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HomeMy WebLinkAboutTUPType of Event: _ Public Concert Parade _ Motion Picture _ Fair _ Demonstration Grand Opening Festival _ Community Event Circus Block Party /"Other 13ryv FOR, .CALCS Event Title: % A-Y9v/ 1''l L 1/lt15x.„ Event Location: g-0/ NA-7r0&/4-t t✓l7 e /3LvA Event Date(s): From 1/I/O/I to I2/3 f/'dy/ Total Anticipated Attendance: Month/Day/Year ( Participants) ( Spectators) Actual Event Hours: 0 art/pm to amC) Setup/assembly/construction Date: Start time: Please describe the scope of your setup/assembly work (specific details): Dismantle Date: 1/22-O/2 Completion Time: am/pm List any street(s) requiring closure as a result of this event. Include street name(s), day and time of closing and day and time of reopening. Af0/V Sponsoring Organization: p k"iF/ Ch. 6 -Y V/ 1-1-C- Chief Officer of Organization (Name) bcoleira Applicant (Name): g. A" //3 S'Ef1V(70P74 Address: l �s Hit-1/ GOCe SV l7 . Nei 0i f 4rJ .7) /mil C 9 2.- // 0 Daytime Phone: (6/9) „ % 9O0 0 Evening Phone: (</9) .50. 3cd g 2 - Fax: (6/1.9) 2 9 6 ..90 D Contact Person "on site" day of the event: /2.14 .e'V P74- Pager/Cellular: �= /9)S4O 32--- NOTE: THIS PERSON MUST BE IN ATTENDANCE FOR THE DURATION OF THE EVENT AND IMMEDIATELY AVAILABLE TO CITY OFFICIALS 1 '1/For Profit Not -for -Profit Is your organization a "Tax Exempt, nonprofit" organization? Are admission, entry, vendor or participant fees required? If YES, please explain the purpose and provide amount(s): YESNO YES NO Estimated Gross Receipts including ticket, product and sponsorship sales from this event. Estimated Expenses for this event. $ What is the projected amount of revenue that the Nonprofit Organization will receive as a result of this event? Please provide a DETAILED DESCRIPTION of your event. Include details regarding any components of your event such as the use of vehicles, animals, rides or any other pertinent information about the event. N7/Nc)A7f0A) ®F A-- /j ,rfv LOC 1-?C- 64k) 7°, ©F 61IN 7©c3 l UlLArne c - 7C/ �. S(7cM-7E4 4-1 g01 /U4-7rOA)A-c_ c(7y 1-Vt. 71-t - L kAJAJ - IS1-RC' )2 Pko.'P€L7itfC k 'sos,v7//c SA o y YES NO If the event involves the sale of cars, will the cars come exclusively from National City car dealers? If NO, list any additional dealers involved in the sale: 2 YES ✓NO Does the event involve the sale or use of alcoholic beverages? YES _ NO Will items or services be sold at the event? if yes, please describe: FS /D 7fIJ c)i)17s Witt- a G ,CO t-2 YES VNO Does the event involve a moving route of any kind along streets, sidewalks or highways? if YES, attach a detailed map of your proposed route indicate the direction of travel, and provide a written narrative to explain your route. 'L%YES _ NO Does the event involve a fixed venue site? If YES, attach a detailed site map showing all streets impacted by the event. Am "74Griii c.C..5'7/ u /A.'P -Tj _ YES 1-4O Does the event involve the use of tents or canopies? If YES: Number of tent/canopies Sizes NOTE: A separate Fire Department permit is required for tents or canopies. YES 40 Will the event involve the use of the City stage or PA system? In addition to the route map required above, please attach a diagram showing the overall layout and set-up locations for the following items: > Alcoholic and Nonalcoholic Concession and/or Beer Garden areas. IV > Food Concession and/or Food Preparation areas Please describe how food will be served at the event:/ft If you intend to cook food in the event area please specify the method: GAS ELECTRIC CHARCOAL OTHER (Specify): ➢ Portable and/or Permanent Toilet Facilities 3ryreNd 3 IVO 4 e-N Number of portable toilets: (1 for every 250 people is required, unless the applicant can show that there are facilities in the immediate area available to the public during the event) ➢ Tables and Chairs tJ/ > Fencing, barriers and or barricades N f A- > Generator locations and/or source of electricity IV f > Canopies or tent locations (include tent/canopy dimensions) > Booths, exhibits, displays or enclosures > Scaffolding, bleachers, platforms, stages, grandstands or related structures A - ➢ Vehicles and/or trailers kI f 4- ➢ Other related event components not covered above IV/ 11- ➢ Trash containers and dumpsters (Note: You must properly dispose of waste and garbage throughout the term of your event and immediately upon conclusion of the event the area must be returned to a clean condition.) Number of trash cans: 1 J Trash containers with lids: Describe your plan for clean-up and removal of waste and garbage during and after the event: -1 f Picas Xi' OF- 1177 d. 47ZO m obg t_ mu NI-7-1-1 3 Please describe your procedures for both Crowd Control and Internal Security: 0 N S t 7atriS' �t 7Jifrera r. O to- o-- N7 /,ti O c. vrsc 17 4€.f . Qry A1 CfL�) 7i F-tC. L0rLc_ 1,6 /--2_ p4 ospsq ovk. 0ton0 s pcie DAN/ — YES 10 Have you hired any Professional Security organization to handle security arrangements for this event? If YES, please list: Security Organization: Security Organization Address: Security Director (Name}: Phone: — YES _i' NO Is this a night event? If YES, please state how the event and surrounding area will be illuminated to ensure safety of the participants and spectators: Please indicate what arrangement you have made for providing First Aid Staffing and Equipment. I#2._,.S7 A- K A2L A/LA-dL : (ion,* Orfls'17C f Please describe your Accessibility Plan for access at your event by individuals with disabilities: P KrAr-6 IN ? - Pf Pc47ys /04- i i --t o 7 Please provide a detailed description of your PARKING plan: Pi ° orS7ILec 7 P K./n,(x /s G-oCA 7gD Iry -7ft PLoPci 7y c ,)i.rv#, Lc07(s) Please describe your plan for DISABLED PARKING; WI. 1.4QUf2.L NVT)M13OF Dam+) Pi -Awed,* slu r C,oC4 7 e AI 7I-tg PR.oPL.4.7 y fir' plLt v 1 .. 1.-071-1 4 Please describe your plans to notify all residents, businesses and churches impacted by the event: CAD Any A v --r7 (aAJ o rY/S7 A/4 siC2-Al NOTE; Neighborhood residents must be notified 72 hours in advance when events are scheduled in the City parks. f YES ?110 Are there any musical entertainment features related to your event? If YES, please state the number of stages, number of bands and type of music. Number of Stages: Type of Music: YES LO Will sound amplification be used? If YES, please indicate: Start time: Number of Bands: am/pm Finish Time am/pm YES NO Will sound checks be conducted prior to the event? If YES, please indicate: Start time: am/'pm Finish Time am/pm Please describe the sound equipment that will be used for your event: YES "NO Fireworks, rockets, or other pyrotechnics? If YES, please describe: v YES — NO Any signs, banners, decorations, special lighting? If YES, please describe: E Cr A7M - P S ,11 pfc ru(L ' . . c8/4- %S 64Y1/111,0-706, . (0n4 A10 6.9 S uAf4- /1 Revised 08/10/05 5 Event: For Office 'Use Only Department Date Approved? Yes No Initial Specific Conditions of Approval Council Meeting Date: Approved: Yes No Vote: Kathleen Trees, Director Building & Safety Department 6 City of National City PUBLIC PROPERTY USE HOLD HARMLESS AND INDEMNIFICATION AGREEMENT Persons requesting use of City property, facilities or personnel are required to provide a minimum of $1,000,000 combined single limit insurance for bodily injury and property damage which includes the City, its officials, agents and employees named as additional insured and to sign the Hold Harmless Agreement. Certificate of insurance must be attached to this permit. Organization Person in Charge of Activity Address Telephone Date(s) of Use HOLD HARMLESS AGREEMENT As a condition of the issuance of a temporary use permit to conduct its activities on public or private property, the undersigned hereby agree(s) to defend, indemnify and hold harmless the City of National City and the Parking Authority and its officers, employees and agents from and against any and all claims, demands, costs, losses, liability or, for any personal injury, death or property damage, or both, or any litigation and other liability, including attorneys fees and the costs of litigation, arising out of or related to the use of public property or the activity taken under the permit by the permittee or its agents, employees or contractors. Signature of Applicant fez. C, 0 Mm.*rit Official Title 41! Date For Office Use Only Certificate of Insurance Approved Date 7 Non-profit organizations, which meet the criteria on page v of the instructions, will be considered for a waiver. If you would like to request a waiver of the processing fees, please complete the questionnaire below. 9. Is the event for which the TUP is sought sponsored by a non-profit organization? Yes (proceed to Question 2) No (Please sign the form and submit it with the TUP Application) 2. Please state the name and type of organization sponsoring the event for which the TUP is sought and then proceed to Question 3. Name of the sponsoring organization Type of Organization (Service Club, Church, Social Service Agency, etc.} 3. Will the event generate net income or proceeds t the sponsoring organization? Yes (Please proceed to Question 4) No (Please sign the form and submit it with the TUP Application) 4. Will the proceeds provide a direct financial benefit to an individual who resides in or is employed in the city, and who is in dire financial need due to health reasons or a death in the family? Yes (Please provide an explanation and details. No (Please proceed to Question 5) 8 6. Will the proceeds provide a direct financial benefit to city government such as the generation of sales tax? Yes (Please provide an explanation and details. No (Please proceed to Question 6) 6. Will the proceeds provide a direct financial benefit to a service club, social services agency, or other secular non-profit organization located within the city such as Kiwanls, Rotary, Lions, Boys and Girls Club? Yes (Please provide an explanation and details. No (Please proceed to Question 7) 7. Will the proceeds provide a direct financial benefit to an organization, which has been the direct recipient of Community Development Block Grant (CDBG) funding? Yes Year funds were received: Funds were used to: No (P lease sign the form and submit it with the T(JP Application) Signature Date 9 • •, • rf tOe ;thr;121 , 1 . . . • . . . , The banner is a metal framed vinyl sign that will be 80' x 8'. This is substantially smaller than the prior banner that was 100' x 20'. Also, the banner will be anchored to the building so that it is safe and not subject to the effects of the wind.