Health Approval

New Food Facility Intake Form

Submit your facility details below and we'll coordinate the Environmental Health plan check and permit approval process on your behalf.

✅ Your intake has been submitted! A member of our team will be in touch within 1 business day.

Contact Information

Contract Signatory *

Business / Entity Name *

Contact Email *

Phone Number *

Facility Details

Facility Address *

Jurisdiction / County Health Dept *

Type of Food Facility *

Square Footage *

Seating Capacity (if applicable)

APN (Assessor's Parcel Number)

Desired Opening / Start Date *

Scope of Work

Services Required *

New Food Facility Plan Check Change of Ownership / New Owner Application Remodel / TI with Health Resubmittal Equipment Change or Addition Grease Interceptor / Hood Ventilation Review Temporary Food Facility Permit Health Inspection Coordination

Is this a new build-out or an existing space? *

New Build-Out Existing Space — No Construction Existing Space — With Remodel / TI Change of Ownership — No Changes

Has a building permit already been pulled for this space?

Yes No In Progress Not Required

Food Operations

Type of Food Handling *

Cooking on-site Prepackaged food only Raw meat / seafood preparation Alcohol service Catering / off-site prep Drive-through / walk-up window

Are architectural/kitchen layout plans already prepared?

Yes — Ready to Submit In Progress No — Need Drafting Assistance

Additional Information

Project Valuation (approximate construction cost)

Additional Notes / Special Circumstances