BOH FEE WAIVER FROM 07-27-15 BOH MEETING.DOCX

Permit Fee Waivers Approved by BOH on July 27, 2015 including
Food Service Worker Certificates recently approved and issued
Business Operator Permit Comments
1. St Thomas The Apostle Food Jobber
Conference Class 2
2312 E Campbell Rd. FD-18222 $255.00
Phoenix, AZ 85016
Sacred Heart Conference Food Jobber
1421 S. 12th St Class 2
Phoenix, AZ 85034 FD-18219 $255.00
St Vincent de Paul Conference Food Jobber
3140 N. 51st Ave. Class 2
Phoenix, AZ 85031 FD-18215 $255.00
St Benedict Conference Food Jobber
16233 S. 48th St. Class 2
Phoenix, AZ 85048 FD-18210 $255.00
St Martin de Porres Food Jobber
3851 W. Wier Ave. Class 2
Phoenix, AZ 85041 FD-18851 $255.00
St Williams Conference Food Jobber
11003 W. 3rd St. Class 2
Cashion, AZ 85329 FD-18850 $255.00
St Thomas Aquinas Church Food Jobber
1 | P a g e

Permit Fee Waivers Approved by BOH on July 27, 2015 including
Food Service Worker Certificates recently approved and issued
13720 W. Thomas Rd. Class 2
Avondale, AZ 85323 FD-18849 $255.00
St Augustine Conference Food Jobber
3630 N. 71st Ave. Class 2
Phoenix, AZ 85033 FD-18854 $255.00
St Bridget Conference Food Jobber
2213 N. Lindsay Rd Class 2
Mesa, AZ 85213 FD-18962 $255.00
All Saints Catholic Church Food Jobber
1534 N. Recker Rd Class 2
Mesa, AZ 85205 FD-18961 $255.00
Church of the Ascension Food Jobber
Conference Class 2
12615 Fountain Hills Blvd FD-18960 $255.00
Fountain Hills, AZ 85268
Most Holy Trinity Conference Food Jobber
8620 N. 7th St Class 2
Phoenix, AZ 85020 FD-19064 $255.00
Church of the Resurrection Food Jobber
Conference Class 2
2 | P a g e

Permit Fee Waivers Approved by BOH on July 27, 2015 including
Food Service Worker Certificates recently approved and issued
3201 S. Evergreen Rd FD-18959 $255.00
Tempe, AZ 85282
St Mary Basilica Conference Food Jobber
231 N. 3rd St. Class 2
Phoenix, AZ 85004 FD-18224 $255.00
St Frances Xavier Conference Food Jobber
4715 N. Central Ave Class 2
Phoenix, AZ 85012 FD-18226 $255.00
St Mary Conference Food Jobber
230 W. Galveston St Class 2
Chandler, AZ 85225 FD-19083 $255.00
Blessed Sacrament Conference Food Jobber
512 N. 93rd Ave. Class 2
Tolleson, AZ 85353 FD-18214 $255.00
Our Lady of Perpetual Help Food Jobber
7655 E. Main St Class 2
Scottsdale, AZ 85251 FD-18622 $255.00
St Vincent de Paul E & D 10+ seating
420 W Watkins St Class 4
Phoenix, AZ 85003 FD-00180 $1,030.00
3 | P a g e

Permit Fee Waivers Approved by BOH on July 27, 2015 including
Food Service Worker Certificates recently approved and issued
2. Greater Oro Valley Arts Council Special Event Permit #s listed at
dba Southern Arizona Arts & Devoured Phoenix the end of this
Cultural Alliance Culinary Classic report
7225 N. Oracle Rd. 03-07-15 & 03-08-15
Tucson, AZ 85704 76 temporary permits
for a total of $6,810.00
3.
0 Food service Worker 85 Food service
Cactus High School Certificates issued to Worker
6330 W. Greenway Rd. date Certificates
Glendale, AZ 85306 approved on 07-
27-15 at $10.00ea
Retail Food Total $850.00
Establishment
Class 2
FD-29236 $235.00
Retail Food
Sunrise Mountain High School Establishment
21200 N. 83rd Ave. Class 2
Peoria, AZ 85382 FD-29184 $235.00
Retail Food
Centennial High School Establishment
14388 N. 79th Ave Class 2
4 | P a g e

Permit Fee Waivers Approved by BOH on July 27, 2015 including
Food Service Worker Certificates recently approved and issued
Peoria, AZ 85381 FD-29240 $235.00
Retail Food
Liberty High School Establishment
9621 W. Speckled Gecko Dr. Class 2
Peoria, AZ 85383 FD-29202 $235.00
E & D 10+ Seating
Class 4
FD-29201 $1,030.00
Ironwood High School E & D 10+ Seating
6051 W. Sweetwater Ave. Class 4
Glendale, AZ 85304 FD-29207 $1,030.00
Raymond Kellis High School Retail Food
8990 W. Orangewood Ave. Establishment
Glendale, AZ 85305 Class 2
FD-29249 $235.00
Peoria High School Retail Food
11200 N. 83rd Ave. Establishment
Peoria, AZ 85345 Class 2
FD-29238 $235.00
4. Salvation Army Semi-Public Pool
1375 E. Broadway Rd. Special Use
5 | P a g e

Permit Fee Waivers Approved by BOH on July 27, 2015 including
Food Service Worker Certificates recently approved and issued
Phoenix, AZ 85040 SP-08608 $250.00
Semi Public Pool
Hydrotherapy
SP-08609 $225.00
Semi-Public Pool
Bathing
SP-08610 $270.00
E & D 10+ seating
Class 4
FD-17288 $1,030.00
E & D 0-9 seating
Class 2
FD-17394 $260.00
E & D 0-9 seating
Class 2
FD-17395 $260.00
E & D 10+ seating
Class 2
FD-17396 $315.00
The Salvation Army Boarding Home
6 | P a g e

Permit Fee Waivers Approved by BOH on July 27, 2015 including
Food Service Worker Certificates recently approved and issued
2707 E. Van Buren St. Class 5
Phoenix, AZ 85008 FD-22318 $760.00
5. Scottsdale League for the Arts Special Events
7309 E Evans
Scottsdale, AZ 85260 Eat, Drink and be
Pretty
04-10-15
Temporary permits
FD-43004 $85.00
FD-43005 $85.00
FD-43006 $85.00
Great Arizona Picnic
04-11-15 and
04-12-15
Temporary Permits
FD-43008 $85.00
FD-43009 $85.00
FD-43012 $85.00
FD-43017 $85.00
FD-43018 $85.00
FD-44548 $135.00
FD-44549 $135.00
FD-44400 $85.00
Wine Country Brunch
04-12-15
Temporary Permit
FD-43022 $85.00
7 | P a g e

Permit Fee Waivers Approved by BOH on July 27, 2015 including
Food Service Worker Certificates recently approved and issued
Grand Total $1.035.00
6. United Food Bank Food Bank
245 S. Nina Dr. Class 2
Mesa, AZ 85210 FD-16482 $260.00
United Food Bank Food Jobber
358 E. Javelina Ave. Class 2
Mesa, AZ 85210 FD-03353 $255.00
7. Classic Cooking Academy E & D 10+ seating
10441 E. McDowell Mountain Class 3
Ranch Rd FD-25274 $650.00
Scottsdale, AZ 85255
8. Changing Lives Boarding Home
338 N.15th Ave. Class 5
Phoenix, AZ 85009-6708 FD-31511 $760.00
9. Adult Day Care- Phoenix Adult Daycare
3620 N. 4th Ave Class 3
Phoenix, AZ 85013 FD-12859 $100.00
10. Matthews Crossing Food Bank Food Bank
1368 N. Arizona Ave Ste 112 Class 2
Chandler, AZ 85225 FD-18940 $260.00
11. Benevilla Service Kitchen
Peoria Adult Daycare Class 2
8133 W. Cactus Rd. FD-43581 $230.00
8 | P a g e

Permit Fee Waivers Approved by BOH on July 27, 2015 including
Food Service Worker Certificates recently approved and issued
Peoria, AZ 85381
12. Dobson High School 0 Food Service 300 Food Service
1501 W. Guadalupe Rd. Worker Certificates Worker
Mesa, AZ 85202 issued to date Certificates
Total $0.00 approved on 07-
27-15 at $10.00ea
Total $3,000.00
13. Arizona Center for Blind E & D 10+ seating
3100 E. Roosevelt Class 4
Phoenix, AZ 85034 FD-00041 $1,030.00
14. St Mary’s Westside Food Bank Damaged Food
13050 W. Elm St Class 4
Surprise, AZ 85374 FD-00136 $620.00
Food Processor
Class 2
FD-06456 $260.00
St Mary’s Food Bank E & D 10+ seating
3003 W. Thomas Rd. Class 4
Phoenix, AZ 85009 FD-16515 $1,030.00
Food Jobber
Class 2
FD-16455 $255.00
15. Del E. Webb Center for the Special Event
Performing Arts Guys who Grill
9 | P a g e

Permit Fee Waivers Approved by BOH on July 27, 2015 including
Food Service Worker Certificates recently approved and issued
2001 W. Wickenburg Way Ste. 3 March 28, 2015
Wickenburg, AZ 85390 FD-44030 $85.00
16. Transitional Living Communities Plan Review
136 S. Robson Rd. FD-43965 $615.00
Mesa, AZ 85210
17. Paz de Cristo E & D 10+ Seating
424 W. Broadway Rd. Class 4
Mesa, AZ 85210 FD-00225 $1,030.00
Food Catering
Class 5
FD-00217 $530.00
18. Phoenix Day Child & Family Daycare Food Service
Learning Center Class 3
115 E. Tonto Street FD-00189 $390.00
Phoenix, AZ 85004
19. Wittmann Community Center Food Bank
21802 W. Wilson Rd. Class 2
Wittmann, AZ 85361 FD-08222 $260.00
20. Foothills Food Bank Food Bank
6038 E. Hidden Valley Dr. Class 2
Cave, Creek, AZ 85331 FD-32247 $260.00
21. Cup O Karma E & D 10+ Seating
1710 W. Southern Ave. Class 2
Mesa, AZ 85202 FD-12957 $315.00
10 | P a g e

Permit Fee Waivers Approved by BOH on July 27, 2015 including
Food Service Worker Certificates recently approved and issued
22. St Anthony’s E & D 10+ Seating
909 S. 1st Ave. Class 4
Phoenix, AZ 85003 FD-09149 $1,030.00
23. Manna Food Bank Minor Review Associated with
1135 E. Main St. RM-04617 $245.00 Food Bank permit
Mesa, AZ 85203 FD-22254
0 Food Service 25 food service
Worker Certificates worker certificates
issued to date approved on 07-
Total $0.00 27-15 at $10.00ea.
Total $250.00
24. Andre House Jackson St E & D 10+ seating
213 S. 11th Ave. Class 4
Phoenix, AZ 85007 FD-00185 $1,030.00
25. Circle the City 11 Food Service 30 Food Service
333 W. Indian School Rd. worker certificates Worker
Phoenix, AZ 85013 issued on 05-02-15 Certificates
9 Food Service approved on 07-
Worker certificates 27-15 at $10.00ea.
issued on 07-11-15. At Total $300.00
$10.00ea
Total $200.00
26. Extended Hands Food Bank Food Bank
16548 E. Laser Drive #6 Class 2
Fountain Hills, AZ 85268 FD-23233 $260.00
11 | P a g e

Permit Fee Waivers Approved by BOH on July 27, 2015 including
Food Service Worker Certificates recently approved and issued
27. Metro Tech High School 0 Food Service 45 Food Service
1900 W. Thomas Rd Worker Certificates Worker
Phoenix, AZ 85015 issued to date Certificates
Total $0.00 approved on 07-
27-15 at $10.00ea
Total $450.00
28. Tolleson Head Start Service Kitchen
9301 W. Baden Street Class 2
Tolleson, AZ 85353 FD-13205 $230.00
Early Head Start Service Kitchen
11708 N. 80th Ave. Class 2
Peoria, AZ 85345 FD-31268 $230.00
Avondale South Head Start Service Kitchen
525 E. Harrison Dr. Class 2
Avondale, AZ 85323 FD-09514 $230.00
29. Desert Manna Food Pantry Food Jobber
590 N. 96th St. Class 2
Mesa, AZ 85207 FD-44286 $255.00
30. I Can Positive Programs for E & D 10+ seating
Chandlers Youth Class 3
650 E. Morelos St. FD-20089 $650.00
Chandler, AZ 85225
Banner Olive Branch Senior 25 Food Service 175 Food Service
12 | P a g e

Permit Fee Waivers Approved by BOH on July 27, 2015 including
Food Service Worker Certificates recently approved and issued
Center Worker Certificates worker certificates
11250 N.107th Ave. issued on 05-28-15 approved on 04-
Sun City, AZ 85351 27-15. 73 Food
16 Food Services Service Worker
Worker Certificates Certificates
issued on 06-23-15 Previously issued
and reimbursed
9 Food service Worker
Certificates issued on
07-30-15
Total $500.00
Joshua Tree Feeding Program 14 Food Service 23 Food Service
530 E. McDowell Rd Ste. 107– Worker Certificates Worker
247 issued on 07-27-15 Certificates
Phoenix, AZ 85004 Total $140.00 approved on 04-
27-15
Chandler Christian Community 20 Food Service 30 Food Service
Center Worker Certificates Worker Cards
345 S. California St. issued on 05-21-15 approved on 04-
Chandler, AZ 85224 27-15
Total Amount requesting to be $34,815.00
reimbursed
Total amount approved by the $37,080.00
Board of Health on July 27,
2015
Variance ($3,810.00)
13 | P a g e

Permit Fee Waivers Approved by BOH on July 27, 2015 including
Food Service Worker Certificates recently approved and issued
Cactus High School Culinary
Arts
0 certificates issued but 85
approved by the Board of
Health on 07-27-15 at $10.00ea
Variance ($850.00)
Dobson High School Culinary
Arts
0 certificates issued but 300
approved by the Board of
Health on 07-27-15 at $10.00ea
Variance ($3000.00)
Resurrection Street Ministry
volunteers
0 certificate issued but 25
approved by the Board of
Health on 07-27-15 at $10.00ea
Variance ($250.00)
Circle the City volunteers
11 certificates issued on
05-02-15
9 certificates issued on
07-11-15
but 30 certificates approved by
14 | P a g e

Permit Fee Waivers Approved by BOH on July 27, 2015 including
Food Service Worker Certificates recently approved and issued
the Board of Health on 07-27-15
at $10ea
Variance ($100.00)
Metro Tech High School
Culinary Arts
0 certificates issued but 45
approved by the Board of
Health on 07-27-15 at $10.00ea
Variance ($450.00)
Banner Olive Branch Senior
Center volunteers
25 certificates issued on
05-28-15.
16 certificates issued on
06-23-15
9 certificates issued on
07-30-15.
Approved by the Board of
Health on 04-27-15. Certificates
issued at $10.00ea
Variance $500.00
Joshua Tree Feeding Program
volunteers
14 certificates issued on
15 | P a g e

Permit Fee Waivers Approved by BOH on July 27, 2015 including
Food Service Worker Certificates recently approved and issued
07-27-15
Approved by the Board of
Health on 04-27-15
Certificates issued at $10.00ea
Variance $140.00
Chandler Christian Community
Center volunteers
20 certificates issued on
05-21-15
Approved by the Board of
Health on 04-27-15
Certificates issued at $10.00ea
Variance $200.00
Devoured Phoenix Culinary Classic March 7, 2015 to March 8, 2015
1625 N. Central Ave. Phoenix, AZ 85004
Vendor List:
Permit Fees
# Business Name Paid
FD-42220 The Parlor Pizzeria $85.00
FD-43010 Barrio Urbano $85.00
FD-43119 Aloha Cakes AZ $85.00
FD-43122 Jacked Ice $85.00
16 | P a g e

Permit Fee Waivers Approved by BOH on July 27, 2015 including
Food Service Worker Certificates recently approved and issued
FD-43334 AJ's Fine Foods $85.00
FD-43335 Blue House Kitchen & Cocktails $85.00
FD-43336 Cafe Lalibela $85.00
FD-43337 Cartwright's $85.00
FD-43338 Chelsea's Kitchen $85.00
FD-43339 Cibo $85.00
FD-43341 Flower Child $85.00
FD-43342 Green New American Vegetarian and $85.00
Nami Vegan Sweets
FD-43344 Igno's Tasty Food $85.00
FD-43349 La Grande Orange $85.00
FD-43352 Little Cleo's $85.00
FD-43354 Los Sombreros $85.00
FD-43355 Maizie's Cafe and Bistro $85.00
FD-43358 OTRO GALLO $85.00
FD-43364 Pizza People Pub $85.00
FD-43365 Province Restaurant $85.00
FD-43367 Red Thai and Sochu House $85.00
FD-43370 SanTan Brewing Company $85.00
FD-43371 Sierra Bonita $85.00
FD-43373 St Francis $85.00
FD-43376 Taggia Restaurant and SALTROCK $85.00
kitchen
FD-43377 The Clever Koi $85.00
FD-43378 The Henry $85.00
FD-43381 The Post at the Crowne Plaza Phoenix $85.00
Airport
FD-43390 The VIG $85.00
FD-43391 Urban Cookies Bakeshop $85.00
FD-43396 Proper Tucson $135.00
FD-43397 Virtu Honest Craft $85.00
17 | P a g e

Permit Fee Waivers Approved by BOH on July 27, 2015 including
Food Service Worker Certificates recently approved and issued
FD-43403 Barrio Cafe $85.00
FD-43407 Bitter and Twisted Cocktail Parlour $85.00
FD-43408 Citizen Public House $85.00
FD-43410 Elote Cafe $85.00
FD-43411 Federal Pizza $85.00
FD-43412 Fez Restaurants $85.00
FD-43413 HOUSE OF TRICKS $85.00
FD-43414 Hula's Modern Tiki $85.00
FD-43415 Renaissance Phoenix Downtown Hotel $85.00
FD-43416 J&G Steakhouse $85.00
FD-43417 Joyride Taco House $85.00
FD-43418 Kai at Sheraton Wild Horse Pass Re- sort $85.00
FD-43419 Overland Trout $85.00
FD-43420 Phoenix City Grille $85.00
FD-43421 Phoenix Public Market Cafe $85.00
FD-43422 Pink Pony $85.00
FD-43423 Postino Winecafe $85.00
FD-43427 Sassi $85.00
FD-43428 Sweet Republic $85.00
FD-43430 Switch Restaurant and Wine Bar $85.00
FD-43431 Tammie Coe Cakes $85.00
FD-43432 The Breadfruit & Rum Bar $85.00
FD-43433 The Gladly $85.00
FD-43435 Tinderbox Kitchen $85.00
FD-43436 Tuck Shop $85.00
FD-43437 Windsor/Churn $85.00
FD-43438 Hana Japanese Eatery $85.00
FD-43440 Binkley’s Restaurant $85.00
FD-43441 Quiessence $85.00
18 | P a g e

Permit Fee Waivers Approved by BOH on July 27, 2015 including
Food Service Worker Certificates recently approved and issued
FD-43442 Espresso Italia $85.00
FD-43444 Souther Rail/Beckett's Table $85.00
FD-43445 Tavern Americana $85.00
FD-43446 Brilttle Bliss $85.00
FD-43447 Bliss ReBAR $85.00
FD-43448 Doc's Artisan Ice Creams $85.00
FD-43449 The Upton $85.00
FD-43450 The Wigwam $85.00
FD-43454 Cuttlefish Ocean Kitchen $135.00
FD-43455 Epicurean Foods $135.00
FD-43456 Geordie's Steak $135.00
FD-43457 Roka Akor $85.00
FD-43458 Tertio Wine Bar/ Urban Beans $135.00
FD-43459 SOL Mexican Cocina $135.00
FD-43558 Short Leash $135.00
Total $6810.00
19 | P a g e