Permit .1
V CITY OF TIG ®D MECHANICAL PERMIT
COMMUNITY DEVELOPMENT PERMIT #: MEC2008 -00455
;T1caRD, 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171
DATE ISSUED: 9/8/2008
PARCEL: 1 S126DB -02800
SITE ADDRESS: 09370 SW GREENBURG RD 202 ZONING: C -
SUBDIVISION: PP1991 -018 LOT: 001 JURISDICTION: TIG
PROJECT: AMERIPRISE FINANCIAL
Project Description: Replace ground unit with like kind. Project Value: $5,000
CLASS OF WORK: ALT FLOOR FURN: EVAP COOLERS:
TYPE OF USE: COM UNIT HEATERS: VENT FANS:
OCCUPANCY GRP: B VENTS W/O APPL: VENT SYSTEMS:
STORIES: BOILERS /COMPRESSORS HOODS:
FUEL TYPES 0 - 3 HP: DOMES. INCIN:
3 - 15 HP: COMML. INCIN:
MAX INPUT: BTU 15 - 30 HP:
REPAIR UNITS:
FIRE DAMPERS ?: 30 - 50 HP: REPAIR UNITS:
GAS PRESSURE: 50 + HP:
FURN < 100K BTU: AIR HANDLING UNITS CLO DRYERS:
OTHER UNITS:
FURN > =100K BTU: <= 10000 cfm: GAS OUTLETS:
> 10000 cfm:
Owner: FEES
FRANKLIN COMMONS ASSOCIATES Description Date Amount
BY NORRIS + STEVENS
520 SW 6TH STE 400 [MECH] Permit Fee 9/8/2008 $141.50
PORTLAND, OR 97204 [MECPLN] Plan Rev 9/8/2008 $35.38
[TAX] 12% State Surch 9/8/2008 $16.98
Phone: Total $193.86
Contractor:
WILLAMETTE HVAC SERVICE
3075 SW 234TH AVE. #206
HILLSBORO, OR 97123 REQUIRED ITEMS AND REPORTS
Contact #: PRI 503- 628 -6841
FAX 503- 848 -2597
Reg #: LIC 56951
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of Ore. Specialty Codes and all other
applicable laws. 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 than 180 days. ATTENTION: Oregon law requires you to follow rules adopted in the Oregon
Utility Notification Center. Those rules are set forth in OAR 952 - 001 -0010 through OAR 952 - 001 -0100. You may obtain copies of these
rules or direct questions to OUNC by calling 503.246.6699 or 1.800.332.2344.
Issued y: 4 /� P ermittee Signature: i 4- "T
Call 503.639.4175 by 7:00 a.m. for inspections that business day.
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.
Mechanical Permit Application - , 1
?. t *ltf, ; ;1 ,t :, OI'FIC�U ONL Ittt -1, k w- T,''.::.,,A ,f-: 4::
`:�4 i i Received q C� r / � 7O / / L
114 ;, ; h , ,, City of Tigard �� Date/B / U Permit No. Mee: � 7 J
k` a 13125 SW Hall Blvd., OR 972 RECE� i
v. j, C Phone: 503.639.4171 Fax: 503.598.1960 Plan Revi• •• j��
DateBiO -∎ �` Other Permit:
A ' Inspection Line: 503.639.4175 Date Remy .:y: 0 See Page 2 for
,.. Internet: www.ti ardor. ov
T,IGAR + Di g g SEP — 8 2008 Notified/Method: Supplemental lnformation
TYPE OF WOR
CITY OF'T ARD COMMERCIAL FEE *. SCHEDULE — USE CHECKLIST
��GPVISION Mechanical permit fees* are based on the value of the work
❑ New construction ®Addition /alterati en performed. Indicate the value (rounded to the nearest dollar) of all
❑ Demolition ❑ Other: mechanical materials, equipment, labor, overhead, and profit.
CATEGORY OF CONSTRUCTION . Value: $ $5,000.00
RESIDENTIAL EQUIPMENT /SYSTEMS FEES*
❑ 1- and 2- family dwelling ® Commercial /industrial ❑ Accessory building
For special information use checklist.
❑ Multi- family ❑ Master builder ❑ Other: Description Qty. Ea. Total
JOB SITE INFORMATION AND LOCATION Heating /cooling
Job site address: 9370 SW greenburg RD Air conditioning or heat pump
g g (requires site plan showing placement) 14.00
City /State /ZIP: Tigard, OR 97223 Furnace 100,000 BTU (ducts /vents) 14.00
r Furnace 100,000+ BTU (ducts /vents) 17.90
Suite/bldg./apt. no. _ � � i Project name: _(�AO e titri5� !! tQ L ! � ( Gas heat pump 14.00
Cross street/directions to job site: Duct work 10.00
Hydronic hot water system 14.00
Residential boiler (radiator or
hydronic) 14.00
Unit heaters (fuel -type, not electric),
in -wall, in -duct, suspended, etc. 14.00
Subdivision: Lot no.: Flue /vent for any of above 6.80
Other: 10.00
Tax map /parcel no.: Other fuel appliances
DESCRIPTION OF WORK Water heater 10.00
Gas fireplace 10.00
Replace ground unit like for like Flue vent for water heater or gas
fireplace 10.00
Log lighter (gas) 10.00
Wood /pellet stove 10.00
Wood fireplace /insert 10.00
Chimney /liner /flue /vent 10.00
• ❑. PROPERTY OWNER ❑ TENANT
Other: 10.00
Name: Environmental exhaust and ventilation
Address: Range hood/other kitchen
equipment 10.00
City /State //_1P: Clothes dryer exhaust 10.00
Single -duct exhaust (bathrooms,
Phone: ( ) Fax: ( ) toilet compartments, utility rooms) 6.80
❑ APPLICANT ❑ CONTACT PERSON Attic /crawlspace fans 10.00
Other: 10.00
Business name:
Fuel piping
Contact name: $5.40 for first four; $1.00 for each additional
Address: Furnace, etc.
Gas heat pump
City /State /ZIP: Wall /suspended /unit heater
Phone: ( ) Fax: : ( ) Water heater
Fireplace
E -mail: Range
CONTRACTOR Barbecue
Business name: Willamette HVAC Clothes dryer (gas)
Other:
Address: 3075 SW 234 Ave Ste 206 MECHANICAL PERMIT FEES* •
City /State /ZIP: Hillsboro, OR 97123 Subtotal SD
Phone: (503) 628.6841 Fax: (503) 848.2597 Minimum permit fee ($72.50) y�
Plan review (25% of permit fee) Sj .. 3 8
CCB lic.: 56951 State surcharge (12% of permit fee) /4, A g
it • TOTAL PERMIT FEE 19 3180
Authorized si nature: This permit application expires if a permit is not obtai,(ed within 180
g/�� i days after it has been accepted as complete.
Print name: Michael Malstrom Date: 9/5/08 ' Fee methodology set by Tri-County Building Industry Service Board
I. \ Buildingermits \MEC- PermitApp.doc 01/19/07 440 -4617T (11 /02 /COM/WEB)
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LEGACY, 13 SINGLE § PA ��K�AG PUM ,, . .ii.., ,,„,.,,,,„,,,,,„ . * ..0„ 4 .
SYSTEM4WITH R - 2 2 REFRIGERANT 1 & 3 P ASE
2 =5 NOMINAL TONS (S 2 6 0 ) � ��
Product Data
Direct -drive multi- speed, PSC (permanent split capacitor)
blower motor is standard on all 604A models.
Direct -drive, PSC condenser -fan motors are designed to help re-
1 duce energy consumption and provide for cooling operation down
11
/ / / �� // to 40°F (4.4 °C) outdoor temperature.MotormasterOO 11 lowambi-
1 11 l \`l �`�� JJJ� ent kit is available as a field-installed accessory and does not require
\�` `�'� / /// a special motor.
kil Corporate thermostats work with Bryant's small packaged prod -
1110 ucts as a system to promote year round comfort.
,'l ' '� 1 / 1 1I ' ! Refrigerant system is designed to provide dependability. Liquid
411i
jj$$sP refrigerant strainers are used to promote clean, unrestricted opera - tion. Each unit leaves the factory with a full refrigerant charge. Re- frigerant service connections make checking operating pressures
easier.
Low- Pressure/Loss -of- Charge Switch assures added safety and
reliability for the compressor.
's%.*'%%%%4 , , i i P Indoor and outdoor coils are computer- designed for optimum
Ni 1.
heat transfer and cooling efficiency. The indoor coil is fabricated
/ from copper tube and aluminum fins and is located inside the unit
6 � for protection against damage. The outdoor coil is internally
mounted on the top tier of the unit. A FIOP (Factory- Installed Op-
C99062 tion) metal louvered grille is available on all models. Copper fin
coils and pre - coated fin coils are available from the factory by spe-
Unit 604A cial order. These coils are recommended in applications where alu-
minum fins are likely to be damaged due to corrosion. They are ideal
Single- Package Heat Pump for Residential and Light Commercial for seacoast applications.
Applications Low sound ratings ensure a quiet indoor and outdoor environment
• Low Sound Levels with sound ratings as low as 72 dB. (See page 3.)
• 13 SEER Easy to service cabinets provide easy single -panel accessibility to
serviceable components during maintenance and installation. The
FEATURES /BENEFITS unit base, with integrated drain, provides easy ground level installa-
One -piece heat pump with optional electric heater, low installation tion with or without a mounting pad. Convenient handholds are pro -
cost, dependable performance and easy maintenance. vided to manipulate the unit on the job site. A nesting feature ensures
a positive unit base to roof curb seal when the unit is roof mounted.
Efficient operation A convenient 3 /4 -in. wide perimeter flange makes frame mounting
High - efficiency design with SEERs (Seasonal Energy Eff on a rooftop easy.
Ratios) of 13.0 and HSPFs (Heating Seasonal Performance Factors) Downflow operation is easily provided in the field to allow vertical
of up to 7.7. ductwork connections. The unit base utilizes knockout style seals
Easy Installation on the bottom openings to ensure a positive seal in the horizontal air -
Factory- assembled package is a compact, fully self- contained, flow mode.
heat pump unit that is pre - wired, pre - piped, and pre- charged for Standard metal duct covers with insulation come with the unit and
minimum installation expense. 604A units are available in a variety cover the duct openings. These can be left in place if the units are
of standard capacity ranges with voltage options to meet residential converted to downshot.
and light commercial requirements. Units install easily on a rooftop Cabinets are constructed of heavy duty, phosphated, zinc - coated
or at ground level. prepainted steel capable of withstanding 500 hrs of salt spray. Interi-
Durable, dependable components or surfaces are insulated with cleanable semi -rigid insulation board,
Scroll compressors are designed for high efficiency. Each com- which keeps the conditioned air from being affected by the outdoor
pressor is hermetically sealed against contamination to help pro- ambient temperature and provides improved indoor air quality.
mote longer life and dependable operation. Vibration isolation pro- (Conforms to American Society of Heating, Refrigeration
vides quiet operation. Compressors have internal high - pressure and and Air Conditioning Engineers No. 62P.) The sloped drain m ini-
overcurrent protection. mizes standing water in the drain, which is provided with an external
drain fitting.
Short- Cycling protection for the compressor is incorporated into
our defrost control board ensuring a five minute delay ( +/ -2 min -
utes) before restarting compressor after shutdown for any reason.
1
■
ARI* CAPACITIES
COOLING CAPACITIES AND EFFICIENCIES
SOUND
UNIT NOMINAL TONS STANDARD.CFM CAPACITIES (Btuh) SEERt RATINGS
(SERIES) (dB) $
024 2.0 800 24,000 13.0 72
030 2.5 1000 30,000 13.0 72
036 3.0 1200 36,000 13.0 72
042 3.5 1400 41,500 13.0 73
. 048 4.0 1600 ' 47,000 13.0 78
060 5.0 1750 57,000 13.0 78
HEATING CAPACITIES AND EFFICIENCIES
LOW HEAT y/.'" . ..
UNIT 604A HIGH HEAT CAPACITY HIGH HEAT COP @ 47 °F LOW HEAT CAPACITY
(SERIES) (Btuh) @ 47 °F (8.3 °C) (8.3 °C) (Btuh) @ 17 °F (- 8.3 °C) COP @ 17 °F HSPFt
(-8.3 °C) QN
024 23,000 1 3.3 12,800 2.2 7.7 et.3 .
030 29,000 1 3.3 16,000 2.2 7.7 *u t..
036 35,000 3.3 19,200 2.2 7.7
042 41,000 3.3 22,600 2.2 7.7
048 46,000 3.2 25,400 2.2 7.7
060 55,000 3.3 1 27,600 2.0 7.7
' Air Conditioning & Refrigeration Institute.
t Rated in accordance with U.S. Government DOE Department of Energy) test procedures and /or ARI Standard 210/240 -03.
$ Tested in accordance with ARI Standard 270 -95 (not listed in ARI).
NOTES: LEGEND
1. Ratings are net values, reflecting the effects of circulating fan heat. dBA - Sound Levels (decibels)
Ratings are based on: COP - Coefficient of Performance
Cooling Standard: 80 °F db, (26.6 °C) 67 °F (19.4 wb indoor HSPF - Heating Season Performance Factor
entering -air temperature and 95°F (35 °C) db outdoor entering -air db - Dry Bulb
temperature. SEER - Seasonal Energy Efficiency Ratio
2. Before purchasing this appliance, read important energy cost and wb - Wet Bulb
efficiency information available from your retailer.
OUTDOOR SOUND: OCTAVE BAND DATA - DECIBELS (dBA)
UNIT 604A
Frequency (Hz) 024 030 036 042 048 060
125 55.9 54.7 57.8 58.4 67.8 64.8
250 57.0 60.0 62.4 63.1 68.9 66.5
500 63.9 66.6 69.5 66.2 71.7 70.4
1000 66.8 67.0 72.3 66.8 72.7 73.2
2000 63.3 63.7 69.0 63.6 69.2 69.6
4000 59.0 59.5 65.4 59.9 65.7 67.1
8000 52.9 52.1 57.4 54.1 58.5 1 60.6
3
PHYSICAL DATA
UNIT SIZE 604A 024 030 036 042 ( 048 060
NOMINAL CAPACITY (ton) 2 2 - 1/2 3 3 - 1/2 4 5
OPERATING WEIGHT (lb.) 343 366 433 460 480 492
(kg) 156 166 196 209 218 223
Compressor Scroll
Refrigerant (R -22) Quantity (lb.) 7.8 8.2 10.7 10.8 12.1 11.8
REFRIGERANT METERING DEVICE AccuRater®
Orifice ID (in.) 0.065 0.070 0.080 0.088 0.088 0.101
Orifice OD (in.) .032(1).038(1) .035(1).038(1) I .038 (2) .046 (2) .052 (2) .057 (2)
CONDENSER COIL
Rows...Fins /in. 2...21 2...21 2...21 2...21 2...21 2...21
Face Area (sq. ft.) 11.9 13.6 15.5 19.4 I 19.4 19.4
CONDENSER FAN
Nominal Cfm 2700 2700 2800 2800 3300 I 3300
' Qw/ ' i Diameter 22 22 22 22 22 22
Qct ra Motor HP (RPM) 1/8 (825) 1/8 (825) 1/8 (825) 1/8 (825) 1/4 (1100) 1/4 (1100)
0, t EVAPORATOR COIL
1(0 cD :'
4 Rows...Fins/in. 3...17 I 3...17 3...17 3...17 3...17 I 4...17
Face Area (sq. ft.) 3.7 3.7 4.7 4.7
5.6 5.6
EVAPORATOR BLOWER
Nominal Airflow (Cfm) 800 1000 1200 I 1400 1600 1750
Size (in.) 10x10 10x10 11x10 11x10 11x10 11x10
Size (mm) 254x254 279x254
Motor HP (RPM) 1/3 (1050) 1/3 (1050) 1/2 (1000) I 1/2 (1075) 1 1/2 (1075) 1 (1040)
Return - Air Filters (In.)* Throwaway 20x24x1 20x24x1 24x36x1 24x36x1 I 24x36x1 24x36x1
Return -Air Filters (mm)* Throwaway 208x610x25 610x914x25
I00 900112000
REGISTERED
C S
sva fi t^.
ELECTRIC HEAT PRESSURE DROP TABLES
Small Cabinet: 024 -030
STATIC I CFM
500 600 700 800 900 1000 1100 1200 1300 1400 1500 1600
5 kW 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.02 0.04 0.06 0.07
10 kW 0.00 0.00 0.00 0.00 0.00 0.02 0.04 0.06 0.07 0.09 0.10 0.11
15 kW 0.00 0.00 0.00 0.02 0.04 0.06 0.08 0.10 0.12 0.14 0.16 0.18
20 kW 0.00 0.00 0.02 0.04 0.06 0.08 0.09 0.11 0.13 0.15 0.17 0.19
Large Cabinet: 036 -060
STATIC CFM
1100 1200 1 1300 1400 1 1500 1600 1700 1800 1900 2000 2100 2200 2300 2400 1 2500
5 kW 0.00 0.00 0.00 0.01 0.02 0.03 0.04 0.05 0.06 0.07 0.08 0.09 0.10 0.11 0.12
10 kW 0.00 0.00 0.01 0.02 0.03 0.04 0.05 0.06 ' 0.07 0.08 0.09 0.10 0.11 0.12 0.13
15 kW 0.00 0.02 0.03 0.04 0.05 0.06 0.07 0.08 0.09 0.10 0.11 0.12 0.13 1 0.14 0.15
20 kW 0.02 0.03 0.04 0.05 0.06 0.07 0.08 0.09 0.10 0.11 0.12 0.13 0.14 I 0.15 0.16
4
BASE UNIT DIMENSIONS-604A036 -060
86 i 355.8 342.7 355 -
i3 f 1(4 301 11).491 j 114.001 224062ION5 IN ii ARE IN :NINES
12.171 RETURN 4111, 1 SUPPty
I
111111111111111111
q�� 11111111111111111.
� '� OPi TONAL ~ . OPi IONS! ti
i11 RETURN i S I
106.1 N AIR I A!N Iii ,
116.201 ! OPENING I OPEN III, IIII 1UI •
G
Ilip �._� x...411 CEC7 Er
/i^."�1 ''' I1 402.0 G 111111111
,'/ i � ✓ ' `: �� t \ \. 1:5 831
•• Nl�l�l�1� 4 16,1
L• -- ��.,e r , I,,, / � -
III _ ;I ��1
I g ��.� \�� /� // -EVAPORATOR CO!:
y INI �� J '_ , 6 1 i
MI � `:7 7
Lll \ .,; 351.E 341.1 351. 2
.-•' I (- .. i "4 113.831 ..3. E77 (13.831
! _ _ _ . .. - 88.3
!3.431 .. l ,. ?, . CONDEN516 C3l1 - ' -_ % � /
0 * TOP VIEW REAR VIEW
)u
r.+ 41 2 A
ar 1 N4. COMPRESSOR ,I3( Or! E21211 C ACCF 53 HEAT
4c +,gsi, d EIEC IH IC �
".._._ .__..__.__............__....... 1193.9 .........._.._..__._....... ''j
A 00]
'\ 23.0
Flkt • ENTHT� \D 911 i
SERVICE PORT; \
.._. .._ ._......__ -_
lllllllllllllllllI 244.5 11 , 57 D 1111111111M11 ,11111111111111111; `\ - PON ENTR! ,;
I
A 3 27.2 !03F DIA HOiE `
G CJN RO FNIA ' e
, 2.2 t
24.421 2 IR1
17
e i .
12 - •
- 326.1 ............. .
r 12 !17. Bai •
,1- X3.._1! 1 f i I 1 1 a ,13 -111
87.1 --
x37
42.7 : 129 .\ ..••
11.687 112. 951' I 1222 -+ - 5.0
...._ ..... ............................... 1123.1 _............ .........................•!� [486.3 14.8!) 10.201
1124..21 \ 148.281
-- -DRAIN OUTLET
LEFT SIDE VIEW 19 D !° 0 N D T .P.
% 22 0 I0. tl71 D FRONT VIEW RIGHT SIDE VIEW
.
REQUIRED CLEARANCE TO COMBUSTIBLE MATL REQUIRED CLEARANCE FOR OPERATION AND SERVICING
(Refer to Maximum Operating Clearances) INCHES [mm]
INCHES mm] EVAP. COIL ACCESS SIDE 36.00 [914.0]
TOP OF UNIT 14.00 [355.6] POWER ENTRY SIDE 42.00 [1066.8]
DUCT SIDE OF UNIT 2.00 [50.8] (EXCEPT FOR NEC REQUIREMENTS)
SIDE OPPOSITE DUCTS 14.00 [355.6] UNIT TOP 48.00 [1219.2]
BOTTOM OF UNIT 0.50 [12.7] SIDE OPPOSITE DUCTS 36.00 [914.0]
DUCT PANEL 12.00 [304.8] *
NEC. REQUIRED CLEARANCES. `MINIMUM DISTANCES: IF UNIT IS PLACED LESS THAN 304.8 [12.00] FROM
INCHES mm] WALL SYSTEM, THEN SYSTEM PERFORMANCE MAYBE COMPROMISE.
BETWEEN UNITS, POWER ENTRY SIDE 42.00 [1066.8]
UNIT AND UNGROUNDED SURFACES, POWER ENTRY SIDE 36.00 [914.0]
UNIT AND BLOCK OR CONCRETE WALLS AND OTHER
GROUNDED SURFACES, POWER ENTRY SIDE 42.00 [1066.8]
A05126
UNIT WEIGHT UNIT HEIGHT CENTER OF GRAVITY
UNIT ELECTRICAL IN [MM] IN. Y Z
CHARACTERISTICS lb kg X
604A036 208/230 -1 -60, 208/230 -3 -60, 460 -3 -60 433 196 42.98 [1092] 21.0 [533] 20.5 [520] 16.6 [422]
604A042 208/230 -1 -60, 208/230 -3 -60, 460 -3 -60 460 209 46.98 [1193] 21.0 [533] 20.5 [520] 17.1 [434]
604A048 208/230 -1 -60, 208/230 -3 -60, 460 -3 -60 480 218 46.98 [1193] 21.0 [533] 20.0 [508] 17.4 [442]
604A060 208/230 -1 -60, 208/230 -3 -60, 460 -3 -60 492 223 46.98 [1193] 21.0 [533] 20.0 [508] 17.6 [447]
8
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ROOF- MOUNTING •
CURB 0:1
N
o fi
.. ^'_``•
� ROOF
RETURN -AIR
FLEXIBLE DUCT
Oil 1 SUPPLY -AIR .r^
FLEXIBLE DUCT --� �-� -�
if cwi,
r ay * � " CEILING
CONCENTRIC DIFFUSER BOX
(FIELD- SUPPLIED)
A99321
INDOOR
�" I ELI THERMOSTAT
RETURN
AIR //
1j = - -. - - -- - -0
FROM
TOP COVER i /'
POWER
�. SOURCE PP .. AO ---■_______________________
------ 41070 ..
,I IPA*
� -'--,' - II 1 1 . =- Ii I DISCONNECT
rr � � PER NEC*
` \. ; / '/ " *National Electrical Code
C99061
• 20
CITY OF TIGARD .
BUILDING DIVISION PERMIT #: MEC200E3.001r,6
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 9f0/2000
Phone: (503) 639 -4171 '.., °''�„ , �, �1 �I�
Inspection Requests (24 Hrs.): (503) 639 -4175 J' ._ _ 1!
INSPECTION WORKSHEET FOR DATE: 9/11/2008 TIME: 7:00AM PAGE: 13
r
SITE ADDRESS: 09370 SW GREENBURG RD 202 CLASS OF WORK:
SUBDIVISION: PP1991 -018 LOT #: 001 TYPE OF USE:
PROJECT NAME: AMEPIPRISE FINANCIAL
DESCRIPTION: Replace ground unit with like kind. Projeci Value: $0,000
OWNER: FRANKLIN COMMONS ASSOCIATES, PHONE #:
CONTRACTOR: WILLAMETTE FIVAC SERVICE PHONE #: 503 62E1 6t341
Inspection Request Scheduled For: Date: 911//2008 Pour Time:
Code # Inspection Description Confirm # Contact # Messa.e
699 Mechanical final 07?5357 -02 971 -99B -2900 da.A6:EL--
Corre tions /Comments /Instructions: ���- J�'S yZ2- I�]°I
`• 'AS _/ PA PARTIAL APPROVAL ❑ CANCEL n NO ACCESS
FAIL 4 ALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
_ &.(r
Inspector: _ _ — _ Date: �� Phone #: (503) 718
'370 SW Greenburg Rd, Portland, Washington, Oregon 97223, United States - Google M... Page 1 of 1
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