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Home My WebLink AboutCommunity Wellness Project MOTION re: ApproveTemporary Food Service Fees -110722JEFFERSON COUNTY BOARD OF COUNTY COMMISSIONERS AGENDA REQUEST TO: Board of County Commissioners Mark McCauley, County Administrator FROM: Alisa Hasbrouck, Environmental Public Health Manager Veronica Shaw, Deputy Director of Public Health DATE: November 7, 2022 SUBJECT: MOTION: Approve Community Wellness Project's Request for 25% Reduction in Temporary Food Service Fees STATEMENT OF ISSUE: Jefferson County Public Health, Environmental Health Division, requests Board approval of Community Wellness Project's Request for 25% Reduction in Temporary Food Service Fees. ANALYSIS: Community Wellness Project has requested a 25% reduction of their temporary food service permit fee. According to the 2022 Environmental Health fee schedule, non-profit 501(c)(3) organizations may receive a 25% reduction in their permit fee with a BOH resolution if backfilled with General Funds. BOCC Policy 74-95 requires a resolution for fee waivers. Jefferson County Public Health currently has adequate General Fund dollars in the Environmental Public Health budget to cover this small amount. FISCAL IMPACT: The total amount of Community Wellness Project's temporary food service permit fee is $149.00, the amount of the 25% fee reduction is $37.25• RECOMMENDATION: MOTION: Public Health requests that the Board of Commissioners approve a motion to approve Community Wellness Project's request for 25% reduction in temporary food service fees. REVIEWED BY: i Mark McCauley, CffyAdmin-istrator Date APPROVED by the Board of I County Commissioners - J - 1/7 /LZ Heidi Eisenhour, Chair Date For Office Use: Email: foodsafety@co.jefferson.wa.us Date Rec'd Am - ' - C!U 1 Checktl Receipt# �ZL7 _. (�'2{Gt?( Website: www.jeffersrn�� ty3�+d�1 --- _ Public Health Tel: 360.385.9444 Fax360.379.4487 Permit#Z I(o CategoryM. V Comments: Request for 25% Reduction in Temporary Food Service Fees Qualifying 501(c)(3) organizations may request a 25% reduction in temporary food service fees. Requests will be considered by the Board of County Commissioners (BOCC). It may take up to two months to process a request. County general funds must be available to reimburse Environmental Public Health for all fee reductions, for the reduction to be given. The purpose of the organization mush be charitable, religious, educational, scientific, literary, test for public safety, foster national or international amateur sports competition, or to prevent cruelty to animals. The term charitable is used in its generally accepted legal sense and includes relief of the poor, the distressed, or the underprivileged; advancement of religion; advancement of education or science; erecting or maintaining public buildings, monuments, or works; lessening the burdens of government; lessening neighborhood tensions; eliminating prejudice and discrimination; defending human and civil rights secured by law; and combating community deterioration and juvenile delinquency. RECi1cTHW C�% Phone f No: _.3 G,)-�C1 654� 1 JEFFERSONCOUNTY�� ERUMMENTAL PUBLIC HEALTH Name of Organization Address IRS EIN (Tax ID) M O iin 61i A N, $Ox ZV I 2_0 -j4i1lb(pYq r Contact Person:-wrd2.w Purpose of ( �(CL 2 1. Organization: 1ti h�U II &mA Jl a tdVV`IIi�S Tn (fieV5 C3,/)-vAJJ, LAI & Attach Temporary Food Service Permit application ❑ Attach your organization's IRS Exemption Determination Letter as proof of non-profit status I attest that the organization named above meets the criteria above, and I am requesting a 25% reduction in temporary food service fees for the event(s) indicated on the attached permit application. Signature, Applicant BOCC Approval: Signature, Chair of BOCC Date Date fC)I/DIZZ 9 6 ; Public Health 615 Sheridan Street Port Townsend, WA 98368 wv,/w,JeftersonCOLintyPLiblicHealth.org Temporary Food Service Establishment Permit To Operate Non -Transferable Name of Establishment: COMMUNITY WELLNESS PROJECT Event and Location Harvest Dinner @ Finnriver Farm and Cidery Owne or Operator STACEY LARSEN Permit : Class: Complex TFS2022-00167 # 1 1 Recurring? No Date/s of Event 10/19/2022 to 10/19/2022 Conditions of Approval 1.) Food Handlers must read. sign and post temporary food service rules in the booth or site of food service Located in the Iasi 3 pages of the application 2.) PERMIf ONLY VALID 1:014 THE DATE (IS) OF 1:VI.,_Nr 3.) Food Service Permit must be posted at facility, in booth or site of food service. 4.) Potentially Hazardous Food must be either cold -held at 41 degrees or less or hot -held at 136 degrees or higher. Use temperature control or time/temperature log. If time/temperature log is used, discard food after 4 hours. 5.) Menu limited: Beef stew, quinoa stew, biscuits, cornbread, salad The above noted parties are hereby granted a permit to operate a food establishment at the event and location for the period identified above in Jefferson County, Washington . This permit may be suspended or revoked by the Jefferson County Health Officer or their designee. The above noted parties agree to comply with Jefferson County Code, Chapter 8.05, Food Service Sanitation and Chapter 246-216 WAC, Rules and Regulations of the State Board of Health, Food Service. Further, the noted parties agree to all conditions of this permit. Changes to the operation, facility or menu require prior written approval from the Jefferson County Environmental Public Health Department. Dr. Allison Berry, MD, MPH Pinky Mingo Jefferson County Health Officer Jefferson County Environmental Health Director COMMUNITY HEALTH DEVELOPMENTAL DISABILITIES PUBLIC HEALTH ENVIRONMENTAL PUBLIC HEALTH WATER QUALITY MAIN: (360) 385-9400 ALWAYS WORKING FOR A SAFER AND MAIN: (360) 385-9444 FAX: (360) 385-9401 HEALTHIER COMMUNITY FAX: (360) 379-4487 10/10/2022 \\tidemark\data\forms\F_TFS_Permit. Emily Cecere From: noreply@civicplus.com Sent: Saturday, October 8, 2022 12:09 PM To: Pinky Mingo; Mina Kwansa; Shirley Reynolds; Alisa Hasbrouck; Emily Cecere Subject: Online Form Submittal: 2022 Temporary Food Service Application --Jefferson County Public Health ALERT: BE CAUTIOUS This email originated outside the organization. Do not open attachments or click on links if you are not expecting them. 2022 Temporary Food Service Application --Jefferson County Public Health For Office Use Date Rec'd: 0 l 047 2- Receipt # �222 3�51 �f Amt. No?, 0V Check # CX607 r— Permit # JFS ZO E2 - 00-1 V-1 Category & Vl v ----..RONM1 MAL PUBLIC HEALTH Comments: S17, (�-eot CREATE AN ACCOUNT OR SIGN IN TO CIVIC PLUS TO BE ABLE TO SAVE PROGRESS. FORMS THAT TIME OUT WILL NOT BE SAVED. Temporary Food Service: Application Answer the following I will be cooking/heating foods at my commissary, and placing questions to determine them in refrigeration or in ice to cool down (soup, chili made what type of permit you from scratch, chowder) need: Business Information Business Name Community Wellness Project-- Mailing Address P.O. Box314____. Email info@jccwp.org Person in Charge Stacey Larsen Phone Number 360-821-9658 ood Handler Card Info: Stacey Larsen' Name (� Food Handler Card Info: 9/9/2025`� [ Exp: Permit Type (Choose only 1 permit type below) Limited Risk and Exempt Limited Risk and Exern t Foods List (PDF) Foods: What is Your Temporary Temporary Food Establishment's Risk Level Food Establishment's Risk Level? Low Risk I VED Low Risk Permit Types Field not completed �' T ' 0 2022 Medium Risk Food Foods to be prepared and' held hot or cold JEfEERSON COUNTY ENVIRONMENTAL PUBLIC HEALTH Medium Risk Food Permit Field not completed. Types High Risk Food cooked or served from raw animal products or required advanced cooking and cooling in an approved kitchen High Risk Food Permit Types $149.00 Single Event Demonstrator Demonstrator Permit Type Field not completed. Late Fees Apply if we do not receive Field not completed your application within 10 calendar days of the event Permit Exempt Items limited to specific foods Permit Exempt Field not completed. 2 Qualifying 501(c)(3) organizations may request a 25% reduction in temporary food servrice fees. Requests will be considered by the Board of County Commissioners (BOCC). It may take up to two months to process a request. Fee Reduction Fee Reduction Request Form (PDF) Make checks payable to JCPH. You can also pay with credit and debit cards on our website. You can also mail in your payment to 615 Sheridan St., Port Townsend, WA, 98368. Event Information Event Name - - Harvest Dinner Event Date Event Time Event Location Event Coordinator Phone Number Email Water, Ice, and Wastewater Water Source Ice Source V/ October 19th 5 30-7:30 Finnriver Farm and Cidery > t/ Stacey Larsen 360-821-9658 slarsen01 @yahoo.com County County Wastewater Disposal County Food Preparation Procedures RECEIVED F-OCT 10 20z2 dEFFERSON COUNTY EWRONMENTAL PUBLIC HEALTH Example: Example: In the first example listed below, thawing chicken is the first preparation step used, so that box is given a "I ". Cutting or assembling the thawed chicken is the second preparation step used, so that box is given a "2". After the chicken is assembled, it is then portioned. The PortionlPackage is therefore given a "3". Numbers are used in succession until all food preparation steps for that menu item have been completed. Section A: At the Approved Kitchen (commissary kitchen) Where is the approved kitchen? Address When is the Approved Kitchen going to be used for Preparing Food? Commissary letter Submit Menu On site 124 Center Road, Chimacum WA 98325 October 18th and 19th CommesarV Letter.docx Harvest Dinner 1.docx Please fill out the information below with all food items, including beverages and condiments. MENU ITEM 1 Menu Item Quinoa Stew ... Thaw to 41°F or less Field not completed Cut/Assemble Step 1 RECEIVED Cook to Appropriate Step 2 Temperature F-JEFF-ERISON T 10 `IQCZ Cool to 41°F Within 6 Hours Field not completed. 000NTY ENVIRONMENTAL PUBLIC HEALTH Cold Holding 41°F or less Field not completed. Reheat to 165°F Field not completed. Hot Holding 135° or above Step 3 Portion/ Package Field not completed. Transport < 41'f="" Field not completed. o r=""> 135° F MENU ITEM 2 Menu Item Field not completed. Thaw to 41°F or less Field not completed. Cut/Assemble Field not completed. Cook to Appropriate Field not completed. Temperature 4 Cool to 41"F Within 6 Hours Field not completed. Cold Holding 41°F or less Field not completed. Reheat to 165°F Field not completed. Hot Holding 135° or above Field not completed. Portion/ Package Field not completed. Transport < 41"f="" Field not completed. or="">135"F MENU ITEM 3 Menu Item Beef Stew Thaw to 41°F or less Field not completed. Cut/Assemble Step 1 Cook to Appropriate Step 2 Temperature Cool to 41°F Within 6 Hours Step 3 Cold Holding 41°F or less Field not completed. Reheat to 1657 Step 4 Hot Holding 135° or above Step 5 Portion/ Package Field not completed. Transport < 41°f="" Field not completed or="">135°F MENU ITEM 4 Menu Item Salad Thaw to 41°F or less Field not completed. Cut/Assemble Step 1 Cook to Appropriate Field not completed. Temperature Cool to 417 Within 6 Hours Field not completed. Cold Holding 41"F or less Step 2 RECEI V OCT JEFFERSON COUNTY ENVIRONMENTAL PUBLIC HEAi.Thl 5 Reheat to 165°F Field not completed. Hot Holding 135" or above Field not completed. Portion/ Package Field not completed. Transport < 411="" Field not completed. or="">135°F MENU ITEM 5 Menu Item Biscuit Thaw to 41"F or less Field not completed. Cut/Assemble Step 1 Cook to Appropriate Step 2 Temperature Cool to 41°F Within 6 Hours Field not completed. Cold Holding 417 or less Field not completed. Reheat to 165°F Field not completed. Hot Holding 135' or above Field not completed. Portion/ Package Field not completed. Transport < 41"f="" Field not completed. or="">135°F For subsequent menu Field not completed. items, please use the extra space below: Section B: At the Booth MENU ITEM 1 Menu Item Field not completed. Thaw to 41°F or less Field not completed. Cut/ Assemble Field not completed. Cook to Appropriate Field not completed. Temperature Cold Holding 41°F or less Field not completed. 6 Hot Holding 135' or above Field not completed Reheat to 165"F Field not completed. Portion/ Package Field not completed. Other/ Serve Field not completed. MENU ITEM 2 Menu Item Field not completed. Thaw to 41'F or less Field not completed. Cut/ Assemble Field not completed. Cook to Appropriate Field not completed. Temperature Cold Holding 41°F or less Field not completed. Hot Holding 135° or above Field not completed. Reheat to 165"F Field not completed. Portion/ Package Field not completed. Other/ Serve Field not completed. MENU ITEM 3 Menu Item Field not completed. Thaw to 417 or less Field not completed. Cut/ Assemble Field not completed. Cook to Appropriate Field not completed. Temperature Cold Holding 41'F or less Field not completed. Hot Holding 135° or above Field not completed. Reheat to 1657 Field not completed. Portion/ Package Field not completed. Other/ Serve Field not completed. MENU ITEM 4 Menu Item Field not completed. Thaw to 41°F or less Field not completed. Cut/ Assemble Field not completed. Cook to Appropriate Field not completed. Temperature Cold Holding 41°F or less Field not completed. Hot Holding 135" or above Field not completed. • RECEIVED Reheat to 165°F Field not completed. OCT g 0 2022 Portion/ Package Field not completed. JEFFERSON COUNTY Other/ Serve Field not completed. ENVIRONMENTAL PUBLIC HEALTH MENU ITEM 5 Menu Item Field not completed. Thaw to 417 or less Field not completed. Cut/ Assemble Field not completed. Cook to Appropriate Field not completed. Temperature Cold Holding 41°F or less Field not completed. Hot Holding 135° or above Field not completed. Reheat to 165'F Field not completed Portion/ Package Field not completed. Other/ Serve Field not completed. For subsequent menu Field not completed. items, please use the extra space below: Food Preparation Equipment Equipment list: Identify equipment used in your temporary food establishment (check all boxes that apply). Hand wash Station Plumbed hand sink Required for Open Food 8 Cooking/Reheating Equipment Cold/Hot holding Equipment Floor and Overhead Coverage Floor and Overhead Coverage Additional Information: Sanitizing/Dishwashing Produce Washing Oven Refrigerator Floor Field not completed. ECEIJ ENtryROEFFEASG; t;Qt`" r1r`� 7Yr„� ""`—NMEhrTA�P fCHEALTH Bleach/sanitizer (1 tsp bleach/gallon of cold water) Produce washed and processed in an approved kitchen By signing below, I understand that issuance and retention of a permit to operate a Temporary Food Establishment will only include serving those items listed in this application and only for the event dates listed. Any change of person in charge, menu, or event dates, requires approval by the Environmental Health Department and may require resubmission of this application. All service will be in compliance with the Rules and Regulations of Washington State (WAC 246-215) and the Local Board of Health Ordinance Chapter 8.05 Jefferson County Code. Your temporary permit must be posted at each event. Failure to post your permit may result in revocation of the operating permit. Failure to obtain a valid TFS permit prior to event may result in the following: (a) immediate closure, and/or (b) submission of TFS application after event for review, (c) submission of TFS permit application fee (d) 50% of TFS permit application fee as a late fee. Print Name Stacey Larsent Signature i" Stacey Larsen Date 10/6/22 Email not displaying correctly? Visw it in your browser. Menu for 2022 Harvest Dinner Beef Stew Quinoa Stew Biscuits/Cornbread Salad g.ECEJVED OCT 10 zo22 JEFFERSON W#MENTAL PLWG T" Community Wellness Project will be using the kitchen at Finnriver Farm and Cidery to prepare the meal. I wanted to make sure the permit was submitted on time4 will contact Anderson the Kitchen manager and have him send you the letter right away that says we have permission to use the kitchen. Thanks so much. Stacey Larsen CWP Board Member RECEIVED OCT 10 2022 _..-_I JEFFERSON COUNTY ENVIRONMENTAL PUBLIC HEALTH 10/10/22, 7:36 AM Point & Pay - Create (` .tr Thank you for your payment! This service has been provided by Jefferson County Public Health, WA and Point & Pay. We value your business. Please keep this receipt for future reference. You have made a payment to Jefferson County Public Health, WA . Jefferson County Public Health thanks you for your payment. For questions about your septic system monitoring account, please call 360-385-9444. For other questions please call 360-385-9409. Name: Stacey Larsen Address: 2347 Sheridan St, Port Townsend WA, US, 98368 Contact: 3608219658 Comments: Payment ID: 122239514 Date: 10/08/22 12:19 PM Subtotal: $149.00 Fee: $5.00 Total: $154.00 Method: Credit Card(************4715) Item Purchased Transaction Account Amount Description Food Service Temporary Jefferson Co Pub Hit Single Event -Initial App. LP560 $149.00 Permits $149.00 Signature: Date: By signing this receipt you agree to the terms and conditions of this service. You will see one line item on your credit or debit card statement indicating the amount you paid and will be identified as Jefferson Co Pub Hlt . If you have any questions about the charges please call 1-888-891-6064. Piitit llet.e pt Close Window RFCV WED 0"T If 2022 iEFFERSON COUNTY ENV1RM'M;:NT�!. PUBLIC HEALTH https:/lagent.pointandpay.netlpointandpay_counterlviewReceipt.do?method=viewPaymentReceipt&orderld=l22239514&userNumber-0&userName=... 1 /1 COMMISSARY/WASTEWATER AGREEMENT LETTER Executed On. 10/10/22 State Of: Washington JCPH 615 Sheridan Street Port Townsend, WA 98368 Finnriver North LLC 124 Center Road Chimacum, WA 98325 [hereby referred to as FRN] Community Wellness Project [hereby referred to as CWP] RECEIVED O C T 10 2022 JEFFERSON COUNTY ENVIRONMENTAL PUBLIC HEALTH FRN hereby agrees, for the entire duration of their renewing food permit with the Jefferson County Department of Public Health, to allow CWP use of its commercially licensed kitchen for the storage and preparation of food items as it relates the operations of and for CWP. CWP will be given access as needed and agreed upon to sinks, cold and dry storage, and cooking area, and restroom facilities for employees and volunteers. CWP will also have access and permission to dispose of their gray water from their mobile operation via the mop sink in the commercial kitchen as needed. FRN commercial kitchen is licensed and in good standing with above listed Health Department. CWP agrees to keep all used areas clean and abide by all health department codes including but not limited to any requirements or restrictions FRN may require. Thank you and pl a feel free to contact me with any questions you may have. r r' Eric Jorgensen, Co- wner, Finnriver North LLC 360-821-1611 eric@frnnriver.com RESTROOM AGREEMENT LETTER Executed On: 10/10/22 JCPH 615 Shendan Street Port Townsend, wA 98368 Finnriver North LLC 124 Center Road Chimacum, WA 98325 [hereby referred to as FRN] Community Wellness Project [hereby referred to as CWP] State Of: Washington RECEIVTED OCT 10 2022 JEFFERSON COUNTY ENVIRONMENTAL PUBLIC HEALTH FRN hereby agrees, for the entire effective period of their event service permit through the Jefferson County Dept of Public Health, to allow CWP and its employees and volunteers access and permission to use the bathroom facilities in our commercial kitchen during any and all times when they are using the commercial kitchen. FRN commercial kitchen is licensed and in good standing with above listed Health Department. CWP agrees to keep all used areas clean and abide by all health department codes including but not limited to any requirements or restrictions FRN may require. Thank you and please feel free to contact me with any questions you may have. Eric Jorgense , Co -Owner, Finnriver North LLC 3W821-161 edc@finnriver.com INTERNAL REVENUE SERVICE P. O. BOX 2508 CINCINNATI, OR 45201 Date: I-puR THE WOMENS HEALTH PROJECT 230 TAYLOR ST STE D PORT TOWNSEND, WA 98368 Dear Applicant: DEPARTMENT OF THE TREASURY Employer Identification Number: 20-5410649 DLN: 17053009014027 Contact Person: DEL TRIMBLE ID# 31309 Contact Telephone Number: (877) 829-5500 Accounting Period Ending DECEMBER 31 �i� �j'�— Public Charity Status: �-+ �, 170 (b) (1) (A) (vi) Form 990 Required: OCT)-$ 1022 YES Effective Date of Exemption: JEFFERSONCOUNTY AUGUST 20, 2006 EWIRONMENTAL PUBLIC HEALTH Contribution Deductibility: - --_ YES Advance Ruling Ending Date: DECEMBER 31, 2010 We are pleased to inform you that upon review of your application for tax exempt status we have determined that you are exempt from Federal income tax under section 501(c)(3) of the Internal Revenue Code. Contributions to you are deductible under section 170 of the Code. You are also qualified to receive tax deductible bequests, devises, transfers or gifts under section 2055, 2106 or 2522 of the Code. Because this letter could help resolve any questions regarding your exempt status, you should keep it in your permanent records. Organizations exempt under section 501(c)(3) of the Code are further classified as either public charities or private foundations. During your advance ruling period, you will be treated as a public charity. Your advance ruling period begins with the effective date of your exemption and ends with advance ruling ending date shown in the heading of the letter. Shortly before the end of your advance ruling period, we will send you Form 8734, Support Schedule for Advance Ruling Period. You will have 90 days after the end of your advance ruling period to return the completed form. We will then notify you, in writing, about your public charity status. Please see enclosed Information for Exempt Organizations Under Section 501(c)(3) for some helpful information about your responsibilities as an exempt organization. If you distribute funds to other organizations, your records must show whether they are exempt under section 501(c)(3). In cases where the recipient organization is not exempt under section 501(c)(3), you must have evidence the funds will be used for section 501(c)(3) purposes. Letter 1045 (DO/CG) JEFFERSON COUNTY PUBLIC HEALTH ENVIRONMENTAL HEALTH DIVISION ENVIRONMENTAL HEALTH 2O22 Technology Fee 2022 TOTAL FEE Additional Fees and Other Information GENERAL Health Officer Administrative Hearing 382.00 19.00 401.00 Title 8 Administrative Hearing Appeal 382.00 19.00 401.00 Title 8 HearingExaminer A eal 266.00 13.00 279.00 Title 19 Technical Assistance/Plan Review - Minimum 99.00 5.00 104.00 Technical Assistance/Plan Review - Per Hour 99.00 5.00 104.00 Late Fee for Invoices 57.00 3.00 60.00 See Resolution #88-20 Case Scannin /Technol Fee 34.00 2.00 36.00 08, M Ins ecfion Re rt Manual Dala Ent 8 Pa ment Processi Fee 49.00 2.00 51.00 Recordin Fee 75.00 4.00 79.00 Plus the Auditors Office recording fee Notice to Title Rescission 385.00 19.00 404.00 Plus recordi fee and fee for filing & removing Notice to Title ONSITE SEWAGE DISPOSAL Sewage Disposal Permits New Conventional 1 653.00 33.00 1 686.00 lValid for 3 years New Alternative 1 950.00 1 48.00 1 998.00 lValid for 3 years New septic tank aril/or pump chamber only 390.00 20.00 410.00 Issued in conjunction with an existing sewage disposal system or communitys stem New Community or Commercial: Conventional 824.00 41.00 865.00 Base Fee -Valid for 3 ears Alternative 1,053.00 53.00 1,1..0. Base Fee - Valid for 3 ears Each Connection 103.00 5.00 108.00 Add to base permit fee Development and Review Financial Assurance and System Operation A reements 99.00 5.00 104.00 Per Hour Septic Permit with SPAAD conventional 351.00 18.00 369.00 Septic Permit with SPAAD alternative 652.00 33.00 685.00 Repair (see below for specific fees) - - Based on Permit Applies to existing installed sewage disposal system; the Technical Assistance/Plan Review hourly rate will be charged for repairs where the applicants require additional assistance Re it -0onventional 326.00 16.00 342.00 Applies to existing installed sewage disposal system; the Technical Assistance/Plan Review hourly rate will be charged for repairs where the applicants require additional assistance Re it - Alternative 475.00 24.00 499.00 Re it - Se tic tank and/or m chamber onl 195.00 10.00 205.00 Re it -Communi or Commercal: Conventional 412.00 21.00 433.00 Repair - Community or Commercial. Alternative 527.00 26.00 553.00 Modification or Reserve Area Designation 296.00 15.00 311.00 Ex ansion 617.00 31.00 648.00 Redesi n 197.00 10.00 207.00 !Applies to ndi or active but not installed Reins ecfion 246.00 12.00 258.00 Annual O eratin Permit for Holding Tanks 154.00 8.00 162.00 Evaluation of Exisun S tem/Monitorin Inspection Septic sstem onl 383.00 1 19.00 1 402.00 Septic sstem plus water sample 432.00 22.00 454.00 RetesUReins ecfion 197.00 10.00 207.00 On Site Sewa e - Buildling and P/annin Subdivision Review Base Fee 592.00 30.00 622.00 Plus Per lot fee Bounda line adjustment or Lot Certification base review fee 232.00 12.00 244.00 Plus Per lot fee Planned rural residential development review fee 232.00 12.00 244.00 Per lot fee 103.00 5.00 108.00 For Subdivision Review, Boundary Line Adjustment and Planned Rural Residential Development Review fees Pre application meetin fee 232.00 12.00 244.00 Densi exem lion review fee 148.00 7.00 155.o0 Field Work for Densi Exem lion Review 99.00 5.00 104.00 Per Hour Building Application Review: Residential - Individual OSS 148.00 7.00 155.00 Review after Buildin Permit issued, is same fee Commercial - Individual OSS 296.00 15.00 311.00 Review after Buildin Permit issued, is same fee Communi OSS 296.00 15.00 311.00 Review after Buildin Permit issued is same fee Revised Site Plan Review 75.00 4.00 79.00 Review of resubmission before Buildin Permit is issued Ofher WaiverNarianceApplication 272.00 1 14.00 1 286.00 WaiverNariance Hearing 444.00 1 22.00 1 466.00 Wet season evaluation 617.00 1 31.00 1 648.00 General environmental health review fee 99.00 1 5.00 1 104.00 1 Per Hour Licenses Installer, Pumper, Operator maintenance person) 617.00 31.00 648.00 Retest 246.00 12.00 258.00 Homeowner Authorization 12.00 1.00 13.00 Annual Certificate Renewal 342.00 17.00 359.00 Delinquent Renewal after Janua 31 617.00 31.00 648.00 FOOD SERVICEESTAOSHME TS Annual Permit Fees(Based on menu Conriplaidity8 sea - menu changes may change categrorjo Cate o 1 264.00 13.00 277.00 o 2 Catago, 371.00 19.00 390.00 Cate o 3 623.00 31.00 654.00 With lou e, add 264.00 13.00 277.00 Se rate lounge area With catering, add 371.00 19.00 390.00 Annual Permit Issued after Se tember 1 50%of fee Svc of 50%fee Bawd on Pemm 50% of Annual Permit Fee amp;Permits lication Fees Sin le Event Medium and Hi h Risk Initial A lication First Event 142.00 7.00 149.00 Notto exceed 21 da sat our location Additional Event Same Menu Only)82.00 4.00 86.00 Not [o exceed 21 da s at our location Or anind Recurring Event (e.g. Farmers Market Limited Menu 172.00 9.00 181.00 Not to exceed 3 da s a week at a si le location Complex Menu 229.00 11.00 240.00 Not to exceed 3 da s a week at a single location Low Risk Foods Limited to Specific Listed Foods Single 64.00 3.00 67.00 Recurrin 96.00 5.00 101.00 Annual Art Walks, O n House 320.00 16.00 336.00 Demonstration Sin le 64.00 3.00 67.00 Event, r location 266.00 13.00 279.00 Permit Exempt 27.00 1.00 28.00 26% Reduction for 501 c 3 and households that meet USHHS PovertyGuidelines- 75%Ofee 5%of 75%fee Besed on Permtl ' With BoH Resolution & backfilled with General Funds. Late Fee for Temporary Permits 50%of fee 5%of 50%tee Based on Pem,d Additional (Paid when application is submitted less than 7 days prior to the event) Other Food Fees New Establishment 229.00 11.00 240.00 New Omer/Change of Owner 144.00 7.00 151.00 WaiverNariance 115.00 6.00 121.00 Per Hour; for review and/or approval Reo ni Fee 115.00 6.00 121.00 Per Hour Mona V Course 307.00 15.00 322.00 Pre-openininspection 115.00 6.00 121.00 Per Hour Food Service Plan Review 115.00 6.00 1 121.00 Per Hour; for review and/or approval Reins ecfion First Ins edion 172.001 9.00 1 181.00 Each ins ecfion after first 286.00 14.00 300.00 Food Handler Card Reissue Unexpired Food Handler Card 10.00 - 10.00 SOLID111IMMITE Annual Pemdt Foes Limited Pur ose Landfill 3 152.00 158.00 3,310.00 For the first 30 hours, then assess technical rate Closed Landfill 2 379.00 119.00 2,498.00 For the first 24 hours, then assess the technical rate Biosolid/Com ostin Facilities 1,119.00 56% 1,175.00 For the first 11 hours, then assess the technical rate Moderate Risk Facili 1,105.00 55.00 1,160.00 For the first 11 hours, then assess the technical rate Inert Waste Landfills 535.00 27.00 562.00 For the first 5 hours, then assess the technical rete Tranfer Station 2,379.00 119.00 2,498.00 For the first 24 hours, then assess the technical rate JEFFERSON COUNTY PUBLIC HEALTH ENVIRONMENTAL HEALTH DIVISION ENVIRONMENTAL HEALTH 2O22 Technology Fee 2022 TOTAL Additional Fees and Other Information FEE 808.00 40.00 848.00 For the first 5 hours, then assess the technical rate Other Solid Waste Facilities 793.00 40.00 833.00 For the first 8 hours, then assess the technical rate Dro Boxes Per Hour Commercial Shootin Facilities - Mlseel1aneous Fees 649.00 32.00 681.00 New Facili A lication 493.00 25.00 518.00 Exam t Facili Ins action Based on Facility Reins ection 5096of fee 5%ofso%fee Reinspection +$104/hour for> 4 hours and 5 k of total cost for addt'I hours Plan, Document and WaiverNariance Review 396.00 20.00 416 00 for Technol Fee WATER Inspection of well construction, decommission & Application Fee 236.00 12.00 248.00 reconstruction Determination of Adequate Water Supply base fee 148.00 7.00 155.00 Tech Assist and Document Review is billed at the hourly rate Well Ins ection & Water Sam le for Loan 197.00 469 00 1 10.00 23.00 207.00 492.00 Well Site Ins ection-Pro osed public water supply LIVINO ENVIRONMENTS Water Recreation Facilities O eration Permit 339.00 356.00 Sin l SSwim Pool In o ration for < 6 months of the ear 432.00 27.00 2.00 454.00 Sin le Swim Pool in o eration for>_ 6 months of the year 297.00 Sin le Sp. Pool in o eration for < 6 months of the ear 432.00 25.00 452.00 Single S a Pool m o eat- for a 6 months of the ear 246.00 12.00 12.00 254.00 258.00 Sin le Wadin Pool in o eration for < 6 months of the ear 432.00 22.00 454.00 Sin le Wadin Pool In o eration Tor 6 months of the ear 122.00 6.00 128.00 S ra Pool or Pools in o station for < 6 months of the ear 185.00 9.00 194.00 S ra Pool or Pools In operation for >_ 6 months of the ear Each Additional Swim, Spa, or Wading Pool (in operation for < 6 months of the 73.00 4.00 77.00 ME) Each Additional Swim, Spa, or Wading Pool (in operation for 2 6 months of the 98.00 5.00 103.00 year) 99.00 5.00 104.00 Per Hour plus associated lab costs Reins ection Plan Review 99 00 5.00 104 00 Per Hour indoorAb Tobacco 1 99.00 1 5.00 104.00 Per Hour Compliance Enforcement 99.00 5.00 1 104.00 Reinspection 197.00 10.00 207.00 Rebuttal Application .. atliusledannuallyon lhefrat business day of January(Adjusted Date) by the amount of the Note:[vn tees nave wen eulua��.1 ��••A•�--•-•----------- mcrease in the Consumer Price Ir= (CPMW. The CPIW is tW Comumer Price Index - US City Average for All Urban Wage Earners and Clerical Worxers, publi e y e Bureau o The precetling the Adjustment Dale. annual ke adj,mtmeM shall W calculated as follow: each fee in effect Immediately poor to the Adjustment Date will be inmased by the percentage increase In the CPIW as reported for the manih of September Increases will be rounded to the nearest dollar. A fee shall rot be retlucetl by reason of such calculation. Fbwver, fee increases in accordance with this calculation shall not exceed 5 percent per year. 2 of vC AtL 4 3 - 8 a9- 9S STATE OF WASHINGTON County of Jefferson IN THE MATTER OF A POLICY FOR CONSIDERATION OF FEE WAIVER REQUESTS ASSOCIATED WITH COUNTY ORDINANCES RESOLUTION NO. 74-95 WHEREAS, Federal, State and local laws require public agencies to treat all parties equally, so there is no potential for discrimination; and, WHEREAS, Jefferson County Ordinances establish fees to, in part, compensate the general public for costs associated with the review of projects or activities, provision of services; and, WHEREAS, requests are submitted to the Board of County Commissioners for waiver of fees by individuals and organizations, and; WHEREAS, the following findings are made with regard to the matter of requests for the waiver of fees: f) The waiver of fees for one party and not another can be viewed as discriminatory, unless there is a stated policy when and under what circumstances said waiver would occur. 2) The Washington State Constitution prohibits the gift of public funds and the waiving of fees can amount to a gift as the costs associated with providing services are shifted entirely to the public for the benefit of the applicant. 3) Fees set by County Ordinance do not differentiate between worthy causes or worthy organizations and are to be applied equally to private individuals and public agencies. 4) The waiving of fees creates a budget impact for the department not receiving the fees. NOW, 71-JEW-1- )Rl:, BELT RESOLVED, that there may be circumstances where the requested waiver of fees may be in the public interest and of public benefit for a project or activity and the public should participate by the waiving of the fee(s). BE IT FURTHER RESOLVED, to assure that all parties requesting a waiver of fees are treated equally and to determine if the requested waiver of fees is in the public interest and of public benefit, the following policy (Attachment A to this Resolution) is hereby adopted. 4k. Al'1'R(ifiyis day of t" , 1995. 4 �\ JEFFERSON COUNTY Attachment A -- Resolution No. 74-95 Policv for Consideration of Administration Fee Waiver Requests ATTACHMENT "A" RESOLUTION NO.74-95 POLICY FOR CONSIDERATION OF FEE WAIVER REQUESTS POLICY STATEMENT The waiving of fees for individuals or organizations may be seen as: 1) being a gift of public funds, 2) being a discriminatory act, and 3) having an impact on individual County department/funds budgets. Jefferson County has determined that there may be circumstances, however, where the public interest and public benefit in a project or activity is such that the public should participate by the waiving of fees associated with such a project or activity. REQUEST AND DEPARTMENT RECOMMENDATION: All requests for waiver of fees shall be made in writing to the department administering the fee to be waived. The Department will forward the request to the Board of County Commissioners with their recommendation for approval or denial. APPROVAL CRITERIA: The Jefferson County Board of Commissioners shall review all requests to waive the fees associated with any individual project or activity. Requests may only be approved when the following criteria can be met: 1) There is substantial public interest and benefit in the project or activity to the degree said project or activity could be a County project or activity, but is not because an alternative method for the project/activity was found. 2) Any and all similar requests will receive the same approval regardless of the person or organization requesting the waiver. 3) A corresponding amount from a Fund, to be designated by the Board of Commissioners at the time of the approval, will be transferred to the Department where the fee is waived. Vol-ol_ 21 Wr l l (� ' D57