HomeMy WebLinkAbout039-590-019 PRED24-0007 FoodPlanCheckApplicationPrimary Contact: Owner Applicant Plan Preparer Other (attach contact info) Infra-structure Plan Preparer Owner Business Fees
Food Facility
Plan Check Application
Date: _
Amount:
Check No.
Receipt No.
$1,181 (Facility > 5,000 sq.ft.) $786 (Facility < 5,000 sq.ft.) $261 (Pre-packaged food- New or remodel)
$392 (Minor Remodel, i.e. bathroom remodel, change in hood, walk-in addition, wall removal, etc.)
Name:
Location Address:
Mailing Address:
Phone: Email: ______________________________
Name:
Mailing Address:
Phone: Email: ______________________________
Name:
Mailing Address:
Phone: Email: ______________________________
Proposed number of customer seats: _______
Located within incorporated town/city
______
Yes
Square footage of food facility: _________________
No
Served by city/public water system? Yes No
Served by a city/public sewer system? Yes No
Note: Please verify that the zoning and associated requirements, the wastewater disposal sys-
tem, and the water supply are adequate for the type and size of the food facility proposed.
I certify that the information in this application is complete and accurate and that I have been provided and
have reviewed Butte County’s Food Facility Plan Check Resource Guide.
Signature Date Printed Name
Updated: December 30, 2023