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112 S. Lincoln Street
Address: 112 S Lincoln Street STE C PREPARED 8/02/13, 8:51:39 INSPECTION TICKET PAGE 8 CITY OF PORT ANGELES INSPECTOR: JAMES LIERLY DATE 8/02/13 ------------------------ ADDRESS . : 112 S LINCOLN ST STE C SUBDIV: CONTRACTOR : PHONE : OWNER MATTHEW AND KARI BAILEY PHONE : (360) 565-1280 PARCEL 06-30-00-5-1-3100-0000- APPL NUMBER: 13-00000835 CO- CHANGE OF OCCP/USE ------------------------------------------------------------------------------------------------ PERMIT= CO 00 CHANGE OF OCCUP/USE REQUESTED INSP . DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS ------ --------------------------------- -- 0099 01 8/02/13 L BLDG C/O FINAL * OVERRIDE TAKEN BY PBARTHOL DATE: 08/02/13 TIME: 08:21:53 August 2, 2013 8:23:27 AM pbarthol. Misty 477-6142 - --------- COMMENTS AND NOTES -------------------------------------- w � M M CERTIFa1CCAE T _OF =OCCUPANCY Cit y'ofPort Angeles Building Div`is ion This certificate is issuedpursuant to the requiremenis of Section j1-7,6" the 2009 International Building Code certifying that a heti e of issuance this structure was in compliance with the various ordinances of the City regulatingibuilding construction or use for the following Business name: Olyrnplan Care i� Business address 112 S LincolnStreetSte C Business owner: q Richard Pharr ' " g_ tfiE,��.y$ "k.5 � Business owner saddress _ 112 S Lincoln Street C;Port Angelers, WA 98362 Automatic fire sprinkler system: N/A$ - 1 T. - Use & occupancy classification: Business ,� 17 7 Occupant load: Per201.2 IBC, Table1.0:04 1 1 _, � Type of construction:% ` ryi _ 11/22S/2013 A Sue Roberds; P ning Manager Date Post on the premises in a conspicuous place'�This_certificate shall nob removed except by the Building Official. 0�.?oRr,� CERTIFICATE OF OCCUPANCY APPLICATION Permit# I� s s B FEES CITY OF PORT ANGELES 50 Certificate/Inspection a� Attn: Permit Technician - 321 E. Fifth St., Port Angeles,WA 98362 $100 Parking Business Improvement 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.?❑ Change of ownership only? ❑ Moving location from within P.A.? Zoning BUSINESS NAME �j,�l/Q�l r� Business address iI1�S•Lr ,enjn 5+ ('- Mailing address Phone number i`1`1 -(pJLfA Opening date Days &hours of operation /-I -S 1 o-7 Business owner's name .0 r Contact phone y 7 -3u,--32 Business owner's address 3 Brief description of business Ct C! Property owner's name 19,21 e U Contact phone x(17-C7�26P/o Property owner's address/contact �(����9 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: FIRE DEPARTMENT phone 417-4653 Fire approval by on Changes to a fire sprinkler system or fire alarm system? Yes ❑ No Work planned: -6 PBIA (Parking Business Improvement Area -Downtown) phone 417-4623 Square footage of business? 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 ❑ Will there be dancing at this business? Yes ❑ No ❑ 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 r s . COMMUNITY&ECONOMIC DEVELOPMENT phone 417-4750 CED approval by on Number of off-street parking spaces available for employees and customers? (A parking plan may be required.) Signs? (wall-mounted, freestanding, projecting, awning, A-frame, etc?) Signs planned: PLEASE NOTE: NO flashing, intermittent,or chasing signs are permitted in the City of Port Angeles. PINE 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 ❑ No ❑ Work planned: PUBLIC WORKS WASTEWATER phone 417-4845 PWW approval by on Will waste, other than domestic household waste, be discharged into the sewer system? Yes ❑ No ❑ If yes, what will be discharged: Call for Certificate of Occupancy inspections BEFORE openin_g 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 I have supplied is correct to the best of my knowledge. Incorrect information may result in revocation of permit. Date Print Name Signature TAFornns\Building Division\Certificate of Occupancy Application(2010).doc Page 2 of 2 FORM No.429—COMMERCIAL LEASE. 02005-2013 WASHINGTON LEGAL BLANK.PORTLAND.OR www. ]Uorms.mm BA NO PART OF ANY WASHINGTON LEGAL BLANK FORM MAY BE REPRODUCED IN ANY FORM OR BY ANY ELECTRONIC OR MECHANICAL MEANS. • 34 THIS LEASE,ente ed into on ------�//f47 - _ _________________ between ---------------- ----- ------------------------------------------------------------- LANDLORD'S LEGAL TITLE ---'---'--'- ------------------------------------------------------------------- and -----------------------------------T�-=�t ; 1��'�_t��'r'"_�----���� �-�-=--------.--�-=L'�T-=--------- hereinafter called lessor, ` ITENANT'S LEGALT+TLE ----------"-- -----------------------------------------------------=-- .'.---- ------------------------------rr --------------- 7-� ;hereinafter called lessee. I In consideration of the promises herein, lessor leases to. lessee_those certain premises; situated in the City of ---- -'- �` c 5------------ ---- described �_._L ------------ County, State of Washington, -- ------------------> ----described as follows: r h The lease term begins at --------di------ o'clock __ -.. M. on ___ r __-__—__----------------------------- and 3 and ends at midnight on ___�LLIr '-'� S� � ' %1� -- ----=--��- 1.Base Rent. La.Lessee sh ll pay to lessor,at lessor's----------------- address as set forth herein,a base rent of for Kthe first year of the term ❑each year of the term(indicate which),to be aid in the monthly amount of$_-_ ' '�_______ on or before the _ '_--- day of each month, commencing - _' < f__(_ y- Lb. _________ _________ (Eachpaiv initial if applicable.`IThe base rent shall be adjusted annually on the one year anniver- sary date of the commencement of this lease by the percentage increase, if any,in the Consumer Price Index for the last full month prior to the date on which rental adjustment is being computed,compared to the last full month prior to the same date during the pre- vious year. The term "Consumer Price Index" shall, for the purposes of this'lease, be the "Consumer Price Index for All Urban Consumers,Table 1"specified for"All Items"(U. S. City Average, 1982-84= 100), and issued by the United States Department of Labor,Bureau of Labor Statistics. Le- _________ _________ (Each party initial if applicable.)If the base rent set forth in paragraph I.a. is for the first year of the term, then with each succeeding year lessee shall pay to lessor base rents to be paid at the following times and in the following amounts: Ld. _________ _________ (Each partly initial if I.d. and Le. apply)As ❑ an additional rent ❑ its rent (in nate which), lessee shall eac nth pay to lessor __________________ percent(__-_-_ %) of lessee's prior month's gross s as defined in para- . graph Le.In no case s ssee pay less than the base rent stated in paragraph La. above. Le. Statement of Gr ales. On or before the tenth (10th) day of each month—le ee shall deliver to lessor a complete and correct statement showing in reas ble detail all gross sales for the imme 'ate y preceding calendar month, which statement shall be signed by an officer or authorized a. f lessee certifying i true and accurate. The term "gross sales"shall include all money,and things of value received by, or paid to, see -to others for lessee's use and benefit, and all credit extended by les- see in connection with the business conducted by iton-the ices, and less the amount of any actual refunds or credits made by lessee on returnable merchandise. Lessor mayy aaeeept the statement t admission as to its accuracy, and may, upon reasonable notice,inspect and audit all of lessee's�oolCs-and records relating to gross sales. _ or shall bear all inspection and audit expenses, but lessee shall reimburse less(�.rjor'a'll such reasonable costs incurred in the event such au weals an understatement of gross sales by more than ten perrceeat-(40-1/o). Audits may be conducted by any professional or agent selec[e essor, but lessee may require that individual - -mn a reasonable confidentiality agreement.Within fifteen(15)days after lessee's income returns are filed,les- see shall rni'f-i ish lessor with a sinned statement certifying the amount of gross sales reported in lessee's income tax returns attribut- Page 1—COMMERCIAL LEASE. able W the premises. When lessee's certified statement of cross sales indicates that lessee has underreported its monthly statements of gross sales, lessee shall promptly pay to lessor the full amount of rent due to lessor pursuant to paragraph Ld. 2. Lessee's Proportionate Share. Lessee's premises ❑ are Hare not(indicate which) part of a larger building or property ("the building").At the commencement of this lease, lessee's premises consist of__________________ percent(_-_-__ %) of the total area of the building, calculated by dividing lessee's premises by the total area of the building. All area measurements of lessee's premises and of the building are determined by lessor.Any reference to"lessee's proportionate share"in this lease refers to this pro- portion. ` 3.Taxes,Insurance,Maintenance and Utilities Expenses.At the beginning of each calendar year, lessor shall provide les- see wi its calculation of lessee's monthly liability for lessee's real property taxes,insurance,maintenance and util' ies expenses for the corrin-= ear. 3.a. Eac' nth lessee shall pay, in addition to the base rent, one-twelfth (1�-)-6f its proportionate share of the annual real property taxes, including arr}�aR 1 cable improvement district asses smen acrd-lessor's insurance (as set forth in paragraph 9) for the premises, or for the building o�lr' the premises are a 3.b. In addition, each month lessee sha e_-t e fth (1/12) of its proportionate share of lessor's annual expense for cleaning and maintaining the premises or the building (includ7h�iuteerior and exterior common areas and landscaping) of which the premises are a part. Lessor reserves the t charge'an administra'ti incurred by lessor under this section equal to ten percent (109c) of the total costs paid or 3.c.Lessee shall payer all utilities services to lessee's premises, including bu not limited to heat, light, water, power, aarbage and other see ces or utilities used in the premises during the term of this lease.in additi twelfth(1/12)of-lessee's proportionate share of lessor's utilities costs for utilities services to common a month thesbuildiee na, includ- ing but not invited to weekly or more frequent garbage service and services to parking or outdoor areas maintained by lessor for the benefit of lessee, other tenants of the building or visitors to the building. 4. Lessee's Acceptance of Lease. Lessee accepts this lease and agrees to pay to lessor the rental payments set forth herein for the full term of this lease, in advance, at the times and in the manner stated in this lease. �i 5. Late Charge. If lessee does not make any payment of rent or additional charees within __-*-_iV- after its due date, lessee shall pay to lessor a late charge equal to ten percent (10%) of the total amount overdue.All unpaid rent or additional charges shall bear interest at the rate of eighteen percent(18%)per annum, or such lessor percentage as may be required by the usury laws of the State of Washington, from the date such charges became due until paid. 6.Insufficient Funds.Lessor reserves the right to charge lessee a reasonable amount, but not less than its actual cost, if any payment by lessee is returned to lessor by lessee's bank because of insufficient funds. Lessor may from time to time establish a flat charge for insufficient funds. Lessor may further, if lessee attempts to pay with insufficient funds more than once durinthe term of this lease and any extensions thereof, require payment of all rents and charges in cash or in cash equivalents. g 7.Security Deposit; Last Month's Rent. 7.a. Lessor acknowledges receipt from lessee of the first month's rent and of the additional amount of S ____________ _ as a security deposit. Lessor may apply the security deposit to pay the costs of performing any obligation which lessee may fait to perform during the term of the lease, or to make any repairs, except for repairs due to ordinary wear and tear, that may be required after termination of this lease. If lessor is required to use any portion of this secu- rity deposit during the term of this lease,lessee shall on demand pay the sum necessary to replenish the deposit to its original amount; and if lessee fails to replenish the deposit, lessee shall be.in default of this lease.The security deposit El shall EJshall not(indicate which) be refundable. If refundable, lessor shall give wtten account to lessee within sixty (60) days after termination of this lease for all expenses paid from the security deposit, and lessor shall refund the balance of the deposit which has not been applied to lessee's performance under the,I-ase at the time of the written account. 7:b. --- .'�--- p - (Each ai initial if applicable)Lessor further acknowledges receipt of the additional amount of $--�% ----------------------, as last month's rent; this payment shall be applied to the last month's rent for this lease term or for the last month of any additional term under paragraph 25, if applicable. However, lessee acknowledges that this amount is an estimate only, that lessee may be liable for further rent under the provisions of this lease, and that this last month's rent does not include any of the additional charges that may apply under the provisions of this lease. S.Use of Premises.8.7a.Lessee shall use the premises during the term of this lease for the conduct of the following business: — L�—�--- l• ------------------------------------- ------------------------------------------------ ------------------------------------------------------ __________ --------------------------------------------------------------------- ------`--- ---- --- ---- --- ------------, and for no other purpose without lessor's prior written consent.Lessee shall not sell or permit to be sold any product, substance or service upon or about the premises,excepting by law to sell and as may be expressly such as lessee may be licensed p y permitted herein. Lessee shall not make any unlawful, improper or offensive use of the prem- ises, and shall not create or allow any objectionable noise, vibrations or odor to be emitted from the premises. 8.b.Lessee shall conduct its business at and occupy the premises regularly, and shall not abandon or vacate the premises for more than seven (7)days without lessor's prior written consent. an 8.c.Lessee shall at all times and at its own expense comply with all applicable laws, ordinances,rules and regulations of y public authority.These include, without limitation, all laws, regulations and ordinances pertaining to air and water quality, haz- ardous materials as defined herein, waste disposal, air emissions and other environmental matters. The term "hazardous materials" means any hazardous or toxic substance, material or waste, including but not limited to those substances, materials and waste listed in the U.S. Department of Transportation Hazardous Materials Table or by the U.S. Environmental Protection Agency as hazardous substances and amendments thereto,petroleum products,or such other substances,materials and waste under applicable local.state or federal law. that are or become regulated f lessee's business requires the use of any hazardous materials upon the premises fol reason or by anyone, les- see shall obtain the ' written consent of lessor. Lessor agrees not to withho d_canserrtjono as lessee demonstrates to lessor's reasonable satisfaction that s dour stored in a se ul to lessee's business and will be used, maintained and on ora out the premises. ata cines with a ch hazardous materials to be brought upon, used or kept 8.e. Lessee shall not conduct any activities, nor permit the premises to fall into a state of disrepair or disorder, that will increase hazards on the premises or cause an increase in lessor's insurance rates for any portion of the premises, or that prevent les- sor from taking advantage of any rulings of any agency of the state in which the premises are situated, or which would allow lessor Page 2—COMMERCIAL LEASE. ,to,obtain reduced premiums for long term fire insurance policies. Nor shall lessee conduct any activities that will in any manner degrade or damage the premises or their reputation. Lessee shall not store gasoline or other highly combustible materials on the premises at any time, except as may be permitted under paragraph 8.d. 8.f. Lessee shall not overload the floors of the premises in such a way as to cause any undue or serious stress or strain upon any part of the building in which the premises are located. Lessor shall have the right at any time to hire any competent engi- neer or architect whom lessor may choose to determine whether or not any of the floors of the premises are being overloaded; and the decision of such engineer or architect shall be final and binding upon lessee: and if the engineer or architect does determine that any.overloading of any of the floors of the building is caused by lessee, then lessee. at its sole expense,shall immediately relieve the overloading, either by reinforcing the building or by removing the overload, in a manner satisfactory to lessor. 9.Lessor's Insurance.At all times during the term of this lease. lessor shall maintain in full force a policy or policies of fire insurance with standard extended coverage endorsements covering the premises or the building and other improvements (exclusive of-lessee's fixtures, tenant improvements or other property of lessee). Lessor shall also maintain in full force a comprehensive lia- bility insurance policy insuring lessor against liability for bodily injury and property damage occurring in, on or about the premises or the building. Lessor shall use its reasonable efforts to secure this policy or these policies at competitive rates. 10.Lessee's Insurance.At all times during the term of this lease,lessee shall, at lessee's sole expense, maintain in full force a liability insurance policy insuring lessee in the minimum amount of S_ 1i'1_ilLr _{rl per occurrence, and in the min- imum amount of S_________________ __________ in the aggregate,against any and all liability of lessee with respect to the premises and under this lease. or arising out of the maintenance, use or occupancy of the premises by lessee, for damage to persons or property in, upon or about the premises. Lessee shall, at its own expense, insure all of lessee's property upon the premises, of whatsoever nature, against loss of any sort- and lessee shall provide an insurance policy or policies to fully cover repair and replacement of broken windows in the premises. Lessee shall cause lessor to be named as an "additional insured"on any liability or property loss insurance policy purchased under this paragraph; each such policy shall provide that the policy may not be cancelled or modified without at least ten (10)days'prior written notice to lessor.Each such policy shall be primary and noncontributing with other insur- ance available to or provided by lessor. Lessee shall provide lessor with the declaration sheet or sheets for any insurance policy or policies at time of commencement of such policy or policies and upon renewal of such policy or policies with each term of insur- ance. If atan}, time lessor requests lessee to provide lessor with a copy of any insurance policy, lessee shall promptly provide that copy. _ �&.I- I 11.Indemnity; «'giver of Subrogation. ll.a. Lessee shall indemnify and hold lessor harmless from any and all liability, damage, expense, attorney fees, causes of action. suits. claims or judgments that arise out of or are in any way connected with lessee's use,occupancy,management or control of the premises,any failure by lessee to comply with the terms of this lease, and the acts or omissions of lessee, its agents, officers,directors,employees or invitees. Lessee shall,at its own expense,defend any and all such suits or claims which may be brought against lessor either alone or in conjunction with others upon any such cause of action or claim, including but not limited to the negotiation and settlement of such causes of action or claims before suit is filed, and shall satisfy, pay and discharge any and all judgments that may be obtained by any claimant against lessor in any such claim or action where lessor may be a defendant. However, lessee shall not be liable to the extent that any such claim. loss or liability is caused in whole or in part by lessor's negligence or failure to effect any repair or maintenance required by this lease. 1 Lb.Neither lessor, its agents, nor lessee shall be liable to each other or to each other's insurance companies for any loss or damage in relation to the premises, including interruption of business, that would ordinarily be covered by a standard insurance policy for fire and theft with extended coverage, or for losses under workers compensation laws or employer liability laws, even if such loss or damage occurs as a result of the negligence of one party: provided, however, that this waiver shall not apply if it pre- ven either party from obtaining* or maintaining insurance coverage. nA 12.ADA Compliance. Each party acknowledges that the provisions of the Americans with Disabilities Act (hereinafter ") permit the parties to this lease to allocate responsibility for compliance with the terms and conditions of the ADA. Lessee shall be required to comply with the applicable provisions of the ADA as to all improvements lessee makes to the premises.However, lessor represents that any tmpr zrrt esigned and installed by lessor or its contractors or�m oyees will conform to the require- ments of the ADA Compliance Guidelines In ct at the time of issuance-.:of-anypermit for such work. Lessor shall be responsible for compliance with the ADA with respee�' - _ xterior of the premises and all common areas, including but not lim- ited to parking areas, sidewalks and walkways.,.Neither party shall e o u ervise, monitor or otherwise review the com- m pliance activities of the other..Lessee-acknowledges lessor's expense in coplying with t e v be subject to reimbursement as an expense of lessor-fd maintaining common areas of the premises: however,ADA expense for caps rovements shall be amortized-over the life of such improvements for purposes of reimbursement for lessor's expenses. 13.Light and Air.This lease does not grant or create any rights of access to light, air or views over the premises or any other property. 14.Structural Repairs and Improvements by Lessor.Lessor shall make all structural repairs and shall perform any main- tenance or repairs required by structural defects. Lessor shall maintain the exterior walls,roof.gutters,downspouts and the founda- tion of the building. However, lessor shall not be responsible for repair or maintenance of lessee's storefront, windows,doors or the operation of lessee's windows and doors.Lessor shall make interior repairs only when such repairs or maintenance are necessitated by lessor's need to keep the structure in repair as required herein. Lessor reserves the right to alter, repair or improve the building, or to add to the building, and for that purpose at any time may erect scaffolding and any other necessary structures about or upon the premises: and for that purpose lessor and lessor's representatives, contractors and workers may enter in or about the premises With such materials as lessor may deem necessary to effect that purpose,and lessee hereby waives any claim against lessor for dam- ages, including loss of business resulting from such alterations, repairs or improvements. 15.Repairs and Improvements by Lessee. By taking possession of the premises. lessee accepts the premises as being in the condition in which lessor is obligated to deliver them and otherwise in good order,condition and repair.Lessor has made no rep- resentations to lessee with respect to the condition of the premises,except as set forth in this lease. During the term of this lease, at Its own expense lessee shall repair and maintain the premises,except as set forth in this lease, including but not limited to the store- front, all interior and exterior doors and windows. interior walls, heating, ventilating and cooling systems, interior wiring, plumbing and drain pipes to sewers or septic tank: and lessee shall at its own expense obtain all required permits for such repairs or mainte- nance. Lessee specifically agrees to replace all glass that may be broken or damaged during the term of this lease with glass of as good or better quality as that now in use. 15.Fixtures.Lessee shall make no alterations, additions or improvements to or upon the premises, including exterior color, without the prior written consent of lessor; lessor retains the right to approve plans for any and all such alterations, additions or Page 3—COMMERCIAL LEASE. improvements;and at the end of this lease lessor retains the right to require lessee to remove at lessee's own expense any alterations, additions or improvements made by lessee during the lease term, and to repair any damage to the premises resulting from such 'removal. Any and all alterations, additions or improvements, exterior awnings or projections, or any other addition to or improve- ment to the premises, whether installed by lessor or by lessee, shall be at the sole expense of lessee, shall at the time of installation become a part of the premises, and shall be the property of lessor, unless otherwise agreed between the parties in writing, and sub- ject to any limitations set forth herein. 17.Ice,Snow,Debris.At all times lessee shall keep the sidewalks in front of the premises free and clear of ice, snow, rub- bish, debris and obstructions of any nature. If lessee occupies the entire building, lessee will not pen-nit ice, snow, rubbish, debris and obstructions of any nature to accumulate on the roof of the building so as to stop up or obstruct the gutters or the downspouts or cause anv damage to the roof. Lessee will at its own expense fully reimburse and indemnify lessor against lessor or lessors property, or to any other person or property caused by an } �ainat any injury, whether to h. 18. Lessor's Right of Entry. Lessor, its employees, agents or representatives may at any timle eenter inpto lessee's premises for the purpose of examining the condition of lessee's premises,to perform necessary services,maintenance and repairs or alterations to the building or the premises, to show the premises to any prospective tenant or purchasers, or for any other lawful purpose.Except in case of emergency such entry shall be at such times and in such a manner as to minimize interference with the business use of the premises by lessee. 19. Lessee's Right of Access.During times other than normal building hours,if the premises have no outside entry, lessee's officers and employees, or those having business with lessee, may be required to identify themselves or to show passes in order to gain access to the building. Lessor shalI have no liability for permitting or refusing to permit access by anyone. 20. Awnings and Window-Treatments;Signage b be and Advertising.20.a.Lessee shall attach no awnings or other projections to the outside walls of the premises or of the building of which the premises are apart without the prior written consent of lessor. Lessee may place curtains or other window treatments in exterior windows of the premises only if those window treatments are in keeping with the standards adopted by lessor for the building. well as complying window treatments, may become property of lessor as fixLessee acknoturesdplaced upon ges the prthat any emi es by-lessee. ed awnings or projections, as 20.b.Lessee may not place signs or other advertising on the outside walls of the premises or in exterior windows with- out the prior written consent of lessor. If lessee does so, lessormay' without liability, remove such signage or other advertising at lessee's expense. Upon termination of this lease lessee shall remove all of its signage or other advertising from the premises, and shall at its own expense repair any damage caused by such signage or other advertising. 21.Nblet.o gnment.Lessee shall not assign, transfer, pledge, hypothecate, surrender or dispose of this lease,or of any inter- est herein,sublet,ort' any other person or persons whomsoever to occupy the premises without the prior written consent of les- sor; and lessor may withhold its consent if; in lessor's discretion, the proposed assignee or sublessee does not have sufficient net worth or a sufficiently established record of successful business operations, or proposes a use which is different from the use for which lessee has entered into this lease,pursuant to paragraph 8 hereof.The benefit of this lease is personal to lessee, and if lessee's interests under this lease are transferred to any other person or entity, in whole or in part, in an manner, including law, without the prior written consent of lessor, such transfer shall be an act of default whether or not rents or other liabilities are paid, and from the time of such transfer lessor shall have all rig y by operation of lessor for all of the professional and legal fees,as w his to possession of the premises. In addition, lessee shall reimburse regardless of whether lessor approves such assignee.and nlessstlessor her pspecifically releases Jesse e therefrom lessee by lessor in eval ating any shallsaner assign ment or sublease remain primarily liable fot payment of all base rent and other charges, as well as for the performance of all of lessee's duties under this lease. 22.Liens.Lessee shall not permit any lien of any kind to be placed upon any portion of the premises or the building in which the premises are situated, or upon the land on which it stands. 23.Damage to Premises;Lessor's Duty to Repair;Abatement of Rent During Repair.If the leased premises suffer major damage by fire or other casualty, lessor may terminate this lease as of the date of the Ioss. If damage to the premises exceeds (30)days after the percent (------ %) of the value of the premises, but the premises are not totally destroyed, lessor may elect to repair the premises,and shall exercise that election by giving to lessee written notice of its election within thin date of loss; if lessor fails to give that written notice, lessor shall be deemed to have elected not to repair the premises,and the lease y shall terminate as of the date of the loss. If lessor elects to repair the premises, lessee shall comply with lessor's reasonable request to vacate all or any part of the premises during reconstruction, and lessor shall repair the premises promptly. For the period of time after the date of the loss and until necessary repairs have been substantially completed, there shall be an abatement of rent in pro- portion to lessee's loss of use of the premises. However, if the damage to the premises is minor, and no material disruption of lessee's business occurs as a result of such damage, there shall be no abatement of rent and lessor shall repair the damage promptly. 24.Eminent Domain. If all or part of the leased premises is condemned or purchased by any public entity (or private entity with condemnation powers),this lease may terminate as to the condemned part, effective as of the date of closing of the condemna- tion or purchase transaction, by written notice provided by either party to the other. In case of termination under this paragraph, les- see shall not be liable for rent for any condemned or purchased part of the premises after the termination date: but where the con- demnation takes only part of the premises, and lessee remains in possession of the remainder of the property under this lease, lessor shall determine the amount of reduction in rent and other charges in relation to the condemned part of the premises. Lessee shall not be entitled to and hereby expr 's�lyv\waives any�ghfto any part of the condemnation award or purchase price. 23. Option to Renew. �9 r! 1_`'�%(Each pare initial i applicable)Provided that lessee has not been in default les- see shall have the option to ren this lea�for an additional ___ I �C____ es month commencing on the day following expiration of this lease. Lessee may exercise this option by providing ritten notice o lessor not r (indicate which) term less than one hundred eighty (180)days prior to the expiration date of this lease.Timely written notice shall be sufficient to bind the parties to the renewal term without further action by either party upon terms and conditions identical to the terms and conditions of this lease, except for the rent and that there shall be no further right to renew.The rent for the renewal period shall be the greater of: (i) the rent paid by lessee for the last month of the expiring term; and (ii) the fair market rent for the ensuing renewal term. 26. Lessor's For Sale and For Rent Signs. During the sixty (60) days prior to the date of termination of this lease, lessor may display on the premises or in the windows of the premises signs of reasonable size notifying the public that the premises are available for sale or for rent. 27. Vacating the Premises upon Termination.At the time of termination of the lease for any reason, including expiration of the lease term, lessee shall vacate the premises and deliver them to lessor in a peaceful manner, vacuumed, swept and free of debris, and in as good order and condition, reasonable use, wear and tear,damage by fire and unavoidable casualty excepted, as the Page 4—COMMERCIAL LEASE. prerr�ses are now in or may hereafter be put in during the term of this lease. 28.are. Default.The following shall each constitute default by.lessee under this lease: a.Lessee's failure to pay rent or any other charge under this lease within_T�t_t.0 t _-_--- or charge is due; ( �_)days after such rent b.Lessee's failure to comply with any term or condition of this lease, other than payment of rent or other charges, within ten(10)days after lessor has notified lessee in writing specifying lessee's noncompliance; but this provision shall other be'satisfied if compliance requires a longer period than ten(10)days,and lessee commences corrective action within the ten (10s day period and thereafter promptly corrects the noncompliance; c.Lessee's insolvency, business failure or assignment for the benefit of lessee's creditors, including ment of proceedings under any provision of bankruptcy or insolvency missal of any involuntary law, or its failure to obtain dislessee's commence- tion - for bankruptcy or insolvency within the time required for an answer to such petition; or the appointment in a receiver for lessee's properties; d.Assignment or subletting by lessee in violation of paragraph 21; e. Lessee's vacation or abandonment of the premises without lessor's prior written consent,or, in lessor's sole discretion. failure to occupy the premises within ten (10) days after notice from lessor tendering possession; or f.Lessee's failure or refusal to surrender possession upon termination of this lease.. 29. Lessor's Remedies for Default. Upon any default by lessee, lessor shall have all rights provided by law, and in addition may exercise the following remedies: a.If lessee's default is failure to pay rent when due, including any grace period provided by this lease, lessor may with- out further notice enter peaceably onto the premises and retake possession; in all other cases of default, upon expiration of the stated notice period lessor may retake possession. b. Upon retaking possession, lessor may exercise its landlord's lien over any and all personal property left upon the prem- ises by lessee, and may sell such property after foreclosure of its lien as permitted and.required by statute. c.After retaking possession, lessor shall promptly attempt to relet the premises, in whole or in part, to any tenant or ten- ants who may be satisfactory to lessor;however, lessor's efforts to relet the premises shall be sufficient if lessor follows its usual pro- cedures for I space. le g tenants for the space at rental rates not less than the current rates for other comparable space. If lessor has other available space,lessor may rent such space to prospective tenants without prejudice to any claims lessor may have a� damages or loss of rent. Further, lessor shall apply payments or deposits received from lessee first to the cost of retaking and relet- tin g the premises, including any remodeling required to obtain any such tenant, and then to any arrears of rent payable under this lease, together with any other damages which lessor may be entitled to claim from lessee. 30. Holding Over.If lessee holds over after termination of this lease, such holding over shall not be deemed to operate as a renewal or extension of this lease, and shall create only a tenancy at will, notice by lessor. which may be terminated at will at any time and without 31.Nonwaiver.Neither the termination of this lease by forfeiture nor the taking or recovery of possession of the premises by lessor shall deprive lessor of any other action,right or remedy against lessee for possession,rent or damages:nor shall any omission by lessor to enforce any forfeiture, right or remedy to which lessor may be entitled be deemed a waiver by lessor of the right to enforce lessee's performance of the terms and conditions of this lease.Time is of the essence of this lease. Unless otherwise provided in writing,any waiver by lessor of any breach of this lease by lessee (including a failure to enforce any provision of this lease)shall not be a continuing waiver, and shall not operate to prevent lessor from seeking its remedies for any subsequent breach by lessee, whether or not lessee's subsequent breach is of the same provision earlier waived or not enforced by lessor. 32,Attorney Fees and Court Costs.Lessee hereby agrees to pay all of lessor's expenses,including lessor's reasonable attor- ney fees, incurred as a result of lessors enforcement of any provisions of this lease, even if no arbitration,lawsuit or other action is instituted. If any arbitration, lawsuit or action is instituted in order to enforce any provision of this ]ease,or for collection of rents due es damages claimed under this lease, the losing party shall pay to the prevailing party its reasonable attorney fees and all ex- penses incurred throughout such proceeding, including rt trial, on appeal, and for post-judgment collection. 33. Lessor's Address. Lessor's address for giving of notices andpa}yment of rent is: _ From time to e during the term of the lease,lessor may designate another address or addresses in w --------- - ----- - ---------------- -------------------------------- payment of rent. nttng f giving of notices and 34.Lessee's Address.Lessee's address for giving of notices is: ____-_r'_ �� G 6 _ ----------------=------------------------------------------------------------------------------------------------------------------- From time to time during the term of the lease, lessee may designate another address or addresses - writing 35.Notices.Any notice given by one party to the other shall be sufficient if it is in writing, contained in a sealed envelope, and either personally delivered or sent by United States Postal Service first class mail, with postage fully prepaid.Notice ent bgiving Of y class mail shall be deemed to have been delivered to the addressee seventy-two (72) hours after the notice is deposited in the U.S. Mail. y first 36. Subordination; Estoppel. This lease shall be subordinate to any ground lease, mortgage, trust deed or other security interest that may now be or that lessor may in the future place upon the real property of which the remises are a holder of such interest notifies lessee in writing that this lease shall be prior to the holder's interest. Lessee hereby agrees to executeY any documents required by any of lessor's lenders to effectuate subordination. Further, lessee shall, upon request ofPessornexes the a statement certifying the current terms of this lease, reflecting all payments lease, specifying lessor's defaults or lack thereof. and certifying such other matters as lessor may reasonably request. Lessor's cure p }ments lessee has made to the date of the statement under this chasers or lenders may conclusively rely upon any, such statement executed by lessee, and if lessee fails or refuses to execute such statement within fourteen (14)days of lessors written notice thereof to lessee,lessor's purchasers or lenders may conclusively accept lessor's representations as to all terms,.payments and defaults of lessee or of lessor hereunder. 37. Entire Agreement; Integration Clause. This lease, including parties and, except as otherwise provided, can be changed, modified, amended orhebrmina ed ocontanly ns tby he writ en agreement of the par- ties hereto.Lessor and lessee acknowledge and agree that there are no verbal as agreement between the standings affecting this lease. �reements,representations, warranties or other under- 38.Heirs and Assigns.All of the rights, remedies and obligations given to, imposed upon, or undertaken b th this lease shall extend to; inure to the benefit of and bind, as the circumstances may require, the heirs, successors, officers, agents insurers (except as set forth herein), executors or personal representatives, and assig Y e parties to Page 5-COMMERCIAL LEASE. assigns (except as set forth herein) Of each party. 39..Number and Gender.In construinQ this lease, the singular term "lessor'or"lessee"may include more than one person or entity: If the context so requires, the singular pronoun shall be taken to mean the plural.All grammatical changes necessitated by an increase in number or by a change in gender shall be assumed and implied in order to permit the provisions of this lease to apply equally to individuals, corporations and other entities. /` 40.eAdditional Provisions. The parties further ja..gree[a's(�follows(if no further provisions are needed, state'`none"): 4-a-✓'�7 a,�,t/; f����/1t�^�; L2s�LC% S,r'i -1 S, t_ 7 !J;7?7-1 p-tz,/ IiNVITNE-& WHEREOF, the parties have executed this lease; any signature on behalf of a business or other entity is made with the%authority of;t entity. �; --- Lessor r :/ _ -- - By ----- Tide -------------------------- Title -------_--- U ------------------- STATE OF WASHINGTON, County of-------6_�e-1_ 6Z-`q-1-_ -------------- I certify that I know or have satisfactory evidence that --------------------------------------------------------- is/are the individual(s) who appeared before me, and who acknowledged F71 (check and complete for individual acknowledgment) that he/she/they signed this instrument and acknowledged it to be his/her/their free and voluntary act for the uses and purposes mentioned in the instrument. ` ❑ (check and complete for corporate acknowledgment)that he/she signed this instrument, on oath stated that he/she was authorized to execute the instrument and acknowledged it as the _____________ -----____--_-__ of ----------------------------------------------- ________________ to be his/her free and voluntary act for the uses and pur- poses mentioned in the instrument. DATED ------- -------------------------- ------------------------------- ---------------------------------------- Notary Public for Washington My appointment expires ________________________ - f, i l ./ --------- ------------------------- Lessee 1 Y ------ 4------------ ------------------ t1 TitleBy --------------------------------- - -- -� ----------- - - -- ------------ Title --------�---- 1 - - -- --------------------------- / ted( i STATE OF WASHINGTON,County of__________--------------------------------- _`_------------- f---� ---/1 ) ss. I certify that I know or have satisfactory evidence that __ is/are the individual(s) who appeared before me, and who acknowledged ❑ (check and complete for individual acknowledgment) that he/she/they signed this instrument and acknowleded it to be his/her/their free and voluntary act for the uses and purposes mentioned in the instrument. g ❑ (check and complete for corporate acknowledgnzent)that he/she signed this instrument, on oath stated that he/she was authorized to execute the instrument and acknowledged it as the -----_--------------------------------------------------------------------- ------------------------------------------------ -_______-__- to be the free and voluntary act of such party for the uses and purposes menti ------------- oned in the instrument. DATED - ------------------------ -------------------------- -- - Notary Public for Washington My appointment expires _______________________ Page 6—COMMERCIAL LEASE. CERTIFICATE OF OCCUPANCY APPLICATION Permit# FEES V X wr---V CITY OF PORT ANGELES Attn: Permit Technician $50 Certificate/Inspection 321 E. Fifth St., Port Angeles, WA 98362 $100 Parking Business Improvement 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.?❑ Change of ownership only? ❑ Moving location from within P.A.? Zoning BUSINESS NAME �1lU LIQ n �P�<e- Business address /� � ' 'S L. ;,�n�n ��+ ( Mailing address .F Phone number -i`l`l -(jzt4a Opening date Days &hours of operation 0-7 Business owner's name Contact phone_ 292 -3 u,52 Business owner's address 35(1 Brief description of business > Ct , L' Property owner's name129Ccxt I(Q)CLA Contact phone �/17 /O Property owner's address/contact loS 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: FIRE DEPARTMENT phone 417-4653 Fire approval by on Changes to a fire sprinkler system or fire alarm system? Yes ❑ N0 -6 Work planned: PBIA (Parking Business Improvement Area -Downtown) phone 417-4623 Square footage of business? FP�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 ❑ Will there be dancing at this business? Yes ❑ No ❑ 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 Iof2 COMMUNITY&ECONOMIC DEVELOPMENT phone 417-4750 CED approval by on —+ Number of off-street parking spaces available for employees and Q customers? (A parking plan may be required.) Signs? (wall-mounted, freestanding, projecting, awning, A-frame, etc?) Signs planned: 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 ❑ No ❑ Work planned: PUBLIC WORKS WASTEWATER phone 417-4845 PWW approval by on Will waste, other than domestic household waste, be discharged into the sewer system? Yes ❑ No ❑ If yes, what will be discharged: Call for Certificate of Occupancy inspections BEFORE opening 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 1 have read this application and state that the information I have supplied is correct to the best of my knowledge. Incorrect information may result in revocation of permit. Date Print Name Signature T:\Forms\Building Division\Cedficate of Occupancy Application(2010).doc Page 2 of 2 x f €' AGE f E y 9 W A S H I N G T O N, U. S. A. r. Community & Economic Development Department October 28, 2013 �•��;�: Mr. Richard Pharr 3542 O'Brien Rd. Port Angeles, WA 98362 RE: 112 S. Lincoln Street#C, Port Angeles Dear Mr. Pharr: The City-understands you,may be engaged in an operation you believe is authorized by the -` -provisions of Chapter 69.51A RCW, Medical Cannabis (formerly medical marijuana). If so, this -letter is-to-inforrri you the-City is currently analyzing whether any such operations are consistent with the City's existing zoning code and state law. If it is determined such operations are not in compliance with the City's zoning code, we will contact you at a later date to describe what action you must take. At this time you are not required to take any particular action. Again, this letter is simply to inform you the City is conducting an analysis. Due to on-going projects and staff shortages, we do not expect to have an answer in the near future. If you have any information or documents that you believe may assist in our analysis, please provide them to us. Sincerely, Nathan A. West, Director William Bloor Community & Economic Development City Attorney 3 Phone: 360-417-4750 J Fax: 360-417-4711 Website: www.cityofpa.us/ Email: smartgrowth@cityofpa.us 321 East Fifth Street - P.O. Box 1150 / Port Angeles, WA 98362-0217 T 9A--` �Ko�.caurgvrF CERTIFICATE OF OCCUPANCY APPLICATION Permit# 13 7 o3 40ft— FEES CITY OF PORT ANGELES $50 Certificate/Inspection Attn: Permit Technician 321 E. Fifth St., Port Angeles,WA 98362 ,$100 Parking Business Improvement Area (PBIA) (360)417-4815 fax(360)417-4711 fee charged for Downtown locations PLEASE PRI �AIK Check one: New business in P.A.?❑` Change of ownership only? ''ving location from within P.A.? ❑ Zoning BUSINESS NAME Business address ailing addressCO. Phone number 2-2 2-515, O eni dat Days &hours of operation .5&,l, — g+ Business owner's name Contact phoned Business owner's address Brief description of business c ° A ern ' � La/ Property owner's name Contact phone OV ,�?21/I6S3 Property owner's address/con ct v, BUILDING DEPARTM T le 417-4815 Bldg approval by on Is the business a restaura or bar tha = se 0 or more people? Yes ❑ No )d Construction changes planned (movin I adding/enlarging windows or doors, roofing, siding,foundation work, adding/altering stairways, ramps, bathr ms, electrical, heating/cooling/ventilation systems, etc). Work planned: 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 Area -Downtown) phone 417-4623 Square footage of business? 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 f Will there be dancing at this business? Yes ❑ No 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 f COMMUNITY&ECONOMIC DEVELOPMENT phone 417-4750 CED approval by on Number of off-street parking spaces available for employees and customers? .y (A parking plan may be required.) Signs? (wall-mounted, freestanding, projecting, awning, A-frame, etc?) Signs planned: , �f glop PLEASE NOTE: NO flashing, `{` �' intermittent,or chasing signs are permitted in the C�jty`oPort Angeles. i Me approval by on PUBLIC WORKS DEPARTMENT-ENGINEERING phone 4.748#12 r a 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 ❑ No :'. Work planned: PUBLIC WORKS WASTEWATER phone 417-4845 PWW approval by on Will waste, other than domestic household waste, be discharged into the sewer system? Yes ❑ No ®' If yes, what will be discharged: Call for Certificate of Occupancy inspections BEFORE openin_g 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 I have supplied is correct to the best of my knowledge. Incorrect information may result in revocation of permit. 0 l Date i)-2 NO Print Name 1��G�aM �,� Signature T:\Forms\Building Division\Certificate of Occupancy Application(2010).doc Page 2of2 Y Rental Agreement Template Rental Agreemw4r% nt ® T (a p k6 r This rental a regiment, dated 9`2 �� is between Olympian Care, tenant, and Willy G Lur;tc; landlord, for the commercial building located at: 1403 east 151 "street, Port Angeles, WA. 98362. Under this agreement, tha tenant agrees to rent the above-mentioned dwelling on a month-to-month basis, with a monthly rental amount of$1,500.starting on the first day of July, 2013. The tenant or the landlord may terminate this agreement with a 30-day written notice to the other party. The attached rental policy shall be made part of this agreement and shall be binding on all parties. The tenant acknowledges reading and understanding this agreement. The tenant's signature below indicates acceptance of all terms and conditions of this rental agreement. tvae0 [Landlord] [Date] .._2�- 13 / /� [Tenant] [Date] Clgllam County Assessor& Treasurer - Property Details - 28 HUBERT E HERTZOG for... Page 1 of 1 Clallam County Assessor & Treasurer 70528 HUBERT E HERTZOG for Year 2011 - 2012 Property Account Property ID: 70528 Legal Description: SHORT PLAT#93-06- 05 V25 P63 LOT 2- SUB LOT 10-16A Geographic ID: 0630991010400000 Agent Code: Type: Real Tax.Area: 0010-PA 121 PORT ST CNTY H2 L WMP Land Use Code 64 Open Space: N DFL N Historic Property: N Remodel Property: N Multi-Family Redevelopment: N Township: Section: Range: Location Address: 1403 E FIRST ST Mapsco: PORT ANGELES,WA Neighborhood: PA East Comm Map ID: 2 Neighborhood CD: 5005000 Owner __--- --- - Name: HUBERT E HERTZOG Owner ID: 30280 Mailing Address: 122 W LAURIDSEN BLVD %Ownership: 100.0000000000% PORT ANGELES,WA 98362-7752 Exemptions: Owner Name: HUBERT E HERTZOG Owner ID: 30280 Mailing Address: 122 W LAURIDSEN BLVD %Ownership: 100.0000000000% PORT ANGELES,WA 98362-7752 Exemptions: Taxes and Assessment Details Values Taxing Jurisdiction Improvement/ Building Sketch Property Image Land Roll Value History Deed and Sales History Payout Agreement Website version: 9.0.32.2200 Database last updated on:6/27/2013 3:56 ©2013 True Automation, Inc.All Rights AM Reserved. Privacy Notice http://websrv8.clallam.net/propertyaccess/Property.aspx?cid=0&year=2011&prop_id=70528 6/27/2013 E 1404 r , w; ]a !(� F 109 \. ' � a Af 14 s ,d} S a 1403 r^ � r v t .r a x� v . a Y y r � F 1409 4� l f 1421 ;a A PORT A,ll��F� CERTIFICATE OF OCCUPANCY APPLICATION Permit# 3 ® CITY OF PORT ANGELES FEES [L Attn: Permit Technician $50 Certificate/Inspection ® ® 321 E. Fifth St., Port Angeles,WA 98362 $100 Parking Business Improvement 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.?� Change of ownership only? ❑ Moving location from within P.A.? ❑ Zoning BUSINESS NAME !<C.T,►gnat W d(In e ss C.oa c tk uZ Business address 17-4 E S s Apt., W Mailing address (2.4 E FA w fi Phone number-'360 4(00 (.,6Lf I Opening date 1' " f - i Days &hours of operation Moi&- Sub. I Business owner's name COQP4. atxv+-r Contact phone 360 LE(o0 H 6 L( I Business owner's address cte" Q- vv� t�{os E.occ�c ;a.,u, l~ -Tcqt, (is IA gV561L Brief description of business btAs("a— o Ff ece Property owner's name V'-e-Ir v, s Contact phone i60 L{--7-7 10S-3 Property owner's address/contact 2Z2 w Clnaw. -r SStPyr A-v.�e e.s- W/h C(�Sbz 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: 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 Area -Downtown) phone 417-4623 Square footage of business? 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 ❑ NX Will there be dancing at this business? Yes ❑ No 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 COMMUNITY&ECONOMIC DEVELOPMENT phone 417-4750 CED approval by on Number of off-street parking spaces available for employees and customers? (A parking plan may be required.) Signs? (wall-mounted,freestanding, projecting, awning, A-frame, etc?) Signs planned: 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 ❑ No�l Work planned: PUBLIC WORKS WASTEWATER phone 417-4845 PWW approval by on Will waste, other than domestic household waste, be discharged into the sewer system? Yes ❑ Nl If yes, what will be discharged: Call for Certificate of Occupancy inspections BEFORE opening 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 1 have read this application and state that the information I have supplied is correct to the best of my knowledge. Incorrect information may result in revocation of permit. Q� ^ Date ( Print Name / 1l l �lG� OVJetl\ Sign ure -L— T:\Forms\Building Division\Certificate of Occupancy Application(2010).doc Page 2 of 2 PREPARED 6/28/13, 9:33:00 INSPECTION TICKET PAGE 7 CITY OF PORT ANGELES INSPECTOR: JAMES LIERLY DATE 6/28/13 ------------------------------------------------------------------------------------------------ ADDRESS . : 1403 E 1ST ST SUBDIV: TENANT, NBR: OLYMPIC CARE 797-3659 CONTRACTOR : . PHONE OWNER HUBERT E HERTZOG PHONE (206) 940-8771 PARCEL 06-30-99-1-0-1040-0000- APPL NUMBER: 13-00000703 CO- CHANGE OF OCCP/USE -------------------------— ---------------- - -- PERMIT: CO 00-CEIANGE OF OCCUP/USE REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS ------------------------------------------------------------------------------------------------ CO99 01 6/28/13 L BLDG C/O FINAL * OVERRIDE TAKEN BY PBARTHOL DATE: 06/27/13 TIME: 15:47:48 June27, 2013 3:49:17 PM pbarthol. Richard 360-797-3659 --------------------- --- COMMENTS AND NOTES --------------------------------------