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Permit CITY TIGARD ELECTRICAL RESTRICTED ENERGY PERMIT A DEVELOPMENT SERVICES PERMIT #: ELR2005 -00211 ' 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 DATE ISSUED: 9/2/2005 PARCEL: 1512600 -00300 SITE ADDRESS: 09585 SW WASHINGTON SQUARE RD MGMT ZONING: C -G SUBDIVISION: 0,6 SQUARE LOT: JURISDICTION: TIG Project Description: Limited energy for fire alarm system, (4) panels for (1) system. Job No. 25105 A. RESIDENTIAL B. COMMERCIAL AUDIO & STEREO: AUDIO & STEREO: INTERCOM & PAGING: BURGLAR ALARM: BOILER: LANDSCAPE /IRRIGAT: GARAGE OPENER: CLOCK: MEDICAL: HVAC: DATA/TELE COMM: NURSE CALLS: VACUUM SYSTEM: FIRE ALARM: X OUTDOOR LANDSC LITE: OTHER: : HVAC: PROTECTIVE SIGNAL: INSTRUMENTATION: OTHER: : TOTAL # OF SYSTEMS: 1 Owner: Contractor: WASHINGTON SQUARE LLC OREGON ELECTRIC CONST /GROUP BY THE MACERICH COMPANY 1010 SE 11TH AVE 9585 SW WASHINGTON SQUARE RD PORTLAND, OR 97214 TIGARD, OR 97223 Phone: Phone: 503 234 - 9900 Reg #: L1C 203 SUP 4460S FEES ELE 26 -95C Description Date Amount REQUIRED ITEMS AND REPORTS [ELPRMT] ELR Permit 9/2/2005 $75.00 [TAX] 8% State Surcharl 9/2/2005 $6.00 Total $81.00 This Permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. 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 by the Oregon Utility Notification Center. Those rules are set forth in OAR 952 - 001 -0010 through OAR 952-001-0_00. You may obtain copies of these rules or direct q -''ons to OUN -45034 in 6699. Issued By: � Permittee Signature:`,J� ; 6 OWNER INSTALLATION ONLY The installation is being made on property I own which is not intended for sale, lease, or rent. . OWNER'S SIGNATURE: DATE: CONTRACTOR INSTALLATION ONLY SIGNATURE OF SUPR. ELEC'N DATE: LICENSE NO: Call 503 - 639 -4175 by 7:00 a.m. for an inspection 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. 1 . - Eiettrical Permit Application : 1 ()I 1 ic F. i st.: 0\1 1 ' eity or Tigard NEI" Plan Review Reoe Permit No :E p ....1 9 .00 6%106 c 9,1 / • 13125 SWilail Blvd., Tigard, OR 9727-p, ,ECE Phone: 503.639.4171 Fax: 503.598196'0 Date/By Other Permit Inspection Line: 503.639A175 AUL '.?' ri - - 2S _-1-14-,._,„_., 4 Date Ready/By. Juriir:, fa See Page 2 for Internet: www.ci.tigard.or.us Notified/Method -7 ( c,,, Supplemental Infonnadon rOt : 114N --- R EVIEW .- I=1 New construction KAcion t Please check all that apply: BU 1 - - ' ['Service over 225 amps, comm'l 12 Hazardous location 0 Demolition ID Other: OService over 320 amps - rating 0 Buildng over 10,000 sq. ft., .....r,::'`,.... - :i:' , :: :' :::::: , ... ' ‘., ; :-:; of 1- and 2-family dwellings 4 or more new residential 0 1- and 2-family dwelling a 0 Accessory building ['System over 600 volts nominal units in one structure 0Building over three stories 0 Feeders, 400 amps or more • ID Multi-family 1:1 Master builder 1:1 Other 00ccupant load over 99 persons 0 Manufactured structures or , .....lop'..,srmnygroiRmATK,NAND....wpq7oN,: , :: : : : ,- .: ::,::,:::,:.:,::.,. i- ,.:.:::: DEgress/lightin plan RV park 0Health-care facility ['Other: Job no.: t,5105 Job site address C6155 6. 045, Submit i sets of plans with any of the above. City/State/ZIP: 1 04. ct12.1...', The above are not applicable to temporary construction service. Fjp.,E.■ •:: Suite/bldg./apt no.: Project name: Desaiption I Qty. I Fee. I Total I ** Cross street/directions to job site: . New residential single- or multi-family dwelling unit. Includes attached garage. 1,000 sq. ft_ or less 145.15 4 A Subdivision: 0.i. -To Lot no.: Ea. add'l 500 sq. ft. or portion 33.40 Limited energy, residential 75.00 1 2 Tax map/parcel no.: Limited energy, non-residential 75.00 2 ''. '''' ,,. .., : !::.•'::: : ::;' :' !'', ' ", : ::::: :: it :;':::::.',:::::::::' DESCRIPTION OF WORK "...'';':.:' Each manufactured or modular dwelling, service and/or feeder 90.90 2 - Cta *TALL Lot,. Ue tar Ate- 0-- P 440651 / Services or feeders installation, alteration, and/or relocation Clio&LI t`t C i era. Autur-v.... 200 amps or less 8030 2 i g(iiitoititiit OWNER ,--3::! , 201 amps to 400 amps 106.85 2 401 amps to 600 amps 160.60 2 Name: (4.1%Sra smoivi.A. Siu■441.A.. Lt-C- 601 amps to 1,000 amps _ 240.60 2 Address: 42 (5 65 5‘ U16.5 Seitm44n g-o Over 1,000 amps or volts 454.65 2 Reconnect only 66.85 2 City/State/ZIP: Itykoz„,0 04.- el7 22-5 Temporary services or feeders installation, alteration, and/or relocation Phone: ( ) Fax: ( ) 200 amps or less 66.85 1 Owner installation: This installation is being made on property that I own which is not 201 amps to 400 amps 100.30 2 intended for sale, lease, rent, or exchange, according to ORS 447, 449, 670, and 701. 401 amps to 600 amps 133.75 2 Owner signature: Date: Branch circuits - new, alteration, or extension, per panel V5.Aplitiekiii::.: - ,:iii i i::,'tiostikei:iiiiiiiii i , : ::_:::::::: : :, : : A. Fee for branch circuits with service or feeder fee, each 6.65 2 B n ame: De.acrom f La c..-rgiA. c_ CO-A-Frc branch circuit B. Fee for branch circuits Contact name: ....1 00 without service or feeder fee, W..' , I 1.41.---- 46.85 2 each branch circuit Address: 0%0 SC-. tt't Oa vez- Each add'l branch circuit 6.65 2 City/State/ZIP: 004.T1 6‘.1.-- Miscellaneous (service or feeder not included) Pump or irrigation circle 53.40 2 Phone: („5 ) z 1 , y e 00 Fax: : ( $05 ) g - 2 7 &3 Sign or outline lighting 53.40 , ge 2 E-mail: Signal circuit(s) or limited- 4.,....aa ::'-:::'‘,•:;:'" :I -.: toiiititAt ..i ‘: ene rgy P a n el, alteration, or extension_ Describe: ePage 2 710°'" - 2 Business name: 041fe.c,.. V.A.O. C-TVLI C. Each additional inspection over allowable in any of the above Address: ICI( 0 SFL- (1 ikta=•- Per inspection 62.50 City/State/ZIP p ostA - Lok p4.1:1, On_ ell 2../ Investigation per hour (I hr min) 62.50 Industrial plant per hour _ 73.75 Phone: ( 571) ) ,/,,%( dictoo Fax: (5/3 se,s--... 2 :; ( CCB Lic.: 249?) Electrical Lic.: Su xv. Lic.: Subtotal _ Print name: fir e Suprv. Electrician signature, required: , Plan review (25% of permit fee) State surcharge (8% of permit fee) 6.00 o - , A/z4z 0.„,............. 7 Ad TOTAL PERMIT FEE 'f / • d° - ' Authorized signature: , ,:= / This permit application expires if a permit Is not obtained within ISO days after it has been accepted as complete Print name: 4/4 ; 4 4( Date: -7/2..57/6 4 -.,: i • Fee methodology set by Tn-County Btuldmg Industry Service Board . _ _ CITY OF TIGARD BUILDING DIVISION PERMIT #: ELR200 &00211 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 9/2/2005 Phone: (503) 639 -4171 ,,11 ygii�I�I Inspection Requests (24 Hrs.): (503) 639 -4175 s_'!!+� �:.. INSPECTION WORKSHEET FOR DATE: 11/8/2005 TIME: 7 :00AM PAGE: 104 SITE ADDRESS: 09585 SW WASHINGTON SQUARE RD MGMT CLASS OF WORK: SUBDIVISION: WASHINGTON SQUARE LOT #: TYPE OF USE: PROJECT NAME: WASHINGTON SQUARE EXPANSION DESCRIPTION: Limited energy for fire alarm system, (4) panels for (1) system. Job No. 25105 OWNER: WASHINGTON SQUARE LLC, PHONE #: CONTRACTOR: OREGON ELECTRIC CONSTIGROUP PHONE #: 503.234 -9900 Inspection Request Scheduled For: Date: 11/8/2005 Pour Time: Code # Inspection Description Confirm # Contact # Message 199 Electrical final 020554 -04 503-793 -7177 N Corrections /Comments /Instructions: ke& E1-0E ❑ PASS PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: Date: Phone #: (503) 718- CITY OF TIGARD BUILDING DIVISION PERMIT #: 0 02 1 • 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: ° ` • Z'�J Phone: (503) 639 - 4171 " ill l � Inspection Requests (24 Hrs.): (503) 639 -4175 INSPECTION WORKSHEET FOR DATE: at .."1 _ 06' TIME: PAGE: SITE ADDRESS: 9587 5 ‘,0 L A S 1 It-To& CLASS OF WORK: SUBDIVISION: LOT #: TYPE OF USE: /' PROJECT NAME: W A6 t DESCRIPTION: c , e R � OWNER: PHONE #: CONTRACTOR: O( �,a' PHONE #: Inspection Request Scheduled For: Date: Pour Time: Code # Inspection Description Confirm # Contact # Message 11S F . Corrections /Comments/ Instructions: \iic`(L 4. 6 M ECO. PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: 1 Date: Phone #: (503) 718- 2 •4 1 • CITY OF TIGARD 0 BUILDING DIVISION PERMIT #: `R o \- .2-t • 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: Phone: (503) 639 -4171 4 r Inspection Requests (24 Hrs.): (503) 639 -4175 ' __— INSPECTION WORKSHEET FOR DATE: % • q • CS TIME: PAGE: SITE ADDRESS: 10A• S4 ,f•NpLJ... CLASS OF WORK: SUBDIVISION: LOT #: TYPE OF USE: PROJECT NAME: DESCRIPTION: OWNER: PHONE #: CONTRACTOR: PHONE #: I,.r- - - — so _ - — I -duled For: late: Pour Time: Code # Inspection Description Co irm # Contact # Message \°1q •,N14. 1"—I0 Pa-14-4 Q 20 81 - 0 ) Co - ctions /Comments /Instructions: 1A PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: Gl\g--\-6 N643 Date: II ' ' () 5 Phone #: (503) 718- 47 - L i'46 • 1 JUN 27 '05 13:12 T0- 5036201472 FROM- T -859 P.01/04 F -440 EMERSON. Facsimile Process Management Electrical Reliability Services, Inc. 4099 SE International Way SuIte 201 Mdwaulcfe, OR 97222 To: 1011 N EG r/ t cc: Company: relay, ttea ( (94s+t .c --. Fax Number: l o - 5 62 (y ? Phone Number: co 3 I S 3 Z Date: No. of Pages (Including cover sheet) From: -T „ , (. 2 a ,. , e -mail: Phone: 3.6 Fax 3 Fax Number: Subject/Comments: JUN 27 '05 13:12 70- 5036201472 FROM- 7-859 P.04/04 F -440 1 r Sr GROUND FAULT SYSTEM EMERSON. TEST REPORT Process Mana • ement a 1 N: - Preli i f i ,• Oregon Electric 3025545 •' TON. WITNESS: • TE Washington Square Mall 9585 SW Washington Sq rd, Tigard N/A 06127/1005 SWITCNDEAR DESIGNATION. - SET NO.: CAL. DATE: (Phase 2) MSB-L, MSB-L tenants Zna Boor, north (future) 35. 149,1209,1084 12/028004 1 NMMEr i i?; f,4 Ir, , • .. ,,. . r �'i r'r.f • a ,:,� LP001821 E- 800047 MAN OVERCURRENTDEVICE I R d °rout Breaker ❑ Fused Swath Cutler Hammer - e MODEL/CAT. NUMSER CURRENT RATINO SYSTEM VOLTAGE VOLTAGE MO NS HND 65k HND312T36W 1200 480 V 600 V GR • ND FAULT SYSTEM MFG& 0 Neutral Ground Strap ❑ Zero Sequence G Residual Cutler Hammer MODEL AT NUMSER . , -• , RANGE , = " •' - ►CT Dire M %La RMS 310 200 -1200 lnsd150/3O0/500 ms 2608D25G04/1200 am • s PICKUP CURRENT TIME PICKUP CURRENT TIME SETTINGS SY AS FOUND SETTING AS LEFT SETTSkG 200 Inst 200 Met As Found :iP15PL� i NUT ti fir..---07--. JUMPER %I 1/4" x 2 CU 3/0 CU n 2 1 AWG ❑ MC1M NEUTRAL • GROUND LOCATION CONTROL POWER TRANSFORMER VA Centit ❑ Intoned ❑ Conemed by Contractor 0 N/A WA • NITOR TEST PANEL • • RATION •TNER ❑ Caned ©Mewed 0 cor.etea 0 WA sw luusi - n rr - 7. tree ❑ Seconds ❑ Cydea 151 N/A 0 THp (Coned) ❑ No Tdp (Incorrect) O N/A PICKUP CURRENT • • • CURRENT (PICKUP MEWS 25%) 205 ❑ Trlp (Brewed) GI No Trfp (Correct) SYSTEM NEUTRAL INSULATION RESISTANCE TO ORWAIO IN MEEIDTACE NEUTRAL CURRENT TRANSFORMER POLARITY TEST 999+ 0 Correa ❑ Incorrect CJ NIA PRIMARY CURRENT PERCENT PICKUP TOTAL TIME REACTION TIME RELAY TIME WWI TOLERANCE AMVERE•7LplNS TIME - CURRENT 300 150% 031 IVIA NIA +N 10 % CALIBRATION TESTS 400 200% 031 N/A N/A +A 10 % REMARKS. Tested ground fault at 300 ms delay. Set back to instantaneous after testing. Ground Fault system Is suitable for enetgisation. 0 , K ill f JUN 27 '05 13:12 T0- 5036201472 FROM- T -859 P.03/04 F -440 A L GROUND FAULT SYSTEM EMERSON. TEST REPORT Process Mana 4 ement CLIENT - • .. Oregon Electric 3025545 LO TION. ,. Washington Square Man. 9585 SW Washington Sq rd, Tigard 0627/2005 WEAR DESIGNATION ASSET NO CAL. DATE: (Phase 2) M3B -L, MS8-L house 35- 149,1209,1084 12/02/2004 LP001821 E- 800047 .Vs' UR• N DEVICE IVOR D dreult Breaker ❑ Fused Switch Cutler Hammer TYPE MOOELICAT. NUMBER URRENT RATING SYSTEM VOLTAGE VOLTAGE RATING RD 65k RD316T86W 1600 480 V 600 V R•U AUL - MFGR. ❑ Neutral Ground Strap ❑ Zero Sequence O Residual Cutler Hammer MODEL T. NUMBER PICKUP RANGE Tag RANGE SENSOR ICY D - tri- Di •;u:• RMS 810 A -F 400 -1200 .1 -.512T in/out 260050.1-06 PCCIWPCURRENT TIME UP ' '' OAS i'n• I AS FOUND SETTING AS LEFT SETTING • O 840 .3 out 0 640) .3 out SFJtNCE EMTRANCECQINcurTORS •;' PER h + ^; i T ._ r = 7. , . - ..r Ln�r.. 1/4 "x 4' CU (? 4 3/0 CU n 2 MI AWG 0 MCM N U • L • •Terr. I. A . - TROL POWER TRANSFORMER VA 0 Cornet ❑ incorrect ❑ Corrected by Conbddw ❑ N/A N/A MONITOR TEST PANEL OPE ATION OTHER 0 Correct ❑ Incorrect Q corrected ® w►A v ❑ Seconds ® Cycler; 0 N/A ❑ TAp (Comm) ❑ No Trip (Incorrect) 0 N/A R . ; :: l - PI. UP - - 77`' - , • UP • 26 ) ❑ TAD OnconeW G No TO (Correa) SYSTEM NEUTRAL INSULATION RESISTANCE TO GROUND IN MEOOs9AS: NEUTRAL - • ` - - , • 0 •,. , ' POLARITY TEST 898+ o Correa ❑ in1COrrect ❑ N/A _ PERCENT PICKUP TOTAL TIME REACTION TIME RELAY TIME LAFGR- TOLERANCE TIME CURRENT 960 150% 0.31 N/A WA + -10 CALIBRATION TESTS 1280 200% 0.31 N/A N/A +/- 10 % REMARKS' Ground -Fault system is suitable for energization. JUN 27 ' 05 13:12 TO- 5036201472 FROM- T -859 P. 02/04 F -440 e e GROUND FAULT SYSTEM EMERSON. TEST REPORT Process Management CLIENT. ENGINEER JOB NO.. Oregon Electric TB 3025545 LOCATION; NEB. DA : Washington Square Mall, 9585 SW Washington Sq rd. Tigard N/A 06,27/2005 CNGEAR DESIGNATION: • BET NO.: CAL DATE. (Phase 2) MSB -L, MSf3 -L tenants 1st floor, north 35.149,1208,1084 12107/2004 N ,i'i lE P I MTE: [ TiC �-. , I_P001521 E- 800047 MAIN OVERCURRSNT DEVICE GB . la arcult Breaker ❑ Fused Switch Cutler Hemmer TYPE MODEUCAT NUMBER CURRENT RATING SYSTEM VOLTAGE VOLTAGE RATING RD 65k RD318T86W 1800 480 V 600 V GROUND AULT BYSTEM MF. . ❑ Neutral Ground Strap ❑ Zero Sequence 0 Residual Cutler Hammer CAT. NUMBER 'B;KUPRANDS T RANGE BEN90R P ' ' 0'41 • RMS 310 A -F 200.1200 inst/150/300/500 ms 6505C15G01/1600 am . ' CURRENT IN PICKUP CURRENT SETTINGS BY AS FOUND SETTINO AS LEFT SETTING A 200 Inst A 200 Inst As Pound {- _ - _ . s F ib ru ' 3/0 CU n 2 O AWG ❑ M04 VT • . a =r. "'. -• NTROL POWER TRANSFORMER VA 0 Correct ❑ Incorrect ❑ Corrected by Contractor ❑ WA N/A MONITOR TEST PANEL OPERATION • THER ❑ Carrett 0 Incornea 0 Corrected a w4 ❑ Seconds 0 0/des 0 N/A ❑ Trip (Correct) ❑ No Trip (Incorrect) O N/A PICKUP CURRENT PICKUP CURRENT (PICKUP MNUB 55%) 215 ❑ Trip ammo) 0 NO Trip (Correct) STET - NEuTRAL INSULATION RESISTANCE 0 GROUND IN MEOOMNB. T C ' '- - - FORMER POLARITY TEST 989 El Correct ❑ Incorrect ❑ WA PERCENT PICKUP TOTAL MX REACTIONTBE RELAY THE wan TOLERANCE TIME - CURRENT 300 150% 0.31 N/A N/A +A 10% CALIBRATION TESTS 400 200% 0.30 N/A N/A +I- 10 % - -��� RENARK6 Tested ground fault at 300 ins delay. Set back to instantaneous after tasting. Ground Fault system Is suitable for energlsatton.