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11945 SW PACIFIC HIGHWAY STE 206 ADDRESS: -1 itc-, o i:\records\mi,•rr)flm\targets\buildin,I.doc WASHINGTON COUNTY, OREGON r May 3, 1994 r, John Barinaga PO Box 616 West Linn, Oregon 97068 �� q l�� �Oc�r_, �• �fr�_-),f �C.)l� q 9 RE: Plan Review / Push Cart Celestial Bean - �La6 T►Srn� �'/"" Dezi- Mr. Barinaga: The Washitivton County Department of Health and Human Services has obtained the plans for ,your proposed pushcart. Please be aware that pushcarts must operate ou;' of a lic;;nsed ,:ommissary. A commissary must be designated and approved prior to licensing. We request that you fill out the enzlosed Commissary Memorandum of Agreement form prior to licensing. The Memorandum of Agreement expires December 31 of each calen6ar year. All water used on the push,;art must come from an approved public water system. All liquid wastes from the waste water retention tar.', must be properly disposed of in the sanitary sewer. Tl,c following is understood to be shown on the plans with necessary changes for approval noted: 1) A menu was not submitted. Only foods prepared in a designate] licensed commissary or from an approved source may be served from the pushc:art. A pushcart may serve only 9ne Kg!p99ked potentially hazardous food with unlimited garnishes and toppings not to exceed (3) potentially hazardous garnishes or toppings without prepackaging and can serve other nonperishable foods or beverages. Potentially hazardous food may not be prepared from a raw to finished state on the pushcart. Department of Health & Human Services 155 North First Averue Hillsboro, Oregon 97124 WIG Nutrition Plan (503) 640-3555 Administration & Planning: (50a; 693-4402 TDD (5031.648-8601 Health Services (503) 648.0881 FAX: Clinic 693-4522/Administration 693-A490 Environmental Health (5013) 648_872,') Page two 2) Self-serve foods, food on display or within the customer's reach, must be protected by packaging or sneeze shields. Please see the enclosed NSI- pamphlet for information on sneeze shield requirements. 3) You must be able to move the push cart from the kiosk struc'ure to the commissary for servicing. 4) There must be at least four (4) of each multi-use utensil on the pushcart at Glc beginning of each day for the serving, preparing or dispensing of all food items. When utensils become soiled or contaminated, they must not be used until they are properly cleaned at the designated approved Commissary. All multi-utensils and removable equipment must be washed, rinsed and sanitized at a designated licensed commissary at least daily. 5) Your pushcart may only provide single-serv;ce articles for use by the: customer. 6) Your plans show a hanoaiuPI with hot and cold running water. Please also provide dispensed soap and tewels for handwashing. 7) All openings to compartments where food, water or other beverages rr ight be stored must be designed to effectively exclude; dust, dirt, other contaminants and insects and rodents. 8) Separate storage must be provided for all cleaning supplies away from food or food items. 9) All operations and/or equipment must be an integral part of the pushcart. Auxiliary -torage must be limited to impervious, nonabsorbent covered containers (;red in a such a manner as to preclude contamination or infestations. Au,.iliary storage for the pushcart can not !reed 12 cubic flet. i(,) All storage of food, drink utensils, equipment, etc. must be off the floor or ,,round I i) All equipment must be easily removable to permit cleaning adjacent to other equipment, unless it is sealed to the mobile unit in such a man aer as f,) exclude spillage, dirt and insect entrance. 12) You have indicated that cart surfaces are formica. 13) Fuel supplies, tools, pumps, etc. must bE located Fa that they are sealed from food service, storage and preparation areas. 14) All hot water and steam generating presizure vessels must be equipped with an approved temperature and pressure relief valve constructed and installed in compliance with the Orepon State Plumbing Code. Page three 15) Dimensions of the fresh water, hot waczr and waste water retention tanks were not submitted. THIS INFORMATION ML--T BE SUBMITTED FOR REVi1tW The waste water tank must be at least equal in size to the total w."tcr capacity. t 6) The refrigerator and/or ice chests for the pushcart must be equipped with a spirit stemmed thermometer that accurLtely indicates temperature. 17) A covered refuse receptacle must be provided at each location where the pushcart operates. 17) The pushcart mu;t be clearly marked with the licensee name or a distinctive identifying syribol. The lettering must be at least two inches in height and of a color contiw-Qt ng with the background color. if a symbol is us:M, it must be at least 12 inches in diameter or of an equivalent size. An accurate scale drawing or photograph of the symt of must be filed with our Department. 18) All employees must wear clean outer garments and conform to a high degree of personal cleanliness, gic%oming and hygienic practice while engaged in preparing or transporting food and drink or washing and storing utensils and equipment. All employees must have current Washington County food Handler's Cards. For information on oto taining a foodhandlcr's card, please call 640-3460. 19) The pushcart must be mobile and easily moveab:e by no more than two persons. Permanent wiring or plumbing to service connections is prohibited. 20) The pushcart must be listed .,id labeled as a complete unit by an apprcved electrical laboratory or it must have a third party inspection. For information on third party inspections, please contact Chris Christensen with the State Building Codes Division at 378-7133. 21) This pushcart must meet all the Oregon rules applying to mobiit; u,iits in the Oregon Revised Statues, Chapter 624 arid the Oregon Administrative Rules, Chapter 333. 22) The enclosed Commissary Memorandum of Agreement form must be sui,mitted prior to licensing and operation. The Commissary Memo,ranOum of Agreement form expires December 31 of each calendar year. 23) The commissary must meet all the rules applicable to commissary operation including, but not limited to dishwashing; haridwashing, food preparation storage and cleaning, mop washing, etc. 4'4) Commissary and pushcart inspections must be conducted prior to license approval. To schedule inspections, please call Tim Bunnell at this office one week prior to operation at 648-8722. j Page four 25) A license application and $210.00 license fee must be submitted prior to opening. Please submit requested revision for final plan approval. Very truly yours, DEPARTMENT OF HEALTH AND HUMAN SERVICES Toby Harris, R.S. Environmental Health and Sanitation TH:aat Enc: c: Tim Bunnell Brad Roast, City of Tigard Chris Christensen e■�o INgPECTION NOTICE City of Tigard Building Mapartrimt 13125 SR Hall B1R1. Tigard, Oregon 97223 Inspection Line (Rec-O-.Phoney 639-4175 Business Phone: 639-41/71 Inapectiont___ Tooting plbg. Underrl.ab Mach. ougtj-in A�r sdwlk hound. Plbg. Top Out Gas Line FINALt Post/Beam Struct. San. Sewer_ Framing -91dg• ) Poet/Beam Mec-h. Rain Drain Insulation --Plumb. Plbg. Underfloor Water /Line Gyp. Rd. -Mach. Date toqueatadt, � _�L_� - Times —PM �0 /1 di 1 Addrosat — j Permit ♦: U l f Builders —— TIDO FOLSOWING CORM.-TIONS ARE REpUTAEDt /1/ U v Vf Ynepector: � _ natet�Z—��� 93 APPROVED DISAPPROVED APPROVED SUBJECT TO ABOVE Call For Reinap. t CITE OF TIGA RD CnYOFTWARD e6CMUNMY DEVELOPMENT DEPARTMENT 00110WON BUILL)IN6 1=LR1111T 1311S SW HM11 Blvd P.O.Box 23397,TkpM,Onegm 97223(5031 W94176 r . . . . . . . SIrE ADDREISS. . . : 11945 SW PACIFIC HWY PHRCELc SUBDIVISION. . . . , I- C)FFARBER T'RACT'S NO. I ZONING; C-6 BLOCK. . . . . . . . . . . LOT. . . . . . . . . . . . . _---__--.------------------._--------_ REISSUE: FLOOR 0 PEAS-- -- EXTERIOR vWLL CC)N5­1'RLJL'1' 1(JN— C;LPcq9 OF WORK. :REP FIRST. . . . E t N r L: W 'T'YP'E OF' LIE-)E. . . -CONI GECOND. . . :-f Fitt? 1,E.G7 TYPE OF Loi\isT. *.31,4 THIRD. . . . sf IV: G.. F= W1 OCCUPANCY GRP. tB2 TOA Q1 5 f ROOF CDj\15'r:B FlftE RET -1 . Y' OCCUPOWL"Y LOAD: BASUvIENT. Sf AREA SEP. RATED: STOR. I [AT. : 14 ft UARAGE. . . S f OCCU GEP. WiTCD: FASHT? 1\1 MEZZ?:N RECD SETBACKS—­­­ REGUIREI,---------_--------_—.__ FLOOR ,--------------------- FLUOR LOAD. . . . . psF LEFT: Ft RGHT. ft FIR '3PKL.I%l idlvIOK LET. . ,N DWELi-1140 Ulq.'('i S: F.R NT f-t REAH.; f-t 1.11i ALk1q.W FiNDICV. ACC .' 'y BEDR01S., B I--)T t Is D11P LORR:hl VALUE. 1­. 53 ,48 Remar-lis , Re—r-aof b1dW over Suites '05 -'1 Q12. C o n t.i ti ua t i c,ri c,r vi o r,i; stat,ted i.-ndet, primary pet,ni i t. or Lot, Owneri - --------------------------------------------------- PEES MILT BROWN type amol.lnt bV date t,ecpt 11945 SW PACIFIC HIGHWPY PRIYJT s V10 Divi (113/i92, 93—c.3 7 6 ii:6 TIGARD OR 972E3 5PC r s 14. 75 Uhl 103/iW/93 9 2,—E3 7 Phone #-. Lontt,actor,: --------------------------------- THONAS DELANEY 335L2 SE DOYLE ROAD us,rAcADA OR 971D23 Pl-it)yie #: 646--1156 K :x09. 73 TOTiiL 3b861 ------- RE C-01 f�,P_J) INbPECTIONIE-) This permit is issued subject to the regulations contained in the Raaf na.tIng lriEp Tigard Municipal Cuda, State of Ore. Specialty Codes and all other Final Insper-tic)r) applicable laws. All work will be acne in accordance with approved plans. This permit will expire if work is not Started within 180 days of issuance, or if work is suspended for more than 180 days. Pet,mittep 5ic1nati-tt-e : Is!-,1_ted By : Call fcit- inv_q)ection CZs?-4175 i CITY OF BUILDING PERMIT APPLICATION TIGARC� DATE �° 0 9 8 t) THE UNDERSIGNED HEREBY APPLIES FOR APE RMIT FOR THE '.'v,JRK HEREIN INDICATED OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS. OWNER PHorJE OWNER ADDRESS 706 Tigard Pia=a BUILDER PHONE ENGINEER BUILDER ARCHITECT DESIGNER STRUCTURE ❑NEW ❑REMODEL ❑ADDITION ❑REPAIR ❑RENEWAL []FIRE DAMAGE ❑DEMOLITION ❑ RESIDENCE ❑COMM ❑EDUCATIONAL ❑GOV'T ❑RELIGIOUS❑PATIO ❑CARPORT ❑GARAGE ❑STORAGEOS,AB ❑FENCE QBOND ❑MOVING ❑CONDITIONAL l,3E ❑DESIGN REVIEW ❑COUNCIL APPROVED OSIONS OCCUPANCY LAND USE ZONE BLDG.TYPE FIRE ZONE— PLAN CHECK Bv HEAT _ wall Sign - r F og, _ (Age OCC.LOAD FLOOR LOAD HEIGHT NO.STORIES AREA VALUE BUILDING DEPARTME + SETBACKS FRONT REAR LEFT SIDE RIGHT SIDE Permit --- THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING Plar. ;heck REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY !',GREED THAT THE WORK WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE WITH Recording ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE — RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY B'JSINESS 1%State LICENSE. SEPARATE PERMITS REQUIRED FOR SEWER, •'LUMBING AND HEATING. Total By —� �--- APf PNT OR AGENT Approved Receipt Receipt No -- ADDRESS –'NONE DATE INSP, TYPE INSPECTION REMARKS PLUMBING DATE [Permit ontractor - - ---- _ No. C5 - 0HO/7b Rough-in Fixture i Final _ HEATING Contractor Permit No. _ Gas or Oil Rough-in Final SEWER Final DRIVEWAY �. --- - -_— Final ^� Storm Drainay=__ (Rain Drain) Final Sidewalk Curb&Street Final Lj _ Approach dFIEPT. FINAL TEMPORARY CERTIFICATE OCCUPANCY Final CERTIFICATE OCCUPANCY - — — LTndscaping Zoning Final PFIAM u ZFra _z O_ J LL LNaw C3 `J U Cl L; in o U a y 1 J W V, 2 LL LLI _ � a O Z U p p 7 V ti C) 1__ > n naZ ° w z u J p p _ 5ui p x a ¢ \ m ¢ z ¢ ° c� x ? 5 O ( 1 S WLLlaww7 ¢ w z ° �\ >i rn w O t7 w u \ ZypNiw zD w ¢ Cl w ° O O r� G ° U LJ LL, 6 � ¢ w 7 LL VI z U^ p N Q Q a Y W Qy,� OOU Z Q U " n` ° z w CL [) LL 7 In p �. p U w VO Z -i 2 � N N p a LL w H a _O ¢ zwUQ �Y Z ¢ ¢ a Ln U _jrmw v W w 0. 0- Pcc (L �Zui mow Z V a cr N- I cr En a I O U) Zvi° -v i F- w N LLI z o) u I.] Z 7 `-1 111 W I N QWIUap ` Q Y Q I\\ ¢_ W G , p w0 � a ¢ O O cr N a 0 2: N ��� Z Q HU z � w F ry - w F z W Q ww ° U _¢ zAV) LL a r- a ¢ ul � m2opa- 0`a� u -•w cad✓ i ❑ L) w W Fao o .7 F- ° ` 7� J �o a C� o Cil ti m , 0 UN d �Q F / a U F- \ LL >- ~ C7 N a C) N Vl V F-' Z N Q W Z W° W F G w V 1 7 w `t W w ,L - 0 a CL ¢ `= 2 ¢ w �cl 0 w U 7 LJ O U z ¢ ° f \ C7 Z N ! O l•1 > a °a u, a F .7 G a0 �0 `i C) Q L a Ln w ¢ N Wmu In a 7 R C� u ~ ' 0 V> w LL S G--_) O QI \V 2 f- -j d F- H Z �j F 1 TI U -J U Ll ' 7uj N O Q l y w N 1 - _1 G F cl Q. n ul Z U wwOJwU Lr) � cc Qct J 2 Q } > z G -- m 0 1 Ll, < Z cr a -! ¢ D ' N Q aI "y 7 Q WV U G z G C'1 7J w W w z �� > ° Q U Z_ G 2 C7 w G j Q u a c jrN 2 r. c, r-1 J w 0p w Z - D z cc 1� n N CU'1 41 W 7- 3 G a G Q7 i; v o m F O O ] w C� -1 E c °u n ¢ U U m m y n 0 o a a Q H m CITY OF BUILDING PERMIT APPLICATION TIGARD DATE 19_ N� 0391 THE UNDERSIGNED HEREBY APPLIES FOR APERMIT FOR THE WORK HEREIN INDICATED OR AS SHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS. OWNERPHONE #tc''aC'�o OWNER iYt a3i ADDRESS BUILDER PHONE ENGINEER Rull DFg or. aon '-tuof Ing Co. ARCHITECT _ DESIGNER STRUCTURE C_1' 'W ❑REMODEL ❑ADDITION ❑REPAIR ❑HENEWAL ❑FIRE DAMAGE ❑DEMOLITION ❑ RESIDENCE I ",OMM ❑EDUCATIONAL ❑GOV'T ❑RELIGIOUS❑PATIO ❑CAR PORT ❑GARAGE ❑STORAGE❑SLAB ❑FENCE ❑BOND ❑MOVING ❑CONDITIONAL USE ❑DCSIGN REVIEW ❑COUNCIL APPROVED [:]SIGNS OCCUPANCY LAND USE ZONE BLDG.TYPE FIRE ZONE_ PLAN CHECK BY HEAT_ t'QQ t' OCC. LOAD FLOOR LOAD HEIGHT NO.STORIES AREA VALUE F­BUILDING DEPARTMENT _ SET BACKS FRONT REAR LEFT SIDE RIGHT SIDE Permit THIS PERMIT IS ISSUED SUBJEC- TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING Plan Check REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AND IT IS HEREBY AGREED THAT THE - WORK WILL BE DONE IN ACC 7RDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE WITH Recording ALL APPLICAELE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE — --- 1ESTRICTIVE COVENANTS. COlitRACTOR AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS 1%State LICENSE. SEPAr..ATE PERMITS R60UIRED FOR SEWER, PLUMBING AND HEATING. Total By APPLICANT OR AGENT Approved Receipt No. ADDRESS DATE INSP. TYPE INSPE.TION REMARKS PLUMBING DATE Contractor Permit No. Rough-in Fixture Final HEATING Contractor Permit No. Gas or Oil Rou h•in Final SEWER Final DRIVEWAY Final Storm Drainage (Rain Drain) Final _ Sidewalk Curb&Street Final Approach BLDG.DEPT.FINAL TEMPORARY CERTIFICATE OCCUPANCY Final CERTIFICATE OCCUPANCY _ Landscaping 7 1 '� Zoning Final CITY OF TIGARD APPLICATION FOR "'IGN PERMIT OWNER PT-".RfviTT Uri s _11KTR _:I b,DDRESS -VALUL PERMIT EEE"4 TEL, MANUFA TUEFR ADDRESS 7 -ILL" NO jNqPF('TTQNq REQUIRED _ElLEJ=aR.__ SITE __M K.ES. P_ rrA,pTQm To _Lu'C T qPECJ_AL, lNFQRMAT1'DN__---- PLOT PLAN PO LESHOW SIGN LOCATION -Cr)ML -NAT-1" IGROUND - _.. R I e�// 14:C,1p R Lc—.— __ Wt�L HE .Top-., _42 -FT- L FT PROJECTION FT. __5Ukj!ORT .1 To _jjE__VAS:J.'ENFJ)AND SECHRED fly M)VEU__2,Uj?2_QlUa_AN2 JT IS HERERY _AGliL'aD__Tjj&L_jl__TiiISL�_P_LJ_CA_T_L0lL I S _FX=___lV_TA3_L,J&ITU TUE_HEQllTRZUZUT-q--QE-- VQLLlMEY_, 1IHL, 1 116 7 -AF TIGAI311-- re SIGNATURE DE PER TTTFP ,v APPROVED C111EF BUILDING OFFICIAL By Address01; �• ��'n �� Permit No. _-- Petnit charge LZ? Owner i, .v �, -�'-L����-- Connection fee_ - vet I/ 5 Paid by_______--. Type of BuildingDate connected Service Rate Inspection fee Contractor Paid by Date Size of connection „ - Assessment ---Paid 4 f I VAL 71 W LL M � � L