Certificate of Occupancy City of Tigard
Washington County Oregon
Voluntary Compliance Agreement and
Temporary Certificate of Occupancy
For: Martin T. Luther
13251 SE 126 Ave.
Clackamas, OR 97015
Re: Temporary Certificate of Occupancy
You, Martin T. Luther, as the responsible person for 12365 SW 121 Ave.,
Tigard, OR 97223, Tax Map 2S103BB, Tax Lot 13400, and the work under
permit MST2004- 00137, agree to the following conditions:
A temporary Certificate of Occupancy is hereby issued on a conditional
basis for a period not to exceed 30 days from this date, by which time the
following conditions must have been met and approved by inspection by
the City of Tigard Building Department:
Permit MST2004 -00137 must be completed and approved, including all
outstanding corrections, ancillary permits and fees. Specifically, the
corrections listed on inspection reports dated 12- 16 -04.
The City of Tigard agrees to withhold any other action regarding occupancy
or completion of this permit until 5:00 p.m., January 17, 2003.
Upon compliance with all above conditions, this case will be closed and the
Certificate of Occupancy will become permanent. I further understand that
if these conditions are not complied with fully by the above date and time,
this Temporary Certificate of Occupancy will terminate and I may be served
with a Summons and Complaint without further notice for violation of
provisions of the Oregon One and Two Family Dwelling Specialty Code
regarding final inspection approval being required prior to occupancy.
Signed Date /./4 d �
R= !onsible Pa ,_ /
Signed: 4 , Date / /(�
-u sing Wes nforcement • - )