Permit CITY OF TIGARD BUILDING PERMIT
COMMUNITY DEVELOPMENT Permit#: BUP2022-00252
T WARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 11/1/2022
Parcel: 1 S 136CD00100
Jurisdiction: Tigard
Site address: 11705 SW PACIFIC HWY B
Project: Wingstop Subdivision: None Lot: None
Project Description: TI for new tenant:Renovating space for a new restaurant.
Contractor: MENEMSHA DEVELOPMENT GROUP INC Owner: PACIFIC CROSSROADS PROPERTIES INC
4950 W 145TH ST BY WYSE INVESTMENT SERVICES CO
HAWTHORNE, CA 90250 810 SE BELMONT ST#100
PORTLAND, OR 97214
PHONE: 310-343-3430 PHONE:
FAX: 310-343-3431
Specifics: FEES
Description Date Amount
Type of Use: COM
Class of Work: ALT Type of Const: VB Permit Fee-Additions,Alterations, 10/13/2022 $1,407.95
Occupancy Grp: B Occupancy Load: 41 Deo OlitiOn
12/o State Surcharge-Building 10/13/2022 $168.95
Dwelling Units: 0 Plan Review 10/13/2022 $915.17
Stories: 0 Height: 0 ft DC Provision Review,COM TI-Ping 10/13/2022 $434.00
Bedrooms: 0 Bathrooms: 0 Plan Review-Fire Life Safety 10/13/2022 $563.18
Value: $150,000 Info Process/Archiving-Lg$2.00(over 10/13/2022 $70.00
11x17)
Metro CET 10/13/2022 $180.00
Floor Areas:
Total Area: 0
Accessory Struct: 0
Basement: 0
Carport: 0
Covered Porch: 0
Deck: 0
Garage: 0
Mezzanine: 0
Total $3,739.25
Required: Required Items and Reports(Conditions)
Fire Sprinkler: Parapet:
Fire Alarm: Protected Corridors:
Smoke Detectors: 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 18 s of issuance, if work is suspende mare
the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility otifc tion Center. hose rules are 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 ling:¢03. 32.1987 or .800.332.234
Issued By: e ' ee Signature:
Call(50 _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.
Building Permit Application
,' Commercial Jy try�o FOR OFFICE USE ONLY
City of Tigard RECEIVED Ems+ Received / 457— �f
• 13125 SW Hall Blvd.,Tigard,OR 97223PP Date/By: /Q/S�"} Permit No.: `l�tDO a�/y-t'�,S'�1
gPlan Review I/ ri0' WP✓aC
Phone: 503-718-2439 Fax: 503-598-1960Juk 8 RR 2ry2ry Related Permit:
1 d�LL Date Re Q+�p 2Z
TIGARD Inspection Line: 503-639-4175 Date Ready/By: Ions: ® See Page 2 for
Interrret: www.tigard-or.gov ,,( ()1. ]PAID Notified/Method: ) `// )?) �� Supplemental Information
milt'- AL.)(-IXl tbbr: -.At LW fe1Vtd \.l
TYPE OF WORD ` REQUIRED DATA:1-AND 2-FAMILY DWELLING
❑New construction ❑Demolition Permit fees*are based on the value of the work performed.
Indicate the value(rounded to the nearest dollar)of all
®Addition/alteration/replacement ❑Other: equipment,materials,labor,overhead,and the profit for the
CATEGORY OF CONSTRUCTION work indicated on this application.
ID1-and 2-family dwelling 0Commercial/industrial Valuation: $
❑Accessory building ❑Multi-family Number of bedrooms:
CIMaster builder ❑Other: Number of bathrooms:
JOB SITE LNFORMATION AND LOCATION Total number of floors:
Job site address: 11705 SW Pacific HWY. B New dwelling area: square feet
City/State/ZIP: Tigard, OR 97223 Garage/carport area: square feet
Suite/bldg./apt.#: B Project name: Wingstop Covered porch area: square feet
Cross street/directions to job site: sw78th Deck area: square feet
Next to Thai Tong Restaurant `1' �[SC .e 1* Other structure area: square feet
fasyetl C REQUIRED DATA:COMMERCIAL-USE CHECKLIST
Subdivision: I Lot#: Permit fees*are based on the value of the work performed.
Tax map/parcel#: Real Property Account# R284114 Indicate the value(rounded to the nearest dollar)of all
equipment,materials,labor,overhead,and the profit for the
DESCRIPTION OF WORK work indicated on this application.
Renovate existing space and convert to new restaurant . Valuation: $ 150,000.00
(�� Existing building area: 1,846 square feet
\jy New building area: 1,846 square feet
r+ 0 PROPERTY OWNER ElTENANT Number of stories: 1
Name: BRETT WILES I WINGSTOP RESTAURANTS, INC Type of construction: VB
Address: 5501 LBJ FREEWAY, 5TH FLOOR Occupancy groups: B
City/State/ZIP: DALLAS,TX 75240
IExisting: B
Phone:(310 ) 294-0400 Fax:( ) New: B
l2I APPLICANT 0 CONTACT PERSON BUILDING PERMIT FEES*
(Please refer to fee schedule)
Business name: Menemsha Solutions
Structural plan review fee(or deposit):
Contact name: Marlon Gonzalez
FLS plan review fee(if applicable):
Address: 20521 Earl Street
Total fees due upon application: !I/5 / ') j
City/State/ZIP: Torrance,CA 90503
Phone:(310 )722-7246 Fax: :( ) Amount received:
E-mail: r' PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
Pi N?—..GCo S /Mr.�/1/11-Si1.rt,�t Ltn�LI ti, L�t'fi Commercial and residential prescriptive installation of
CO(J CONTIL1C10R roof-top mounted Photovoltaic Solar Panel System.
Business name: Menemsha Development Group Submit two(2)sets of roof plan with connection details
and fire department access,along with the 2010 Oregon
Address: 20521 Earl Street Solar Installation Specialty Code checklist.
City/State/ZIP: Torrance, CA 90503 Permit fee(includes plan review
and administrative fees): $180.00
Phone:(310 )722-7246 r� Fax:( ) State surcharge(12%of permit fee): $21.60
CCB Lic.: 179922 ; / (!3 Total fee due upon application: $201.60
Authorized signature:J!I�/� v✓ This permit application expires if a permit is not obtained
within 180 days after it has been accepted as complete.
Print name: Marlon Gonzalez Date: 7/13/22 * Fee methodology set by Td-County Building Industry
Service Board.
1:\Building\Permits1BUP_COM_PermitApp.doc Rev.04/21/2014 440-4613T(l 1/02/COM/WEB)
1
•
A •
City of Tigard • COMMUNITY DEVELOPMENT DEPARTMENT
111 a Accessibility: Barrier Removal Improvement Plan
Commercial & Multi-Family - Additions or Alterations
TIGARD 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.718.2439 • www.tigard-or.gov
REQUIREMENT: OREGON REVISED STATUTE (ORS) 447.241.
(1) Every project for renovation,alteration or modification to affected buildings and related
facilities shall be made to insure that the path of travel to the altered area and the restroom,
telephones and drinking fountains are readily accessible to individuals with disabilities unless
such alterations are disproportionate to the overall alterations in terms of cost and scope.
(2) Alterations made to the path of travel to an altered area may be deemed disproportionate to
the overall alteration when the cost exceeds twenty-five percent(25%).
VALUATION: Total of all renovation,alteration or modification being done,
excluding painting and wallpapering: [11 $ 130,000.00
MULTIPLIER(25%barrier removal requirement): x .25
TOTAL BUDGET FOR BARRIER REMOVAL: [2] $ $32,500.00
ELEMENTS: In choosing which accessible elements to provide under this section,priority shall be given
to those elements that will provide the greatest access. Elements shall be provided in the
following order:
(a) Parking $ 0.00
(b) An accessible entrance: $ 10,000.00
(c) An accessible route to the altered area: $ 0.00
(d) At least one accessible restroom for each sex or a single unisex 15,000
restroom: $
(e) Accessible telephones: $ 0.00
(t) Accessible drinking fountains:and, $ 0.00
(g) When possible,additional accessible elements such as storage and 0,00
alarms: $
TOTAL(shall equal line [2] of Valuation Computation): $ 25,000
1 I:\Building\Permits\BUP_COM_PermitApp.doc Rev.03/05/2019
1'
City of Tigard
il
IIICOMMUNITY DEVELOPMENT DEPARTMENT
e Building Permit Review — Commercial - With Land Use
TIGARD
Building Permit #: eu,o ,�,t-,...
Site Address: //?vc SW pAC-ir t MI' Suite/Bldg#:
Project Name: jJiM..S7-Dp
(Name of commercial business occupying the space. If vacant,enter Spec Space.)
Planning Review
Proposal: T• T .
Veri site address/suite#exists and active . permit system.
❑ ver Terrace Neighborhood: Yes 0 No
I;tand Use Case#: Mmfl201Zr°DOy
Plans tch Approved Land Use:
1� Site Plan ❑ Landscape Plan 0 Other:
0 Urban Forestry Plan 0 Elevation Plan
r LR„iHingt . ht• - �r .� b}m Height Achual H i t
O Located in Floodplain: ❑ Yes ❑---lc-c;
Supplemental Floodplain Form Required: 0 Yes,applicant was notified ❑ No
Rye eived: ❑ Yes ❑ No
I� 5i ditions Met: 0 Prior to Submittal ❑ Prior to Permit Issuance
• Business License.-
Exds-
ts: ld' Yes 0 No, applicant was provided a business license application
Public Facilities Improvement (PF1) Permit: ��
Required: 0 Yes,applicant was notified la Applied For: 0 Yes ❑ No, stop intake
Notes:
Approved by Planning: „4i•-- Date: /oh/Z
Revisions (after Building Submittal only) Reviewer Date
Revision 1: E Approved 0 Not Approved
Revision 2: 0 Approved ❑ Not Approved
Revision 3: ❑ Approved 0 Not Approved
Building Permit Submittal
Original Submittal Date:
Site Plans: #
Building Plans: #
Building Permit#: nt uilding pe above.
Workflow Routing: laannning Engineering m w eut Coordinator ing
Workflow Sign-off: E�_ �i ff for Planning(include notes from planning review)
Route Application Documents: LI3uildtng: original permit application, site plans,building plans,engineer and
beam calculations and trust details,if applicable,etc.
Notes:
By Permit Technician: _y�l Date: 0/31}a
1:\Building\Forms\BldgPermitRvw_COM_W ithLand Use_111819.docx
Engineering Review
2".S1ope at building pad: Z.-%
2'PFI Permit#: hr„
Conditions "Met"prior to issuance of permit et(c_
C"Easements (encroachments)per engineering conditions of approval and plat (not typical on SDR/CUP) aqe—
[ Water Quality/Quantity Facility:
Assess Water Quality Fee in-lieu: ❑ Yes No
Assess Water Quantity Fee in-lieu: ❑ Yes 2/No
LIDA Facility on lot: ❑ Yes 2/"No Add Fee: ❑ Yes ❑ No
❑ NOT Approved by Engineering: Date
Notes:
Approved by Engineering: 7T + ,L d,•;> ( Date: io/U fiat-
Revisions (after Building Submittal only) _ Reviewer Date
Revision 1: ❑ Approved ❑ Not Approved
Revision 2: ❑ Approved ❑ Not Approved
Revision 3: ❑ Approved ❑ Not Approved
Permit Coordinator Review
Conditions "Met"prior to issuance of permit
❑ Approved,NOT Released: Date:
❑ ENG Revisions Required: Date:
Notes:
fd'SDC Exemption ❑ Applied for ❑ Received 0 Does not apply
❑ Fees Entered: Wash Co Trans Dev Tax: ❑ Yes .Z N/A ❑ Deferred
Tigard Trans SDC: ❑ Yes kil N/A ❑ Deferred
Parks SDC: ❑ Yes / N/A ❑ Deferred
LIDA Fee: ❑ Yes /1Zr N/A ShO plirn G2.0-1-ar 1 TE
,Z OK to Issue/Approved by Permit Coordinator: Date: lob 101207,Z
Revisions (after Building Submittal only) Reviewer: Date:
Revision 1: ❑ Approved ❑ Not Approved
Revision 2: ❑ Approved ❑ Not Approved
Revision 3: ❑ Approved ❑ Not Approved
1:1Building\Forms\BldgPermitRvw_COM_W ithLandUse_08162022.docx