Snohomish Health District.pdf/ t yl t III
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I January 24,2013
Judy Wood
Practice Manager
Premier Orthopedic Group
21401 72 d Ave West
Edmonds, WA 98026
Environmental Health Division
Subject: Proposed Premier Orthopedic Group, 21401 72nd Ave West, Edmonds
Dear Ms. Wood:
RECEIVED
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Your plans have been reviewed with the Rules and Regulations of the State Board of Health, and with
the policies of the Snohomish Health District. With the addition of the following conditions, the plans
are approved.
1. The conditional approval of the plans for Premier Orthopedic Group was based upon the
floor plans submitted January 16, 2013, the cart plans submitted October 31, 2012 and the
menu and HACCP submitted October 31, 2012. Any changes to the floor plans submitted
January 16, 2013, the cart plans submitted October 31, 2012 and the menu and HACCP
submitted October 31, 2012 without preapproval from the Health District will void this
approval.
2. The Health District operating permit application process must be completed prior to opening for
business. This facility will be classified as a low risk food establishment with 0-12 seats.
3. The three -compartment sinks must have integral drainboards at both ends.
4. An indirect waste drain (an air gap) is required for the three -compartment sink, espresso machine,
and any equipment in which food or food contact equipment is placed.
5. The sink and espresso machine on the cart must both be connected to a plumbed waterline and be
provided with drains to the sewer system. Use of fresh and wastewater tanks on the cart will not be
allowed for this establishment.
6. A horizontal separation of at least 16 inches or a vertical partition 16 inches in height is required
between the handwash sink and the three -compartment sink.
7. A horizontal separation of at least 16 inches or a vertical partition 16 inches in height is required
between the three -compartment sink and food preparation areas.
8. When splashguards (equipment, partitions and/or walls) are provided on both sides of a handwash
sink the distance between the splashguards must be at least 18 inches apart (shoulder width) to
allow proper access to the handwash sink.
9. It cannot be determined from the floor plan or information submitted whether or not a chemical
dispensing system will be installed at the mop sink. Please note that the use of screw -on type 'wye'
adaptors at the mop sink faucet for use with chemical dispensing systems is prohibited. Additionally
chemical dispensers cannot be connected to the mop sink faucet. The chemical dispenser must
have a separate water connection.
10. Water heaters must be of sufficient size to provide hot water to dishwasher and/or scullery sinks
and at the same time provide hot water to all handwash sinks.
3020 Rucker Avenue, Suite 104 IN Everett, WA 98201-3900 M tel: 425.339.5250 w fax: 425.339.5254
Subject: Proposed Premier Orthopedic Group, 21401 72 d Ave West, Edmonds
January 24, 2013
Page 2
11. Hot water must be available to all handwash sinks within 15 seconds. The hot water for the facility
must not be used, at any plumbing fixture, for a minimum of 6 hours prior to the preoperational
inspection. This is required so that proper testing of the 15 -second time requirement for hot water
availability can be completed.
12. All food service equipment, both new and used, must be listed by the National Sanitation
Foundation (NSF) or equivalent for its intended use. Used and new refrigeration must be capable of
holding food at temperature of 41 OF or below.
13. Used equipment is subject to onsite inspection to determine acceptability for use in the proposed
food service establishment. Used equipment must be clean, in proper operating condition, and in
good repair. Used refrigeration must be capable of holding at a temperature of 41°F or below.
14. All food service equipment must be listed by the National Sanitation Foundation (NSF) or
equivalent for its intended use. The Summit refrigerator, Model #131605, was not found in the current
NSF or equivalent listings. This equipment must be replaced with NSF or equivalent listed
equipment or documentation must be submitted which demonstrates NSF equivalency.
Manufacturer names and model numbers for replacement equipment or equipment documentation
must be submitted prior to the request for a preoperational inspection. Originally submitted
manufacturer names and model numbers should be rechecked to assure the information submitted
is accurate. Based upon the information found on the company website, the Summit refrigerator,
Model #131605, is a domestic (home -style) refrigerator. Domestic refrigeration is not allowed in a
food establishment.
15. Extra wall protection is required on walls behind all sinks, including restroom handwash sinks, and
food preparation counters and tables. A 16 -inch high backsplash of plastic laminate, fiberglass -
reinforced plastic or equal is acceptable. A backsplash higher than 16 inches is required on the wall
behind counter top equipment taller than 16 inches. Wall protection behind mop sinks must cover
the entire splash zone. Plastic coated hardboard is not acceptable.
16. Based upon the information submitted, carpet is proposed as the flooring surface. Installation of
carpet in food preparation, dishwashing, storage, and mop sink areas is not allowed. All floors in the
kitchen, food preparation, food service, food storage, and dishwashing areas must be surfaced with
a durable, nonabsorbent, easily cleanable material. Expansion joints, seams, saw cuts and the like
in concrete floors in all areas, including customer seating areas, must be filled and sealed so as to
provide a smooth and cleanable surface.
17. The ceiling above the food preparation areas must be non -perforated, nonabsorbent, smooth and
easily cleanable.
18. Cabinet shelving must be nonabsorbent, smooth and easily cleanable. (Self stick vinyl or other type
surfaces are not acceptable)
19. All light fixtures in food preparation and storage areas must be provided with covers and
shatterproof bulbs.
20. Plumbing must meet state and local codes.
21. The ventilation system shall be installed and operated to meet applicable building, mechanical, and
fire codes.
22. Due to the refrigeration limitation of this facility, no increase in menu items will be allowed without
the installation of additional refrigeration and preapproval from the Health District. The amount of
and location of the additional refrigeration must be approved prior to installation.
23. If during routine inspections it is found that the current amount of refrigeration is inadequate for the
refrigerated storage needs of the facility, then the number of menu items must be reduced to a level
Subject: Proposed Premier Orthopedic Group, 21401 72nd Ave West, Edmonds
January 24, 2013
Page 3
acceptable -for the facility's amount of refrigeration. The menu item reduction will remain in effect
until such time as additional refrigeration is installed and approved by the Health District,
24. The conditional plan approval for less than the minimum required 144 cubic feet of refrigeration is
based- upon the information submitted during the plan review process and is for the current facility
owner only and is not transferable with ownership changes.
A preoperational inspection is required prior to operating permit issuance and approval to open
for business: At the time of inspection the construction of the food service establishment must be
complete and all equipment must be in place and in proper operating condition. Incomplete construction
or equipment operation will result in a $168.00 re -inspection fee. Contact the Food Program office a
minimum of one week in advance of the desired inspection date to schedule an appointment for
the preoperational inspection. The preoperational inspection will ensure compliance with the Rules
and Regulations of the State Board of Health for Food Service Sanitation.
Changes or additions to the approved plans or equipment require pre -approval from the Snohomish
Health District prior to implementation of the changes.
Please contact me if you have any questions. My office number is 425.339.5250 and my email address
is rhoppa(a)-shohd.org.
Sincerely
Robert A. Hoppa,/R
Environmental Hoalth Specialist
Food Establishment Plan Review
RAH/mem
Enclosure: Food Establishment Operating Permit Application and Fee Schedule
cc: City of Edmonds Building Department
Brent French, RS, Environmental Health Specialist