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Correspondence (12) CITY OF TIGARD WASHINGTON COUNTY OREGON VOLUNTARY COMPLIANCE AGREEMENT AND TEMPORARY CONDITIONAL CERTIFICATE OF OCCUPANCY RE: Tax Map 1S135DA Tax Lot 01400 Brahmapremananda Ashram 11515 SW Hall Blvd. 11515 SW Hall Blvd. Tigard, OR 97223 Tigard, OR 97223 I, Amarish Patel, Project Manager and person responsible for the above property and project, agree to the conditions set forth below and promise to fully comply with them. This is a Temporary and Conditional Certificate of Occupancy issued today for a period not to exceed thirty days, by which time the following conditions must have been met and approved by the City of Tigard: Permit BUP2002 -00002 and permit SIT2002 -00001 must be completed and approved, including all outstanding conditions, corrections, ancillary permits and fees. I understand that with this agreement the City will withhold further legal or enforcement action regarding these conditions until 5:00 pm on Monday, December 8, 2003. Upon compliance with all the above conditions, this case will be closed and this Temporary Certificate of Occupancy will become permanent. I further understand that if these conditions are not complied with fully this Temporary and Conditional Certificate of Occupancy will become void at 5:00 pm on Monday, December 8, 2003. Signed: ( Date: Thursday, November 6, 2003 owner /Representative Signed: / Date:: Thurs ay, November 6, 2003 Owner "•. prese / Signed: / / / /�' — Date: 1 �o D 5Titl: r D i ty f .:r .7eiet,etA,,yadf e ase ocecek HOUSING /BUILDING COMPLAINT RECORD CITY OF TIGARD BCE 200P - -OgooZ— ** Complete Confidentiality Form If Appropriate ** File Folder? Yes/No Closed/Referred /Declined Housing t, 7 �� Building Da Rec I Time Received> Q (/ Received by g7z13 r:1 Property ert Address [Street, Unit, Tigard ZZIP L P Y [ g ZIP] Property/Complex Name [i any] Relationship of Complainant [T nt, etc.] -- 77:1 art rat ' K Complainant's Nam. ' Complainant's h e Number s SLt/ Cet./ �o — • Complainant's Address [if different — Street, City, State, ZIP] Descri s tion of Co I I . int: / (...01464—t-c-Se I / J a _ ppt r-c. Ain GL- j4_,0„ Ak? Owner Name Owner Phone Number Owner Address [Street, City, State, ZIP] Manager Name Manager Phone Number Manager Address [Street, City, State, ZIP] Contractor Name & CCB# Contractor Phone Number Contractor Address [Street, City, State, ZIP] Complainant's Primary Contact (if tenant) Owner Manager N/A Type of property: Apartment House /Complex [3 or more Units] Single Family Duplex 1- Iotel/Motel Social Care Facility Commercial/Industrial Activity Record: [Initials of Inspector, person verifying] Yes No Date Initials Has Tenant/Complainant contacted owner /manager? Is tenant in arrears /is court/eviction action pending? Has Inspector contacted owner /manager? Was an On -Site Inspection conducted on complaint? Self- Certification — did tenant verify compliance? Was a Compliance Agreement signed? Was a Summons & Complaint issued? Was a Court Appearance completed? Was Compliance verified by inspection? Resolut}}9�n of complaint: ledeuzet CJ 011403AMS •