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Fee Waiver BOS Summary Sheet Submitted to Finance on 04-28-16 Item # Administrative Name Business Requested Fee Administrative Address Permit # Permit Type Class Waiver Approved (Approved/Denied) Previously Paid (Yes/No) P1-Apr-16 The Family School The Family School $ 230.00 1127 W. McDowell Rd., Phoenix, AZ 85007 FD-06419 Service Kitchen 2 Approved P1-Apr-16 Total $ 230.00 P2-Apr-16 Kitchen on the Street Street Café & Coffee Lounge $ 315.00 2650 E. Mowhawk Lane #168, Phoenix, AZ 85050 FD-45022 Plan Review Kitchen on the Street Street Café & Coffee Lounge $ 650.00 2650 E. Mowhawk Lane #168, Phoenix, AZ 85050 FD-45022 E and D Seating 10+ 3 Approved Kitchen on the Street Kitchen on the Street $ 610.00 2650 E. Mowhawk Lane #168, Phoenix, AZ 85050 MF-12-0242 Mobile Food Unit 3 Approved P2-Apr-16 Total $ 1,575.00 P3-Apr-16 Society of St Vincent de Paul St Jerome Conference $ 255.00 PO Box 13600, Phoenix, AZ 85002-3600 FD-14053 Food Jobber 2 Approved Society of St Vincent de Paul Our Lady of the Valley Conference $ 255.00 PO Box 13600, Phoenix, AZ 85002-3600 FD-14098 Food Jobber 2 Approved Society of St Vincent de Paul St Helen Conference $ 255.00 PO Box 13600, Phoenix, AZ 85002-3600 FD-14097 Food Jobber 2 Approved Society of St Vincent de Paul St James Conference $ 255.00 PO Box 13600, Phoenix, AZ 85002-3600 FD-14096 Food Jobber 2 Approved Society of St Vincent de Paul St Edward the Confessor $ 255.00 PO Box 13600, Phoenix, AZ 85002-3600 FD-18218 Food Jobber 2 Approved Society of St Vincent de Paul St Mark Conference $ 255.00 PO Box 13600, Phoenix, AZ 85002-3600 FD-18230 Food Jobber 2 Approved Society of St Vincent de Paul St Vincent de Paul $ 640.00 PO Box 13600, Phoenix, AZ 85002-3600 FD-25980 Food Processor 4 Approved Society of St Vincent de Paul St Ralphael Conference $ 255.00 PO Box 13600, Phoenix, AZ 85002-3600 FD-14189 Food Jobber 2 Approved Society of St Vincent de Paul St Thomas More $ 255.00 PO Box 13600, Phoenix, AZ 85002-3600 FD-14188 Food Jobber 2 Approved Society of St Vincent de Paul St Vincent de Paul $ 230.00 PO Box 13600, Phoenix, AZ 85002-3600 FD-09661 Service Kitchen 2 Approved Society of St Vincent de Paul Dan O'Meara Center $ 1,030.00 PO Box 13600, Phoenix, AZ 85002-3600 FD-00180 E & D Seating 10+ 4 Approved Society of St Vincent de Paul Wayne Unruh Memorial Dinning Room $ 315.00 PO Box 13600, Phoenix, AZ 85002-3600 FD-00155 E & D Seating 10+ 2 Approved Society of St Vincent de Paul Chris Becker Memorial Dining Room $ 650.00 PO Box 13600, Phoenix, AZ 85002-3600 FD-03017 E & D Seating 10+ 3 Approved Society of St Vincent de Paul Holy Cross Conference $ 255.00 PO Box 13600, Phoenix, AZ 85002-3600 FD-01316 Food Jobber 2 Approved Society of St Vincent de Paul Dan O'Meara Hall $ 255.00 PO Box 13600, Phoenix, AZ 85002-3600 FD-00151 Food Jobber 2 Approved Society of St Vincent de Paul Saint Elizabeth Seton $ 255.00 PO Box 13600, Phoenix, AZ 85002-3600 FD-14247 Food Jobber 2 Approved Society of St Vincent de Paul Corpus Christi Conference $ 255.00 PO Box 13600, Phoenix, AZ 85002-3600 FD-18212 Food Jobber 2 Approved P3-Apr-16 Total $ 5,925.00 P4-Apr-16 Oakwood Creative Care Inc. Oakwood Creative Care Center $ 230.00 PO Box 1213, Mesa, AZ 85211 FD-00162 Service Kitchen 2 Approved P4-Apr-16 Total $ 230.00 P5-Apr-16 Compassion in Action Compassion in Action $ 260.00 PO Box 2932, Chandler, AZ 85244 FD-04394 Food Bank 2 Approved P5-Apr-16 Total $ 260.00 P6-Apr-16 Salvation Army The Salvation Army $ 1,030.00 PO Box 4106, Mesa, AZ 85201 FD-22970 E & D Seating 10+ 4 Approved Salvation Army The Salvation Army $ 1,030.00 PO Box 4106, Mesa, AZ 85201 FD-09110 E & D Seating 10+ 4 Approved Salvation Army The Salvation Army $ 260.00 PO Box 4106, Mesa, AZ 85201 FD-09034 Food Bank 2 Approved P6-Apr-16 Total $ 2,320.00 P7-Apr-16 Classic Cooking Academy Classic Cooking Academy $ 530.00 10411 E. McDowell Rd., Scottsdale, AZ 85255 FD-14061 Food Catering 5 Approved Classic Cooking Academy Classic Cooking Academy $ 1,030.00 10411 E. McDowell Rd., Scottsdale, AZ 85255 FD-10977 E & D Seating 10+ 4 Approved P7-Apr-16 Total $ 1,560.00 P8-Apr-16 Northminister Food Bank Northminister Food Bank $ 260.00 13001 N. 35th Ave., Phoenix, AZ 85029 FD-28623 Food Bank 2 Approved P8-Apr-16 Total $ 260.00 P9-Apr-16 Prehab of Arizona/A New Leaf East Valley Transitional Training $ 315.00 868 E. University Drive, Mesa, AZ 85203 FD-04703 E & D Seating 10+ 2 Approved A New Leaf East Valley Mens Center $ 706.00 868 E. University Drive, Mesa, AZ 85203 FD-34435 Boarding Home 5 Approved P9-Apr-16 Total $ 1,021.00 P10-Apr-16 Matthews Crossing Mathews Crossing $ 260.00 1368 N. Arizona Ave., Suite 112, Chandler, AZ 85225 FD-18940 Food Bank 2 Approved P10-Apr-16 Total $ 260.00 P11-Apr-16 Mission Christian Fellowship Mission Christian Fellowship $ 615.00 2680 S. Val Vista Dr. #167, Gilbert, AZ 85295 FD-49254 Plan Review Approved P11-Apr-16 Total $ 615.00 P12-Apr-16 Sun City Area Interfaith Services Benevilla - SCRC $ 230.00 15800 Del Webb Blvd., Sun City, AZ 85372 FD-41984 Service Kitchen 2 Approved Interfaith Services Benevila $ 230.00 6133 W. Cactus Rd., Peoria, AZ 85381 FD-43581 Service Kitchen 2 Approved P12-Apr-16 Total $ 460.00 P13-Apr-16 Boys and Girls Club of Metropolitian Phoenix Jerry Colangelo Branch $ 315.00 4309 E. Belleview Street, Bld 14, Phoenix, AZ 85008 FD-14080 E & D Seating 10+ 2 Approved Boys and Girls Club of Metropolitian Phoenix Gabel Branch $ 515.00 4309 E. Belleview Street, Bld 14, Phoenix, AZ 85008 FD-15904 School Food Service 3 Approved Boys and Girls Club of Metropolitian Phoenix Robson Family Branch $ 315.00 4309 E. Belleview Street, Bld 14, Phoenix, AZ 85008 FD-14001 E & D Seating 10+ 2 Approved Boys and Girls Club of Metropolitian Phoenix IG Homes Boys Club $ 315.00 4309 E. Belleview Street, Bld 14, Phoenix, AZ 85008 FD-00028 E & D Seating 10+ 2 Approved Boys and Girls Club of Metropolitian Phoenix Keickhefer Boys Club $ 230.00 4309 E. Belleview Street, Bld 14, Phoenix, AZ 85008 FD-00049 Service Kitchen 2 Approved Boys and Girls Club of Metropolitian Boys and Girls Club of Metropolitian Phoenix Phoenix - Sands $ 230.00 4309 E. Belleview Street, Bld 14, Phoenix, AZ 85008 FD-23607 Service Kitchen 2 Approved Boys and Girls Club of Metropolitian Phoenix Boys and Girls Club $ 260.00 4309 E. Belleview Street, Bld 14, Phoenix, AZ 85008 FD-04399 E & D 0 - 9 Seating 2 Approved Boys and Girls Club of Metropolitian Phoenix Rosenzweig Boys and Girls Club $ 230.00 4309 E. Belleview Street, Bld 14, Phoenix, AZ 85008 FD-06560 Service Kitchen 2 Approved Boys and Girls Club of Metropolitian Phoenix Peoria Boys and Girls Club $ 260.00 4309 E. Belleview Street, Bld 14, Phoenix, AZ 85008 FD-00002 E & D 0 - 9 Seating 2 Approved P13-Apr-16 Total $ 2,670.00 P14-Apr-16 St Timothys Catholic Church Paz de Cristo $ 530.00 424 W Broadway Rd., Mesa, AZ 85210 FD-00217 Food Catering 5 Approved St Timothys Catholic Church Paz de Cristo $ 1,030.00 424 W Broadway Rd., Mesa, AZ 85210 FD-00225 E & D Seating 10+ 4 Approved P14-Apr-16 Total $ 1,560.00 P15-Apr-16 Paradise Valley Emergency Food Bank Paradise Valley Emergency Food Bank $ 255.00 10862 N. 32nd St., Phoenix, AZ 85028 FD-03290 Food Jobber 2 Approved P15-Apr-16 Total $ 255.00 P16-Apr-16 Tempe Community Action Agency Escalante Senior Center $ 475.00 2150 E. Orange St., Tempe, AZ 85281 FD-03972 Senior Food Service 3 Approved P16-Apr-16 Total $ 475.00 P17-Apr-16 Central Arizona Shelter Services Steel's Common Ground Clubhouse $ 230.00 1735 NW Grand Ave., Phoenix, AZ 85007 FD-05807 Service Kitchen 2 Approved P17-Apr-16 Total Horace Steele Commons $ 230.00 P18-Apr-16 Stand Together and Recover Stand Together and Recover $ 100.00 3003 N. Central Ave., Ste 675, Phoenix, AZ 85012 FD-14147 Adult Daycare 3 Approved Page 1 of 2 Stand Together and Recover Stand Together and Recover $ 1,030.00 3003 N. Central Ave., Ste 675, Phoenix, AZ 85012 FD-05319 E & D Seating 10+ 4 Approved Stand Together and Recover Stand Together and Recover $ 530.00 3003 N. Central Ave., Ste 675, Phoenix, AZ 85012 FD-10795 Food Catering 5 Approved P18-Apr-16 Total $ 1,660.00 P19-Apr-16 Trinity Lutheran Church Trinity Lutheran Church $ 230.00 830 Plaza Cir., Litchfield Park, AZ 85340 FD-14274 Service Kitchen 2 Approved P19-Apr-16 Total $ 230.00 Special Event-Taste of Surprise 2016, March Rotary Club of Surprise P20-Apr-16 9, 2016 $ 85.00 PO Box 7248, Surprise, AZ 85374 FD-50466 Temporary Permit Approved Special Event-Taste of Surprise 2016, March Rotary Club of Surprise 9, 2016 $ 85.00 PO Box 7248, Surprise, AZ 85374 FD-49546 Temporary Permit Approved Special Event-Taste of Surprise 2016, March Rotary Club of Surprise 9, 2016 $ 85.00 PO Box 7248, Surprise, AZ 85374 FD-49547 Temporary Permit Approved P20-Apr-16 Total $ 255.00 P21-Apr-16 East Vally Assembly of God Manna Food Bank $ 615.00 1303 S. Lindsay Rd., Mesa, AZ 85204 FD-50544 Plan Review Approved P21-Apr-16 Total $ 615.00 P22-Apr-16 John C Lincoln Health Network Dessert Mission Food Bank $ 260.00 9229 N. 4th St., Phoenix, AZ 85020 FD-01126 Food Bank 2 Approved P22-Apr-16 Total $ 260.00 P23-Apr-16 Foundation & Senior Living Peoria Community Center $ 650.00 8335 W. Jefferson St., Ste #1, Phoenix, AZ 85345 FD-00006 E & D Seating 10+ 3 Approved Foundation & Senior Living Glendale Adult Daycare $ 230.00 6010 W Northern Ave., Glendale, AZ 85301 FD-43772 Service Kitchen 2 Approved Foundation & Senior Living Tempe Adult Daycare $ 100.00 1201 E. Thomas Rd., Phoenix, AZ 85014 FD-01626 Adult Daycare 3 Approved Foundation & Senior Living The Wise Owl $ 1,020.00 255 N. Washington St., Wickenburg, AZ 85358 FD-00052 E & D Seating 10+ 5 Approved P23-Apr-16 Total $ 2,000.00 P24-Apr-16 YWCA of Maricopa County YWCA Senior Citizens $ 1,030.00 8561 N. 61st Ave., Glendale, AZ 85302 FD-00004 E & D Seating 10+ 4 Approved P24-Apr-16 Total $ 1,030.00 P25-Apr-16 New River Kiwanis Club Welfare Found New River Senior Center $ 315.00 48606 N. 17th Ave., New River, AZ 85087 FD-09116 E & D Seating 10+ 2 Approved P25-Apr-16 Total $ 315.00 P26-Apr-16 One True Love One True Love $ 610.00 61 N. Spencer, Mesa, AZ 85203 MF-15-0083 Mobile Food Unit 3 Approved P26-Apr-16 Total $ 610.00 P27-Apr-16 Mesa Senior Services Inc. Mesa Senior Center $ 1,030.00 247 N. MacDonald, Mesa, AZ 85201 FD-43618 E & D Seating 10+ 4 Approved Mesa Senior Services Inc. Multi-Generation Senior Kitchen $ 1,030.00 247 N. MacDonald, Mesa, AZ 85201 FD-43616 E & D Seating 10+ 4 Approved P27-Apr-16 Total $ 2,060.00 P28-Apr-16 Chandler Christian Community Center Chandler Christian Community Center $ 260.00 PO Box 591, Chandler, AZ 85244-0591 FD-00149 Food Bank 2 Approved P28-Apr-16 Total $ 260.00 Special Event- Guys Who Grill, March 26, P29-Apr-16 Del Webb Center for the Performing Arts 2016 $ 85.00 2001 W. Wickenburg Way, Suite 3, Wickenburg, AZ 85390 FD-50731 Temporary Permit Approved P29-Apr-16 Total $ 85.00 P30-Apr-16 Phoenix Day Phoenix Day Child & Family Learning Ctr. $ 390.00 115 E. Tonto St., Phoenix, AZ 85004 FD-00189 Daycare Food Service 3 Approved P30-Apr-16 Total $ 390.00 P31-Apr-16 Hope 4 Hungar Market Hope 4 Hunger Market $ 615.00 8527 W. College Dr., Phoenix, AZ 85037 FD-47912 Plan Review Approved Hope 4 Hungar Market Hope 4 Hunger Market $ 260.00 8527 W. College Dr., Phoenix, AZ 85037 FD-47912 Food Bank 2 Approved P31-Apr-16 Total $ 875.00 Total Permits $ 30,551.00 Gone to Fin Item # Administrative Name Business Fee Used Administrative Address # Used Certificate Type Waiver Approved (Approved/Denied) Date Used (Y/N) C1-Apr-16 St Timothys Catholic Church Paz de Cristo $ 210.00 424 W Broadway Rd., Mesa, AZ 85210 21 Volunteer Approved 4/9/2016 N C1-Apr-16 Total $ 210.00 24-Apr-15 Banner Olive Branch Banner Olive Branch $ 280.00 11250 N. 107th Ave., Sun City, AZ 85351 28 Volunteer Approved 2/9/2016 N 24-Apr-15 Total $ 280.00 28 C1-Oct-15 Tempe Union High School District Tempe High School $ 250.00 1730 S. Mill Ave., Tempe, AZ 85281 25 Culinary Approved 11/24/2015 N C1-Oct-15 Total $ 250.00 25 Total Food Service Worker Certificates $ 740.00 Grand Total To BOS $ 31,291.00 An alphanumeric item # is used above The first digits indicate the item number as it originally appreared on the summary sheet The middle letters indicate the month of the BOH meeting The last two digits indicate the year of the BOH meeting Page 2 of 2