HomeMy WebLinkAboutTUP APPType of Event:
_ Public Concert
Parade
_ Motion Picture
Event Title:
Event Location:
-� ii
;yI �y�.�tt }e�'� byy A � �µ���Y. Aj R
Fair
_ Demonstration
_ Grand Opening
_ Festival _ Community Event
_ Circus _ Block Party
,[Other t3ic yrk /Pica
61#4 Al 7 Co/W4- ,, -- Ca."£ip
0
_Cee. A-L Acne ..S' r-
Event Date(s): Frontic0 (( tog/it/if Total Anticipated Attendance: 02 S00 - 3G?2 c)
Month/Dayr ( "Participants)
( C7 Spectators)
Actual Event Hours: %.�/ pm to ...(.700 a j ST�4,7/ nj,5C , , r 0teo6
I ( ea KJ
Setup/assembly/construction Date: y /O/I ( Start time: - rim
Please describe the scope of your setup/assembly work (specific details): ,' M» e -/- -,.0
49 �6e cab S0 I' /
41 ve r "PSC
C /4, / 114 ,-' 4 € Se r- ct'l
4/K "1'1 4'741✓4-' / AtI/4-c 4 �®07; i"14 sT 4r A.( a .'oo Al h-, Dismantle Date: �f-
%b/�cs", dtoy/v re f s e /�"°� o v `o%
o li jp4 �, �. y it ( Completion Time: 5T 'd a� `✓ i'ri-
�" lei de
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 reo ing. n
Sponsoring Organization:
For Profit
Chief Officer of Organization (Name) CAV S 60041 C Z -mot-for-Profit
Applicant (Name): V ( kin CtV L/ f ert.: , ol1:4
Address: 7
/t -p i f / "� V4- /tf, 4•�P4 �r-. f4 C �'7'
9 `1�- �' s.• , F a`sY- 0 3 5 Daytime Phone: �) pJ Evening Phone: (_) Fax: ( )
Contact Person "on site" day of the event:
Pager/Cellular: eec/c '
NOTE: THIS PERSON MUST BE IN ATTENDANCE FOR THE DURATION OF THE EVENT
AND IMMEDIATELY AVAILABLE TO CITY OFFICIALS
1
Is your organization a "Tax Exempt, nonprofit" organization? ✓YES _
Are admission, entry, vendor or participant fees required? ✓YES
If YES, pleaseiplain the purpose and provide amount(s):
NO
NO
$..210 CAOCiEstimated Gross Receipts including ticket, product and sponsorship sales from
this event.
$ c9:5Oc U Estimated Expenses for this event.
$ C7
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.
Sec 4 6 ! 4c / h Af'rr►.v- f t
/09-c,t7e-±
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
V V V V V V %
YES /NO
YES
Does the event involve the sale or use of alcoholic beverages?
A/a?s•is !11.041.e3.4,3- t
7�i
ci.
Will items or services be sold at the event? If yes, please describe: Mir Pi/ ty,s4( act,. /
✓YES _ NO 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.
✓YES _ NO Does the event involve a fixed venue site? If YES, attach a detailed site map
showing all streets impacted by the event. re /414 5-4 ' e
✓YES _ NO Does the event involve the use of tents or canopips? If YES:
Number of tent/canopies 3 Sizes / V X/i7 j,s /J-vte NO r / aye. o-
NOTE: A separate Fire Department permit is required for fentg or cahopies.
_ YES ✓60 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:
Y
Alcoholic and Nonalcoholic Concession and/or Beer Garden areas.
Food Concession and/or Food Preparation areas
Please describe how food will be served at the event: LA-14.7teY -� - ej- (Jr
iwGel ®H /y
If you intend to cook food in the event area please specify the method:
GAS ELECTRIC CHARCOAL OTHER (Specify): /V/
> Portable and/or Permanent Toilet acilities
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
Fencing, barriers and/or barricades
Generator locations and/or source of electricity
Canopies or tent locations (include tent/canopy dimensions)
Booths, exhibits, displays or enclosures
Scaffolding, bleachers, platforms, stages, grandstands or related structures
Vehicles and/or trailers
Other related event components not covered above
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: 7 Trash containers with lids:
Describe your plan forclean-up and removal of waste and garbage during and after the event:
�� G<e POI/CI f CI 4e 1e - fro I'ecye4 p,,
T /�i � � � �
✓'e crC(1 �I •�•�.e'L / � <e�... S � E � �' ice,
3
rj
i \-, 4}�p'� o.�+��+z s c� x� "d 7� �fc:r i -'d'' `' w i 4
�'�'M*e "�'f!'_ '�+ .4^491f `_. ' 4.444?t+$+y WI'' ih"t' }it{t�p'w
Please describe your procedures for both Crowd Control and Internal Security:
N.7- fiv fi c e c fo s K r -e goi-tErcf2._.._
_ YES 1.116 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 4O 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.
See t
Please describe your Accessibility Plan for access at your event by individuals with disabilities:
4/v7- A4pf;-c446
FT d.VF-
. c •i. r
y*4iea: }tip 4y Pt�n -0}' 4r f 5431,..4 � # N ;FC:e
°C'h'!?+fr+'E'nf�i":blh�}�+{+'�'M+#ri4ty7 �°'a(e'v�
Please provide a detailed description of your PARKING plan:
Not y,ffc4C f.! 6 r Gf ke �r .s e r ,.e 7.
Please describe your plan for DISABLED PARKING:
4
Please describe your plans to notify all residents, businesses and churches impacted by the
event:
/b of tci rvi /�l e w 2 ea-v� i vls
1101Vdveci2-- c o er_vc --e •
NOTE: Neighborhood residents must be notified 72 hours in advance when events are
scheduled in the City parks.
_ YES " I�O 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 �10 Will sound amplification be used? If YES, please indicate:
Start time: am/pm Finish Time am/pm
_ YES Will sound checks be conducted prior to the event? If YES, please indicate:
Number of Bands:
Start time: am/'pm Finish Time
am/pm
Please describe the sound equipment that will be used for your event:
YES 1-'I 0 Fireworks, rockets, or other pyrotechnics? If YES, please describe:
4.--YES _ NO Any signs, banners, decorations, special lighting? If YES, please describe:
vX / g I ( /24413Alf l ®i i . / Sr (ftt •r%'/kvAi)
Revised 08/10/05
Event:
For Office 'Use OnCy
Department Date
Approved? Yes No Initial
Specific Conditions of Approval
Council Meeting Date:
Approved: Yes No
Vote:
Kathleen Trees, Director
Building & Safety Department
6
TIFATE. OF 3 IBL
10lilir" lhi Iriii ifs
bat
Lei
IRMO
INL'
ONLY AHD !PSI
lieLtkEit Tfil$taift
AUER lliECOVERAlle
NCE
a!
imniAt
:Fire;
H1
r
Pr
kjigi km ;01' ' rti4 i TIM - i m,:k or MAIMc-xet 'i° nio'p*im<Sort)..i prItIntge44
g eswit stositrAg"T OTe1i ppc tssrr 1ihl R i r T iOw-TF iri-3 epu ,sp TC 'Y:k' :iu'4iiF
Fs t'A G.d E i sirr-lpmsgp,gr4 AsTir,soim tasp ktk T L'T 10, [FOGW ti1isi ip 'L"aiip'iE::t0Askr wA.c-ti
1 :: !iR 4/i-PZ11t i4' 'L.P's°'f'D WePAlad.Looki,
di21117 LIMILIT '
room, -k111I 671
▪ VOigaiifiso0 Waist
cizmi,Acan-paim Lam' Amiga P¢t
❑ MACY OP170.10.PT ❑ WC'
umlauts
pit
❑, i DR
▪ 31GC°11zsum .
▪ RTMITICIN
!MOMS CaMP
LUMP 4/11N17T"s
d011-Erma`
076-7
€11
MAU
79it/
�71{IC�'1�i1
1.111174
MAC 3i sk CLPIP!
PI
WIPP
GPG�39rTE
PisT-fiJrt
lam glint%
f£�4Cioq. 1ilipeq
kTi
Q WTI ,T TJ. 071A
Itir fLiVIT!Ii Ck
r.L.T1i M :ff Y.if
_31
CESCRIPT11211 • MOW- 71LOU VACL11 0.i OD
MALMO Nam! Iztsured React Fordo USA, L C
E t 3r FFr63 3n Diego
: Masch 7 1 "
Wilke& ter asArkfl1 'i arEd.
C,..001,1•=Y LIMIT
each s r
S1D,COO
.1
WWI MAW( TaaAiwa eincsausnit4141.1EARC413117 11EPTIR491i6:
11KPIPaTION:CATE71411iRC2:6:, niE locum fia»1EPPAP. CHITTEMPTO.RO
30 TtliAl V717f 171amii Tip L=ii6t 3k71Riciu,i£1 L66 hum ;tyro.
TianLE117,11kr1FdI4UPEL0":LtiGftTi9:14M14:111002E10O1:141UOI 311klitArI Y
s T .9Hd siriifl UPON TAK Siti1CR..1Tm mann na ik 14141iID1i11iTFitSai,
Jil I/WlU. 111 1" 1 BIiTtL71.71
ADOND CedTrl '1i+JI
City of National City
Persons requesting use of City property, facrities or perm are required to
provide ti miThinturn Of $1 ,OCO.OZIO oonlibieed $ingis limit ittimance for bodily
injury and peoporty damage which includes the City, its officials, agents and
enVIOYee$ nittoried aS ackfttiotat inSwed and to sign the Hdd Harmless
Agreement. Ceralloabe of insurance must be attached to Ines permit
Organization
6 (AV 17_04)4 61 5-4
POriton in Charge of Activity PO b.. ce
Address.PC) Ley g7P
Telephone 6112Y412 Otgel,P. Date(*) of use
HOLD.Engitaiumun
As a Condon ol the issuance of a temporary UM permit to conduct its activtes
on public or physic properly, the undersened hereby agree(s) to defend,
inclemnify and Fmk' hernias the City of National City and the Parking Authority
and as &foam, employees and agents from and against tatty and all clam
demands, costs, looses, liability Or, far any personal inatry, death or property
damage or both, or any ittgatico and other isbillty, including attorneys fees and
the oosts of litigation, arising out of or related to the use of pubic property or the
actheity taken widow ate pItrrtift by the pertinence or its agenda., erupt or
contractors,.
•
Certifies of ins