3390 ne sandy liquor license application as of 24-nov-2009

8/14/2019 3390 NE Sandy Liquor License Application as of 24-Nov-2009

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OREGON LIQUOR CONTROL COMMISSIONLIQUOR LICENSE APPLICATIONPLEASE PRINT OR TYPE

(l./G

Rec'd byPortland _"Liquor ucenses 'VJUN 25 2009 \

( } f ) ~FOR CITYANDCOUNTY USEONLY

T h e ~ o _ o r county commission:- - - ' ~ t A "(name of city or county)

90-day authority: a Yes a No

OlCC USE ONLYA p p l l c a t J ~ n ~ f c ' d b Y ~ \ : o ~ * " ' = - - - - - r . - Date :WaD?a Individuals

ACTIONSo ~ h a n g e Ownershipcr(NewOutleto GreaterPrivilegeo AdditionalPrivilegeOOther _

a Corporation 'Limited liabilityCompany

Application Is being made for:LICENSE TYPESIll'FullOn-Premises Sales ($402.60/yr)

~ o m m e r c i a l Establishment6 CatererCJ Passenger Carrier3-,OtherPublic locationvPrlvate Cluba l imited On-Premlses Sales ($202.60/yr)a Off-Premises Sales ($1001yr)a with Fuel Pumpsa Brewery Public House ($252.60)o Winery ($250/yr)a Other:. _

Applying as;a limitedPartnership

8''..

1. Entityor IndiViduals applying for the license: [See SECTION 1 of theGuide]L/ DLI nG fIf CltQ./t ameV .fUJJ e U1 do I r e i ' umv ts) (;' t.\ '(eddress) (fax number) (e-mail addres

I understand that If my answers are not true and complete, the Olee may deny my license application.Appllcant(s) Signature s) and Date:

(rev, 12/07)

Da te@ Date _18004520LCC (6522)www.oregon.gov/o)cc


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8,,. ... OREGON LIQUOR CONTROL COMMISSION.".. . LIMITED LIABILITY COMPANY QUESTIONNAIREF See section 2 ofGuide for help with this formYearFiled: ~ o 9Please Print or TypeLLCName: W

Trade Name ( d b a ) : _ - . : . . : . . : . . . . : . . . . . - - = . . : . . . : . . . . - . . : . . . . ; , . . - _ - - = : : : ; . ; . . ; . . . . . ; . . : : : , , ; ~ _Business Location Address:City:---.Porz.+{ ftn.......d ---->:


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A. . " OREGON LIQUOR CONTROL COMMISSIONINDIVIDUAL HISTORY(last) ,/ (ftP.Jt) . (middle)

2.", Other namesused (malden, Qther): , ~ ' . ' , ,3. ResIdence Address: l(3(Jt1 IlL' c5{.& C,,,.tlt, ! & t J C O ~ j ua " tnf!, . , (number. and street) '(city) (state) (ZIPcode)4. Home Ph'one:, 31ef2 ) y? 2 -2..3Q [) , BusinessPhone:', 501) 5 ~ " l . . . . q q 7tJ5SSN:..-...__ ~ I . : ' . i B l r t I I : d o i 1 , r ~ /U.5"_ D ~ L ( I 30 tl%f'sex: M / F _ ', , ',...., CState!&untry) , (mm) (dd) '(yyyy) ---'6. Driver .or State' IP ~ s t a t e p o u s e ' neme : ' " ,7.' List all s t a ~ e r t h a n Oregon,wh au have lived diJrln, t o , p t.

pLeASe PRINT ORTYPE " ," YOUMUSTANSWER ALa. QUE$TIONS ONTHIS FORM. IP THIi! QUESTION' NOTAPPLY,ATrACH A D D ~ O ~ A L SHE C ~ A R Y .Trade N a ~ e Cd.bla : , _ - I . - u : r - . . . . . . ; ; ; . . : : : ; , : . . . . . . ; : - J : : . = : : j ~ ~ = ~ . . . . I . . . . o I : : . . . ; ; J " , I : . = . : ~ ~ : : : : : l " " " ' _1. Name::'__ ~ ' / ~ ~ ~ : L - J - J . ~ : L . . . . . : ~ : : - - l . ~ ~ : 2 1 l i : ; . . ! . . : : l e : J . .__

, "8. '.00 you ~ r r e l i ~ y hold, or ~ a v e you ever held a liquor lI'i=8"se ln'If yes, when, where andname of p r e m l s e s ? : . . = : u . ~ ~ u . . d ! ! J f . . . : : U . t L ! j U Z ~ ; [ 4 4 J t . L - + - . A . L f J . U & U L _ - . , _ -9. In the past tvklve years, ,haVe you bee rivi!=ted of i lu violation,If yes, what, when andwhere?,or .,,' " , , .Y. ' .. ; " ' l . , 11< ' .. w;o'io , Have Y0l:' ever entered Into a dIversion 'agreement? _Yes U-,-No ' ~ J , ~ j J ' ~ t,Ot",'\C ..... If yes, when a ~ where? . i , ~ S ~ 2 / c \ ' \ 1}'111. Do ~ o have any anem or cltatlo.ns t h ~ t have n ~ been:resolved? _Yes " \ \ ) ~ \ a 1.'J

If yes, arrested/cited for: . ' Date ,. County/CTty/5tafE/ \ ' ~ . . ,ii, If you are ~ p l y l n g for a ratan ; I . ~ o r l i c e n ~ : ' , . ' . . .. . . ~ .. . i ->",a. Doyou h a v ~ any f l l } i l n c l ~ 1 tnterest, direct or Indlree:t,.1n anymanufacturer or ~ S b 1 b u w . ' A \ - q l \ t \ \ . : " , ., alCohol? _Yes ...lLNo I f yes, what and where: .. , ~ . ' .. .. . . . .b. Doesany personhavinga financial or ownership lntetest In a manufacturer 'or dlstrfbutx:lr have an Interest tn,or potential ~ I uponyour businessor premises, for Instance.through i n y e s t m e h ~ a loan; leaseor contract?,_Yes...JLNo IfVest.who? . . . '13. H ~ you ,ever hadawarning, vl0l;t!on, suspensIon, f 1 n e ~ cancellatl9(l or re(usal as a licenSee or seNt penni ,..inOregon or any other sta:te? --\P'es ~ I f yes, when: 7-=/14 '3 , where: -. - '. . . " l fMl!I1'//f?r A ' ~ ~ / ' I r $ ~ ~ A / . - . k " , t ; f I t U J . i UNDERSTAND THEOLCe WILL THEABOVE INFORMATION TO CHECK, FOR CRIMINAL REColUfs."'"x'UNDERSTARD IPMYANSWeRS ARE .NOT TRU MPI;.ET'E, THe OLe AY DENY MY UCENSE APPtlCATION.

Applicant S l g n a ~ : Da1B: - F J . i l : l , , ' : i f l - - : = : ; ; ; " " ' t . . = _ ~

(rev. 12107)1-800-452-0LCC (6522)www,oregon.gov!olccI I I U l u n l ~451001 'A1

*SOCIAL SECURITY NUMBER DISC RENi part of yourappllcatfon for anInitial Df-'renewal Rcense,'Fec!eral and State laws require you10 .lIi'OVlde yourSocIal Seeurl!y Number (SSN) 10 theOregon U q u o ~ t r o l COmmission (OlCC)for chlkS support enforcement purposes (42USC886(8)(13) & ORS 25.786). The OlCCwm refuse a Rcense to'anyappIlcant or Ucensee who falls toprovide brslher SSN, Your SSN wDl beu$edonly ferchDd support !tnforcement purposes unlns you sign below. " ". 'B B ~ d onour. authority uild,",ORS 471.311 endOAR 84S-G05-0312(B),we ere r e yourvoluntaJy consent touseyour SSN for thefollowing administrative pulpOS8S only: tom Rcense .eppllcatlcn toyourAlcohol Server education reccrcl9 (where appllcable), encJ"loensure your Identity forcrimInal record ' OLec WIIJ notqeny youanyrights, b e n ~ orprivilegeS otharwlse provIde'dby law Ifyoudonotconsent to useof yourSSN for tratJve purposes (6 consent to these uses, please sl n,liars: . 'Applicant Si9J:lature: ' ~ Date: 1 l. to.


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8,.. .'.. OREGON LIQUOR CONTROL COMMISSIONSTATEMENT OF FUNDING SOURCESPlease Print or TypeEach individual who invests money in this licensed business must complete this form fully andaccurately. This form will become part of your permanent file record. Information must be printedlegibly in dark ink, or typed.Most people use some cash money to start or buy a business. Cash is used for things such as:

Advance rent payment; down payment on contracts Buying inventory; putting cash into a corporation or LLC

You must disclose how much money you are using, and where you are getting the money.What is the approximate total cash amount you will put into this business to buy it or start it up?Do not include amounts you will owe on contracts.Cash total: $ LjJ POD DONow, you must exactly identify each separate money source. For instance if a source is your bankaccount you must state the bank and the amount of money to be used from the account. If thesource is a loan you must state the amount of the loan and identify the lender.Money Sources: .,fort.SL1W-} GAsIt S'fl--lJl rzjS 9?y?' $ 7oW . 0 0

Bof2tolJkJd ~ r ~ e J 2 - - 11- Lrrw $ OJDco .D0BDI2.,?'DlJJPd - r ~ ~ 6 ~ ~ B f t 1 f r ~ ' I J : $ d.5)ooo. DOSWORN STATEMENT: I understand the above information is material to my license application. Iswear the above information is true, accurate and complete. I understand that the Oregon LiquorControl Commission may require me to give proof of the above information. I understand that if theabove information is not true, is not accurate or is not complete the liquor commission may prosecuteme criminally for False Swearing under ORS 162.075, and may refuse to grant my license applicationor if the license is granted may act to revoke my license based on false sworn statement.

Trade Name (d.b.a.) fA+ 0Jq.e.,)t.s Stt-Joon City A{2..+i ftnJPrinted Name Sh-ef2.,1..j L ' Signature ~ ( 2 t L e:P, Date: 5111 ( ) ~ _

18004520LCC (6522)www.oregon.gov/olcc (rev. 12/07)


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HUE- ASE - BUSlH!U!!l'ROPERTY. OR 9l'2

THIS INDENTURE OF LEASE, entered into this ~ 9 . ~ p : ~ .. . ? ! ~ .. day of ~ , 2 0 9 . ~ _between _.................J..A..~ 0 0 Q . . . ~ . Q R l . Q M l ' . 1 9 N ~ Qn. ..Q . f . ~ g 9 . J L ~ . 9 . J : l ? Q 1 : A ! t . Q n ~ J A ~ .l ' 1 . c ; . ~ ! l . ~ ~ .. ; t 1 : . ~ f t l .. ~ . ~ ~ . ' l l : ~ ~ ..~ . : r Q ~ ~ ~ ! . ..~ . 8 ~ ! 1 : t ..9 . ..J : 9 : ~ 9 . ~ ~ ~ ' - '-.. J P . ~ ! ! ' : ~ ~ . : 9.f wb.;l;h ~ .'-;J, f#Q!L..U,~ . ~ m i l . ~ 1 : . ~ . D l .. ~ . ~ ~ l A ~ . ~ .. g . r . Q . ~ ~ ~hereinafter called the lessor, and: : : = : : : : : : = : : : ~ ~ f : ~ ~ ~ K ~ : ~ : : : y ; . : ~ ~ : : : ~ ~ : : 9 : ~ ~ & Q ~ : : : f i ~ i ~ ~ : ~ ~ : i i ~ b ! I i i y . : : s : Q ~ . P . ~ : ~ Y : : : : : : : : : : : : : : : : : : : : : : : : : : : : : : : : : : : : : : : : : : : : : : : : : : : : : : : : : : : : : : : : : : : : : : : ............................ .................................................................................. _ , hereinafter called the lessee

WITNESSETH: In consideration of the covenants herein, the lessor hereby leases unto the lessee thoscertain premises, as is, situated in the City of J ~ g ~ J J ~ ~ ~ , County 01 ~ ~ t l . ! : ~ 9 . ~ ~ . I ] and Statof 9 . ~ ~ 9 . ' ? : , hereinafter called the premises, described as follows:

Commercial space consisting of approximately 7,900 square feet, more orless situated on approximately 18,000 square feet of land commonly known as:3390 HE Sandy Blvd, Portland, Oregon 97232 together With approximately anadditional 10,000 square feet of land, more or less, parking lo t located onthe north side of Sandy Blvd. just east of 3345 NE Wasco Street, and

Together with a ll that certain personal property as l is ted on attachedExhibi t uB rI

To Have and to Hold the Dremises commencinp with the 7tll day of May , ~ . 9 . ~ 2and e n d i n ~ at midniAht on the ~ ~ I day of ~ ! - ! & H ~ . ~ , . ? Q J ~ for a rental 01 $..' - . ~ ~ 9 . W .for the whole term, which lessee agrees to pay, at } ~ .. ~ . ~ ~ ~ y . ~ ~ ~ ~C I Portland S f oreaoo h f II . ti d i hi l l ' t t it:ty 0 , tate 0 b; , at teo oWing Imes an In teo owmg amoun s, O-WI$ 7,000 upon execution hereof as a deposit securing lessee 's obligations under thisle ase ; sa id deposit shall be non-interest bearing and may be comingled withother funds of lessor; the balance of said deposit i f any, shall be returnedto lessee within thri ty (30) days after vacation of the premises in accordancethe terms of this lease.$ 7,000 on the 7th of every month commencing Augus"t 7, 2009 through July 7, 2012.$ 500 late fee ' i f rent is not received by Lessor by the 12th of the m o ~ t h i t ' s due.

Lessee (but not the Lessor) has the right to t erminat e this lease by giving LessorDot less than thir ty (30) days writ ten notice on o r before November 2 ~ 0 9 providedLessee has not been able to obtain a license from Oregon Liquor Control Commission.

In consideration of the leasinA of the premises and of the mutual agreements herein contained, the partiesaAree as lollows:

L . : : : = = = = = = = = - = - _ = = _ = _ = _ . _ ~ , ; _ - -_ .__._ - -- ._._. -_ ..- ---.- - - - - : - : " = = ~ ~ = = = = ~ = = : : :


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(1 ) TM l e_e accepts this let tin4 and qTees to pay to the oTdeT 01 the le:l5or tho monthly rentals above stated for tholull term of this loale, in advance, at the times an d in the manneT aloTesaid.LESSEE'SAC{:BPTANCEOF LEASEUSE OFPREHlSES ( 2a) The 1_ ahaIl use the pTeaU"" durin, the te rm 01 this let l" , for the conduct ot the tollowin, busine:l5:. ~ ~ ~ ! ~ . 9 . ~ . ~ . ! t ~ _ ..~ ~ ~ _ J ! ? ~ . g g ~ . I . _ , . ! . ~ 9 . h Q . l ... , ! ~ . . . . ~ . U . 9 W . e Q . ; . ...O.l:.e&QJ1 ...1 . . t t e . J : y . . g i u u e . ~ A l l . o w ~ d . ; ! . . ' Y . ~ ..!!H!...! ~ . C ? ! ! 1 - . ~ . 9 m ! ! ~ . ; . ~ ...~ U . Q ~ ~ ~ " ; ..; . ~ . n . g ... ~ ! l . J t ~ ~ . ~ ... p . ~ " f . ~ . ; ~ ~ ~ ~ ....1;.Q.~ h ~ . _ . Q p . ~ r . ' . ; ! 9 ~ .. ! . h ~ ! ~ . Q J . _ . ~ . Q ! . ~ . h .....~ . ! . ! : ! ~ g ! ! ~ .: _ ~ . ~ :. ::::::::::::::::::::::=::::7.'::::-and for no other purpOlle whatsoever without leaor', written consont.

(2b) The le_ will not mlIke any unl"wful, improper or ollensive use 01 the proaU_: tM lesseo will no t suller any 'trip or wastetMreof: the loaaeo w/ll not peraUt any objectionable noile or odor to escape or to be eaUtted lrom the premi,e, or do anythln4 or permianythin, to be done upon or .about the premlaos in any way tending to create a nuisance; tM l e_e will not Mil or permit to be IIOld lUIyproduct, subst/UllCO or service upon or about the pTemises, ezceptinll such as lossee may be licenMd by law to aoll and aa may be hereinO%prelll1y permitted.

(2c) The lessee will no t allow the premiBBs at any time to fall into /filch a state of repair or disorder as to increase the fire hallardthereon: the lesseo will no t install any power machinery on tho premises ezcapt undor tho suporvision and with writton consent 01 tho lessor,the 100IIOe will not IJtore Sa,aline or other hi(Jhly combulJtible materials on the premlBBs at any timo; tho lesMe will no t UIO tho premises insuch a way or for . ,ch a purpose that the fire insurance rate on the impTovementlJ on the premJlOlJ ill thereby increalJed or that wouldprevent tho leasor from takill/l advanta8e 01 any rulill4s of an y ageneY of the IJtate in which the premiseII are situated, or which wouldallow tM leaor to obtain reduced premium rat". lor 101l/l term fire iNurance policies.(24) Tho lell108 shall comply at losseo's own ezponse with all laws and r e ~ u / a t i o n s of any municipal, county, IJtate. federal or otherpublic authority rospectill/l tho Ule 0/ tho premises. These include. without limitatiOll, all lawlI, regulations and ordinances pertaininA toAir and wator quality, Huardous Materials l1li herein defined, waste dispoaal. ai l emJaions, an d othor environmental matters. As usedherein, H_dou s Material means any h_dou s or to:cia substance, material, or waste, includill4 bu t not l imited to those .,bstances,materials, and waste lilted in the U.S. Department of Transportation Hazardous Materials Table or by tho U.s . Environmental ProtectionAgency &I I haardous IIlIbatancell and amendment' thoreto, petroleum products, or . ,ch other substances, materials, and waste that are or

become regulated under an y applicable local, state, or federal law.(2e) The 1 0 _ mall rollularly oupyand use the prem/lOs lor the conduct of le/llJeO" ,businoStl,and shall not abandon or vacete thepreaU_ lor more than tan days without written approval ot lessor.(21) lA_ shall not cau18 or permit any Hasardous Material to be brought upon, kept or used in or about the premllJes bylessee, its agont., employees, contractors, or Invitees without the pTior written consent 01 le"or, which COnBBnt will not be unreallOnablywithheld 50 lont aIJ leSBOo demonstrates to lessor's realJOnab/e satis/action that such H a ~ a r d o u s Material ilJ necessary or uselul to leaee'sbusine:lll and will be ulOd, kept, and stored in a manner that will comply at all t imes with all laws rellu/atint any such Huardous Materiaso brought upon or ulJOd or kopt on or about the premises.

UTILITIES (3) The lUSH shall pay for all heat, light, water, power, and other servicea or utilities used in tho premises durinll theterm of this lell.$O.REPAIRS AND (4a) TM lelJ30r shall not be required to mlIke any repairsi alteratioM,addltions or improvements to or upon tho prem-WPROVEMBNTS llOs during the term of thilJ leaso, e:ccept only those hereinafter specifically provlded tor; the le'lOe hereby agrees tomaintain and keep the preaUlOs, including all interior and e:cterior walls and doors, hoatinll, ventJIatlnll and cooling systems, interior wirin"piumbitl/f and drain pipe, to sowers or _ptic tank, in ,ood order and repair during the entl're term 01 this lease, at I e _ ' s own cost andezpenlO, and to replace all g/aas which may be broken or dama/lOd during the torm hereol in the windows and doors of tho premises withIIlass of as 400dor better quality as that now in UtlO: it ilJ- urther atJreed thot the leSlOewl/Jmake no alterations, additions or improvementsto or upon the premJsos without the writton consent of the lessor first beiD/1 obtained.

(4b) The lesllor agreelJ to make all necelJBary structural repairs to the buildinA, includinA ederior walls, foundation, rool, ptters anddOWMPOUtll, and tho abuttinlJ sidewalks. The lessor reserves and at any and all- t imes shall have the r i ~ h t to alter, repair or improve thebuilding of which tho premises are a part, or to add thereto, and for that purpolSfl . t any t ime atQJI erect scallolding and al l othor necessarystructure, lIbout and upon tM premitlOs and le:l5or 'and lessor's representatives, contractors and workers for that purpose may enter in orabout the Promise/! with ,uch materlala as l8IJBor may deem neeo&aary therelor, and l e_e waives any claim to daatQlles, includinll lo u otbusiM. resulti", tMrefrom.L ~ S ~ R ~ ~ (5) I t shall be Illw/ul for the IOllSOr, the leaor's at1ents and reprelOntatives, at any reallOnab/e timo to enter into or upon~ tho premiSOll for the pIlTpOBB of ezaminitJ4 into the condition thereof, or for any other lawlul pur]XO.RIGHT OP (6 ) TM I_e will not assign, trans/or, pledge, hypothecete, sunendor or dispoH of this lell3e, or any interest herein,ASSIGNMENT IIlIblet, or peraUt any othor person or persons whomsoever to oupy tho premilOs without the written consont of thelessor beJn4 flnt obtained in wrJtill4; this 1_ is personal to I ~ I _ e ' s interest" in whole or in part, cannot besold, a a i ~ n t l C I , traNlerred, soilled or taken by operation at law, or under or by virtue of an y ezocutlon or leg.1 procesa, att.cJunent or proceGdill/l' ilJ4tituted aSaiMt tho le_e , or under or by virtue 0/ any bankruptcy or iruolveneY proceedinlls had in regard to the leuee, or inan y other manner, e:coopt 4IS above mentiotllld.LIENS

ICE. SNOW,DEBRIS

(7 ) Tho leNee wIll not permit any lien ol any kind, type or description to be placed or imposed upon tho improvementsin which tho premilOS aTe lIituated, or any part theroof, or th e land on which they stand.(8 ) 11 the premises are located at street level, then at 1111 times le_ shall keep the s idewalks in Iront of the premisesfree and clear 01 ice, anow, rubbish, debris and obstruction: and i f the lessee occupies the entire building, tho leuee willnot permit rubbish, debris, ice or snow to accumulate on th e rool of the building so as to stop up or obstruct Ilutters ordownspouts or CIIIlIO, dema/lO to the rool, and will savo harmless and protect the lessor a ~ a i n s t any Injury whether to le:l5or or to le"or':sproperty or to any other person or property caused by lessee'll failure in that rellard.

OVE1LOADING (9 ) The lessee will no t overload th8 /I00t1l 01 the prem/solJ in such a WilY M to cause any undue or serious stress orOF LOOKS IItraln upon the building in which the preznJlOS are located, or any part thereol, and the lellSOr shall have the r igh t, atany t ime, to call upon any competent enAineer or architect whom the leNor may choose, to decide whether or not thofloors 01 the preaUsoll, or any part thereof, lite bein, overloaded so li S to caUIe any undue or IOrious stress or strAin on the buildin4, or anypart thoreo/, and the dec/sion 0/ the engineer or architect shall be final and binding upon the lellsee,' and in the event that it is theopinion 01 the ensineer or architect that the streas or strain is wch as to endlJll4er or injure the buildinA, or any part thereol, then andin that event the 10:1500 a ~ r e e 5 immediately to relieve tho Iltress or strain, either by reinlorcins the building or by Illlhtenif)J1 the load whichcauae, ~ c alrellJ or , train, in a'manner satislactory to the 1001IOr.t ~ ~ T I S I N G (10) The I e , . will no t use tho outside walls 01 the premi80I, or allow s i ~ r u or devices of any k ind to be attachedthereto or auspended therefrom, lor advertisin4 or dillplayinA tho nome or bUlline. . 01 the lessee or for any purposewhatsoever without the written conllOntof the leStlOr: however, tho lessee may make ulle 01 the windows of the premisesto dilJplay l e . - ' , name and bu:slne:15 when the workmanship 0/ such signs llhall be 01 good quality and permanent naturo: provided lurtherthat the le_ may not ,uspend or place within lJaid windows or paint thereon lIllY banners, sigM, silln-board, or other devices in violationot the intent and meanin, 01 thilJsoction. Lessor hereby approves any signage allowed by the City of

Portland and the Oregon Liqunr Commission.


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(14) /n the ovent 01 the de4truction 01 the improvoments in which tha premises /11'0 located by liro or othol' ca/IUalty.oithel' PlUty hereto may tenn/nato this loase a: I 01 t he dat e 01 ilre or callUaity. provided. howevor, that in the ovent

premises "AS-IS" with a ll defects based upon lessee 'sthe premises and not in reliance upon any representa-Lessee accepts theown i nspect ions oftion from lessor .(19)

LIABILITY (11) At all timell durinll the term haroo/. the lessee wll], . t the lelSllee's own expense, keep in e llec t and deliver to theINSUIlANCE lessor liability insurance policies in lorm. and with an insure, /IIItis/actory to the les5Ol'. Such policios IIhall in/IUro bothtM lessor and the le_ allainst all l iabil ity lor damage to persons or property in. upon, 01' about the premises. Said insuranceshal l include liquor l iabi l i ty . The amount of such iasurance shal l not be less than_ . ..... a combined

slnllio limit 01 no t 1 _ than $ .1 0.00 .000 /t shall be the rOllponslbility 01 lessor to purchalUl casualty inllJtllnce withoxtended covor",o 10 as to iruuro any .trucwre on the promises allainllt damap caused by l iro or the olloctll 01 lire (Imoko. heat, moans01 elltln,uilJhmont. otc.), or any other moans 01 loss. /t shall be tho rOllponsibility 01 tho lessoo to insuro all 01 tho lOll_'ll belon41in41 upontho Pl'omJ_. 01 what_ver naturo. allainst tho same. With rospoct to thollO policiOll.1 0 _ IIhall cause tho 101l1l0r to be named as an addi.tional insul'ed PlIrty. LoIINe ollroo, to and sha ll indemnity and hold lenor harmless allainst any and all claims and demands arisin4 Iromtho ne,li,once 01 tho 101lII04I, lo_o's ollicors, a,ents. invitees and/or employoea .. woll .. those arillin, Irom 10S500" lai /ure to complywith ItIrY covenant 01 thill loase on I_'s part to be perlormed, /lnd shall at I e _ ' s own expense de/end the lessor allainst an y and /III.wts 01' actions arisln4 ou t o ISUch nollipnce, actual or allolled, and all appeals tharelrom and shall satisly and discharge any jud,mentwhich rnay be awarded a'a/nat lessor in any such suit or action. Owner and owner I s agent shal l be named insuredsFIXTURES 0 ') Al l partitions, plumbing. olectrical wirind. additions to or improvomentll upon the premises, whothor installod bytho 10UOl' or 1 _ 0 , aluJJl be and become a PlUt 01 the builditll1 in which the premises are located as :roon as installed and tho propel' ty 01tho 10IIII01' un/o. otherwise IMI'o/n provided.LIGHT (13) Thi' loase doe. not I1rant any ril1ht. 01aeee. to lillht and ai r over the promises or any adjacent property.AND AJ1lDAHAGE BYCASUAl-TY,FIRE ANDDUTY TO f 4 1 :+ yEPAIR 01 damage to tho ImprovemtJnt! by 1,,0 or othor casualty to the extent 01 +.-.f:.,. pel' cant or mote 01 tho IOUndvaluo theroo/, the le.ol' mayor ma y not elect to repalr the same; written notlc 01 lessor 's e/oction shall be given 1 0 _ within Jjltoendays alter the occurrence 01 the dlUllllgo; iI not ic e is not so lIiven. Iouor cone/ullivo/y Iha/l be doomed to havo olectod not to ropair; in theevont I_r eJoct. no t to ropalr. thon IUld in that e"ent this 'oase shall terminato with the date 01 the damage; bu t 11 the improvomentsIn which th e promises /11'0 located be bu t pIII'tially dOlltroyed and tho damatlo !O occasioned shall not amount to the extent indicatod above,or II groatel' than said 011t en t and lesllor ./ects to repair. as aforesaid, thon the lessor shall ropair the same with all convoniont speed andshall havo the right to tako pculIIOssJon 01 and occupy, to tho oxc/ullion 01 tho lessee. all or any part theroot in order to make the necassar)'ropalrs, and the lessoo herobya/1roe. to vacate upon roquellt. all or any par t thereol which tho lossor may require lor the purpose 01 makingnecaslIlJry ropairs. lind 101' the period 01 timo between the day 01 /lUch damage and unt il such repair! havo been /lUbstantiaily complotodthoro shall be such an abatement 01 ront as tho nature 01 tho injury or damago and it s interJerenco with tho occupancy 01 the premises bythe le_ Iha/l wal'rant: howevel'. il tho premise. be bu t slightly injured and the damage so occasioned shall not cause any matorial inter-loronce with tho occupation 01 the premises by leSJee. then there shall bo no abatoment 01 ront and tho 'ossor shall ropail' tho damallowith all convonlont speed.

r u A . ~ : ~ A ~ f o N (15) No/ther tho lossor nor tho lellSftO shall be Iiablo to t ho o ther lor loss arisl"ll ou t 01 damalJe to or dos truction 01IUGOTS tho promises, 01' tho build/nil or improvement 01 which tho premi:ros er a part or with which thoy aro connected, ortho contents 01 any thorool. whon IlUch loss is causod by any 01 the perils which aro or could be includod within or in/lUrod a/1ainst by a standard lorm 01 ilr insurance with oxtended coverallo, including spl'inkler leakal/ll insurance. II any. Al l /lUch claim!lor any and all loss, howevor caused. horoby aro waived. Such absenca 01 liability shall oxillt whethor or no t tho damage or destruction iscaused by the nolll/gonca 01 either lessor or lessee or by any 01 their respective agents. lervants or employoos. It is tho intention and allroement 01 tho 10lsor and tha lessee that the rentals reserved by this lease havo belln tixed' In contemplation t ha t both pal'tioll IhaIJ lullyprovide tho/r own insurance protection at their own expense. and t ha t both parties shall look to their respectivo JnllUrance carriers lorreimbursement 01 any IfIlch lOIS. and turther, that tho insuranca carriers involved shall no t be entitled to IlUbrol/ation under any circum-.tances a/lainst any par ty to this loaso, Neither the lessor nor the lessee shall have any interest or claim in tho othor 's insuranca policy orpolicies, or the procads thol'Ool, unles. specillcally covered therein as a joint assured.EMINENT (16) In case 01 tho condomnation or purchaso 01 all or any /lUbstantiai part 01 the premi5fls by IIny public or privateDOMAIN corporation with tho power 01 CDnClemnation this lease may be tel'minatod, oJloctive on the date possesllion ; , takon, byeithor party hereto on writton not ice to the othor and in that case the lesseo shall not be liable lor any rent altor the termination dato.Lassoo a1IaIl no t be entitled to and horeby olCpresslywaives any ril1ht to any part of the condemnation award or purcha!o price,F ~ ' t SALE (17) During tho period 01 .......P . J . , . ~ . ~ . t .... days prior to the date above lixed lor the termination 01 thill lease. the lossor:O R RENT herein mllY post on the premises or in tho windows thereol s i ~ n s 01 moderate size notilying tho public that tho premisesSIGNS /11'0 "lor sale" or "lor lease,"DELIVERING UPPRBMISES ONTEJUIINATION

(18) At the oxp irat ion 01 the loaso term or upon any sooner tormination therool. tho lessee wili quit and deliver upthe promiAs and alliuture orections or additionll to or upon the same, broom-cloan. to tho leslor or those havinlliessor'solltato In the premisos. peaceably, quietly. and in os tlood ordor and condition, reallonable UfO and wear thereol, d a m a ~ oby liro. unavoidable casualty and the e/omont. alono exceptod. as tho samo are now in or horoa ltor may bo pu t in by tho lossor.ADDITIONALCOVBN.ulTSOREXCEPTIONS

(20) See paragraphs on attached Exhibit "A" which by this reference are in -corporated herein.


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ATTACBMENT ,. , PR'OVIDED: ALWA ).S. and'these prosents ~ k & i ; ' i U J t h e s e ' c o i J d i i i o n ~ . that (1) u t h ieslee J S ~ l I l l be' In IUreAl'S In thB ~ ~ . f n t ' : T payniont o/lrent,tor.,. perlod-otten daYIIatter the samo becomoll duo, or (2 ) it tho I05lee U1all tall or nellect to pertormor observe any at tho covenants and agreement.s contained heroin on les.soe's pIIrt to be dono. kept, perlormed and observed and /lUch delault shall continue to r ten days or more attttr written notice 01 such lai/ure or nogloct &hallbe #liveto lessee. or (3) it the lessoo &hall bo declared bankrupt or insolvent accordinll to law. or (4 ) it any anitlnment ot lellSOe's property .hall bemade tor the benefit 01 crodltors. or (5 ) I i on the expiration 01 this lease lessee lai /s to surrender possasaion 01 the premi.es. the leuor otho", havill/f lessor's est.te in the premises. ma y terminate this lease and, lawlully. at lessor's option immediately or at any time therealterwithout demand or notice. enter into and upon the premises and every part thereol and roposses the same, and expel lessee and thoseclaiming by , throulh and under le_ and remove lessee's el/ects at 10llllOe's expen.so, lorcibly it nece.ssary and store the same, all withoubeitJ4 deemed ,uilty 01 trespass and without prejudice to any remedy which otherwise might be used lo r arrean 01 rent or precedinbreach 01 covenant.

Neither the termination 01 this lease by lorleiture nor the tak ing or recovery 01 polltJession 01 the premi hall dttprive lessor 0any other actJon, ridht. or remedy al1ain.t lttaee tor possewon, rent or damages, nor &hall any omission by leSlor to en/orce any lor/eitureright or remedy to which leSlOr ma y be entitled be doemed a waiver by lossor 01 the rll1ht to enlorce the per/ormanctt 01 all terms andconditions 01 this leaae by I _ e .In the event at any re-entry by leuor. lessor ma y lelUe or relet the prttmises in whole or in part to any tenant or tenants who meybe satisfactory to lessor, lor any duration. and lor the best rent. terms and conditions aa lessor may reasonably obtain. Leuor shall applythe rent received Irom an y mch tenant tint to the cost 01 retakitJ4 and reletting the premisell. including remoclelill/f required to obtain anysuch tanent. and then to any IUrears 01 rent and iuture rent payable under thill lease and an y other damal1o.s to which leSlOrmay be entitledhereunder.An y property which lellllOO leaves on the premises alter abandonment or expiration 01 the leallO, or lor more than ten daYIl alter anytermination 01 tho lease by landlord. shall be deemed to have been abandoned. and leSlOr may remove and sell the property at public orprivate salo AS losllor seell lit. without beilll1 liable lor any prosecution therelor or lo r damal1es by re'lson thereo/. and the ne t proceeds 01any such sale aJuUI be applied toward the OlIpenses 01 landlord 'Ind rent as alorOllaid. and the balance 01 IUch amounts, it any. &hall beheld lo r IUlCI pIIid to the lelseo.

BOLDING In the ovent the lessee l or any reason shall hold ove r a lt er the expiration 01 this lease. IIUch holdill/f over IIhaJl no t beOVER deearl to operate al l I i renewal or extension 01 this lease, bu t shall only create II tenancy at /lUl/erance which ma ybe terminated at will at an y timo by the lellSOr.ATTORNEYFBES ANDCOURT COSTS

In caso suit or action is instituted to en/orce compliance with any 01 the terms, covenants or conditionll 01 this leaseor to collect the rental which mill' become due hereunder. or any portion thereat, tho lOS/lid party agree. to pay th e prev'll1ltl8 pllrty's relllOnablo attorney teell incurred throutlhout such proceedinl1, includint1 at trial. on appaa/. and tor POlltjudl1ment collection. Th e lellsee aArees to pay and dillChiu8e all lellsor's costs lind oxpenses, includilll1lellor's reasonableattornoy'll lees that shall ar;,o Irom en/orcing any provision or covenants 01 tbl lease even thoul1h no suit or action ;s instituted.Should the lessee be or become tho debtor in any bankruptcy proceedinl1. voluntarily. involuntarily or otherwise. either durlnA theperiod this lease III in ellect or while there exislll any outstanding obli(jation 01 the- lesllee created by thill lease in lavor 01 the 18II8Or. thele_ aArees to pay t he lessor's rellllonable attorney lees and eesrs which the lessor ma y ineur as the resul t 01 lellor'lI participation in$Uch bankruptcy proceedin,s. It i . understood and agreed by both parties that applicable lederal bankruptcy law or rules 01 proceduremay alfect. al ter . reduce or nullity tha attorney te e and cost awards mentioned in the preceding sentence.WAIVER Any waiver by th " lonor 01 any breach 01 any covenant herein contained to be kept and petlorated by the lessee shallno t be deemed or considered as a continuin(j waiver. and shall no t operate to bar or prevent the leSlOr Irom dec1arin(ja lotlelture lor any IlUcceedlntJ breach. oither 01 the same condition or covenant or otherwise.NOTICES Any notice required by the terms 01 this lease to be , iv en b y one party hereto to the other or desired so to be , iven.shall be sullicient it in writint1, contained in a sealed envelope. and sent lint CIIlSIl mail, with po.stal1e lully prepaid. and11 intended lot' t1l#lessor herein. then it addressed to the lellsor at _ _ ...._....._.. ~ . 3 . ...S.W...3r.4...Ay.e.J),y.e.,. ...f 9 . ~ . 1 ; 1 ~ g . 4 . , . _ ..Q ; J ; . ~ , g g ~ ...9 . Z ~ . 0 9 . ~ . : a n d it intended lor the le55ee. then i t addressed to the1_ at 3.3.9.0 NE S . a J I . ~ h t ..B.l.y.d., .,. r . 9 . l : " . t . l ~ J . : \ 4 . Q x : ~ , g 9 . ' g . 9 . Z ~ . J . ~ Any suchnotice shall be deemed condusivoly to have been delivered to the a d d r e ~ e torty-eight hour. alter the deposit thereot in the U.S. Mail.~ ~ N ~ N D Al l ril1ht., remedies and liabilitiell horein given to or imPOlled upon either 01 the pllrties hereto &hall extend to, inureto the benelit ot an d bind. as the circumstances ma y require, tho heirs ucceSlOrs, personal representatives an d 1I0 taru this leallO is assignable by the terms hereo/. to the assigns 01 such partiell.

In construin, thill lellllO. it Is undeutood that the lessor or the lessee ma y be more than one person; that iI the context so requires,the a i ~ u l a r pronoun &hallbe taken to mean and include the plur.l . and that l1enelally'all ttramma;icalc'hanllttB shall be made. assumedand implied to meke the provisions hereol apply equally to corporations and to individuals .. . : lIN WITNESS WHEREOF, the parties have executed this Jease on the day and year first hereinabove written,

any c o r p o ~ l 1 ~ i o n sig1tature beinA by' ~ u t h o ( i t y QI its Board .q! p i r 9 ~ t o r s ...........~ .A ..A t ! ! 9 ~ ~ g . r p & : ...Jb.L...... . ~ f l i . ....I ? ! . ~ ~ J : ~ ~ n I .Jim Atwood........... ................................................................_ _ . ................If\l ..J . i ; l . ~ ~ . ~ . ~ _ . ~ ~ ~ ... ~ y . ~ . J ~ .\ ~ ~ . ~ ~ g ! 9 . g ..~ ~ ~ ~ Sherri L. Doss,The pUblisher allongly recommends that both the lessor and the lessee become famlllar with the Americans with Disabilities Act 011990, Public Laws 101336. The Act may Impose certaIn duties and responslbllltles upon either or both parties to this lease. Theseduties and responsibilities may InclUde but not be limited to the removal 01 certain architectural barrIers and ensuring that disabledpersons are not denIed the opportunity to benefll from the same goods and services as those available to persons without disabili-ties. Under the Act. prohibition against discrimination applies to any person who Is the owner, operator, lessor, or lessee 01 a place01 public accommodation.


10/23

EXIDBIT I tAt t 'Y 'A LEASE DATED AS OF MAY 1, - " I l .BETWEENJ A Atwood Corporation, an Oregon corporation, Lessor andFat Jack's LLC, an Oregon limited liability company, Lessee.

(21) Taxesand Insurance. Asadditionalrent hereunder, on the seventhofeverymonthconunencingAugust 7, 2009 Lessee shall pay 1I12th of the most recent annual property taxes and casualty insurancepremium.(22) Early Possession. Lessee shall be entitled to possession upon execution of this lease andobtainingproof of lessee's insurance in accordancewith paragraph(11) of this lease. In particular, bothJ AAtwoodCorporation andEIPoncho'sLLCmust be namedas additional insureds.(22) Attornment. In the event ofa sale of the propertyonwhich thedemisedpremisesare situated,Lessor shall have the right to assign its interest in this lease and shall transfer the securitydeposit to thepurchaserto be held under the terms of this lease. Lessorshall thereuponbe releasedfrom all liabilityunderthis lease; particularly for the returnof the securitydeposit. Lessee agreesto look solelyto thenewLessorforthe returnof thesecuritydeposit.

(23) Subordination. This lease shall besubject to andsubordinateto any bonafidemortgages, deedsof trust, or land sale contracts(hereafter collectivelyreferred to as "encumbrance") nowexisting against thepremises. AtLessor's option this leaseshall be subjectto and subordinate to anyfutureencumbrance hereafterplaced against the premises (including underlying land) or anymodifications of existing encumbrance, andLessee shall execute such document(s) as may be reasonably requested by Lessor or the holder of theencumbrance to evidencethis subordination.(24) Estoppels. Eitherpartywillwithin10daysafternoticefromtheotherexecute,acknowledge anddeliverto the otherpartya certificatecertifyingwhetheror not this leasehas beenmodifiedand is in full forceand effect; whetherthere areanymodificationsor allegedbreaches by the otherparty; thedates to whichrenthasbeenpaidinadvance,andtheamountofanysecuritydepositor prepaidrent; andanyotherfactsreasonably

requested. Failuretodeliverthe certificatewithinthespecifiedtimeshallbeconclusiveuponthepartyofwhomthe certificate was requested that the lease is in full force and effectand has not beenmodified exceptas hasbeen represented bytheparty requestingthe certificate. If requestedbythe holderof anyencumbrance, or anygroundlessor,Lesseewill agree to give suchholderor lessornoticeof and an opportunityto cure any defaultbyLessorunder this lease.(25) Signatures. Each individual signing this lease warrants helshe has authority to bind therespective entity.(26) Arbitration. In the eventof any disputeother than thenon-paymentof rentbetweenLessorandLesseerelativeto theprovisionsofthis lease,LessorandLesseeagreea singlearbitratorshallbeselectedwithin

twenty(20)days following said dispute as evidencedin writing byone of the parties. Upon the failureof theparties to agreeon a singlearbitratorwithin theaforementioned 20 dayperiod, each partyshall select a singlearbitratorwithinan additionalten (10) days. The failureof eitherpartyto select an arbitratorshall bedeemedconclusiveevidence of theapproval ofthearbitratorselectedby theotherparty. Thetwoarbitrators soselectedshallselecta thirdarbitratorwithinan additionalfifteen(15)dayswhoshalldecide thecasebyhim/herself. Thearbitration shalloccurwithinan additionalforty-five (45) daysafter the arbitrator is selected.Thedecisionofthe singlearbitratorshall be final and binding uponbothparties. The parties to the arbitrationshall bear theirownattorneyfees and incidental costs incurred in connectionwithsuch arbitrationand shallshareequallythejoint costs and expensesof the arbitration, includingthe costs of all arbitrators.PageOneofTwo -


11/23

(27) Music Volume. All music shall not exceed a volume which deprives residents of homes oroccupantsofcommercial spacesadjoining or nearthepremisesdemised hereinof residentiallyor commerciallyreasonable quietenjoyment of their respective spaces.(28) Alcohol. Lessor givesLessee conditional permission to sell hard liquor, wine,commerciallypackaged beer, anddraft beer for consumption ON premises (including outside tables and outside special

events).(29) EarlyTermination. In theeventof a bonafideplanned demolition or substantial remodeling ofthe entire building inwhich the demised premisesare situated is anticipated, Lessorshall have theoption toterminate thisleasepriorto theexpirationofanyextended termbygivingwritten noticetoLessee notlessthan120days prior to the effectivedateof such early termination. In any event, such early termination maynotbecome effective prior toAugust31,2010.(30) Hazardous Materials. Lessee shall indemnify, defend, and hold Lessor harmless from anyHazardous Material or any otherenvironmental liability whatsoever associated with the premises caused byLessee or its agents, employees, contractors, or invitees. And,furthermore, Lesseeagrees to payall costs of

removal of such Hazardous Material as may be required due to the conductof Lessee's remodeling of thepremises for Lessee's plannedbusiness activities. If anynon-friable asbestos isfound, Lessee agrees not todisturb it.(31) RoofAccess. Lessee shallhaveaccess to therooffromtimeto timeonlyas reasonably necessarytomaintain Lessor's heating, ventilation and coolingequipment. Lessee shall takeall reasonable precautionssoas not to cause anydamage to the roof and shall be responsible for all roofdamage causedbyLessee, itsagents, employees, contractors, or invitees.(32) Inventory. When open,Lessee shall continuouslycarry and offerfor saleat all timesa fullandcomplete stock offood andbeverages appropriate forthe timeofdayandshall maintain adequate personnel for

the efficient servicing and security of its customers. Lessee shall use best efforts to operate the businessconducted on thepremises in a diligent manner that will produce themaximum volume of grosssales.(33) Assignment. In the event of each assignment of Lessee's interest hereinwiththe approval ofLessor, lessee shall pay to lessor the sum of $1,000.00 as a fee to Lessor's agent for processing suchassignment, if any.(34) Lessee's FirstOption to Extend. Iflessee is not thenin default, Lessee shallhavetheoptiontoextend thislease for threeadditional years August7, 2012throughAugust 6, 20IS) bygivingwritten noticetoLessor together with a check for$1,500additional security deposit on orbefore February I, 2012. The sameterms andconditions shallapplyexceptthat themonthly baserental shall be$8,500.00 permonth ..(35) Lessee's Second Option toExtend. IfLessee is not then indefault,Lessee shall havetheoptiontoextend thislease for threeadditional years (August 7,2015through August6,2018)bygivingwritten noticetogetherwitha checkfor $1,500additional security deposittoLessor onor before February 1,2015.Thesameterms andconditions shall applyexceptthat themonthly baserental shall be $10,000.00 permonth.

Page Two ofTwo

PresidentA Atwood Corporation ~ ~ . ~ Managing Memberfor at Jack'sLLC


12/23

8',. .. ... OREGON LIQUOR CONTROL COMMISSIONWRITTEN PROPOSAL FOR AFULL ON-PREMISES SALES LICENSECOMMERCIAL ESTABLISHMENTPlease Print or TypeTrade N a ~ e (dba):;JCity: DW rtlL

LI "'--11\/11 I.!.lIT 0 tl>=1_L:5=------'=...;..L....:.....- _

READ OAR 845-0060460 (on back)I have read the Oregon Liquor Control Commission's food service rule for commercial establish-ments, OAR 845-006-0460. I understand the requirements of the rule. I understand that I mustoperate my business according to those requirements.I will offer at least five distinctly different rpgular meals durin,g. my dinner meal period._~ dinner meal period will be from (j) PM to '1 PM.My menu for this meal period is attached.

I other times alcohol service is available, I will make at least five different substantial food itemss h as appetizers, sandwiches, soups. hamburgers. hot dogs. sausages available to my patrons.My menu for minimum food Items is attached.Not counting any seating t tanquet or meeting rooms or similar "occasional use" rooms,my totalind60r seating will be ' () seats.dY i have attached a floor plan showing rooms and tables.During my required meal period I will have dining seating at tables fo r at least f patrons. This seating will be at tables that meet the table size requirements of OAR 845-006-0460.I will keep a kitchen area with equipment and food supplies adequate to prepare. cook and servefood as I have proposed here.I will have a cook on duty during my required meal period. During that meal period the cook willnot do work prohibited by OAR 845-006-0460.I understand that OAR 845-006-0466(3) requires that I make food service menus available topatrons.I understand that if my answers are not true and complete, the OlCC may deny my license application.Signature ~ f U . . . g. O G 4 - ~ Date &/")/ ~

1-800-452-0LCC (6522)www.oregon.gov/olcc(rev. 12107)


13/23

Fat Jacks SaloonMenuStartersSampler*, veggie spring rolls, potato skins, cheesequesadillas, wings, and chicken tenders 13.95Chicken Wings* 8wings tossed in hot, mild, or BBQ8.95Chicken Tenders* 4breaded tenderloins 7.50Vegetable Spring Rolls 3 rolls with duck sauce 6.50Soup and SaladsChicken Noodle with all the trimming*

Chopped mixed saladCaesarChicken, Beef or Seafood* add 9.95


14/23

BurgersAll burgers are a half pound of Certified Angus Beefwith your choice of fries or chips

Cheese Burger* with your choice ofAmerican,"cheddar, provolone, Swiss, or pepper jack 7.95Fat Burger* grilled onions, mushrooms, bacon, and'--provolonecheese 8.95

SandwichesAll sandwiches are served with your choice offries orchips. > Grilled Chicken Breast* BBQ, Blackened, or Grilled7.95

. Buffalo Chicken* breaded chicken tenderloinsdipped in hot sauce and topped with melted cheddarcheese 8.50

. Philly Steak* peppers, onions, mushrooms, andprovolone cheese 8.50Checken Philly* peppers, onions, mushrooms, and


15/23

provolone cheese 8.50

Entrees:Sides include mashed potatoes, fries, wild rice, andvegetableFilet*80z center-cut filet with two sides and a salad20.95New York Strip* 140z choice center-cut strip with twosides and a salad 18.95Chicken AI'fredo* with ablackened chicken breast11.95New York Strip* &Shrimp 22.00

Fat Jacks Rack ofRibs, served with Fat Jacksown B.B.Q. Sauce with the trimming ... 15.00

Fat Jacks Breakfast SpecialsTwo Eggs as you like um. wI hash browns,choice of Bacon, Ham orSausage 9.95


16/23

8"". .,.- . .. OREGON LIQUOR CONTROL COMMISSIONBUSINESS INFORMATIONPhone:(50.3 ) 534 - C) to 1 D

ZIP Code: OJ, d3 aity:Business Location Address:F ~ + l flncl ~ = - - ~ - - = - ~ - - - - - - -

PleasePrintor Type f=Qt JaU!5 LLC.-Applicant Name: ~ Trade Name (dba):--=Ea \..Tr1c1L,j (5Ad....:::;oo...n _

3 ~ l 7 b n6 S rrn.JVDAYSAND.HOU'RS,OF OPERATioN', . . '. . ' . . , . . r ~ ~ ;Business Hours:Sunday ~ t ~ 3 Jl-m,Monday to _Tuesday to ""'t'T"1--.--Wednesda lo f-f/i to a:3D fl-m :Thursday ~ ~ t o ~ - mFriday Vi. ~ to ttm.Saturday ft;.po p . ( } . t o ~ 0 1 .

OutdoorArea Hours:Sunday to _Monday to _Tuesday to _Wednesday to _Thursday to _Friday to _Saturday to _

The outdoor area Isused for.a Food service Hours: to _a Alcohol service Hours: to _o Enclosed, how _Theexterior area is adequatelyviewedand/orsupervisedby Service Permittees._ (Investigator's Initials)

Seasonal Variations: 0 Yes ulNa If yes, explain: _

' L i ~ ~ S I CRecordedMusicJ'l OJMusicDancingo NudeEntertainers

Check all that apply:o KaraokeD Coin-operated Games~ ; Video Lottery Machineso Social GamingD PoolTableso Other: _

"DAYS& HOURS OF 'L1VE OR OJ' MusfG't _ 6 ' . . .. ...SundayMondayTuesdayWednesdaThursdayFridaySaturday

Lounge: ;2. 5Banquet:

Outdoor: _Other (explain):Total Seating: /25{

otce USEONLYInvesllgalor VerifiedSeallng: _ ( Y ) _(N)InvesUgalorInlllaI5: _Oale: _

(rev. 12/07)

I understand if my answers are no t t rue and complete, the OLee may deny my l icense application.Applicant S i g n a t u r e ~ cJ. .D Date: 5 (1 / 21)) CZ

18004520LCC (6522)www.oregon.gov/olcc


17/23

OREGON LIQUOR CONTROL COMMISSION'=' FLOOR PLANe Your flgor plan must be submitted on this (gnu. Use a separate Floor Plen Fonn for each level or floorof thebuUdlng.8 Applicants must provide a sketch thatshowsthespecificarea of the premises (e.g. dining area, bar, lounge, kitchen andrestrooms). FullOn-Premises (commercial establishments) applicants must alsoshowdiningtables. Seeexample onback.

1a800a452aOLCC (6522)www.oregon.gov/olcc (rev. 121

!I Ili@ II!IIIi""..IIII

,I........I

Initials: Lc:::.-

II !Il: l!1b-j1 ilcd t ,"-f 11 /1I , LJI I ==...=:I

" ..__..OLCC USE ONLY......_MINOR POSTING ASSIGNMENT(S)~

Date : - l i ,.". { 0-()q

-----=

Apptlcant Namem : : r t ! e J L ~ c51t1 00nTr&dA&me (dba):- - , - t 1 - . ; . . : . . . ~ +lBn.d C)l")a3CityandZIPCode


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09-08-21301 10: 09 T DOSS 70282200S3

8- OREGON L1aUOR CONTROL COMMISSION. CHANGE OF INFORMATION APPLICATIONetPAGE3

(nJV 12107)

Please Print or Type Use this applIcation to request a dupUcate Ucense (;8rtlf1cale, Change of tradename, change Oflicensee name,change to legalentityandlordeletion ofpartner(s). Remember toattach all requested documents.Seetrtsn 1:- 1, Ucensee N a m e ( S ) : - . d i d ~ 3kk.1j LL.c.omplete th isSection ForAll (ascunvnllyncanted)Requests ..... Type of Ucense: firr j (elly) (ZIP code)4. Malllng Address: '-f( j ) ~ nG ~ I e . 11rtOC6U ~ g 9({(Pfp/(slteul) (c!trl (ZIPcod,,)

~

6. TelopJ'lone Number: (503) 53"1- CflJ "'},. 5J(?iIJD) I ( ~ ' d3JD,, '. " (business) (home' " "

:.:". to " 6. Checkherefor a duplicate license certlftcate 0. ~ " '::" 1sSection 2: NewTradeName ( d b a ) : ~ GJenf1.g rMo'S Clu..bhange of TradeName .SectlDn 3:' 1. NewName:Change of legalN ~ 2. Date ofNameChange:I 3. Attach a signed copyof legal documenl(s).SectiDn 4: 1. EntityName:ChenQe to,Legal.~ n t t t y ., 2. Complele and attachLLCor Corporation Questlonnalra .(Corp. or LlC) 3, Attach 8 signed copyofmodified leaseegreement Ifapplicable.SeCtIon 5: t . Nameof DeletedPartner(s):Deletion ofPartner{s) 2. Allacha copy of the legaldocument(s) or letterof resignation, signed by the deleted parlner(6).showing the partner(s) win no longerhavean Interest In the business. Ifdeleted partner(s).. appearon thelease.youmust attacha copy of a modlned leaseagreement.I understand that If my answers are not true and complete. the OLeC may deny my license application.Licensee Name: . f f i t ~ ~ TIlle ' ("til2.v.""'. IMrn'l%LIcensee s l g n a t u r e ~ D a t ~ d" 1 __

1-800-452-0LCC (6522)www.Qrugon,go vlo/cc


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STATEMENT OF FUNDINGI, Sherri L. Doss,as thesoleandmanagingmember or Fa!Jacks LLC, doswearandaffirm thattheloanfrommy father-in-law, Walter Doss. fornine lhousand dollars($9,000) and the loanfrom my father, Robert Burchfield. for twenty five thousand dollars(S25,OOO) are loeasthatI amrequired to and intend on paying backin fuJI. Neither Mr. Dossnor Mr. Burchfield haveanownershipor financiaJ interest in Fat Jacks LLCandwillnothave control overorm8J1iI8erialresponsibility ofFal JacksLLC or thebusiness to beoperated under thelicense currentlypending with the OLCC. In addition, neitherMr.DossnorMr. Burchfield will workor beemployedat the business tobeoperated underthe license currently pending withtheOLCC.I furtherswearand affirm thatI am theonly true applicant and willbetheonly true licensee forthisapplication. No otherparty has I t financial interestor control over FatJacks LLC or thebusiness to be operated underthe licensecurrently pending with theOLeC.

EAr J A C ~ L 1 . ' ' ~ I O r e g o n limited liability company.,).,lQ"'ll,t . . 1../ . 4 - ~ 'She.n:i JI. Doss, Member

l)WT13S74729vl 0 0 9 0 8 2 4 - 0 o o 1

239t:1d


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09-08-2001 113: 09 T OOSS 70282C0003

8'. OREGON LIQUOR CONTROL COMMISSION. BUSINESS INFORMATION,Please Print or 'TYpeApplicantName: fu .:r tlILs LLe. Phone! ~ 5 3 9 ~ q ~ ] ? )TradeName ( d b a ) : ~ G ) ~ . : . : n . . Q . : : : : : : Q ~ ' . . L S ~ O . . A ~ J . 6 , , 1 A bi..i-- _Business Location A d d r e s s : ~ b O SArxlO G>\ vel .C i t y : ~ ZIP Code: 0)1') 9.3 at.DAYS AND HOURS OF OPERATIONBusinessHours:sunday, . to ~ 3 0 ~ m Monday 10A!.-A.tr1' Tuesday I O ~ ' f "WednGGday to ~ I f . ff') ,Thurucfey ~ t o ~ . A tnFriday to Ql' .(1)Saturday to ' ... ,-,un

OutdoorAreaHours:Sunday 10 _MondllY to _Tuesday 10 _Wednesday 10 _Thursday 10 _F ~ p y 10 _Sell,Jroay to _

The outdoor area Is used for:U Food s81V1ce Hours: . _.__ to _CJ A1oohc1 service Hours: to _CJ Enclosed. how _ ,TheextQrtor anlo Is adoqualety \/lowod and/orlhIpeMsed by Service Permittees._______ (lnvesUgalor's Initials)

SeasonalVariations: 0 Yes Cl No If yes, expletn: _

ENTERTAINMENTo UveMuslcRecorded M ~ i c

) } ( OJ Musico Dancing)it NudeEntertainers

Check all that apply:o Karaokeo CoJn.operated GamesJ2l VideoLotteryMachIneso Social Gamingo Pool Tableso Other: _

DAYS &HOURS OF LIVE OR DJ MUSICSunday ~ ~ , _ t o a:2i> ~ Monday ~ ~ = ' _to ~ A - mTuesday .m to 8i:?C'5 Am.Wednesday o T - i ~ - tom,rnThullIday to , Am.Friday : ~ I ' " I O o I " " ~ ~ . : 10. ~ If 'Saturday ~ , . . - . = _ . to. A- II I

Lounge:Banquet:

;),5 Outdoor. ___Other (expI8In):Total Seallng:.d!Ii!i..L15

OLCC use ONLYInwmllgelot Ver111lld 8eatlng:_IY) _ (N )Investigator tnJlIals: _Oato _

I understand If my answers are not true and e o m ~ e , the OlCC may deny my license application.Applicant Signature: =J. b d Date:-- lJ ( () /,.;utl1 -

1800-4520LCC (6522)www.oregon.govlolcc (fTlV. 12107)


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PAGE209-08-2e01 10:08 T 0055 7e28220083- . - - - ~ - - - _ . . - - . - - '-

A OREGON LIQUOR CONTROL COMMISSIONFLOORPLAN ;)loud. plIO roD"bt 'ubmlflOd an thIstOIlD. Use 8 !8P111'8ttFloor Plan FOl'Ib for61gb level or ftoor ofthebuilding. . Appllcantll must plOvlde 8 8kelCh that lI!towa the sJ)8Ciflc area of the premleeo (e.g. dining area. ba" loung8. kitchen and

~ t r o o m s ) . Full On-Preml_'(oomm&rdal establ1IhtnenIs) 8pJlRcanl8 rtlust also shaw dIning lablea. see example onback.

AppUcanlName

TlIId& Name (db.tof l , i t . - ICIty end ZIP Code

..

...-

(rov. 12107)


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Fat Jack's SaloonOperation 's agreement07/29/09

ToWhomIt MayConcern:MyName is SherriDoss, I am proposingto open a country formatted establishmentcalled Fat Jack's [email protected]. Sandy Blvdjust west of the Hollywooddistrict. I feel this is an ideal locationwith good freewayaccess and adequateparking.Wewould like to address some of the neighborhoods concerns about our operationandparking lot security issues. Wewill make it our personalmission to control and eliminateany and all criminalactivity or disturbances that may adversely affect the communityaround us.

OPERATING PLAN1. Wewill have a constant securitypresenceat all times startingat 6:00p.m. untilthe parking lot is cleared at approximately 2:45 a.m. We will have at least 1securitypersonal monitoringthe parking lots at all times and will increaseto 4 to8 dependingon the size of the crowd. All security staff will be DPSSTcertified.2. MyhusbandTracy Doss is DPSSTexecutivemanager certified and has over 20years night club, restaurant and bar experience. Hewill personallyoversee allsecuritymatters.3. After 10 p.m. nightly securitystaffwill conduct random parking lot checksevery10to 20minutes.4. Wewill at all times have a ratio of 1DPSST securitystaff members for every 25guests.5. A 16cameraDVRmonitoringsystemfor all areas in our control.6. A full country style BBQmenuwill be availableduring all hour's operation.7. Iwill be taking a hands on approachto the day to day operationof this facilityand be available 6pm to close.8. No loitering, verbal/physical altercations, loud noise or any other typeofdisturbances and or criminal activitywill be tolerated insideor in our parking lotareas.9. I will encourage and co-operatewith Portlandpolice department to do a walkthroughduringpeek hours of operation. .10.AlcoholMonitorswill be place,whichwill includeManagement,Bartenders,Wait Staff and securitypersonnel. Alcoholmonitorswill be responsibleforcheckingvery intoxicatedpersons (VIPS), removingdrinks or patrons as


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necessary. This will be accomplished by visual inspections of all patrons every 30minutes.11. A detailed incident log will be maintained on the premises which will include,Dates, identifying information (i f known), staff involvement and others that wereon duty during incidents, type of incidents and actions taken. This will alsoinclude VIPs, service cut offs, violations of rules and policy's, entry denials andlaw enforcement contacts.

12. Electronic I.D. checker will be at the entrance to detect fake I.D.'s13. There will be no admittance no later than 1:30amduring normal business hours14. We will also institute a "Soft Close" that will begin from 2am to 2:15am whichwill include Last call, changing the lighting and music to facilitate an orderlyclosing.15. Parking lot opening and closing procedures will be as follows, all staffmembers

will be required to park there vehicles bordering the perimeter fencing to create asound and space barrier to prevent littering and loud noises from interfering withthe peace and sobriety of the surrounding community. During closing all securitypersonnel will patrol and monitor parking lot area until all guests have safelyexited the property. Then clean up all areas affected by our operation.

I will be very aggressive in successfully instituting these policies to theutmost degree as to ensure the health and safety of all parties involved. I will alsostate that I will at all times be willing to meet and discuss all legitimate issues andcomplaints with my neighbors, Portland Police and Olcc to quickly resolve anyproblems that may occur. We will at all times strive to be a good neighbor and aviable component of the community at large.Thank you,Sherri Doss

3390 ne sandy liquor license application as of 24-nov-2009

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