OWNER ❑ TENANT Number of stories: ii Name: O A)4. 5-reker ApS/ Type of construction: Address: toipo Occupancy groups: City/State/ZIP: eon,c L / 99i q Phone (Z(�) 9 (fr 1551 Fax:( ) Existing: APPLICANT` New: Pr CONTACT PERSON< .. BUILDING PERMIT"FEES* ;,,t Business name: A ti �J l-��/Vb5 (Pleaserefer ofeeschedufee , 1 .: Contact name: S'�2�.D It4A lG Structural plan review fee(or deposit): Address: 02,20SCJ 67.44,1‘) FLS plan review fee(if applicable): Buell 2.b 5utre- Sao City/State/ZIP: (�T L�1svO/ t3 2 Total fees due upon application: -ii,,,q9 et Phone:(5 ) 2,�r1..- ® I '`f�9 615. 497 rp 3j Fax::( ) Amount received: E-mail: J Maur, a G 1�05. vYv� PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES* `e CONTRACTOR Commercial and residential prescriptive installation of �` Business name: roof-top I ounted Photo Voltaic Solar Panel System. E SP L1:gIOs -70� 1 ) Submit two sets of roof plan with co - I etails Address: tot(1) f"RLti,tr../ Pq.��yy,q` and fire depart -. access,alone 'c the 2010 Oregon 1' � S Solar Installation Spe :, ode checklist. rit :96 City/State/Z1P: c T_t .T. � , G/4 9 S21 r7 Permit fee 6 udes p: iew Phone:(5c>3) 2.92- $$31 I Fax:( ) and administrative fees $180.00 CCB lic.: j9 ?c,9Stat-surcharge(12%of permit fee): $21.60 Total fee due upon application: $ 01.60 Authorized signatureit/ This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. I Print name: 50c. itt/.hJ`G(,i I Date: (0/24//7 I * Fee methodology set by Tri-County Building Industry Service Board. I:\Building\Pernuts\BUP-COM PermitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB) IIICity of Tigard a COMMUNITY DEVELOPMENT DEPARTMENT T 1 G A R D �� �Building Permit Review — Commercial - With Land Use " elagtiiC Building Permit #: I L,,,p 020 t ? - 00 17 . �� J Site Address: 9Q/0C 'SW DOtet S.. e Suite/Bldg#: ,�_ Project Name: V ci k •S t i- cir+-rru n t'7, (Name of commercial business occupying the space. If vacant,enter Spec Space.) Planning Review .4 /DO t,,,),-,- Proposal: r' % by i I ckt VI / \ -9®-jr-4 01 AC,1✓ty bj.,,rl 4-- ❑ Verify site address/suite#exists and active in permit system. River Terrace Neighborhood: 0 Yes IILand Use Case#: ► ,(�` ` yI II 0 Ian)Match Approved Land Use: ly Site Plan ,,CC,, !-.1 Landscape Plan 0 Other: tip� Urban Forestry Plan Q-"Elevation Plan `'!J!t Wilding Height: Maximum Height rA Conditions Met: Actual Height 4 S . S Prior to Submittal ❑ Prior to Permit Issuance Business License: Exists: 0 Yes 0 No,applicant notified to obtain business license Public Facilities Improvement(PFI) Permit: or:Required: 0 Yes,applicant was notified ❑ No ApplieaCV Yes 0 No,stop intake Notes: Approved by Planning: _ . Date: C p Revisions (after Building Submittal only) _ ^ Reviewer e°leuer Date 1: cir Approved0 Not Approved ilk) b'1'.\-" e -N--------...- p1G1 ! Revision 2: 0 Approved 0 Not Approved Revision 3: 0 Approved 0 Not Approved Building Permit Submittal Original Submittal Date: 6 019 /7 Site Plans: # Building Plans: # Building Permit#: Enter building permit#above. Workflow Routing: ET-Planning E-61.--"Engineering 2ertnit Coordinator Workflow Sign off: 2r gi- off for Planning(include notes from planning review) �B� g Route Application Documents: Building: original permit application, site plans, building plans,engineer and beam calculations and trust details,if applicable,etc. Notes- ' l�- lb17- #,_ !1 f _ -� .qt r."' w. 10, 4 By Permit Technician: — A,. i Date: !.e 699 /, I:\BuildingTorms\BldgPermitRvw COM_WithLandUse_070915.docx Engineering Review 1� Slope at building pad: ✓ o FI Permit#: p/ .0 d0.'rde ❑' onditions "Met"prior to issuance of building permit.)(G 0,..41,t 1 l awl P-1 0.‘,- .AA"� 3 0 Easements (encroachments)per engineering conditions of approval and plat(not typical on SDR/CUP) Water Quality/Quantity Facility: Assess Water Quality Fee in-lieu: 0 Yes 2 No Assess Water Quantity Fee in-lieu: 0 Yes 12' LIDA Facility on lot: 0 Yes IG leo Zr-NOT Approved by Engineering: . (j Date "7. /6—l'j i Notes: i . . " Date: Approved by Engineering: Reviewer Date Revisions (after Building Submittal only) � /e) ,}t,,� Revision 1: L$ Approved 0 Not Approved ,v Revision 2: 0 Approved 0 Not Approved Revision 3: 0 Approved 0 Not Approved Permit Coordinator Review ❑ Conditions"Met"prior to issuance of building permit`?42 `/T`rl' Date: /' Approved,NOT Released: 10- -.,..61--i40-,--) Notes: Revisions (after Building Submittal only) n /a Z f ..... Revision Notice 1: Date Sent to Applicant: /iLN Revision Notice 2: Date Sent to Applicant: Revision Notice 3: Date Sent to Applicant: ( DC Fees Entered: S Wash Co Trans Dev Tax: es 0 N/A (/ Tigard Trans SDC: es 0 N/A Parks SDC: es 0 N/A X1OK to Issue Permit 2-14 y Approved by Permit Coordinator: /i/i/ Date: I:\BuildingWorms\BldgPennitRvw_COM_W ithLandUse_070915.docx - i - TDT Estimate Oak Street Apartments - 100 7/19/2017 9010 SW Oak St. & lots, BUP2017-00178 AMS TDT RATES EFFECTIVE 7/1/16 TSDC CITYWIDE&TSDT RT OVERLAY RATES EFFECTIVE 7/1/16 INSIDE RIVER TERRACE TSDC CITYWIDE RES. EFFECTIVE 7/1/16 0 Yes 1 Project is in River Terrace ? Qi No Former Use Rate Type Use# ITE Code #Units Rate TDT Amount Description TDT 1 210 1.00 $8,278 $8,278 1 SFR TSDC-Imp 1 210 1.00 $5,488 $5,488 1 SFR TSDC-Reim 1 210 1.00 $317 $317 1 SFR TSDC-RT 1 $0 Total TDT and TSDCs Former Uses $14,083 Proposed Use Use# ITE Code # Units Rate TDT Amount Description TDT 1 220.00 100.00 $5,415 $541,500 100 Apts. TSDC-Imp 1 220.00 100.00 $3,201 $320,100 100 Apts. TSDC-Reim 1 220.00 100.00 $185 $18,500 100 Apts. TSDC-RT 1 $0 TDT 2 $0 TSDC-Imp 2 $0 TSDC-Reim 2 $0 TSDC-RT 2 $0 TDT 3 $0 TSDC-Imp 3 $0 TSDC-Reim 3 $0 TSDC-RT 3 $0 Total All TDTs&TSDCs Proposed Uses $880,100 Less: Total All TDTs&TSDCs Former Uses $14,083 Total All TDTs&TSDCs Net Increase $866,017 Total Net County TDT $533,222 Total Net TSDC-Imp $314,612 Total Net TSDC-Reim $18,183 Total Net TSDC RT Overlay $0 $866,017 TDT TSDC Imp + Reim Target Recovery Rate 28.0% 30% Estimated Total Impact $1,904,364 $1,109,317 Estimated Unmitigated Impact $1,371,142 $776,522 All TDT&TDSC TSDC RT Overlay Target Recovery Rate 29% 30% Estimated Total Impact $3,013,681 $0 Estimated Unmitigated Impact $2,147,664 $0 TDT=County Transportation Development Tax TSDC Citywide=City of Tigard Transportation System Development Tax(TSDC-Imp&TSDC-Reim) TSDC RT=River Terrace Transportation System Development Tax Overlay Parks Estimate Oak Street Apartments - 100 7/19/2017 9010 SW Oak St. & lots, BUP2017-00178 AMS ALL PARKS RATES EFFECTIVE 7/1/16 I 0 Yes Project is in River Terrace ? ® No I J Note:All Neigh-Imp# Units entries=0 if project is in River Terrace; All Neigh-RT# Units entries=0 if project is elsewhere in the city. Former Use Rate Type Use# ITE Code #Units Rate Parks Amount Description Parks-Imp 1 210 1 $4,356 $4,356 1 SFR Parks-Reim 1 210 1 $1,207 $1,207 1 SFR Neigh-Imp 1 210 1 $1,615 Neigh-RT 1 $1,615 1 SFR $0 0 2 $0 Total Parks Former Uses $7,178 Proposed Use Use# ITE Code #Units Rate Parks Amount Description Parks-Imp 1 220 100 $3,280 $328,000 100 Apts. Parks-Reim 1 220 100 $772 Neigh-Imp 1 $77,200 100 Apts. 220 100 $1,216 $121,600 100 Apts. Neigh-RT 1 $0 Parks-Imp 2 0 Parks-Reim 2 $0 0 Neigh-Imp 2 $0 0 Neigh-RT 2 $0 0 $0 0 Total Parks Outside RT Proposed Uses $526,800 Less: Total Parks Outside RT Former Uses $7,178 Total All Parks Outside RT Net Increase $519,622 Total Parks RT Proposed Uses $0 Less: Total Parks RT Former Uses $0 Total All Parks RT Net Increase $0 Total Parks-Imp $323,644 Total Parks-Reim $75,993 Total Neigh-Imp $119,985 Total Neigh-RT $519,622 $0 For Non-Residential Calculations: Prior Use: =###sf/EE;#####/###=EEs. Proposed Use: =###sf/EE;#####/###=EEs. Parks-Imp=Parks Improvement,Citywide including River Terrace Parks-Reim=Parks Reimbursement,Citywide including River Terrace Neigh-Imp=Neighborhood Parks Improvement Outside River Terrace Neigh-RT=Neighborhood Parks Improvement Inside River Terrace Albert Shields From: Albert Shields Sent: Thursday,July 20, 2017 10:15 AM To: 'Jared Mauch' Cc: Gary Pagenstecher; Kenny Fisher Subject: Oak Street Apartments, BUP2017-00178 & -00179 Attachments: Conditions - 07-19-2017.pdf Jared, in our preliminary review of your applications for the two Oak Street Apartments buildings we note that multiple Conditions of Approval of the underlying Land Use case, PDR2016-00017, have not yet been met, as per the highlighted items on the attached list of conditions. Accordingly, I have coded these applications"Approved but Not Released." Plan Review will proceed but the permits will not be issued until all requisite conditions have been met. Please let me know if you have any questions. Albert Shields 1 CITY OF TIGARD RECEIVED COUNTYWIDE TRANSPORTATION DEVELOPMENT TAX (TDT) NOV BUlLCBUILDINGY ZO17 NOTIFICATION OF FEE AND PAYMENT OPTIONS c€� ``VI DSV S!O Please sign and return prior to building permit issuance. d ��l � This advises you that the TDT for this project is as shown below and outlines the payment options that may be available to you. The TDT amount will increase on July 1, 2116 if•ayment is not received before then. This form is to be signed and sub�' (d ; - / •= t. �sua . eo :� g permit. I City of 'igard Date: I% 0 , v Site Address: 900 5tiJ d k S~�- Project ©,.scPT . Land Use Case 7 o 2 .2_47/1.• — c5e7 0 1-7-- Name: 3v,Jr!:.�,.✓�- �t or Permit#: 730P 3.o i 7 pd 1 1 B Tax TDT Amount: Lot#: iS /5546.0 6o *5-33 Za?.- .oa This constitutes my request to use the TDT payment option or combination of options I have selected below. [This selection can be changed up to the time a buildingpermit is issued] I realize that 1'UT charges are due and payable at the time a building permit is issued unless those charges are Deferred or are financed through Installment Payments. [Please address questions about IDT or Deferral or Installment Payments to Albert Shields, Permit Coordinator,503-718-2426.] ❑ Cash, Check, or Credit Card,payment due at building permit issuance. XDeferral until Occupancy,payment due before issuance of an occupancy permit. Payment of the TDT may be deferred until issuance of the occupancy permit if the TDT is greater than the amount for a single family residence,currently$8113. In requesting this option I understand that any deferred TDT must be paid prior to issuance of a Certificate of Occupancy and that the TDT will be recalculated at the time it is actually paid based on the TDT rates prevailing at that time. I further understand that TDT rates may increase each July 1st and that such increases are not subject to appeal. For a deferral request to be accepted both the Owner and the Applicant must sign this request. 0 Credit Voucher(for developer-built required public improvements,subject to approval, completion, and acceptance of creditable improvements.) PLEASE NOTE: TDT Credits must be redeemed at the time TDT Payment is due, either at the time the building permit is issued or,if payment is deferred,prior to issuance of an occupancy permit. If you expect to claim TDT Credits be sure the improvements,any creditable payments,and your Request for Credits is complete either before your building permit is to be issued or,if payment is deferred,before you request an occupancy permit. No refund of TDT Payments will be made if Credits are submitted more than 30 days after issuance of the relevant building or occupancy permit. 0 "Bancroft" Pr Installment Payments (separate application require .) L O ER/APP ICANT • ER/ PP ICANT DATE: 1 VI / 14- DATE: K./I In— I:\CURPLN\Permi —I:\CURPLN\Permit Coordinator\TDT Forms\TDT Payment Option Form 061312AMS 3` 4 CITY OF TIGARD RECEIVED TIGARD TRANSPORTATION SYSTEM DEVELOPMENT CHARGE (TSDC) NOV 1 2017 NOTIFICATION OF FEE AND PAYMENT OPTIONS CITY t - HOARD Please sign and return prior to building permit issuance. BUILDING DIVISION This advises you that the TSDC for this project is as shown below and outlines the payment options that may be available to you. The TSDC amount will increas• on July 1, 2018 if payment is not received before then. This form is to be signed and sub,' -d .r'. • : i .r ance . a .uilding permit. e City of Tigard Date: Site Address: 70/5 Project C54-*. S'T'. /'/ reMS Land Use Case I ft 26l Lo —006, 1'7- Name: —31'/4*Diu6_. A or Permit#: .ac/P.2-c2 t '?. — od I q-65 TaxTSDC Lot#: /S/354-e-c4" Amount: if 33Z, 9-q6.oa This constitutes my request to use the TSDC payment option or combination of options I have selected below. [This selection can be changed up to the time a buildingpermit is issued.] I realize that TSDC charges are due and payable at the time a building permit is issued unless those charges are Deferred or are financed through Installment Payments. [Please address questions about TSDC or Deferral or Installment Payments to Albert Shields,Permit Coordinator,503-718-2426.] ❑ Cash, Check, or Credit Card,payment due at building permit issuance. pDeferral until Occupancy,payment due before issuance of an occupancy permit. Payment of the TSDC may be deferred until issuance of the occupancy permit if the TSDC is greater than the amount for a single family residence, currently$ . In requesting this option I understand that any deferred TSDC must be paid prior to issuance of a Certificate of Occupancy and that the TSDC will be recalculated at the time it is actually paid based on the TSDC rates prevailing at the time when the building permit was issued. I further understand that TSDC rates may increase each July 1,t and that such increases are not subject to appeal. For a deferral request to be accepted both the Owner and the Applicant must sign this request. ❑ Credit Voucher (for developer-built required public improvements, subject to approval, completion, and acceptance of creditable improvements.) PLEASE NOTE: TSDC Credits must be redeemed at the time TSDC Payment is due,either at the time the building permit is issued or,if payment is deferred,prior to issuance of an occupancy permit. If you expect to claim TSDC Credits be sure the improvements, any creditable payments, and your Request for Credits is complete either before your building permit is to be issued or,if payment is deferred, before you request an occupancy permit. No refund of TSDC Payments will be made if Credits are submitted more than 30 days after issuance of the relevant building or occupancy permit. ❑ "Bancroft" or Installment Payments (separate application req ' e..) C NE /A PLICANT •r 1 ER AP''LICANT DATE: 1 VI q DATE: tl / /q. I:\CURPLN\Permit Coordinator\TDT Forms\TDT Payment Option Form 071917AMS