HomeMy WebLinkAboutMotion re Reduction in fees 615 Sheridan Street
Port Townsend, WA 98368
�e elwn www.JeffersonCountyPublicHealth.org
Public He9alt
JEFFERSON 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: -T K, Zv z y
SUBJECT: MOTION: Approve Port Townsend Seventh Day Adventist Church's
Request for 25% Reduction in Temporary Food Service Fees
STATEMENT OF ISSUE:
Jefferson County Public Health, Environmental Health Division, requests Board approval of Port Townsend
Seventh Day Adventist Church's Request for 25% Reduction in Temporary Food Service Fees.
ANALYSIS/STRATEGIC
Port Townsend Seventh Day Adventist Church requested a 25% reduction of their temporary food service
permit fee. According to the 2024 Environmental Health fee schedule, non-profit 501(c)(3) organizations
may receive a 25% reduction in their permit fee with a BOCC 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 amount.
GOALS/PRO'S and CONS:
Approval of this fee waiver request aligns with the Environmental Public Health Fee Policy and with BOCC
Policy 74-95.
FISCAL IMPACT/COST BENEFIT ANALYSIS:
The total amount of Port Townsend Seventh Day Adventist Church's temporary food service permit fee is
$200.72; the amount of the 25% fee reduction is $50.18.
RECOMMENDATION:
MOTION: Public Health requests that the Board of Commissioners approve a motion to approve Port
Townsend Seventh Day Adventist Church's request for 25% reduction in temporary food service fees.
REVIEWED BY:
Mark McCauley, my Administrator Date
Community Health Environmental Public Health
Developmental Disabilities 360-385-9444
360-385-9400 (f) 360-379-4487
360-385-9401 (f) Always working for a safer and healthier community
� For Office Use:
Email:foodsafety@co.jefferson.wa.us Date Rec'd 1-'' 'Receipt#
A010�'ty Website:www.beffersoncountypublichealth.org Amt. NA Check#
PU is H@OITI1 Tel:360.385.9444 Fax:360.379.4487 Permit#TFSz4-ool Category
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 must 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.
Name of Organization: port Townsend Seventh-day Adventist Church
Address: 331 Benton Street Phone
No: 360-385-4831
IRS EIN (Tax
ID)#: 91-1 251 023 Contact Person:Heather Reseck
Purpose of
Organization: nuture spiritual growth and promote whole-person health
QAttach Temporary Food Service Permit application
Q 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.
December 28, 2023
Signature,Applicant Date
BOCC Approval:
Signature, Chair of BOCC Date
615 Sheridan Street
!] n Port Townsend, WA 98368
�a www.JeffersonCountyPublicHealth.org
Public Healt
Temporary Food Service Establishment
Permit To Operate
Non-Transferable
Name of Establishment: SEVENTH DAY ADVENTIST CHURCH
Event and Location: Plant Based Cooking Class
Owner or Operator: HEATHER RESECK
Event Dates:
Permit #: Class: Start: 01/09/2024
TFS2024-00001 Medium Risk Recurring End: 12/31/2024
Conditions of Approval
1.) Potentially Hazardous Food must be either cold-held at 41 degrees or less or hot-held at 135 degrees or
higher. Use temperature control or time/temperature log. If time/temperature log is used, discard food
after 4 hours.
2.) Food Handlers must read, sign and post temporary food service rules in the booth or site of food service.
Located in the last 3 pages of the application.
3.) Food Service Permit must be posted at facility, in booth or site of food service.
4.) Menu limited: All plant based cooking to include the following depending on season: Beans, lentils, tofu,
tempeh, frozen edamame, soy protein, wheat protein, various nuts/grains/seeds, various seasonal
vegetables, salad dressing, gravy, sauces, desserts, olive/coconut oil, vegan butter, sweeteners, flours,
seasonings, fresh and dried herbs, condiments, nondairy milks, nondairy alternatives for sour
cream/butter/cheese/cream cheese.
5.) PERMIT ONLY VALID FOR THE DATE(S) OF EVENT.
The above noted parties are hereby granted a permit to operate a food establishment in Jefferson County, Washington under the name
and at the location identified above. 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 246-215 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.
�f ,'lam "vt(o
Dr. Allison Berry, MD, MPH Pinky Mingo
Jefferson County Health Officer Jefferson County Environmental Public Health Director
Phone: (360)385-9444 Fax:(360)379-4487 www.jeffersoncountypublichealth.org
1/2/2024 \\energovappsrvr\energovshare\
THESE REQUIREMENTS MUST BE POSTED IN THE BOOTH
WITH THE PERMIT AND MUST BE READ & SIGNED BY
ALL FOOD WORKERS
Please read carefully: Washington's food code (WAC 246-215) has been updated with sections from the 2017
FDA Food Code and input from interested parties. The key changes to the food rule effective on March 1, 2022
have been highlighted. Identified food safety risks will need to be corrected, but points for the revised rule
provisions will not be assigned until after the educational period concludes. The educational period is in effect
March 1, 2022 until August 31, 2022. Not all changes are reflected here. Please review the food code or
contact the health department with any questions.
The food code and accompanying documents can be accessed at www.doh.wa.2ov/foodrules
Definition: Time/temperature control for safety food (TCS food) is the new term for potentially hazardous
food (PHF). This is defined as a food that requires time/temperature control for safety to limit the growth of
pathogens that cause foodborne illness.
JEFFERSON COUNTY PUBLIC HEALTH REQUIREMENTS:
1) Gravity flow handwashing facilities must be provided. This can be done two ways:
a. A plumbed sink, soap, paper towels and hot and cold running water; or
b. An insulated container with a spigot that can lock in open position—capacity of 5 gallons or more—
filled with hot water between 100°F and 120°F, a tub or bucket to catch waste water, pump soap and
paper towels. WASH HANDS FREQUENTLY!
2) Water must be obtained from an approved source.
3) Bare Hand Contact with Ready-To-Eat foods is prohibited. Barriers such as tongs, spoons and gloves must
be used.
4) Sanitizer for wiping cloths must be provided in your booth. This solution can be made using 1 teaspoon of
bleach per gallon of cool water and wiping cloths. It is permitted to use other approved sanitizers as well:
e.g. quaternary ammonia, iodine, etc.
5) Stem-type thermometers are required if you serve any time/temperature control for safety foods. Monitor
temperatures frequently.
6) Leak-proof garbage containers must be provided in your booth.
7) Waste water must be disposed in a sanitary sewer. Disposal in storm drains or on the ground is
unacceptable.
8) Dishwashing facilities (within 200 feet) must be provided by you or the event coordinator when foods are
prepared at an event. Dishwashing must include three compartments (or steps)to 1) Wash, 2) Rinse, and 3)
Sanitize with an area to air-dry the dishes. Soap and Sanitizer must also be provided.
9) Restrooms must be within 200 feet of the booth. Restrooms must have hand sinks with hot and cold
running water. Food workers who don't wash their hands after using the bathroom can spread HEPATITIS
A and other illnesses; WASH HANDS BEFORE RETURNING TO THE BOOTH. (Portable toilets are not
allowed unless portable handwashing facilities with HOT water, soap and paper towels are provided).
10) At least one food worker with a food handler's card must be present in the booth during all times of
operation.
Page 1 of 4 Rev.3/31/22
11) Do not work if you are sick. Workers suffering from vomiting, diarrhea,jaundice, or sore throat
with fever, or that have been diagnosed with norovirus, Salmonella, E. Coli, Shigella, or hepatitis
A are prohibited from working. Infected cuts on the hands must be covered with both a bandage
and a glove. Workers with vomiting or diarrhea may return to work when symptoms have been
gone for at least 24 hours. Workers with jaundice or a diagnosed foodborne illness must be cleared
by the health department before returning to work.
12) A written vomit/diarrhea cleanup plan is required. This plan must have directions for workers
to protect food, surfaces, customers, and themselves. It must include specific details regarding type
of disinfectant used, types of surfaces to be cleaned, and location of the cleanup kit. Please contact
the health department for a cleanup plan template,or visit www.doh.wa.Eov/foodrules
13) All mobile food vendors must provide proof of a Labor and Industries (L& I) inspection.
14) * If raw, undercooked or cooked to order foods are going to be served to the public, a Consumer Advisory
must be posted on your menu. This is to remind and inform the public of the risks associated with
consuming such foods. The Advisory may read as follows:
(INSERT FOOD ITEM/S HERE) IS/ARE SERVED EITHER RAW OR UNDERCOOKED.
CONSUMING RAW OR UNDERCOOKED FOODS MAY BE HAZARDOUS TO YOUR
HEALTH.
HANDWASHING
An approved handwashing facility must be available in each booth during all hours of operation. If a
permanent handwash sink with plumbing is not available, the temporary handwash station must be set-up as
follows (see diagram): A vm H&►e Wash Sfttwn
• A five-gallon or larger insulated container kept supplied with
warm water, between 100°F and 120°F, delivered through a 50i�'"'0f °or X
continuous-flow spigot, with a discard bucket for
wastewater. P"r
• Have soap, and paper towels. soap 10on-12WF �s
Food workers must wash their hands:
• Before starting work • After using the toilet
• After handling raw meat, • After eating or smoking draw s
poultry, or seafood
• After contaminating hands or handling unclean items
s�
-4-Mmd
FOOD PREPARATION MEW
All food preparation must be done in a licensed facility or in the temporary establishment. Food may not be
prepared in a private home or unlicensed kitchen.
• Only foods from approved sources may be used. Approved sources include foods made in facilities
licensed by Jefferson County, other local health jurisdictions,the Washington State Department of
Agriculture (WSDA),the Food and Drug Administration (FDA), or the United States Department of
Agriculture (USDA).
• Food may not be cooled in the temporary establishment.
• Food may be reheated if it reaches 165°F within 1 hour.
Page 2 of 4 Rev.3/31/22
CLEANING UTENSILS (Spoons,Tongs, Spatulas,Etc.)
All temporary facilities must have access,within 200 feet,
to a 3-compartment sink with running water to wash, rinse,
and sanitize utensils. If no 3-compartment sink is available
for a single-day event and no health hazard will exist the D"N BD D
g Y � RINSE
booth may use a temporary set-up(shown at the right). WASH SANITIZE AIR DRY
• Utensils must be washed, rinsed, sanitized, and TURN VALVE
air-dried (no towel drying). Use 1-teaspoon
bleach only, per gallon of cool water for sanitizing. WASTE
WATE R
A METAL-STEM THERMOMETER MUST BE AVAILABLE AND USED
TO CHECK INTERNAL FOOD TEMPERATURES.
Thermometers may be purchased from restaurant supply companies or from '`DIAL10-M11
large department stores. It must be able to measure from 0° to 220°F.
STEM
HOT HOLDING FOODS HEX NUT
Hot foods must be covered and held at 135°F or greater. Foods will not
maintain 135°F with only a cover; a mechanical method is required (such as a I" R LEAS ER�
hot plate or steamer). Hot,time/temperature control for safety foods may not be
cooled downin a temporary food facility.
COLD HOLDING FOODS
Cold food must be covered and held at 41°F or less. If using ice, the container must be buried in the ice to the
depth of the food.
FOOD TEMPERATURES
Time/temperature control for safety foods must be cooked to the following temperatures:
135 OF • Plant foods for hot holding
• Raw eggs for immediate service
145°F for 15 seconds • Fish, meat, pork, except as listed below
• Commercially raised game animals, rabbits
• Ground,tenderized, or injected fish, meat, pork
1580F • Ratites(ostrich, rhea, emu)
• Raw eggs not for immediate service
• Poultry
1650F • Stuffed foods
• Stuffing containing fish, meat, or poultry
• Wild game animals
Page 3 of 4 Rev.3/31/22
FAILURE TO FOLLOW THESE RULES CAN RESULT IN CLOSURE OF THE
BOOTH.
THESE RULES AND THE TEMPORARY FOOD SERVICE PERMIT
MUST BE POSTED IN THE BOOTH.
ALL WORKERS MUST READ AND SIGN.
We, the undersigned, hereby certify that we have read, and understand the following rules of operation and we
acknowledge that issuance of the Temporary Food Service Permit and continued operation is contingent upon
satisfactory compliance with local food service regulations.
Page 4 of 4 Rev.3/31/22
Received
Jefferson County Environmental Public Health
2023-12-28
Elizabeth Poole
From: noreply@civicplus.com
Sent: Thursday, December 28, 2023 3:54 PM
To: Food Safety
Subject: Online Form Submittal: 2023 Temporary Food Service Application--Jefferson County
Public Health
Follow Up Flag: Follow up APPROVED
Flag Status: Flagged
By Alyssa Hendren at 10:26 am, Jan 02, 2024
2023 Temporary Food Service Application--Jefferson County Public
Health
For Office Use:
Date Rec'd: 12/28/23
Batch #_3616
Amt. _200.72
Check#_4826
Permit# TFS2024-00001
Category_Medium - Reccuring
Comments:
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 Field not completed.
questions to determine
what type of permit you
need:
Business Information
Business Name Port Townsend Seventh-day Adventist Church
Mailing Address 331 Benton Street
Email veggiemakeovers@gmail.com
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Received
Jefferson County Environmental Public Health
2023-12-28
Person in Charge Heather Reseck
Phone Number 360-301-2204
Food Handler Card Info: Heather Reseck
Name
Food Handler Card Info: 12/26/24
Exp:
Permit Type
(Choose only 1 permit type below)
Limited Risk and Exempt Limited Risk and Exempt Foods List(PDF)
Foods:
What is Your Temporary Temporary Food Establishment's Risk Level
Food Establishment's Risk
Level?
Low Risk
Low Risk Permit Types Field not completed.
Medium Risk Food
Foods to be prepared and held hot or cold
Medium Risk Food Permit $189.00 Recurring Event—per location
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 Field not completed.
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 Click to view more information.
Permit Exempt Field not completed.
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2023-12-28
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.
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 Plant-Based Cooking Class
Event Date January 9 + (see attached)
Event Time 4:30- TOO p.m.
Event Location Better Living Center, 1505 Franklin Street, PT
Event Coordinator Heather Reseck
Phone Number 360-301-2204
Email veggiemakeovers@gmail.com
Water, Ice, and Wastewater
Water Source city water
Ice Source freezer
Wastewater Disposal city sewer
Food Preparation Procedures
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 Portion/Package 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 Better Living Center
kitchen?
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2023-12-28
Address 1505 Franklin Street
When is the Approved 2:00 or 2:30 p.m. to 7:00 p.m.
Kitchen going to be used for
Preparing Food?
Commissary letter Commissary Letter(1).pdf
MENU MUST BE SUBMITTED WITH APPLICATION
Submit Menu Cooking class menu summary Health Dept (2) pdf
Please fill out the information below with all food items, including beverages and
condiments.
MENU ITEM 1
Menu Item see attached
Thaw to 41°F or less Field not completed.
Cut/Assemble Field not completed.
Cook to Appropriate Field not completed.
Temperature
Cool to 41°F Within 6 Hours Field not completed.
Cold Holding 41°F or less Field not completed.
Reheat to 1657 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 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
Cool to 41°F Within 6 Hours Field not completed.
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2023-12-28
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 Field not completed.
Thaw to 41°F or less Field not completed.
Cut/Assemble Field not completed.
Cook to Appropriate Field not completed.
Temperature
Cool to 417 Within 6 Hours Field not completed.
Cold Holding 41°F or less Field not completed.
Reheat to 1657 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 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
Cool to 417 Within 6 Hours Field not completed.
Cold Holding 41°F or less Field not completed.
Reheat to 165°F Field not completed.
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Jefferson County Environmental Public Health
2023-12-28
Hot Holding 135'or above Field not completed.
Portion/Package Field not completed.
Transport<41°f="" Field not completed.
or="">135°F
MENU ITEM 5
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
Cool to 41OF 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
For subsequent menu see attached
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.
Hot Holding 1350 or above Field not completed.
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Received
Jefferson County Environmental Public Health
2023-12-28
Reheat to 1657 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 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 1657 Field not completed.
Portion/Package Field not completed.
Other/Serve Field not completed.
MENU ITEM 4
Menu Item Field not completed.
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Jefferson County Environmental Public Health
2023-12-28
Thaw to 41°F or less Field not completed.
Cut/Assemble Field not completed.
Cook to Appropriate Field not completed.
Temperature
Cold Holding 417 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 5
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 417 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
Cooking/Reheating Oven
Equipment
8
Received
Jefferson County Environmental Public Health
2023-12-28
Cold/Hot holding Refrigerator
Equipment
Floor and Overhead Roof
Coverage
Floor and Overhead Field not completed.
Coverage Additional
Information:
Sanitizing/Dishwashing Three compartment sink
Produce Washing 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 Heather Reseck
Signature Heather Reseck
Date December 28, 2023
FOR JCPH STAFF APPROVAL
DATE
1/2/24
Email not displaying correctly?View it in your browser.
9
Received
Jefferson County Environmental Public Health
2023-12-28
Commissary Letter
All the food will be prepared at the Better Living Center at 1505 Franklin Street, Port
Townsend.
We do not need a commissary but the website is requiring me to upload a document.
Received
Jefferson County Environmental Public Health
2023-12-28
Plant-Based Cooking Class Summary
PIC: Heather Reseck, RDN
Port Townsend Seventh-day Adventist Church
Location: Better Living Center
1505 Franklin Street, Port Townsend
December 28, 2023
2024 Cooking Class Dates: Second Tuesday of the month
• January 9
• February 13
• March 12
• April
May 14
• June 11
• July 9
• August 13
• September 10
• October 8
• November 12
December 10
Menu Summary:
• The monthly cooking class menus vary based on what is in season and
what the class attendees want to learn.
• All menu items are 100% plant-based and vegan—no meat, poultry, fish,
eggs, or dairy products.
• All food will be prepared on-site during the class or immediately before
the class.
• Each month the menu usually consists of four to five items:
o One or two main dishes made from:
• Beans or lentils—canned or cooked on-site in a pressure
cooker
- Tofu, tempeh, frozen edamame, or soy protein
• Wheat protein such as seitan or vital wheat gluten
• Nuts such as walnuts, pecans, almonds, cashews, peanuts,
or macadamia
- Seeds such as sunflower, pumpkin, sesame, flax, chia, or
quinoa
• Whole grains such as wheat, rice, millet, oats, teff,
amaranth, or sorghum
• Vegetables such as onions, garlic, or celery
Heather Reseck, RDN 1 360-301-2204 1 veggiemakeovers@gmail.com
Received
Jefferson County Environmental Public Health
2023-12-28
o One or two side dishes made from grains such as rice, millet, or
quinoa, potatoes, sweet potatoes, squash, or other vegetables, OR
cooked seasonal vegetable dishes—prepared by steaming,
roasting, or stir-frying OR raw salads made with seasonal
vegetables—prepared without bare hand contact
o One or two condiments such as salad dressing, gravy, or sauce
o One low-sugar dessert made with seasonal fresh fruit, frozen,
canned, or dried fruit, chocolate, or other sweeteners
o Water to drink
• Staple ingredients include:
o Fats such as olive oil, coconut oil, and vegan butter
o Sweeteners such as honey, maple syrup, evaporated cane juice
crystals, dates, and stevia
o Flours such as whole wheat, brown rice, oat, millet, and gluten-free
blends
o Seasonings such as salt and soy sauce
o Fresh or dried herbs and spices such as basil, dill, chili powder,
ginger, and cinnamon
o Condiments such as ketchup, vegan mayonnaise, and lemon juice
o Nondairy milk such as almond, coconut, cashew, and soy
o Nondairy alternatives for sour cream, butter, cheese, and cream
cheese
o Miscellaneous ingredients such as cornstarch
Facility Summary:
• We will review the Jefferson County Public Health Requirements with the
cooking class attendees before each class and have them sign that they
understand the rules of operation.
• The basic guidelines are sent via email to each participant before class.
• We have designated a sink for hand washing only.
• We have designated a sink for produce washing only.
• We use a dish pan in addition to the two-compartment sink so that we
have the equivalent of a 3-compartment sink so the dishes are sanitized
after they are washed and rinsed
• We will allow the dishes to air dry.
Additional Details:
Heather Reseck, RDN 1 360-301-2204 1 veggiemakeovers@gmail.com
Received
Jefferson County Environmental Public Health
2023-12-28
• The food prepared during the class will be heated to the appropriate
temperatures and consumed shortly thereafter. There is no hot holding
needed.
• Leftovers will be taken home and not served to the public.
Heather Reseck, RDN 1 360-301-2204 1 veggiemakeovers@gmail.com
1/2/24, 1U7 AM Plant-Based Cooking Class-Heather Reseck
;veggie HEATHER RESECK
lakeovers
Pla nt - Based Cooking Class
Flavors of India
Take your tastebuds on a trip to a warmer climate.
What We'I I be Making
• Red Lentil Curry
• Vegan Palak Paneer with Tofu
• Chana Masala
• Brown Basmati Rice
• Whole-Grain Sourdough Naan
• Kachumber Salad
• Homemade Garam Masala
Cookie Settings
https://heatherreseck.com/classes/ 1/15
Plant-Based Cooking
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Red Lentil Curry is a creamy and flavorful quick Indian dish. Its vibrant color,
aromatic spices, and delicious taste make it a popular choice.
Enjoy gourmet restaurant-style Indian food at home. We'll make Vegan Palak
Paneer with Tofu, a creamy spinach curry made healthier with tofu instead of
cheese. You won't miss the dairy. And you'll find it a delicious way to eat
spinach and tofu.
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1/2/24, 10:37 AM Plant-Based Cooking Class-Heather Reseck
Instant Pot Chana Masala is packed with authentic Indian flavor but is easy
and quick to make.
We'll make Whole-Grain Sourdough Naan with spelt flour to accompany the
curries. We'll also cook Brown Basmati Rice in the Instant Pot.
Kachumber Salad is a colorful Indian salad made with cucumbers, tomatoes,
onion, and cilantro and a refreshing lemon dressing.
You'll learn how to make Homemade Garam Masala so you can build
authentic Indian flavor while controlling the spice level. And you'll discover
how to make Indian dishes without using oil and still have layers of flavor.
IN PERSON
Tuesday,
January 9
4:30-7:00 P.M.
Port Townsend, Washington
REGISTER NOW
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INVOICE1111 • •
FOR JEFFERSON COUNTY,
BILLING CONTACT <O\
HEATHER RESECK
PORT TOWNSEND SEVENTH-DAY ADVENTIST —
331 BENTON ST
PORT TOWNSEND, WA 98368
IN
INVOICE NUMBER INVOICE DATE INVOICE DUE DATE INVOICE STATUS INVOICE DESCRIPTION
INV-00002939 01/02/2024 01/02/2024 Paid In Full NONE
REFERENCE NUMBER FEE NAME TOTAL
TFS2024-00001 Technology Fee $9.55
TFS Medium Risk Foods-Recurring $191.17
1505 Franklin St Port Townsend, WA 98368 SUBTOTAL $200.72
REMITTANCE INFORMATION TOTAL $200.72
Jefferson County,WA
617 Sheridan Street
Port Townsend, WA 98368
II I I I I I N II II II II II I I I I N I I II
January 03,2024 617 Sheridan Street Port Townsend,WA 98368 Page 1 of 1
Seventh-day Advent ist'Church
WASHINGTON CONFERENCE
December 4, 2023
To Whom It May Concern:
This letter is to certify that the Port Townsend Seventh-Day Adventists Church is an official
organization of the Washington Conference of Seventh-day Adventists. The Washington
Conference of Seventh-day Adventists is an official organization of the General Conference of
Seventh-day Adventists, which is recognized by the Internal Revenue Service as a tax-exempt
organization under Internal Revenue Code 501 C 3, which means that contributions to these
organizations can be deducted as contributions on an individual federal income tax return.
The Washington Conference of Seventh-day Adventists operates under the
Federal EIN#91-0644803.
The Port Townsend Seventh-Day Adventists Church operates under the
Federal EIN # 91-1251023.
The Washington Conference of Seventh-day Adventists is listed in the annual yearbook of the
General Conference of Seventh-day Adventists and the Port Townsend Seventh-Day Adventists
Church is listed in the annual directory of the Washington Conference of Seventh-day
Adventists.
We trust this information will be sufficient. If more information is needed, please feel free to
contact me.
Sincerely,
\J-c.Q�c.#
Pam Scott
Associate Treasurer
Washington Conference of SDA
253-681-6008
PNUupart.,ient of the Treasury
I
Internal Revenue Service
In reply refer to : 2920206393
CGDEN, UT 84201 July 06, 1990 LTR 9147LO
91-0644803 0000 00 000
12607
WESTERN WASH CORP OF SEVENTH DAY
ADVENTISTS
20015 BOTHELL WAY SE
BOTHELL WA 98012
Taxpayer Identification Number ! 91-0644803
Dear Taxpayer:
Thank you for your reply to Notice CP2101 dated Mar. 21 , 1990
regarding a discrepancy on Form 1099 .
Your employer identification number is 91-0644803 . Please keep this
number in your pezmanent records . You should enter your name and your
identification number, exactly as shown above, on all federal tax
forms that require its use , and on any related correspondence or
documents . Please notify youz bank or financial institutuion of this
number.
If you have any questions, please write us at the address shown
eri this letter . If you prefer, you may call the IRS telephone
number listed in Your local directory. An employee there may
be able to help you, but the office at the address shown on this
letter is most familiar with your case .
When you write, please include your telephone number, the hours you
can be reached, and this letter. You may also want to keep a copy
of this letter for your records .
Telephone Number ( ) Hours
We apologize for any inconvenience we may have caused you, and thank
you for your cooperation.
Sincerely yours ,
Kathryn Moon
Chief, Correspondence Section
Enclosure ,
Copy of this letter
l
A
ST I` March►odfk Union Copfronu
CHURCH I MarthwtstHndgaarr•r:
5709 N.Mh Sorer
Ridgefield,WaAvon 98647
le4ptwr(360;857.7000
Fax:!360;857 7001
October 7,2010
Re: Washington Conference of Seventh-day Adventists
To Whom It May Concern:
The Internal Revenue Service has determined that the General Conference of Seventh-day Adventists
(EIN 52-084036)is a 501(c)(3)organization and has listed it in Volume 2 on page 1292 of the most
recently published IRS Publication 78,Cumulative list of Oraari ations described in Section 170(c)of the
Internal Revenue Code of 1986(revised to December 31, 2006). That listing gives the General
Conference of Seventh-day Adventists a Code 1 designation,which indicates that it is"(g)eneraily,a
central organization holding a group exemption letter,whose subordinate units covered by the group
exemption are also included as having contributions deductible,even though they are not separately
listed."
The North Pacific Union Conference of Seventh-day Adventists in Ridgefield,Washington and the
Washington Conference of Seventh-day Adventists in Federal Way,Washington are subordinates of the
General Conference of Seventh-day Adventists and thus are covered by the group exemption(Number
1071). Therefore,gifts and grants to these institutions and their subordinate units qualify for
deductions under Section 170 of the Internal Revenue Code. They are both classified organizations that
are not private foundations as defined in 509(a)of the Internal Revenue Code,
Sincerely,
Robert A.Sundin
Undertreasurer
Alaska 6 1daho • Montana 0repon Upper Columbia • Washington
I mt:vnue service rrtcv �ulrarment of the Treasury
4 V SMVIM
A, 31 Hopkins Mart. Sartimwe. mo 21201
s 13153
re, lm 21203
Person to Contsct:MsCbxeiber
Oeaeral Conference of Sev Telephone Nutnbar.303._q( t2 9 .
Day Adventists
MO !stem Avenue, N.W. Rtter Repip to: w/So:?2CL
Kashitgtona D.C. 2C'OI2
Date-- July 23., 1981
The faliovistg information regarding- the eX'l3= sstatas et 33=
orgarAzation and your subordinates
s furnished in response to your letter dated
1 Ve have searched our files srsd can find no record that the
organization is exempt from federal Income Tax. In the
event the organization wishes to apply for tax-exam
.pt status,
the appropriate forms and information are attached.
A search of our files indicates that the organization is
exempt from Federal Income Tax under Section SO1(e)(3)
of the Intemal Revenue Code
effective Jsauars. 1950
A fact sheet containing basic information about the organize-
tion's tax-exempt status is enclosed.
] A copy of our letter certifying the status of the organization
is enclosed.
A copy of our letter certifying the status of the organization
is not available, however, this letter may je used to verify
your tax-exempt status.
] Your change-of address has been noted in our files. Our
records now indicate your address as:
I Your subordinates continue to qualify as exrIpt under section m((cc)R)
Mati also. the ns• inr2=tien=t4rrd M be gubm tted action
6.01 of Setre:tue Proced=-e 80-27, found is C=m1ative Bulletin 196o-1, =t.
Bt .n be subcdtted to tt+e PhiZaUdel�W&$=I" romter.
i
�ineertly yours,
rp
f.- I
I
District Director
►orr.11P.R—i1361 tS•7>ir
I
i
i
Internal Revenue Service Department of the Treasury
P.O. Box 2506
Cincinnati, OH 45201
Date: March 5, 2003
Person to Contact.
Rebecca Bowden
ID#31-03098
Toil Free Telephone Number:
General Conference of Seventh Day 8:00 A.M.to 6:30 P.M.EST
Adventist 877-829-5500
12501 Old Columbia Pike Fax Number:
Silver Spring, MD 20904-6601 011 513-263-3756
Federal Identification Number:
52-0643036
Dear Sir or Madam:
This is in response to your request of February 19, 2003, regarding a copy of your
organization's group exemption letter.
In January 1950, we issued a determination letter that recognized your organization as exempt
from federal income tax under section 501(c)(3) of the Internal Revenue Code. That letter is still
in effect.
Based on the information submitted, we recognized the subordinates named on the list your
organization supplied as exempt from federal income tax under section 501(c)(3) of the Code.
Also, we classified those subordinates as organizations that are not private foundations
because they are organizations of the type described in sections 509(a)(1) and 170(b)(1)(A)(i)
of the Code.
Donors may deduct contributions to your organization's subordinates as provided in section 170
of the Code. Bequests, legacies, devises, transfers or gifts to the subordinates or for their use
are deductible for federal estate and gift tax purposes if they meet the applicable provisions of
sections 2055, 2106, and 2522 of the Code.
Your organization and its subordinates are not required to fife federal income tax returns unless
subject to the tax on unrelated business income under section 511 of the Code. If subject to
this tax, the organization must file an income tax return on Form 990-T, Exempt Organization
Business Income Tax Return. In this letter,we are not determining whether any of your
organization or its subordinates' present or proposed activities are unrelated trade or business
as defined in section 513 of the Code.
Unless specifically excepted,your organization and Its subordinates are liable for taxes under
the Federal Insurance Contributions Act (social security taxes) on remuneration of$100 or more
paid each employee during a calendar year, This does not apply, however, if your organization
makes or has made a timely election under section 3121(w) of the Code to be exempt from
such tax. Your organization and its subordinates are not liable for the tax imposed under the
Federal Unemployment Tax Act(FUTA).
Each year, at least 90 days before the end of your organization's annual accounting period,
please compile and forward the following information:
character, or metnco or operation or your organ¢auon s SuDurolnaies;
2. A list showing the names, mailing addresses(Including Postal ZIP
Codes), actual addresses if different, and employer identification rumbers
of subordinates that:
a. Changed names or addresses;
b. Were deleted from the roster; or
c. Were added to the roster.
3. For those subordinates added, attach:
a. A statement that the information on which your organization's present group
exemption letter is based applies to the new subordinates;
b. A statement that each has given your organization written
authorization to add its name to the roster;
c. A list of those to which the Service previously issued exemption
rulings or determination letters;
d. A statement that none of the subordinates is a private foundation as
defined in section 509(a) of the Code if the group exemption letter
covers organizations described in section 501(c)(3);
e. The street address of subordinates where the mailing address is a
P.O. Box.
4. If applicable, a statement that your organization's group exemption roster
did not change since the previous report.
The above information should be sent to the following address:
Internal Revenue Service Center
Attn: Entity Control Unit
Ogden, UT 84409
If your organization had a copy of its application for recognition of exemption on July 15, 1987, it
is required to make available for public inspection a copy of the exemption application, any
supporting documents and the exemption letter to any individual who requests such documents i
in person or in writing. You can charge only a reasonable fee for reproduction and actual
i
postage costs for the copied materials. The law does not require you to provide copies of public i
inspection documents that are widely available, such as by posting them on the Internet(World
Wide Web). You may be liable for a penalty of$20 a day for each day you do not make these
documents available for public inspection.
Your organization's Group Exemption Number is 1071. j
I
If you have any questions, please call us at the telephone number shown in the heading of this
letter.
Sincerely, i
John E. Ricketts, Director,TE/GE ;
Customer Account Services
i
JEFFERSON COUNTY PUBLIC HEALTH
ENVIRONMENTAL HEALTH DIVISION
ENVIRONMENTAL HEALTH PRIOR YEAR INCREASE INCREASE 2024 FEE Additional Fees and Other lnfornrtion
(2023)
OENERAL
All fees listed below,with the exception of the Food Handlers Perini[(FHP),include a W.technology fee.
Health Officer Administrative Hearing 421.05 14.00 10.00 446.05 Title 8
Administrative Hearing Appeal 421.05 14.00 10.00 446.05 Title 8
Hearing Examiner Appeal 294.00 10.00 7.00 311.60 Title 19
Technical Assistance/Plan Review-Minimum 10920 4.00 3.00 116.47
Technical Assistance/Plan Review-Per Hour 10920 4.00 3.00 116.47
Late Fee for Invoices 63.00 2.00 2.00 67.39 See Resolution a88-20
Case ScanninW-Technology Fee 37.80 1.00 1.00 40.01
O&M Inspection Report Manual Data Entry 53.55 2.00 1.00 56.84
Recording Fee 81.90 3.00 2.00 87.40 Plus the Auditors Office recording fee
Notice to Title Rescission 42525 14.00 10.00 450.05 Plus recording fee and fee for filing&removing Notice to Title
ONSRE SEWAGE DISPOSAL
Sewage Disposal P.-is
New Conventional 71925 24,00 17.00 1 762.72 Valid fora years
New Alternative 1 1,047.90 36.00 25.00 1 1,111.76 Valid for 3 years
Issued in conjunction with an existing sewage disposal system
New se tic tank and/or um chamber on 129.45 15.00 10.00 455.95 or common system
New Common or Commercial:
Conventional 90925 31.00 22.00 964.34 Base Fee-Valid for 3 years
Alternative 1 161.30 39.00 28.00 1,231.80 Base Fee-Valid for 3 years
Each Connection 113.40 1 4.00 3.00 1 121.09 Add to base permit fee
Development and Review Financial Assurance and System Operation
eemenls 10920 4.00 3.00 116.0/ Per Hour
Repair(see below for specific fees) Based on Permt 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
Repair-Conventional 360.15 12.00 9.00 381.89
Re air-Ahem"' 523.95 18.00 13.00 556.41 Applies to existing installed sewage disposal system:the
Re air-Se tic tank and/or um chamber on 21525 7.00 5.00 227.45 Technical Assistance/Plan Review hourly rate will be charged
Repair-Common or Commercial:Conventional 454.65 15.00 11.00 481.64 for repairs where the applicants require additional assistance
Repair-Community or Commercial.Altemative 580.65 20.00 14.00 616.43
Modificabon or Reserve Area Designation 326.55 11.00 8.00 346.02
Ex ansion 680.40 23.00 16.00 720.89
Redesi 217.35 7.00 5.00 229.98 Applies to pending or active but not installed
Minor Site Plan Change 78.75 3.00 2.00 $4.00
Reim ection 271.95 9.00 7.00 288.52
eratin Permit 170.10 1 6.00 4.00 180.67
Annual Renewal 63.00 2.00 2.00 6720
Coen lance Ins ection 103.95 4.00 3.00 111.30
NW__don WErds S fsrrvlNoydeo hs seaon
Septic s onl 422.to 14.00 1 10.00 447.32
Se tic s tem lus water sample 476.70 16.00 12.00 505.86
RetesVRelns ection 217.35 7.00 5.00 229.98
On Slfe Se -" and Plavaling
Subdivision Review Base Fee 652.05 22.00 16.00 692.03 Plus Per lot fee
Bounds line ad'ustment or Lot Certification base review fee 255A5 9.00 6.00 271 A4 Picts Per lot fee
Planned rural residential development review fee 255.15 9.00 6.00 271.04
For Subdivision Review.Boundary Line Adjustment and
Per lot fee 113.40 4.00 3.00 121.09 Planned Rural Residential Develo ment Review fees
Pre a Ication meetln fee 255.15 9.00 6.00 271.04
Dens exam lion review fee 162.75 6.00 4.00 177.53
Field Work for Densi Exemption Review 10920 4.00 3.00 116.04 Per Hour
Buildinn Appiicatien Review:
Residential-Individual OSS 1 162.75 1 6.00 1 4.00 1 173.53 1 Review after Building Permit issued is same fee
Commercial-Individual OSS 326.55 11.00 8.00 346.02 Review after Buildin Permit issued,is same fee
Common OSS 326.55 11.00 8.00 346.02 Review alter Buildin Pemlit issued,is same fee
Revised Site Plan Review al.90 3.00 2.00 37.40 Review of resubmission before Budding Permit is issued
Valid for 2 years.Future septic permit appkcabon fee wil be
Soil Registration 218.40 7.00 5.00 231.00 discounted b this fee amount if submifted within 2 ears.
OM
WaiverNariance Application 29925 10.00 7.00 317.38
WaiverNariance Hearin 489.30 17.00 12.00 519.55
Wet season evaluation 680.40 23.00 16.00 720.89
General environmental health review fee 10920 4,00 3.00 116.47 1 Per Hour
Lk-es
Installer,Pu er,Operator.Monitoring&Maintenance Specialist or Technician 6BOA0 23.00 16.00 720.89 motion Monitoring&Maintenance O M&M
Retest 271.95 9.00 7.00 288.52
Homeowner Authonzefion 12.60 12.97
Annual Certificate Renewal 312,60 13 00 9.00 1 400.46
DeIm ant Renewal after Janus 31 680.40 23.00 16.00 720.89
FOOD SERVICE ESTASIbXMFJ4T8
Armrpl Farads Fees ased on menu Complexity&seating-menu t edfurige,cats
Cate o 1 291.90 10.00 7.00 309.25
Cate o 2 408.15 14.00 10.00 434.10
Cate o 3 687.75 23.00 17.00 729.37
With loon ,add 291.90 10.00 7.00 309.25 Separate lours area
I h caterin,add 408.45 14.00 10.00 434.10
Annual Permit Issued after Se somber 1 Booed on Perms 50%of Annual Permit Fee
Esq T PelmNs
Low Risk Foods Limited to S ific Listed Foods
Initial Event/Additional Sin a Event Same menu only
Annual An Walks O n House
Recumn
Medium Risk Food
"T' ication First Event 156.45 5.00 4.00 165.72 Not to exceed 21 da et our location
Recumn Event- er location 139.00 6.00 5.00 200.72 Not to exceed 3 da a week at a sin a location
Additional Event Same Menu 90.30 3.00 2.00 95.72 Not[o exceed 21 de at our location
High Risk Food
In Nel icetion Finn Event 156.45 5.00 4.00 165.72 Not to exceed 21 da at our location
Recumn Event- er IOwtion 253.05 9.110 6.00 268.37 Not to exceed 3 de a week at a single
location
Additional Event Same Menu On 90.30 1.00 2.00 95.72 Not to exceed 21 da at our location
Demonstration
Sin Event
Multi le Events-per location
Permit Exem t 29AO 1.00 1.00 1 31.47
25%Reduction for 501 c J and households that meet USHHS Poverty Guidelines' Based on Permit With BoCC Resolution&backfiled with General Funds.
Late Fee for Temporary Permits Additional(Paid when application is submitted less than 10
Based on Parent da rior to the event
Olfw Food Faas
New Establishment 253.05 9.00 6.00 268.37
Food Service Plan Review 127.05 4.00 3.00 13425 Per Hour;2 hour minimum
If paying this fee AND tom mnor change of moor plan or equipment or
for change of menu or style of sank.,may need to pay for Food
New Omer/Change of Owner 158.55 5.00 4.00 168.07 Service Plan Review
If paying this fee AND for New Omer/Change of Owner or for change
of menu or style of smoke may need to pry for Food Service Plan
Minor Change of Floor Plan and/or Equipment 15a.55 5.00 4.00 166.00 Review
If paying this fee AND for New Ovmer/Change of Owner or for moor
change of floor plan or equipment,may need to pry for Food Service
Change of Menu or Style of Service 158.55 5.00 4.00 168.00 Plan Review
WaiverNariance 127.05 4.00 3.00 13425 Per Hour;for review and/or approval
Reo n n Fee 127.05 4.00 3.00 13425 Per Hour
Mona 1r's Course 338.10 11.00 8.00 358.35
Pre enin ins ection 127.05 4.00 3.00 134.25 Per Hour
Reis tan
First ins ction 1a9.00 6.00 5.00 200.72
Each ins ection after first 315.00 11.00 8.00 334.85
Food Handler Card
Reissue Unez ed Food Handler Card 10.00 10.00
OLI SD WASTE
1 of 2
JEFFERSON COUNTY PUBLIC HEALTH
ENVIRONMENTAL HEALTH DIVISION
ENVIRONMENTAL HEALTH PRIOR YEAR I
CPIW PROPOSED
(2023) INCREASE INCREASE 2024 FEE Add.i..I Fees and Other lnfomlation
3,56%
Annraal Pemtft F-
Limited Purpose Landfill 3,475.50 118.00 94.00 3,687.72 For the first 30 hours Bien assess technical rate
Closed Landfill 2,622.90 89.00 63.00 2 782.18 For the first 24 hours then assess the technical rate
Bioso id/Com osbd Facilities 1 33.75 42.00 30.00 1,309434 For the Post 11 hours.Men assess the technical rate
Moderate Risk Facil' 1.218.00 41.00 29.00 1,291.% For the first 11 hours.then assess the technical rate
Inert Waste Landfills 590.10 20.00 14.00 625.54 For Me first 5 houn Been assess the technical rate
Tranfer Station 2 622.90 89.00 63.00 2,782.18 For the first 24 houn,then assess the technical rate
Other Solid Waste Facditiea 390.40 MOO 22.00 94524 For the first 5 hours,Men assess Me technical rate
Dro Bo7 874.65 70.00 21.00 927.74 For Me first 8 hours.Men assess Me technical rate
Commercial Shootin Facilities 10920 4.00 3.00 116.17 Per Hour
MateMaoua Faaa
New Foci! ica1- 715.05 24.00 17.00 758.37
Exam t Facif Ins coon 54J.90 18.00 13.00 575.99
Facility Reins action e•.•n on a•t.P.cdnn
+E ll SPoour for,4 hours and 5%of total cost for adtiti hoes
Plan.Document and WaiverNariance Review 436.80 11.00 11.00 463.79 for TI-hnolo Fee
V111TER
Well Ins ection A hc.f.n Fee 260.40 9.00 6.00 271.10 Ina ection of well construction,decommission&alteration
Determination of Adequate Water Supply base fee 162.75 6.00 4.00 173.53 1 Tech Assist and Document Review is billed at the hourly rate
Well ins ction&Water Sam a for Loan 217.35 7.00 5.00 229.98
Well Site Ins action-Pro osed Mic water su 516,60 18.00 13.00 548.15
LI1 M ENVRONAAEHTS
Water Recreation
Fcltie On Pem
373.80 13.00 9.00 3%.68Sin aSwimPool era raton
Sin a Swim Pool in eration for z 6 month•of Me ear 476.70 16.00 12.00 505.86
Sin e a Pool in o o oon foor<66 mmoon%off Me ear 327.60 11.00 8.00 347.32
Single a Pool m o r. nfrz nMoMe ear 476.70 16.00 12.00 505.86
Sin a Wadin Pool in o erafion for<6 monhs of th ar 270.90 9.00 Z00 287.68
Sin a Wadin Pool in erafion for
6 months of Me ear 476.70 16.00 12.00 505.69
S ra Pool or Pods in operation for<6 months of Me ear 134.40 5.00 3.00 14320
ra Pool or Pods in o eration for z 6 manMs of Me ear 203.70 7.00 5.00 216.72
Each Additional Swim.Spa,or Wading Pool(in operation for<6 m..of Me
ear 80.85 3.00 2.00 86.13
Each Additional Swim.Spa,or Wading Pod(in operation for z 6 months of the
year) 108.15 4.00 3.00 115.19
Reins ection 109.20 4.00 3.00 11617 Per our plus--led lab cash
Plan Review 109.20 1 4.00 1 3.00 1 116.47 Per Hour
YtdoorAk OAIK60
Com lance Enforcement 109.20 1 4.00 1 3.00 1 113.32 1 Per Hour
Reins ction 10920 4.00 3.00 112.89
Rebuttal ication 217.35 1 7.00 5.00 224.7J
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VC: Au- Okja7ts. 8-'A9- 9.S
STATE OF WASIIINGTON
County of Jefferson
IN THE MATTER OF A POLICY }
FOR CONSIDERATION OF }
FEE WAIVER REQUESTS } RESOLUTION NO. 74-95
ASSOCIATED WITH }
COUNTY ORDINANCES }
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:
1) 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, 7F1/sR1:1-ORI,BE IT 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.
+4-
AP1'R( is day of , 1995.
" ' 4
too r
_ J� JEFFERSON COUNTY
Attachment A--Resolution No. 74-45
Policy 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. 21 r U5'7 voi- Ea.;.