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HomeMy WebLinkAboutReport 1DEPARTMENT OF C0N...,UNITY AND ECONOMIC DEVELOPMENT r PLANNING DIVISION TIER 1- TEMPORARY USE PERMIT DATE OF PERMIT ISSUANCE: AMENDED & RE -ISSUED: May 11, 2011 LAND USE ACTION FILE NO.: LUA10-073, TP PROJECT NAME: Bistro Box: Mobile Food Vendor Temporary Use Permit PROJECT MANAGER: Kris Sorensen, Associate Planner OWNER: PROPERTY #1 ADDED October 8, 2010 Camie Ng / N&C Investment Llc 7432 SE 27TH ST Mercer Island, WA 98040 NEW PROPERTY #2 ADDED October 27, 2010 Amon John M & Humayra 16424 53rd PL S Seattle, WA 98188 NEW PROPERTY #3 ADDED May 9, 2011 Kenneth King / Sunset Center Properties 3973 E Half Round Bay Rd HARRISON, ID 83833 APPLICANT: Barb Pagarigan - Bistro Box 863 Pierce Ave NE Renton, Wa 98056 CONTACT (if other than Owner): PROJECT LOCATION(S): BARB PAGARIGAN - BISTRO BOX, 206-406-6202 #1) 215 MAIN AVE S, RENTON WA 98057 #2) 618 PARK AVE N, RENTON WA 98055 #3) 350 SUNSET BLVD N, RENTON WA 98055 DATE OF EXPIRATION: October 9, 2011 City of Renton Deportment of Co unity & Economic Development Ad strative Temporary Use Permit Bistro Bax: Mobile Food vendor Temporary Use PermitLUA10-073, TP DATE OF PERMIT: May 11, 2011 Page 2 of 3 PROJECT DESCRIPTION: For all sites: The vending unit is pulled by a van or truck and would be set-up to offer walk-up food service. Food service will be generally provided daily between the hours of 6:30 am and 2:00 pm. For Property #1 (215 Main Ave S), the applicant proposes to locate a mobile cart at vacant property currently used as parking lot. The parking lot area is one of three properties in common ownership that includes the lot to the north where Jet City Espresso is located. Parking for clients will be provided at the same location and vehicular ingress and egress to the site is provided from Main Avenue South. Property #2 (618 Park Ave N) along Park Avenue consists of two properties (PIDs 0823059030 & 0823059127) where there is currently an automobile repair shop in the northern section and freestanding coffee stand in the southern section of the properties. The applicant proposes parking the mobile cart in open and unused parking stalls while keeping available other currently unused parking stalls for drive -up clients or employees. For Property #3 (350 Sunset Blvd N), the applicant proposes to locate a mobile cart in the parking area of a shopping center (PID 172305-9150) where one drive-thru espresso stand is currently located and operated. South of the espresso stand are two vehicle parking areas, one area adjacent the stand and the other parking area at the southern edge of the parcel. The applicant proposes locating the mobile cart in the parking spaces adjacent the espresso stand to the east, on the opposite side of the drive -up window for the espresso business. Parking stalls at the southern edge of the site will be available for clients and employees. The following Tier 1 Temporary Use Permit is hereby approved and subject to the following conditions: CONDITIONS OF APPROVAL: 1) A City of Renton Business license must be obtained prior to operation. 2) All requirements, standards, and permits required of the Seattle —King County Public Health Department must be met and approved prior to operation. 3) The mobile food vending unit, or Bistro Box, cannot stay at the location permanently and must move daily from the property between 12:00 am (midnight) and .5:00 am, except for a special event where the unit is allowed at the same location for up to 72 hours. 4) The site occupied by the temporary use shall be left free of debris, litter, or other evidence of the temporary use upon completion of removal of the use or when the operation of the use ceases to exist. City of Renton Department of C . unity & Economic Development Ac istrative Temporary Use Permit Bistro Sox. Mobile Food Vendor Temporary Use Permit[UA10-073, TP DATE OF PERMIT: May 11, 2011 Page 3 of 3 5) The site occupied by the temporary use shall be restored to the original condition when the use ceases to exist including restoration of site elements such as, but not limited to, landscaping and parking stall striping. 6) For Property #3 at 350 Sunset Boulevard North (PID 172305-9150): a. The drive-thru lane for the existing coffe%spresso business shall be kept clear for vehicles to properly pass through the lot. b. Pedestrian safety shall be provided far clients of the mobile cart to be buffered from vehicles entering and exiting the parking lot. 1 � i C.E. "Chip" Vincent, Planning Director Date Planning Division APPEALS: Appeals of permit issuance must be filed with the City of Renton Hearing Examiner by 5:00 p.m. on May 25, 2011. Appeals must be filed in writing, together with the required fee to the City of Renton Hearing Examiner, City of Renton, 1055 South Grady Way, Renton, WA 98057. City of Renton Municipal Code Section 4-8-110 governs appeals to the Hearing Examiner. Additional information regarding the appeal process may be obtained from the Renton City Clerk's Office, (425) 430-6510. CITY OF RENTON DEPARTMENT OF COMMUNITY & ECONOMIC DEVELOPMENT MEMORANDUM Date: April 15, 2011 To: City Clerk's Office From: Stacy M Tucker Subject: Land Use File Closeout Please complete the following information to facilitate project closeout and indexing by the City Clerk's Office. Project Name: Bistro Box Temporary Use Permit J LUA (file) Number: LUA-10-073, TP Cross -References: AKA's: Project Manager: Kris Sorensen Acceptance Date: October 8, 2010 Applicant: Barb Pagarigan Owner: Camie Ng/N&C Investment LLC Contact: Same as applicant PID Number: 7231501240; 0823059030 ERC Decision Date: i ERC Appeal Date: Administrative Approval: October 8, 2010 Appeal Period Ends: October 22, 2010 Public Hearing Date: Date Appealed to HEX: By Whom: HEX Decision: Date: Date Appealed to Council: By Whom: Council Decision: Date: 'r - Mylar Recording Number: Project Description: Application for a Tier I Temporary Use Permit to locate a mobile food cart on a vacant lot currently being used as a parking lot at 215 Main Avenue S. 10/25/10 - Applicant requests a secondary location 618 Park Avenue N to be added to the permit; locating the mobile food cart in open and unused parking stalls in the southwest section of parcel 0823059030. Location: 215 Main Ave S & 618 Park Ave N Comments: Applicant requested a secondary location at 618 Park Avenue N to be added to the Temporary Use Permit. 10/27/10 - Request approved and Temporary Use Permit was reissued with a new appeal period end date of 11/10/10. DEPARTMENT OF CO, +!UNITY City Of AND ECONOMIC DEVELOPMENT r} PLANNING DIVISION TIER 1- TEMPORARY USE PERMIT DATE OF PERMIT ISSUANCE: AMENDED & RE -ISSUED. October 27, 2010 LAND USE ACTION FILE NO.: LUA10-073, TP PROJECT NAME: BISTRO BOX: MOBILE FOOD VENDOR Temporary Use Permit PROJECT MANAGER: KRIS SORENSEN, Assistant Planner OWNER: PROPERTY#1 ADDED October CAMIE NG / N&C INVESTMENT LLC 7432 SE 27TH ST MERCER ISLAND, WA 98040 APPLICANT: CONTACT (if other than Owner): PROJECT LOCATION(S): DATE OF EXPIRATION: NEW PROPERTY #2 ADDED October 27 AMON JOHN M & HUMAYRA 16424 53rd PL S SEATTLE, WA 98188 BARB PAGARIGAN - BISTRO BOX 863 PIERCE AVE NE RENTON, WA 98056 BARB PAGARIGAN - BISTRO BOX, 206-406-6202 #1) 215 MAIN AVE S, RENTON WA 98057 #2) 618 PARK AVE N, RENTON WA 98055 October 9, 2011 PROJECT DESCRIPTION: For both sites: The vending unit is pulled by a van or truck and would be set-up to offer walk-up food service. Food service will be generally provided daily between the hours of 6:30 am and 2:00 pm. For Property #1 (215 Main Ave S), the applicant proposes to locate a mobile cart at vacant property currently used as parking lot. The parking lot area is one of three properties in common ownership that includes the lot to the north where Jet City Espresso is located. Parking for clients will be provided at the same location and vehicular ingress and egress to the site is provided from Main Avenue South. City of Renton Department of munity & Economic Development nistrative Temporary Use Permit BISTRO Sox: MOBILE FOODyeIVDOR Temporary Use Permit LUA10-073, TP DATE OF PERMIT: October 27, 2010 Page 2 of 2 Property #2 (618 Park Ave N) along Park Avenue consists of two properties (PIDs 0823059030 & 0823059127) where there is currently an automobile repair shop in the northern section and freestanding coffee stand in the southern section of the properties. The applicant proposes parking the mobile cart in open and unused parking stalls while keeping available other currenity unused parking stalls for drive -up clients or employees. The following Tier 1 Temporary Use Permit is hereby approved and subject to the following conditions: CONDITIONS OF APPROVAL: 1 j A City of Renton Business license must be obtained prior to operation. 2) All requirements, standards, and permits required of the Seattle —King County Public Health Department must be met and approved prior to operation. 3) The mobile food vending unit, or Bistro Box, cannot stay at the location permanently and must move daily from the property between 12:00 am (midnight) and 5:00 am, except for a special event where the unit is allowed at the some location for up to 72 hours. 4 j The site occupied by the temporary use shall be left free of debris, litter, or other evidence of the temporary use upon completion of removal of the use or when the operation of the use ceases to exist. 5) The site occupied by the temporary use shall be restored to the original condition when the use ceases to exist including restoration of site elements such as, but not limited to, landscaping and parking stall striping. 6 124 r C.E. "Chip" Vincent, Planning Director Date Planning Division APPEALS: Appeals of permit issuance must be filed with the City of Renton Hearing Examiner by 5:00 p.m. on November 10, 2010. Appeals must be filed in writing, together with the required fee to the City of Renton Hearing Examiner, City of Renton, 1055 South Grady Way, Renton, WA 98057. City of Renton Municipal Code Section 4-8-110 governs appeals to the Hearing Examiner. Additional information regarding the appeal process may be obtained from the Renton City Clerk's Office, (425) 430-6510. :� �- To: The City of Renton iIVJSipnrT This letter is to inform the city of Renton that the owner of the pro ] 618 Park Avenue N., Renton has given permission for the Bistro Box to park at the southeast corner of the property during lunch-time. The Bistro Box is moved to an off-site storage daily and the property will be left as we found it. Sincerely, w' - �� �} ",} � �� �` � ��y �y r; oV ('9urc,�, 106-If06-62o'& DEPARTMENT OF CON,...UNITY city of AND ECONOMIC DEVELOPMENT-- [ PLANNING DIVISION TIER 1- TEMPORARY USE PERMIT DATE OF PERMIT ISSUANCE: October 8, 2010 LAND USE ACTION FILE NO.: LUA10-073, TP PROJECT NAME: BISTRO BOX: MOBILE FOOD VENDOR Temporary Use Permit PROJECT MANAGER: KRIS SORENSEN, Assistant Planner OWNER: CAMIE NG / N&C INVESTMENT LLC 7432 SE 27TH ST MERCER ISLAND, WA 98040 APPLICANT: BARB PAGARIGAN - BISTRO BOX 863 PIERCE AVE NE RENTON, WA 98056 CONTACT (if other than Owner): BARB PAGARIGAN - BISTRO BOX, #(206) 406-6202 PROJECT LOCATION: 215 MAIN AVE S, RENTON WA 98057 DATE OF EXPIRATION: October 9, 2011 PROJECT DESCRIPTION: The applicant proposes to locate a mobile cart at vacant property currently used as parking lot. The vending unit is pulled by a van or truck and would be set-up to offer walk-up food service. The parking lot area is one of three properties in common ownership that includes the lot to the north where Jet City Espresso is located. Food service will be generally provided daily between the hours of 6:30am and 2:00pm. Parking for clients will be provided at the same location and vehicular ingress and egress to the site is provided from Main Avenue South. The following Tier 1 Temporary Use Permit is hereby approved and subject to the following conditions: CONDITIONS OF APPROVAL: 1) A City of Renton Business license must be obtained prior to operation. City of Renton Department of L. munity & Economic Development A-....nistrotive Temporary Use Permit BISTRO Box. MOBILE FOOD VENDOR Temporary Use Permit LUA10-073, TP DATE OF PERMIT: October 8, 2010 Page 2 of 2 2) All requirements, standards, and permits required of the Seattle — King County Public Health Department must be met and approved prior to operation. 3) The mobile food vending unit, or Bistro Box, cannot stay at the location permanently and must move daily from the property between 12:00cm (midnight) and 5:00am, except for a special event where the unit is allowed at the same location for up to 72 hours. 4) The site occupied by the temporary use shall be left free of debris, litter, or other evidence of the temporary use upon completion of removal of the use or when the operation of the use ceases to exist. 5) The site occupied by the temporary use shall be restored to the original condition when the use ceases to exist including restoration of site elements such as, but not limited to, landscaping and parking stall striping. C .—g 0 10 C.E, "Chip" Vincent, Planning Director Date Planning Division APPEALS: Appeals of permit issuance must be filed with the City of Renton Hearing Examiner by 5:00 p.m. on October 22, 2010. Appeals must be filed in writing, together with the required fee to the City of Renton Hearing Examiner, City of Renton, 1055 South Grady Way, Renton, WA 98057. City of Renton Municipal Code Section 4-8-110 governs appeals to the Hearing Examiner. Additional information regarding the appeal process may be obtained from the Renton City Clerk's Office, (425) 430-6510. Service Request: SR10-2073 Inspector. Darren Wilson SR Opened: 09/30/2010 Next Contact With Requestor: Address I Location of Inquiry: 207 MAIN AVE S REN Description: BL #33165 THE BISTRO BOX Omer-lMalinvam VkAyAw 100prilpatlow 1, 111111domaw" Name: N& C INVESTMENT L L C Name: Name: Compny: Compny: Address: 7432 SE 27TH ST Address: Address: MERCER ISLAND WA Phonel: Phonel: Phonel: Email: Email: Email: City of Renton LAND USE PERMIT MASTER APPLICATION PROJECT INFORMATION PROJECT OR DEVELOPMENT NAME: o —6-:s-62:2 PROJECTIADDRESS(S)ILOCATION AND ZIP CODE: C . KING COUNTY ASSESSOR'S ACCOUNT NUMBER(S): � 2 31501 z yo EXISTING LAND USE(S): �� 11a LD PROPOSED LAND USE(S): lade EXISTING COMPREHENSIVE PLAN MAP DESIGNATION: w Cqi PROPOSED COMPREHENSIVE PLAN MAP DESIGNATION (if applicable): EXISTING ZONING: PROPOSED ZONING (if applicable): I� SITE AREA (in square feet): /1d9l�SIC SQU FOOTAGE OF PUBLIC ROADWAYS TO BE DICATED: S RE FOOTAGE 0 PRIVATE ACCESS EASEMENTS: PROPO D RES IDEI*T4ALt btt4S1lTY"IN UNITS PER NET A (if appRcablej 4' NU ER OF'PPOSED LOTS�if applicable): NU ER OF NEW DYyt WNq UNITS (if applicable): +ir V H:1FormslYlanninglenas[erapp.doc �� 0$107 P JECT INFORMATION (cont NUM 1P1R OF EXISTING DWELLING UNITS (if applicable): SQUAB FOOTAGE OF PROPOSED RESIDENTIAL BUILDI GS (if applicable): SQUA FOOTAGE OF EXISTING RESIDENTIAL BUIL GS TO REMAIN (if applicable): SQUARE FOOTAGE OF PROPOSED NON-RESIDENTIAL BUILDINGS (if applicable): SOU E FOOTAGE OF EXISTING NON-RESIDENTIAL BU GS TO REMAIN (if applicable): NET FLOOR AREA OF NON-RESIDENTIAL BUILDINGS (if ap licable): NU ER OF EMPLOYEES TO BE EMPLOYED BY THE N PROJECT (if applicable): PROJECT VALUE: IS THE SITE LOCATED IN ANY TYPE OF ENVIRONMENTALLY CRITICAL AREA, PLEASE INCLUDE SQUARE FOOTAGE (if applicable): ❑ AQUIFER PROTECTION AREA ONE ❑ AQUIFER PROTECTION AREA TWO ❑ FLOOD HAZARD AREA sq. ft. ❑ GEOLOGIC HAZARD sq. ft. ❑ HABITAT CONSERVATION sq. ft. ❑ SHORELINE STREAMS AND LAKES sq. ft. ❑ WETLANDS sq, ft. LEGAL DESCRIPTION OF PROPERTY Attach legal description on separate sheet with the following information included SITUATE IN THE QUARTER OF SECTION TOWNSHIP , RANGE_, IN THE CITY OF RENTON, KING COUNTY, WASHINGTON. TYPE OF APPLICATION & FEES List all land use applications being applied for: 1. Tewlp , V 11P 1Yl] 3. 2. 4. Staff will calculate applicable fees and postage: $ 5, 0 D AFFIDAVIT OF OWNERSHIP I, (Print Name/s) declare that I am (please check one) _ the current owner of the property involved in this application or the authorized represeall1tive td act for a corporation (please attach proof of authorization) and that the foregoing statements and answers her contained and the information herewith are in all respects true and correct to the best of my knowledge and belief. (Signature of Qwn Represent, ive) (Signature of *aanwNU� _ s a�MF r ,i 5entai rf4r 1 DF f f tf fiN I certify that I know or have satisfactory evidence that 'RiT r rci 117ctra r i qi q=[er) signed this instrument and acknowledged it to be his/her/their free and voluntary act4or the uses and purposes mentioned in the instrument. Notary Public in and for the State of Washington Cc pun-� o' kC ts� Notary (Print)VA . A . 6-f-rtr] My appointment expires:_ H: TornsTLwn►inglmasteWp.doc - 2 - 0$107 APPLICATION FQR Cny OF RENTDN FILL OUT THIS FORM COMPLETELY BI s[NE$S L1Cmit (INCOMPLETE APPLICATIONS WILL NOT BE PROCESSED) CVMMRCIAL OuT DF crry ausuwsm comPLLrrj1 rAcwr PAGB, ONLY Business CANNOT operate until the application has been approved GENERAL BUSINESS LICENSE lbequkvd: Every business awprise, including those with a temporary or portable sales location, shell &g obtain, iiom the Fiscal Services Division, a general business lk&w for the cu nwt calendar year or unexpired portion duxwf The license shall be nontransfomble. Reber we Remm Mu+ueW Code 71fk 5 Chavkr 5. a!", mrr _ ■ rt � i►.i r1rof RAW Mailing Address ❑ (Please check if wane as above) Have you previously had a Renton Business License?� Is your business door-to-door solicitationtpeddler? b?_ (If so, please stop and complete a Peddler Permit Form) Ane you a non-profit entity? If sq p1mw mmde Fa=501(c)(3) Date Business is Expected to Open in Reston: 10 -VA A -1 t� Eln cy-Name & TelephoVe Number (other than owner) Batsimn License Fees: WA State USI#: Contractors, plumbers, electricians, etc. please complete State Contractor's Lic. No. Address where work to be performed 1. Total hours estimated for 1 full year from date business is to open (titin includes all hours, including owners hours) S im .m 2. FTE Calculation: Line I divided by 1,928 j , L!,6 3. FEE Calculation: Line 2 x $55.00 $q - 4. 14 Mourn Dees (if lido 3 is below $55.00, please pay the minimum $55.00) $ 55.00 5. Business License Fee: Greater of Line 4 or Liao 5: S 14 14 12AQ I hereby certify that the statements and information fi nlished by me on this application are true and complete, to the best of lily knowledge. I acknowledge that the statements and information famished by me on this application are public records and are available for public inspection pursuant to State of Washigton RCW 47-17-268. Print Nam: Title: ReWrit Completed Application with City of Renton License Division Phone. 425-430-6851 payment toe 1055 South Grady Way Fax: 425430-6983 Renton, WA 98057 � ONLFFICE(, I � •, LJt a s 1?-0e-jC) 7 D WyGOI 5 Amount How Paid Date SIC NAIC.S Parcel IDN Application # DUF[Sbi-M 12109 BUSINESS LICENSE QUEMONNAIRE City of Reston, Lashirrgton YES NO ❑ ❑ WILL THE APPEARANCE: OF YOUR BLfSiNB.Y4 BE CHANGED BY ANY OF THE FOU LOWING: ❑ 1� a) exterior display ❑ V b) exterior building alteration ❑ c) additional parking ❑ d) exterior storage ❑ e) interior remodel or alteration WILL YOUR BUSIIVIESS: ❑ ❑ a) bave Signa ❑ ❑ b) describe the sigh type and size (1) Chemical (2) Amount: (3) purpose c IIF YOU HAVE ANSWERED YES TO ANY ,% ` f l PLEASE E7E?LAIN IN DETAIL BELOW (USE AIIDITIONAL SIi>rFM IF NE ED): 8U8ejMREQUMEMKrrrs: ��', f C ,QJ ''h,,tt �Ft2�' I ;nC�LACW NM* Restaurant and Food handlers are req 'cued to submit a copy of their Health Department Certificate with their City of Renton Business Llcensa Application. (WAC 246-217) NOSE: Portable fire extinguishers mast be provided, 2A-1 OBC minimum size. Exact number and placenwat details can be obtained from Fire Pte on. Annual service required. NOTE: Annual inspections will be conducted by the City's Fire Department, per adopted City Ordimuces. Nom Prior to commencing your buskess, you may be required to meet with Fire andfor the Building Depadment and the Water Utility to determine whether your business. will moot all applicable City codes for the type of business proposed. NOTE: Permits may be required from Fire and/or the Building Department and the Water Utility for your proposed use, operation or remodeling. ❑ c) be a mobile vendor ❑ 1� d) be a temporary sales location a) Square footage of the business? b) Oompant load of business premises: Over 49 persons requires dW a OCCUPANT LOAD sign be posted and a Permit be obtained from /felon Fire & Emergency Services, Please indicate number of parsons on the business premises: ❑ c) B the promise protected by a fire alarm? (If yrs) Name of Fire Alarm Company d) Name of Central Monitoring Company ❑ e) Is the premise protected by a sprinkler system? 4-y- ❑ f) Will your business use flammable andfor combustible liquids or od xw hazardous materials If yes, provide the following i"fonnation. (Quaff ad*aonW pagx jtowe apace u : (1) Chemical (2) Amount: (3) purpose c IIF YOU HAVE ANSWERED YES TO ANY ,% ` f l PLEASE E7E?LAIN IN DETAIL BELOW (USE AIIDITIONAL SIi>rFM IF NE ED): 8U8ejMREQUMEMKrrrs: ��', f C ,QJ ''h,,tt �Ft2�' I ;nC�LACW NM* Restaurant and Food handlers are req 'cued to submit a copy of their Health Department Certificate with their City of Renton Business Llcensa Application. (WAC 246-217) NOSE: Portable fire extinguishers mast be provided, 2A-1 OBC minimum size. Exact number and placenwat details can be obtained from Fire Pte on. Annual service required. NOTE: Annual inspections will be conducted by the City's Fire Department, per adopted City Ordimuces. Nom Prior to commencing your buskess, you may be required to meet with Fire andfor the Building Depadment and the Water Utility to determine whether your business. will moot all applicable City codes for the type of business proposed. NOTE: Permits may be required from Fire and/or the Building Department and the Water Utility for your proposed use, operation or remodeling. To: The City of Renton This leer is to inform the city of Renton that the Bistro Box (owned by Floyd & Barbara. Pagarigan) has signed a lease and has permission to set up business on our property at: 207 Win Ave S Renton- 980057 Sincerely, r Property Owner Cr. M -i -f— "Food Establishment Inspection Report Form B -) t)q 10 9 Public -Health �•� Seattle & King Coanty Lg�snese Namw _ Operator: Page of rJ 4 'R'O A-r� cc,t LlA �,] I Address City IP Seeta I Checkouts Phone: 4H i55- Fit General Heai h Record ID PIE Date Time In Office Time A IMtyTime R Q l CSS m m m Item i i_oation Tenhp (1) item I Location Temp {°F1 TIraveiTime m 5 811 128©Scheduled 129❑ReiMrn 126❑FId PI Rvw 1300Complaint 13311Ilinew / Inj. 134❑Inv. 136FieldFeEd EdBuc. Results 01 ❑ Sa6s#act 02 ❑ ct. 04 Qifhcomplele Action 04Q S end ,a r O Pyr T r' pr i11060HACOP NTPO U tom) GEl ir C eek`) �u-`' his Nwnba YlolrtEona chd In this arm must ba corroded with the tkne hnne spelled. Points // l7�{' j 11rJG '' ( ' 1D �L {�L 10 ❑ Disapprvld Trans Fat 7130 11 May M 50040 El Feb 2009 ft Nutrltlan Labeling 7220 ©Mertu 7230 D Menu Bd 240L] P1 of Orde 77250 ❑ Statement 7260❑Ae+riew _ to i pr G : — C G'' LS5p4Z� +G1 V]C> ` c " 1 M ZPST' L~ -T = "K�- (ii�� f' GQ' t• a� �{, L, ,fes P G kX ' w 0 ..i r�r, CAZ)k-> ?1P X47 Peecow PdMa GTM4 Ur vM.�, . , Z w 3 N ki eflre f�oimx BMW on an Chit d* the ebohre are violgom. whkh mist be kro=*ad in the time spfrc W by the heatfh officer. A lood edabhshmenl permit fray be suspended wbm t wem ft notice of toWrq R the ngWremeets of in food We sa for directives 01 the h" officer are riot met or M VIOMorhs are not Gormcled in the time Shied In this report. The permit wiD the sueperded tt an inr ium hazard exists or two are go or maro fad aftW p* is or if There on 120 or more falai pni ILThe heaAh of w xitl provide an 4pperwurdly bran appeal on the validhy of a vjgo*en offt frrhdings of an irhl wdm report if a written requaet is fkd with the hub officer wiRet too (10) days of the Suspension or inepectionifw fift of an eppeai does not stay the evectivane" of a wspereioht,The compiefed hhspactlon form is a PMO doamrenttnat moray be made rZrailabte b any person who rs**ft R under the pmoldon d t+he Public DIWasm Act (42.17260 ow Pbirhts Palm in a" (Mated flares} C ti i � �. (.� 1 � � � ro nay (wimed tVarne}i (Sig fur } i U�� s CITY OF RENTON Tier 1 Temporary Use Permit Application R E C E I V E D OCT 04 2010 1). The Bistro Box — Gourmet Mobile Food BUILDING DIVISION 2). Proposed location license located on 207 Main Ave S. Food Service operations will commence during the hours of 6:30 am to 2:00 pm. At the end of business the trailer will be moved and stored at East Valley RV on East Valley highway in Renton. 3). Maps included — 2 proposals Diagram 1 - our first choice Diagram 2 — our second choice 4). See map 5). Available property owned by N & C investment LLC (leaser) includes: 7231501245 - 12,000 square feet (207 Main Ave. S.) 7231501240 --- 6000 square feet (215 Main Ave. S.) 7231501235 — 5750 square feet (217 Main Ave. S.) Total square feet - 23,750 Not included, but available: 7231501230 —Additional 5750 square feet (219 Main Ave. S.) use for parking if necessary. 6). Structures: a) Building — 25' x 75' Small Covered Structured — 20' x 30' Large Covered Structured — 55' x 22' b) Gourmet mobile set up 40' x 12' including awning and space for line c) See map/diagram d) Refuse area -- see map/diagram e) Parking spaces — minimum 36 7). Identify and/or dimension all" a) Existing business — Jet City Espresso b) All other dimensions -- see map/diagram N 4C . zL�-S C ui 1S )C I��CC,T "' I , r � - .rl - L4 cp fir+ I 12 food Establishment Ins,-.ction Report >- Foam B - ti _ ;-°g Public_ Health Seattle S King County usiness Name: Operator: Page of Ad ress City ZIP Seats J Checkouts Phone: miL �j:al Meaith Record ID PIE Date Time In Office Time Activity Time Travel Time I_ � _ Cj k c3 : m m :arm m TEMPERATURE OBSERVATIONS Item 1 Location Temp (°F) Item 1 LocationTemp {°F) Service 28 [, SCiteduled 129DReturn PI Rvw }126❑ # v" �) � 5 W Y y v [N-61"') Fld 130 ❑ Complaint 133 C Illness I Ini. �. _ � � ��� �„ ✓krG (,. C 1"1 � �f t-• '( 134❑Permit Inv. 136 ❑ Field Educ. j^�G C Pt r i -� [. �.�1�-J•-�" ` T3tu a tJG 4 �erat, 106 ❑ HACCP n,.�— r - i l �2-`-i •�CCi 1`^. 1-- OBSERVATIONS and CORRECTION' Item Number t Violations cited in this area must be corrected with the time frame specified. Points Results 01 ❑ Satisfact ❑ Incomplete _, v ��" 16- 04 G Action r�'J°L, .� -0 Ll_ro 04 F-1Suspend Tl l_k Jlta, L�E 10 ❑ Disapprvd T ` �(�' l i Lj 26 ❑ FoVup Rq'd Trans Fat 7130❑May 2008 9 1 40D Feb 2009 150❑Docum is 1 .1�t..iy� 1 { F.�•t ' 1!l. r� r+�- '(~���it 1 f 1! r•^� L'.� ��-i`--'U��_ Nutrition 5R-2.;, .n= E �. V E j ' tic.- �-k' :' {� '� c Phi' — T = Labeling 9 7200 ❑ Applies 7220 LJ Menu 7230 Menu Bd }HCl -IC 1 JC ✓ ' ti a l ' � ` .� f �,�' ,; ;ter`_ 72400 PI ot f 7250 ❑ Statement f_. j 3U �. ...`; L. 7260 ❑ Review Red Critical Points mme �T� 1J,V t t 1 Blue Points Based on an in Sion this day, the above/ems are violations, which must be corrected in the time specified by the health officer. A food establishment permit may be suspended without warning, notice or hearing if the requirements of the food code and/or directives of the health officer are not met or if violations are not corrected in the time stated in this report. The permit will be suspended if an imminent hazard exists or there are RD or more red critical points or if there are 120 or more total points. The health officer will provide an opportunity for an appeal on the validity of a suspension or the findings of an inspection report if a written request is filed with the health officer within ten (14) days of the suspension or inspection -The filing of an appeal does not stay rhe effectiveness of a suspension. The completed inspection form is a public document that must be made itailable to any person who requests h under the provision of the Public Disclosure Act (42.17.260 RCW). Total Points Person in Charge 1 (signature (Printed Name)}�. �',� ' Regulatory Au _, (Sig alur } (Printed Name) (/ , `f I �� , ; Printed: 10-08-2010 Payment Made CITY OF RENTON 1055 S. Grady Way Renton, WA 98055 Land Use Actions RECEIPT Permit#: LUA10-073 10/08/2010 02:03 PM Total Payment: 75.00 Current Payment Made to the Following Items: Receipt Number: Payee: BISTRO BOK Trans Account Code Description Amount --------------------------------------------------------------------------- 5021 000.000000.007.345 Temp Use, Hobbyk, Fence 75.00 Payments made for this receipt Trans Method Description Amount ---------- -------- --------------------------- --------------- Payment Check ##5040 75.00 Account Balances Trans Account Code Description Balance Due ------ 3021 ------------------ 303.000000.020.345 --------------------------------- Park Mitigation Fee ____------------ .00 5006 000.000000.007.345 Annexation Fees .00 5007 000.000000.011.345 Appeals/Waivers .00 5008 000.000000.007.345 Binding Site/Short Plat .00 5009 000.000000.007.345 Conditional. Use Fees .00 5010 000.000000.007.345 Environmental Review .00 5011 000.000000.007.345 Prelim/Tentative Plat .00 5012 000.000000.007.345 Final Plat .00 5013 000.000000.007.345 PUD .00 5014 000.000000.007.345 Grading & Filling Fees .00 5015 000.000000.007.345 Lot line Adjustment .00 5016 000.000000.007.345 Mobile Home Parks .00 5017 000.000000.007.345 Rezone 00 5018 000.000000.007.345 Routine Vegetation Mgmt .00 5019 000.000000.007.345 Shoreline Subst Dev .00 5020 000.000000.007.345 Site Plan Approval 00 5021 000.000000.007.345 Temp Use, Hobbyk, Fence .00 5022 000.000000.007.345 Variance Fees .00 5024 000.000000.007.345 Conditional Approval Fee .00 5036 000.000000.007.345 Comprehensive Plan Amend .00 5909 000.000000.002.341 Booklets/EIS/Copies .00 5941 000.000000.007.341 Maps (Taxable) .00 5954 650.237.00.00.0000 DO NOT USE - USE 3954 .00 5955 000.05.519.90.42.1 Postage .00 5998 000.000000.000.231 Tax .00 Remaining Balance Due: $0.00 R1004482