Procedure for the Submission of a Plan Review
PROCEDURE FOR THE SUBMISSION OF A PLAN REVIEW
1. Fully complete the plan review application package-be sure to include a phone number for a contact person who can answer questions.
2. Provide a drawing showing location and description of equipment. This must be drawn to scale such as ¼” = 1’.
3. Provide a menu. Please include explanation of unique dishes.
4. Provide all equipment specification sheets for the facility.
5. Plan review fee must be paid at the time of submission of the entire application package. Fee schedule as follows:
RESTUARANTS 1-50 SEATS $100
51-100 SEATS $150
100+ $200
FOOD STANDS/MEAT MARKETS/CATERING OPERATIONS ETC.
1-250 SQ. FEET $50
251-500 SQ. FEET $100
501-750 SQ. FEET $150
+751 SQ. FEET $200
MOBILE FOOD UNITS & PUSHCARTS $50
Mobile Food Units & Push Cart Application
Owner Name: ______, Phone #: ______
Emergency Phone # (mobile): ______
Address: ______
Name of Unit: ______
License Tag #: ______, Vehicle Identification #:______
Set-up Location: ______
Hours of Operation: ______
Other Counties you may operate in: ______
Attach a menu to the application. Attach a drawing of the floor plan of the Mobile Unit.
Which restaurant or commissary will you be operating in conjunction with: ______
______
Where will preparation of the food occur: ______
Do you have the agreement form from your commissary: Please attach the agreement form.
Do you have hot water? (circle) YES NO
Size of hot water tank? ______
Size of fresh water tank: ______
Size of waste water storage tank: ______
Where will food be stored on the unit: ______
Location of fresh water tap at the restaurant (not the can wash):______
Location of waste water disposal from the unit at the restaurant: ______
Agreement Form
As the owner of the restaurant facility noted below, it is my intention to allow this facility to serve as a commissary for the Mobile Food Unit or Push Cart noted below. I understand that as a commissary for the Mobile Food Unit or Push Cart, I will allow the Mobile Food Unit or Push Cart to return for servicing on a daily basis. I understand that servicing the unit may include any and all of the servicing requirements noted below:
· Use of the restaurant utensil sink for washing of mobile food unit or push cart utensils.
· Provision of refrigerated or dry storage area for the mobile food unit or push cart food or utensil items.
· Provision of a suitable means of connection into the potable water supply as approved by the environmental health specialist. (can not be at the can wash area)
· Provision of a suitable means of disposal of waste water as approved by the environmental health specialist. (can wash area)
Name of Mobile Unit or Push Cart: ______
Name and Address of Restaurant serving as Commissary: ______
______
Signature of Restaurant Owner: ______
Print Name of Restaurant Owner: ______
By signing this paper you are agreeing for this mobile food unit or push cart to come into your kitchen at the restaurant. You will be allowing them full access to your kitchen, to clean utensils, store food, prepare food, collect clean water and dispose of dirty water and trash. You also will be agreeing to document in writing on the log sheet given that this unit is physically reporting to your restaurant on each day of their operation.