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HomeMy WebLinkAbout111 N. Oak Street Address: 111 N Oak Street SII d - o'e"K 5f , PREPARED 5/07/15, 9:04:02 INSPECTION TICKET PAGE 4 CITY OF PORT ANGELES INSPECTOR: JAMES LIERLY DATE 5/07/15 ------------------------------------------------------------------------------------------------ ADDRESS . : 111 N OAK ST SUBDIV: CONTRACTOR : CLAWSON CONSTRUCTION LLC PHONE (360) 461-9295 OWNER RIAN ANDERSON PHONE (360) 457-4491 PARCEL 06-30-00-0-0-1530-2001- APPL NUMBER: 15-00000289 COMM REMODEL ------------------------------------------------------------------------------------------------ PERMIT: BPC 00 BUILDING PERMIT - COMMERCLAL REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT ' RESULTS/COMMENTS ---- -----—---—--------—---—--------------------------—---------------------- BL3 01 5/04/15 JLL BLDG FRAMING 5/04/15 AP May 4, 2015 9:46:34 AM jlierly. ryan 460-8920 May 4, 2015 4:08:28 PM jlierly. BL99 01 5/07/15 BLDG FINAL May 7, 2015 9:05:20 AM jlierly. Dave Clawson PERMIT: ME 00 MECHANICAL PERMIT REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS -------------------------—----------—--—--------------------------—------------------------- ME1 01 5/04/15 JLL MECHANICAL ROUGH-IN 5/04/15 AP May 4, 2015 9:48:09 AM jlierly. May 4, 2015 4:08:28 PM jlierly. ME99 01 5/07/15 J L MECHANICAL FINAL May 7, 2015 9:05:50 AM jlierly. --------------------- --------- COMMENTS AND NOTES -------------------------------------- CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY & ECONOMIC DEVELOPMENT- BUILDING DIVISION' 321 EAST 5TH STREET, PORT ANGELES, WA 98362 Application Number . . . . . 15-00000289 Date 4/03/15 Application pin number . . . 109127 Property Address . . . . . . 111 N OAK ST MM ASSESSOR PARCEL NUMBER: 06-30-00-0-0-1530-2001- REPORT SALES TAX W Application type description COMM REMODEL on your state excise tax form Subdivision Name . . Property Use . . . . . . .. to the City of Port Angeles Property Zoning . . . . . . . CENTRAL BUSINESS DISTRICT (Location Code 0502) Application valuation . . . . 4000 ------------ -- Application desc INTERIOR REMODEL TO ADD EFFICIENCY APT. ---------------------------------------------------------------------------- Owner Contractor ------------------------ ------------------------ RIAN ANDERSON CLAWSON CONSTRUCTION LLC 12 GREEN VALLEY LN P. O. BOX 2683 SEQUIM WA 98382 PORT ANGELES WA 98362 (360) 457-4491 (360) 461-9295 ---------------------------------------------------------------------------- Permit . . . . . . BUILDING PERMIT - COMMERCIAL Additional desc . . CRM ADD EFFICIENCY APARTMENT Permit Fee . . . . 123.75 Plan Check Fee 80.44 Issue Date . . . . 4/03/15 Valuation . . . . 4000 Expiration Date . . 9/30/15 Qty Unit Charge Per Extension BASE FEE 95.75 2.00 14.0000 THOU BL-2001-25K (14 PER K) 28.00 ---- ------- Permit . . . . . . MECHANICAL PERMIT Additional desc VENT FAN Permit Fee . . . . 57.25 Plan Check Fee .00 Issue Date . . . . 4/03/15 Valuation . . . . 0 Expiration Date . . 9/30/15 Qty Unit Charge Per Extension BASE FEE 50.00 1.00 7.2500 EA ME-VENT FAN (SINGLE DUCT) 7.25 ----------------------- Special Notes and Comments Address numbers shall be plainly visible from the street. Address numbers shall be a minimum of six inches high and be of contrasting color from the background. This project will require seperate permit and fire sprinkler plans for review. Call for cover inspection for all sprinkler installations. A full acceptance test will be required for the fire sprinkler system. 4 March 27, 2015 9:12:12 AM sroberds. The proposal will result in an efficiency apartment in a commercial (CBD) zone. No land use issues are anticipated. Electrical load calculations and electrical permits are required. \I� Separate Permits are required for electrical work,SEPA,Shoreline,ESA,utilities,private and public improvements. This permit becomes null and void if work or construction authorized is not commenced within 180 days,if construction or work is suspended or abandoned for a period of 180 days after the work has commenced, or if required inspections have not been requested within 180 days from the last inspection. I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of laws and ordinances governing this type of work will be complied with whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any state or local law regulating construction or the performance of construction. Date Print Name Signature of Contractor or Authorized Agent Signature of Owner(if owner is builder) T:Forrrs/Building Division/Building Permit BUILDING PERMIT INSPECTION RECORD PLEASE PROVIDE A MINIMUM 24-HOUR NOTICE FOR INSPECTIONS— Building Inspections 417-4815 Electrical Inspections 417-4735 Public Works Utilities 417-4831 Backflow Prevention Inspections 417-4886 IT IS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED. POST PERMIT INCONSPICUOUS LOCATION. KEEP PERMIT AND APPROVED PLANS AT JOB SITE. Inspection Type Date Accepted By Comments FOUNDATION: Footings Stemwall Foundation Drainage/Downspouts Piers Post Holes(Pole Bldgs.) PLUMBING: Under Floor/Slab Rough-In Water Line(Meter to Bldg) Gas Line Back Flow/Water FINAL Date Accepted b AIR SEAL: Walls Ceiling FRAMING: Joists/Girders/Under Floor Shear Wall/Hold Downs Walls/Roof/Ceiling Drywall Interior Braced Panel Only) T-Bar INSULATION: Slab Wall/Floor/Ceiling MECHANICAL: Heat Pum /Furnace/FAU/Ducts Rough-In Gas Line Wood Stove/Pellet/Chimney Commercial Hood/Ducts FINAL Date Accepted b MANUFACTURED HOMES: Footing/Slab Blocking&Hold Downs Skirting PLANNING DEPT. Separate Permit#s SEPA: Parkin /Lighting ESA: Landscaping SHORELINE: FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE Inspection Type Date Accepted By Electrical 417-4735 Construction-R.W. PW /Engineering 417-4831 Fire 417-4653 Planning 417-4750 Building 417-4815 T:Forms/Building Division/Building Permit = CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY& ECONOMIC DEVELOPMENT- BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 Page 2 Application Number . . . . . 15-00000289 Date 4/03/15 Application pin number . . . 109127 - - - ------------------------------------------------ REPORT SALES TAX Special Notes and Comments On your state eXClSe tax form Public Works Utility Engineering has no requirements for this plan review. to the City of Port Angeles ----- -------------- ---------- --------- --- ----- - - --------------- (Location Code 0502) Other Fees STATE SURCHARGE 4.50 ---------------------------------------------------------------------------- Fee summary Charged Paid Credited Due Permit Fee Total 181.00 181.00 .00 .00 Plan Check Total 80.44 80.44 .00 .00 Other Fee Total 4.50 4.50 .00 .00 Grand Total 265.94 265.94 .00 .00 Separate Permits are required for electrical work,SEPA,Shoreline,ESA,utilities,private and public improvements. This permit becomes null and void if work or construction authorized is not commenced within 180 days,if construction or work is suspended or abandoned for a period of 180 days after the work has commenced, or if required inspections have not been requested within 180 days from the last inspection. I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of laws and ordinances governing this type of work will be complied with whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any state or local law regulating construction or the performance of construction. Date Print Name Signature of Contractor or Authorized Agent Signature of Owner(if owner is builder) T:Forms/Building Division/Building Permit BUILDING PERMIT INSPECTION RECORD PLEASE PROVIDE A MINIMUM 24-HOUR NOTICE FOR INSPECTIONS-- Building Inspections 417-4815 Electrical Inspections 417-4735 Public Works Utilities 417-4831 Backflow Prevention Inspections 417-4886 IT IS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED. POST PERMIT INCONSPICUOUS LOCATION. KEEP PERMIT AND APPROVED PLANS AT JOB SITE. Inspection Type Date Accepted By Comments FOUNDATION: Footings Stemwall Foundation Drainage/Downspouts Piers Post Holes(Pole Bldgs.) PLUMBING: Under Floor/Slab Rough-In Water Line(Meter to Bldg) Gas Line Back Flow/Water FINAL Date Accepted b AIR SEAL: Walls Ceiling FRAMING: Joists/Girders/Under Floor Shear Wall/Hold Downs Walls/Roof/Ceiling Drywall Interior Braced Panel Onl T-Bar INSULATION: Slab Wall/Floor/Ceiling MECHANICAL: Heat Pum /Furnace/FAU/Ducts Rough-in Gas Line Wood Stove/Pellet/Chimney Commercial Hood/Ducts FINAL Date Accepted b MANUFACTURED HOMES: Footing/Slab Blocking&Hold Downs Skirting PLANNING DEPT. Separate Permit#s SEPA: Parkin /Lighting ESA: Landscaping SHORELINE: FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE Inspection Type Date Accepted By Electrical 417-4735 Construction- R.W. PW /Engineering 417-4831 Fire 417-4653 Planning 417-4750 Building 417-4815 T:Forms/Building Division/Building Permit 1 HE � , For City Use crr�r OF LG a _ ,� Permit# WASH i N G T O N ' ate Received: 3- - s 321 E 51h Street ate Approved Dt Port Angeles,WA 9836 P:360-417-4817 F:360-417-4711 Email:permits@cityofpa.us BUILDING PERMIT APPLICATION Project Address: 111 N Oak St., Port Angeles, WA 98362 Phone:360-460-8920 Prima Contact:RIAN ANDERSON Email:RIANAND YAHOO.COM Name OAK ST. PROPERTIES Phone 360-460-8920 Property Mailing Address Email PO BOX 604 RIANAND@YAHOO.COM Owner city PORT ANGELES State WA zip 98362 Name DAVID CLAWSON Phone 360-461-9295 Contractor Address PO BOX 2683 Email CLAWSON77@Q.COM Information city PORT ANGELES state WA ziP 98362 Contractor License#CLAWSCL963RS Exp.Date: Legal Description: Zoning: Tax Parcel # Project Value: (materials and labor) LOT11 EXC S89.9' BL15 1/2 INT CBD 55928 $ 4,000 Residential I Commercial ® Industrial ❑ Public ❑ Permit Demolition ❑ Fire ❑ Repair ❑ Reroof(tear off/lay over) ❑ Classification For the following,fill out both pages of permit application: (check New Construction ❑ Exterior Remodel ❑ Addition ❑ Tenant Improvement ❑ appropriate) Mechanical ❑ Plumbing ❑ Other © Fire Sprinkler System Proposed Irrigation System Proposed or Proposed Bathrooms Proposed Bedrooms or Existing? Yes RVo ❑ Existing? Yes ❑ No ❑ In addition to standard hard copy submittals please send a PDF co of all Stormwater plans an-4Engineering to www.stormwater(&cityofpa.us 5 j - .,_ arc Project Description -z y, ;�.( S� n m .� C'xisf �ict.ck rr? Y Le rl ' gi i*kr l pbvlede& yAc Ef'f 1,1c l'•Le'L-L-J Gi.�lGu^+i e` 14i'e1' S e"Lil t-tfC //�� rt Gt & G�, fC Lr/!ciii? r y� 0. J Q q r✓i ( ACTI lu -�J�� 6�e adc(-t'd r c Is project in a Flood Zone: Yes ❑ No8 Flood Zone Type: If in a Flood Zone, what is the value of the structure before proposed improvement? $ I have read and completed the application and know it to be true and correct. I am authorized to apply for this permit and understand that it is my responsibility to determine what permits are required and to obtain permits prior to work. I understand that plan review fees are not refundable after review has occurred. I understand that I will forfeit review fees if I withdraw the application before the permit is issued. I understand that if the permit is not picked up/issued within 18o days of submittal,the application will be considered abandoned and the fees will be forfeited. Date -3iz`/ 15— Print Name RIAN ANDERSON Signature Residential Structures Existing Proposed Construction For Office Use Area Descriptions(SQ FT) Floor area Floor area $Value new area Basement First Floor Second Floor Covered Deck/Porch/Entry Deck(over 30"or i" floor) Garage Carport Other(describe) Area Totals Commercial Structures Area Descriptions(SQ FT) Existing Proposed Construction For Office Use Floor area Floor area $Value new area Existing Structure (s) Proposed Addition Tenant Improvement? Other work(describe) Site Area Totals Lot/Site Coverage Calculations Lot Size (sq ftTall ot Coverage(sq ft)foot print of %Lot Coverage (Total lot cov-. lot size) Max Bldg Height structures sq ft Site Coverage(Sq Ft of all impervious) %of Site Coverage (total site cov_lot size) Mechanical Fixtures Indicate how many of each type of fixture to be installed or relocated as part of this project. Air Handler Size: # Haz/Non-Haz Piping Outlets: Appliance Exhaust Fan # Heater(Suspended, Floor,Recessed wall) # Boiler/Compressor Size: # Heating/Cooling appliance # repair/alteration Evaporative Cooler(attached,not # Pellet Stove/Wood-burning/Gas # portable) Fireplace/Gas Stove/Gas Cook Stove/Misc. Fuel Gas Piping #of Outlets: Ventilation Fan,single duct # �. Furnace/Heat Pump/ Size: # Ventilation System # Forced Air Unit Plumbing Fixtures Indicate how many of each type of fixture to be installed or relocated Plumbing Traps # Water Heater # Plumbing Vent piping # Medical gas piping #of Outlets: Water Line # Fuel gas piping #of Outlets: Sewer Line # Industrial waste pretreatment interceptor Grease Trap) Size Other(describe): T:\BUILDING\APPLICATION FORMS\Current BP Application\Building Permit 4-17-13.docx NG --- `'`'/ - �� -OK -- 2� �� Ex - -IN . - �Vv _ - 436 - -. - _ - W� llo J p��� �,� s �� m �m U � W¢OOi j Q ~� Z �wv = Ud lyS W =� (D �¢w� tre ti�6� _ STORAGE STORAGE OFFICE �E Y U Q 1-HR FIRE BARRIER A—� � S SEE DETAIL B/2 ) ART STUDIO Dw4 a— Sher d I � o W fir] Q Z LAUNDRY/ t^�`- 1�5�• W PANTRY a O WALL ABOVE SHOWER 1-HR _ FIRE BARRIER,SEE DETAIL B/2 Q. W 1-HR FIRE BARRIER S r� SEE DETAIL C12 \ / Y FUTURE 2x4 WALL 0 A - C SHOWER \ \ 2 7u�l10Q of*b�. sss "EFFICIENCY" ' ���� jnallallm� wo z w.H.v. STUDIO wft Lu w g APARTMENT — iosdsrasrswtlM� z m o w R, �� AREA ABOVE SHOWER ~«� = a Q CEILING REQUIRES 1-HR � U BARR IER,SEE SECTION sodesmd EX.6"PIPE ( co �LT'�D Ilia. I�JI/1�� 1-HR DROPPED _ v �g FIRE-RATED CEILING REF SEE DETAIL Dl2 / J w CONC.WALL C7 S.D. SCALE: C.S.D. WILDCARD r-, 3/16"=1' V GUITAR WORKSHOP SHOWROOM W��� ���� j„ DATE: 11 \ ti3/16/2015 )-" _20 MIN.SELF CLOSING FIRE RATED DOOR FILE: 15067A1 i JOB N0: 15067 O FOLDDOWN 0 LORI WALLBED l6 ) � 00 LEGEND: c��j Heb �0 5 w P, O \1 Q SMOKE DETECTOR I S D 110 V.HARDWIRED.INTERCONNECT ALL DETECTORS. 310110 ABOVE DETECTORS TO HAVE BATTERY BACKUP. Z 2020 CSMNT. ` Qo�$ PROVIDE FRESH AIR VENT, Q COMBINATION SMOKE AND CARBON DIOXIDE DETECTOR-(1)REQUIRED a� \ RETON 80 OR EQUAL C.S.D. 110 V.HARDWIRED,INTERCONNECT ALL DETECTORS.DETECTORS TOp�QFC/36 HAVE BATTERY BACKUP. SS�CNAL ENG WHOLE HOUSE VENT W.H.V. 24-HOUR TIMER OPERATED WITH SWITCH,PER IRC Ml 503 CAPACITY:60 CFM @ 0.25"WATER GAUGE MIN. SHEET TIMER SET TO OPERATE FOR 2 HOURS OUT OF EVERY 4 HOURS w� sm loADD 5/8"TYPE X GWB ATTACH TO STUDS W/2Y," w'� TYPE S DRYWALL SCREWS @ 12"O.C. w< W u~iw� Q a EX.PLYWOOD SHEATHING W a w 2 w If o � E;a a d a 1-HR RATED FIRE Lu BARRIER EX.GWB 2x FRAMING _U o SEE DETAIL B/2 co ADD Y2"TYPE X GWB ATTACH TO STUDS W/2Y" Q (� a a TYPE S DRYWALL SCREWS @ 12"O.C. Z0 c 0 o a zz 0 0 FIRE-RATED CEILING SEE DETAIL D/2 B 1— HR FIRE BARRIER a SEE W EX.2X4 CEILING P EX.CONC.WALL 2 Scale: N.T.S. o W N W W Q 5/"TYPE X W/y"TYPE X GWB Y ADDY"TYPE X GWB EA.SIDE OF WALL p a ATTACH TO STUDS W/2y"TYPE S DRYWALL X O a SCREWS @ 12"O.C. W U EX.GWB Lu � W Lu ag o SHOWER NOTE OPENING FOR SHOWER 2 a 2x FRAMING CD W Z Z � W C 1 — HR FIRE BARRIER m a N Scale: N.T.S. Z w w J F U SCALE: N.T.S. DATE: a 3/16/2015 a %"PLYWOOD FILE: EX.2x4 VERT.DECKING a 15067 Al NOTE: JOB N0: 15067 EX.FLOOR SYSTEM FIRE RESISTANCE Q RATING ADEQUATE,CALCULATED PER NDS TECH.REPORT#10 SECTION 2.5& �� I 2012 IBC 722.6.3 ONE LAYER%"TYPE X GYPSUM WALLBOARD OR GYPSUM VENEER BASE APPLIED AT RIGHT 111 ANGLES TO RIGID FURRING CHANNELS 24"O.C.W/1"TYPE S DRYWALL SCREWS 12"O.C.GYPSUM S R. EX.FLOOR GIRDER BOARD END JOINTS LOCATED MIDWAY BETWEEN CONTINUOUS CHANNELS AND ATTACHED TO AGO f qOQ� ADDITIONAL PIECES OF CHANNEL 60"LONG W/SCREWS 12"O.C. C� RIGID FURRING CHANNELS APPLIED AT RIGHT ANGLES TO 410 OR DBL 2x10 WOOD JOISTS 48" ',A O.C.W/TW01y"TYPE S DRYWALL SCREWS AT EACH JOIST. �2 WOOD JOISTS SUPPORTING ty"T&G PLYWOOD FLOOR[SOLID 2x4 VERT.ASSUMED EQUIVALENT] Q7 D FIRE CEILING ° SFO/ST A PARTIAL BUILDING SECTION Scale: N.T.S. Scale: N.T.S. SHEET Address: 111 N Oak Street CERTIFI6A, r E F CCUPANCY City, ofPort Angeles �Bu�IdrmgDwision This certificate is issued pursuant to the requirements of Section 11146f the 2°0.12 International Building Code certifying that at Cheamof i sssuance this structure was in compliance with the various ordinances of the City regulating buildingconstruation or usefor the following. Business name: �N,o�rpoint Marltlme �� r Business address.: 1:1"1 N�Oak S,,eet w �' Business owner: SteVen Bentley _ A ort,q �,�98363 Business owner's address 832 Boat HaAuen ueP ° tigelesiW Automatic fire sprinklerxsystem: N/A KK Use &occupancy clascation: Businesses $ ' _ Occupant load: Peri 2.01.2 IBC, Table I 't-A.1:1., Type of construction: $ < 12-05-2014 I,07PIEffillUgen Date Poston the premises in a conspicuous place. TKs certificate�sh_aI snot-be removed except by the Building Official. ?ORT :���, CERTIFICATE OF OCCUPANCY APPLICATION Permit# CITY OF PORT AN FEES $50 Certificate/Inspection ® Attn: Permit Technician 41 ® 321 E. Fifth St., Port Angeles,WA 98362 $100- Parking Bbsiness'ImproQment Area (PBIA) (360)417-4815 fax(360)417-4711 fee charged for Downtown locations ^/ PLEASE PRINT IN INK Check one: New business in P.A.?l9 Change of ownership'only?`❑ Moving locationTrom within P.A.? .❑ Z6rting BUSINESS NAME N\NC�� Business address k Q /�Maiijliing address Phone number 7,0'(e, 1Y715 "7aG� Opening date 6* / Days &hours of operation Business owner's name , ) � "'� Cntact p one "--714S-5-770 Business owner's address ,4E ':: 'L Brief description of business [, L 11-3 Property owner's name Contact phone Property owner's address/contact BUILDING DEPARTMENT , phone 417-4815 Bldg approval by on Is the business a restaurant or bar that will seat 50 or more people? Yes ❑ No Construction changes planned (moving walls, adding/enlarging windows or doors, roofing, siding, foundation work, adding/altering stairways, ramps, bathrooms, electrical, heating/cooling/ventilation systems, etc). Work planned: IUbeV FIRE DEPARTMENT phone 417-4653 Fire approval by on Changes to a fire sprinkler system or fire alarm system? Yes ❑ No Work planned: PBIA (Parking Business Improvement ANNryye��aa�-Downtown) phone 417-4623 Square footage of business? liV 1 } PBIA notified on Is business moving within the PBIA? Yes ❑ No ❑ CITY CLERK phone 417-4634 City Clerk approval by on Second-hand dealer/pawnbroker business? Yes ❑ No)c Will there be dancing at this business? Yes ❑ No*�F A City of Port Angeles Business License is required for: Taxi, Peddlers, Second-Hand Dealer, Pawnbroker, Dance, Hotel-Motel, Fireworks, Ambulance, and Tattoo Businesses. Page 1 of 2 0 COMMUNITY&ECONOMIC DEVELOPMENT phone 417-4750 CED approval by on Number of o street parking spaces available for employees and customers? ��, L6 Oct*,. (A parking plan may be required.) Signs? (wall-mounted, freestanding, projecting, awning,A-frame, etc?) Signs planned: W I N-,Abai,.Ns V I N`(( PLEASE NOTE: NO flashing,intermittent,or chasing signs are permitted in the City of Port Angeles. PWE approval by on PUBLIC WORKS DEPARTMENT-ENGINEERING phone 417-4812 Is site work planned(new or re-located sewer or water service, excavation, grading or filling, work in City right-of-way, new driveway openings, site drainage, parking lots, downspouts, irrigation system backflow devices, etc.). Yes ❑ NOX Work planned: /V C?/�.) S• PUBLIC WORKS WASTEWATER phone 417-4845 PWW approval by on Will waste, other than domestic household waste, be discharged into the sewer system? Yes ❑ Nok If yes, what will be discharged: // -- Call for Certificate of Occupancy inspections BEFORE openin_a business. Building Department Inspection 417-4815 Fire Department Inspection 417-4653 Please sign up for utility services at the cashiers' counter. I hereby apply for a Certificate of Occupancy. I acknowledge that I have read this application and state that the information 1 have supplied is correct to the best of my knowledge. Incorrect information may result in revocation of permit. Date Print Name J C V 7.X- f2tA1 Signature Z­5�" TAFornns\Building Division\Certificate of Occupancy Applicabon(2010).doc Page 2of2 i { Sublet Agreement This Sublease Agreement is made ibetween the Tenant Forks Community Hospital and the Subtenant Srteven-Bentley on this date July 1, 2013. 1 o Iv*Vlay"i-hrrkt The Tenant hereby agrees to sublet, and the Subtenant agrees to rent the following Premises:, Street Address: 111 North Oak Str iet, Port Angeles, WA 98362 The Subtenant is subject to all terms and conditions of the original lease agreement dated December 1, 2007, a copy of which is attached too this Sublease Agreement. 1. TERM: This sublease term shall begin on July 1, 2013and will be on a month to month basis thereafter. 2. RENT: The Subtenant agrees to pay the Tenant an amount of$ 142.50 per month as rent on or before the 1 st day of each month. 3. CONDITION OF PREMISES: A joint inspection of the Premises shall be conducted by the Tenant and Subtenant at the start of this sublease term. Any damage or deficiency at the time of inspection shall be recorded in writing with copies for both Tenant and Subtenant. The Tenant shall be liable for the cost of all cleaning and repair to correct any damage or deficiency recorded I during this inspection. The Subtenant shall be liable for the cost of all cleaning and repair to correct any damage or deficiency during and at the end of this sublease term, after accounting for normal wear and tear. 4. SECURITY DEPOSIT: I The Subtenant shall pay a deposit in!, the amount of$ 142.50 to be held by the Tenant as security deposit. This deposit shall be refunded to the Subtenant upon termination of this sublease after deducting for any of the following: default of rent payment, loss or damage to the Premises or its furnishings and any required cleaning of the Premises. 1 5. ADDITIONAL TERMS AND CONDITIONS: The Subtenant agrees to use the front conference room with bay window and the restroom in the rear of the building. If the Subtenant wishes to expand the use of additional space within 111 North Oak Street, he agrees to contact the Tenant to renegotiate this agreement. If the Tenant should default on the original lease agreement the Subtenant shall be given first right to take over the lease of 111 N. Oak Street, Port Angeles, WA 98362. I Page r } Tenant Name: Forks Comunity Hospital t Tenant Signature: � f Date:-4/lDate:-4/lrs v Subtenant Name: Ste�•B q Subtenant Signature:G � �. Date:IV �� 2 CONSENT OF LANDLORD The Landlord hereby agrees to the sublease of the above Premises according to the terms and conditions of this Sublet Agreement. Landlord Name: Michelle Anderson Smith and Rian Anderson Landlord Signature: ;� n.;,� �arnr�eASEE�rt-S�v,/,L► Date: -QC-1- 3 l i l f 1 2Page i