Permit �-= CITY OF TIGARD BUILDING PERMIT
li s y1 COMMUNITY DEVELOPMENT Permit u: BUP2015-00240
.�,_'�r Date Issued: 10/05/2015
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439
Parcel: 26101BA00101
Jurisdiction: TIGARD
Site address: 7500 SW DARTMOUTH ST 190
Project: Which Weh Subdivision: WEST PORTLAND HEIGHTS Lot:
Project Description: TI for new tenant,finishes,equipment 8 walls.
Contractor: TOP DRAWER DEVELOPMENT Owner: WAL-MART REAL ESTATE BUSINESS TR
25252 SW MCCONNELL RD BY PROPERTY TAX DEPT STORE 5935-00
SHERWOOD, OR 97140 PO BOX 8050
ATTN MS 0555
BENTONVILLE, AR 72716
PHONE: 971-404-8798 PHONE:
FAX: 503-625-0821
Specifics: FEES
Description Date Amount
Type of Use: COM
Class of Work: ALT Type of Const: Permit Fee-Additions,Alterations, 10/05/2015 $1,105.95
Demolition
Occupancy Grp: B Occupancy Load: 40 12%State Surcharge-Building 10/05/2015 $132.71
Dwelling Units: 0 ' Plan Review 08/11/2015 $718.87
Stories: 1 Height: 0 ft Plan Review-Fire Life Safety 10/05/2015 $442.38
Bedrooms: 0 Bathrooms: 2 ' Parks SDC Improvement 10/05/2015 $1,626.00
Value: $100,000 Parks SDC Reimbursement 10/05/2015 $292.00
DC Provision Review,COM TI-Pfng 10/05/2015 $220.00
Info Process/Archiving-Lg$2.00(over 10/05/2015 $36.00
Floor Areas: 11x17)
Metro Const.Excise Tax 10/05/2015 $120.00
Total Area: 1815
Accessory Struct: 0
Basement: 0
Carport: 0
Covered Porch: 0
Deck: 0
Garage: 0
Mezzanine: 0
Total $4,693.91
Required: Required Items and Reports(Conditions)
Fire Sprinkler: Yes Parapet:
Fire Alarm: Protected Corridors: No
Smoke Detectors: No Manual Pull Stations: No
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 it work is not started within 180 days of issuance, or if work is suspended for more the 180
days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR
952-001-0
55 u0 d By: rough 952-001-0090. You may obtain y of the rules or tl'Perm ittee Signature:0 P by calling 3.2987 or 1.1100.3]22344.
-Cr) / /glr1 . 'W`Call 503.639.4175 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 th project.
Approved plans are required on the job site at the time of each inspection.
..R-ui!iling Permit ApplicanCEIVEP
Commercial mercial LL.• FOR OFFICEUSE ONLY
41" Received
13125' WTigard / I I 1 1 2015
Dale/By. *r Permit No.: � e �a(�Q
13125 SW Hall Blvd.,Tigard.OR f'�'/ I Plan Review- Al.
Phone: 503.718.2439 Fax: 50 Dme/B•: AV' Other Permit:
TJGAI1D Inspection Line: 503.639.4175 t..1I IGAKU Date Ready T. orris: Ed See Page 2 for
Internet: www.ti'ard<rc.Gov Notilied/Method: ` 4. Supplemental BUILDING DIVISION t41 tti. /1,
°'d l If i —
t.r
TYPE OF WORK REQUIRED DATA: 1-AND 2-FAMILY DWELLING
la New construction ❑ Demolition Permit fees*are based on the value of the work performed.
NIIndicate the value(rounded to the nearest dollar)of all
W Addition/alteration/replacement ❑Other: equipment,materials,labor,overhead,and the profit for the
CATEGORY OF CONSTRUCTION
work indicated on this application.
❑ I-and 2-family dwelling Valuation: $
g ® Commercial/industrial
El Accessory building ❑ Multi-family Number of bedrooms:
❑ Master builder ❑Other: Number of bathrooms:
JOB SITE INFORMATION AND LOCATION Total number of floors:
Job site address:7500 SW Dartmouth Street New dwelling area: square feet
City/State/ZIP:Tigard,OR 97223 Garage/carport area: square feel
Suite/bldg./apt.no.:#190 Project name: Which Wich Covered porch area: square feet
Cross street/directions to job site: NW of 72"Avenue and SW Dartmouth St. Deck area: square feet
Other structure area: square feet
REQUIRED DATA:COMMERCIAL-USE CHECKLIST
Subdivision: Lot no.: Permit fees*are based on the value of the work performed.
Indicate the value(rounded to the nearest dollar)of all
Tax map/parcel no.: equipment, materials,labor,overhead,and the profit for the
DESCRIPTION OF WORK work indicated on this application.
Tenant improvement of vacant space to Which Wich specifications-new finishes, Valuation: $5100,0011.011
equipment,walls,plumbing,mechanical,and electrical. Existing building area: 1,815 square feet
New building area: N/A square feet
❑ PROPERTY OWNER ® TENANT Number of stories: 1
Name: Dan Hamby Type of construction: V-B
Address:883 SE 66th Court Occupancy groups:
City/State/ZIP: Hillsboro,OR 97123 Existing: B
Phone:(503)241.1222 Fax:( ) New:
® APPLICANT ® CONTACT PERSON BUILDING PERMIT FEES*
Business name: FM Group Inc (Please refer to fee srhedu/c)
Structural plan review fee(or deposit):
Contact name:Stephanie Hensehen
Address: 15974 N.771"Street,Suite#100 FLS plan review fee(if applicable):
City/State/ZIP:Scottsdale,AZ 85260 Total fees due upon application: $1,106.00
Amount received: /
Phone:(480)397.0004 Fax: :( ) (/�
E-mail:shenschenCfmgroup.net PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
Commercial and residential prescriptive installation of
CONTRACTOR roof-top mounted Photovoltaic Solar Panel System.
Business name:38$ -IcQ "DILUft 7EJ'.coP 4 i3 T— Submit two(2)sets of roof plan with connection details
He- /--)t:aL Zip and fire department access,along with the 2010 Oregon
Address: �sas� �w Solar Installation Specia/tv Code checklist.
City/State/ZIP: 6N*tLa r ' j O2 97/Z/0 Permit fee(includes plan review $180.00
and administrative fees):
Phone:(970 Lib 21 - (i7,-. Fax: )
CCB Iic.: i
33 % ( State surcharge(12%of permit fee): 521.60
Total fee due upon application: $201.60
Authorized signature: This permit application expires if a permit is not obtained
within 189 days after it has keen accepted as complete.
Print name:Stephanie Henschen Date:08.06.2015 * Fee methodology set by Tri-County Building Industry
Service Board.
L:\Building\Permits\BUP-COM PermilApp.doc 02/24/2011 440-4613T(I 1/02/COM/WEB)
City of Tigard
0 COMMUNITY DCVELOPI\IENT DEPARTMENT
TIGARD Building Permit Review — Commercial - No Land Use
o
Building Permit #: (Ju.,03a, L-( -60a 40
Site Address: 7500 SJJ bptttmouBri 54. Suite/Bldg#: no
Project Name: Which With
(Nan e of cr unnsrcial business occupying the space. I I vacant,enter Spec Space.)
Planning Review
Proposal: new -c0,s} casuckA ces+attatyTl-
Existing Business Activity: VAC.an+
Proposed Business Activity: ea+,n3 And drinvin,3 eS+t71,1i51019 1+
�/'Verity site address suite # exists and active in permit syst m.
I River Terrace/Neighborhood: ❑ Yes 4No
�'_.oning: C— V
NI Permitted Use: Wes ❑ No ID Space
Confirm no land use required.
'Business License:
Exists: ❑ Yes 121/No, applicant notified to obtain business license
Notes:
Approved by Planning:g: iU111'n 4-L'J'IrboLC.h Date: 0 1 I j I l S
Revisions (after Building Submittal only) Reviewer Date
Revision I: ❑ Approved ❑ Not Approved
Revision 2: ❑ Approved ❑ Not Approved •
Revision 3: ❑ Approved ❑ Not Approved
Building Permit Submittal
Original Submittal Date: p 4
Site Plans: #
Building Plans: #�/
Building Permit#: Id Liner building permit #above.
workflow Routing: D Planning 1ermit Coordinator EriTaling
Work flow Sign-oft 12—Sign-off for Planning(include notes from planning review)
Route Application Documents: Building: original permit application, site plans, building plans, engineer and
beam calculations and trust details, if applicable, etc.
Notes:
By Permit Technician:( -III - . I - Date: 745--
t:\Bu i Id in g\r arms\B ldgPenn it Rvw_COM_Nu tanutuse_0709,5.docx
Permit Coordinator Review
❑ Conditions "Met" prior to issuance of building permit
❑ Approved, NOT Released: Date:
Notes:
Revisions (after Building Submittal only)
Revision Notice L Date Sent to Applicant:
Revision Notice 2: Date Sent to Applicant:
Revision Notice 3: Date Sent to Applicant:
SDC Fees Entered: Wash Co Trans Dcv Tax: Yes ❑ N/A
Tigard Trans SDC: ❑ Yes N/A
Parks SDC: XeYes ❑ N/A
❑ OK to Issue Permit
I C/
Approved by Permit Coordinator: , e,l/ Date: O �2�
I:A Building A Forms U3ldgPennitRcw_COM_N0L ndUse_070915.doca
IFTDT Estimate Which Wich 8/12/2015
7500 SW Dartmouth AMS
TDT RATES EFFECTIVE 7/1/15
TSDC CITYWIDE &TSDT RT OVERLAY RATES EFFECTIVE 7/1/15 INSIDE RIVER TERRACE
0 Yes
Project is in River Terrace ? O No
Former Use
Rate Type Use # ITE Code # Units Rate TDT Amount Description
TDT 1 814 1,47 $10,766 $15,826 Generic Retail
TSDC-Imp 1 0 $0
TSDC-Reim 1 0 $0
TSDC-RT 1 0 $0
Total TDT and TSDCs Former Uses $15,826
Proposed Use
Use# ITE Code # Units Rate TDT Amount Description
TDT 1 932 1.47 $20,151 $29,622 High Turn Restaurant
TSDC-Imp 1 $0
TSDC-Reim 1 $0
TSDC-RT 1 50
TDT 2 $0
TSDC-Imp 2 $0
TSDC-Reim 2 $0
TSDC-RT 2 $0
TDT 3 $0
TSDC-Imp 3 $0
TSDC-Reim 3 $0
TSDC-RT 3 $0
Total All TDTs&TSDCs Proposed Uses $29,622
Less: Total All TDTs&TSDCs Former Uses $15,826
Total All TDTs &TSDCs Net Increase $13,796
Total Net County TDT $13,796
Total Net TSDC-Imp $0
Total Net TSDC-Reim $0
Total Net TSDC RT Overlay $0 $13,796
TDT TSDC Imp + Reim
Target Recovery Rate 28.0% 30%
Estimated Total Impact $49,271 $0
Estimated Unmitigated Impact $35,475 $0
All TDT&TDSC TSDC RT Overlay
Target Recovery Rate 28% 30%
Estimated Total Impact $49,271 $0
Estimated Unmitigated Impact $35,475 $0
TDT=County Transportation Development Tax
TSDC Citywide=City of Tigard Transportation System Development Tax(TSDC-Imp&TSDC-Reim)
TSDC RT=River Terrace Transportation System Development Tax Overlay
Parks Estimate Which Wich 8/12/2015
7500 SW Dartmouth AMS
ALL PARKS RATES EFFECTIVE 7/1/15
O Yes
Project is in River Terrace ? O No
Note: All Neigh-Imp# Units entries= 0 if project is in River Terrace;
All Neigh-RT# Units entries= 0 if project is elsewhere in the city.
Former Use
Rate Type Use # ITE Code # Units Rate TDT Amount Description
Parks-Imp 1 814 2.10 $367 $771 Generic Retail
Parks-Reim 1 814 2.10 $66 $139 Generic Retail
Neigh-Imp 1 814 2.10 $0 $0 Generic Retail
Neigh-RT 1 0 0 $0 $0 0
2 $0
Total Parks Former Use $909
Proposed Use
Use# ITE Code # Units Rate TDT Amount Description
Parks-Imp 1 932 6.53 $367 $2,397 High Turn Restaurant
Parks-Reim 1 932 6.53 $66 $431 High Turn Restaurant
Neigh-Imp 1 932 6.53 $0 $0 High Turn Restaurant
Neigh-RT 1 0 0 $0 $0
3-91 43)
Prior use: Retail = 700sf/ee, 1470/700= 2.10 ees. g?/ - /39
Proposed Use: High Turn Restaurant= 225 sf/ee, 1470/225 = 6.53 ees.
,s 1Ls21 0 292
Total Parks Outside RT Proposed Uses $2,827
Less: Total Parks Outside RT Former Uses $909
Total All Parks Outside RT Net Increase $1,918
Total Parks RT Proposed Uses $0
Less: Total Parks RT Former Uses $0
Total All Parks RT Net Increase $0
Parks-Imp = Parks Improvement, Citywide including River Terrace
Parks-Reim = Parks Reimbursement, Citywide including River Terrace
Neigh-Imp = Neighborhood Parks Improvement Outside River Terrace
Neigh-RT= Neighborhood Parks Improvement Inside River Terrace
r.. •
Stephanie Henschen
P:(480)397.0004
F:(602)277.8288
TRANSMITTAL shenschen @fmgroup.net
To: City of Tigard Building Department From: Stephanie Henschen
Fax: Pages:
Phone: Date: 08.07.15
Re: Which Wich#570—Tigard,OR CC:
❑Urgent ❑ For Review ❑ Please Comment ❑ Please Reply ❑Please Recycle
• Comments:
To Whom It May Concern,
Enclosed are the following for plan review for the Which Wich located at 7500 SW Dartmouth Street,Suite#190 in
Tigard, OR:
• Completed Building Permit Application
• Completed Commercial Application Checklist
• 4 sets of plans
• Check for$1,106.00 for plan review
Please contact me with any questions.
Thank you,
Stephanie Henschen
Location:
Record Type:
Inspection Type:
Result:
Comments:
Inspection Date:
Record ID:
Inspector:
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
7500 SW DARTMOUTH ST 190, TIGARD, OR,
97223
Commercial - Building
299 Final inspection
PASS - C of O
BUP2015-00240
Jeff Grove
Violation Summary:
Inspector Contractor