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Home My WebLink AboutTUP & StimpulationsType of Event: . Public Concert _ Fair _ Parade Demonstration Motion Picture Grand Opening VFestival _ Circus Other Community vent Block Party Event Title: ! 4 A ,7/ �o�+ y E.' S lT 1/4- L_ ft Event Location: / g/6 ktr.0 N 14Y.0 Event Date(s): Fro f ! 3 to 14 6/49/f3 7 6/,/r� Actual Event Hours: / 2, an rr to /0 a pm 6 4, to bpfm Total Anticipated Attendance: 2S C� ( /OOParticipants l SC Spectators) Setup/assembly/construction Date: Q///3 Start time: ,5 arh Please describe the scope of your setup/assembly work (specific details): a - $ 1 Ccl is ,y s ? oifAlsirr,� rrn - Sri p t h�lr�s t Cl 1rvs /At &i r>hs if r c// &tc.rp,s lKJ ry a 71-6.-moo Dismantle Date: %//3 Completion Time: 7,0rn a 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. HPr- r mifr- t Lo 3Tte-P i �Cf`as -I �°i- i 5�-tm Vi/13 ^ R f�e+4 a7- 7pm # fd ' T S 13 «S s%�, ' e is _e, 077 vc.r fP J ; .,. �^ ' fvt 2 .,,....a. * .., r x�tfe�+:r, :rk..iwi--�.��} r- ..;.s. ;•� uc.r ... .. Sponsoring Organization: % AiT QN p Gr- PA At 4 Chief Officer of Organization (Name) )= f , fit' it 1 d (1 2 a r u -re (c 5T e r) Applicant (Name): 5 i, & ja -FM iV y o/C 130( d u e C k1Otec H Address: / P 1 k f A r = ! Ili y e 1r14,1 io 4L Ci 1 y/ Ci9 9/i5 Daytime Phone: (CeZ6 777-- L/5 zb Evening Phone: V 77 - 2 0 6 0Fax: 1 9 St3-i�i� 01l o\ - u d P s iC ) :� ,.ne± i ce41 Contact Person "on site" day of the event: ' 7 e c,b Cellular: & 30 4-2 S NOTE: THIS PERSON MUST BE IN ATTENDANCE FOR THE DURATION OF THE EVENT AND IMMEDIATELY AVAILABLE TO CITY OFFICIALS • Is your organization a "Tax Exempt, nonprofit" organization? L'YES _ NO Are admission, entry, vendor or participant fees required? _ YES 1-'N0 If YES, please explain the purpose and provide amount(s): $ 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. c c� i't Si !V I e e i G'i r 11 -6'1.e A•! I, f�t..Sfc � _e 1 10 CCA Ape 1-es C Gc. VI of r -e S /a >z F oc> e bo c 1/ s Por'Tj1/ e_ W r 1 I „b-e ro v i /e( o v e r m u rt v/, / 1 le-e P r'c tr / de,/ y-- r S i4-7, +-I r Sir 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: . YES NO Does the event involve the sale or use of alcoholic beverages? K YES ^ NO Will items or services be sold at the event? If yes, please describe: f CC Ce551011 XYES 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 erection of travel, and rovide a written narrative to aAainj our route. �j. e- / iiih e- K J U i ?I:Mt:1p -T�140��YES _ NO Does the event involve a fixed venue site? If YES, attach a detailed showing all streets impacted by the event. Ifetid ra Afi�} �j �9 c-N l' YES _ NO Does the event involve the use of tents or canopies? If YES: Number of tent/canopies `S U Sizes 10 ? / 0 NOTE: A separate Fire Department permit is required for tents or canopies. YES K NO Will the event involve the use of the City or your stage or PA system? SPECIFY: 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. Food Concession and/or ood Preparation areas Please d9 scribe how food will be served at the event: P J 1 r-e rSG N 5 We j} , r/ ny ( (o vet Si If u intend t cook food in the event area please specify the method: N GAS ELECTRIC CHARCOAL OTHER (Specify): Portable and/or Permanent Toilet Facilities Number of portable toilets: (1 for every 250 people is required, unless the applicant can show that there are facilities in the immedia area available to the public during the event) 0 Tables # 6, 0 and Chairs # 9 0 Fencing, barriers and/or barricades V 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: 2 5 Trash containers with lids: -6 Describe your plan for clean-up and removal o waste and garbage during andT/ rafter the event: VU I Li N —7—:e ' r S FYa0 T14 ►"!} by a /rat 6IN f2s2t a/q / I W ! -- re Ca, l Please describe your procedures for both Crowd Control and Internal}Security: l 7, w I b .e if e 0 z Par /Y1,e 9 he v,$) / /.r / yh l 5 a r �o / u r7, h t4 s, �2 Tj r �.�( poi,, Floccar— eget., //e 1,4r, 11 G r-e f9-Frer 1,1 UtA ri _ YES NO 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 XNO 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. != t k2S j AID !ZIT Fe, oN I ENO Please describe your Accessibility Plan for access at your event by individuals with disabilities: C // P4 him, c P ,�,� /�I�bJe ,� c lurk/n, � Pi4ii4 Please provide a detailed description of your PARKING plan: rcr i 4J /7, -e 7` T"o Please describe your plan for q1,s ASLE4 PARKING: fl1 r14 Yi9-r /n Please describe your plans to notify all residents, sinesses and ch robes impacted by the event: 1 Ca 1 ' k NOTE: Neighborhood residents must be notified 72 hours in advance when events are scheduled in the City parks. YES _ NO 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: INumber of Bands: 1 Type of Music: L� I-DII Ortea/ teVYES _ NO Will sound amplification be used? If YES, please indicate: Start time: T°' a pm Finish Time 10M arrr 5 Terdfop caul ei y YES _ NO Will sound checks be conducted prior to the event? If YES, please indicate: Start time: 819 f�l w m pm Finish Time (0 Obm 541-7evD147 5 MTh eDAy Please describe the sound equipment that will be used for your event: p ry 3 r s f em, ..V �� Q „, f m,e„ , 13# Ns 6-0Q[r �y►, r, q— YES 0 Fireworks, rockets, or other pyrotechnics? If YES, please describe: eV YES _ NO Any signs, banners, decorations, special lighting? If YES, please describe: e '!�l t� e r r� rFI C pt IA Ten/Pro per l 7 iq-i EV e i 7 t ecY F io iv frratiNlas tres &,c> 1/S Omfy Revised 02/29/12 • • 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 SA t Akt!JJ e- 41 c}u i' Person in Charge of Activity . E d 101 Ali3Okir10 UA+ E z Address k.ciC tP ( 4up,kJ(Jci. , 'h qy Telephone l t.e (a),1"-` 52O Da e(s) of Use (el i a I 1 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 Ap ficant Offia itle Date _ For Office Use Only 2-3, 2o13 Certificate of Insurance Approved Date ) TrSu Cg hi Folz- (c) 4v Cm,,,,p% i'J7 3 floyiqr6`,'•ff ray wI s N /q-Ae si,. 6HtArc HM-c&. �a Q S.rer 41# CotA r ktlf 2c/f'4 (5c it _ ri___ (f ,r are 6/t // 3 min g ecp e w a 19 6t2%/3 ?,C) ST kot{ T e ) THIS)OC S MENT HAS A TRUEODCUCHECK" ' WATERMARK AND VISIBLE FIBERS DISCERNIBLE FROM BOTH SIDES 85724 BUSINESS LICENSE CERTIFICATE CITY OF NATIONAL CITY PURSUANT TO CITY ORDINANCE THIS LICENSE IS HEREBY GRANTED FOR THE TERM & PURPOSE STATED BUS DESCRIPTICN RELIGIOUS ORGANIZATION -, CALIFORNIA Date of Expiration: 1?13If2013 BUSINESS ADDR =SS 1816 HARDING AVE BUSINESS NAME ATTN: MAILING ADDRESS NATIONAL ST ANTHONY OF PADUA CHURamRAT D 410 W 18TH ST NATIONAL CITY, CA 91950-5528 NON TRANSFER?ABLE POST IN A CONSPICUOUS PLACE City Manager OCUMENTdS ALTERATION PROTECTED AND REFLECTS FLUORESCENT FIBERS: UNDER UV LIGHT KEEP FOR YOUR RECORDS BUSINESS TAX RECEIPT License No. 85724 TOTAL CALIFORNIA XT} ONA L cry City of National City Fire Department r, a -^ 3 ` 13VCORPU1id1 .. i Phone (619) 336-4550 Z �w;e i.8u TEMPORARY USE PERMIT — STIPULATIONS DATE: May 8, 2013 TO: Vianey Rivera, Neighborhood Services FROM: Robert Hernandez) Fire Marshal SUBJECT: St Anthony of Padua Festival EVENT DATE: June 1, 2013 —June 2, 2013 Stipulations required by the Fire Department for this event are as follows: 1) Maintain Fire Department access at all times. 2) Means of egress shall not be obstructed in any manner and shall remain free of any material or matter where its presence would obstruct or render the means of egress hazardous. 3) Access for Fire Department shall be maintained at all times. At no time shall fire lanes, fire hydrants, fire protection systems of all types etc. be obstructed at any time. A minimum of 20 feet wide shall be maintained for the use of fire lanes. 4) All cooking booths or areas to have one 2A:10BC. If grease or oil is used in cooking a 40:BC or class "K" fire extinguisher will be required. Extinguisher to be mounted in a visible location between 31/2` to 5' from the floor to the top of the extinguisher. Maximum travel distance from one extinguisher to another shall not be more than 75 feet travel distance. All fire extinguishers to have a current "State Fire Marshal Tag" attached. Please see attached example 5) If tents or canopies are used, tents having an area in excess of 200 square feet and or canopies in excess of 400 square feet or multiple tents and or canopies placed together equaling or greater than the above stated areas, are to be used, they shall be flame-retardant treated with an approved State Fire Marshal seal attached. A ten feet separation distance must be maintained between tents and canopies. A permit from the Fire Department must be obtained. Cooking shall not be permitted under tents or canopies unless the tents or canopies meet "State Fire Marshal approval for cooking. If cooking is to be done, a ten feet separation shall be maintained from cooking appliance and canopies. Certificate of State Fire Marshal flame resistancy shall be provided to the National City Fire Department if applicable. Canopies: Tents: 0 — 400 sf - $0 401 — 500 sf - $250.00 501 — 600 sf - $300.00 601 — 700 sf - $400.00 0 —200 sf - $200.00 201 — (+) sf - $400.00 6) If Charcoal is being used, provide metal cans with lids and label "HOT COALS ONLY" for used charcoal disposal. 7) Any electrical power used is to be properly grounded and approved. Extension cords shall be used as "Temporary Wiring" Only. 8) A map is to be submitted describing layout of event. 9) A fire safety inspection is to be conducted by the Fire Department prior to operations of the event to include all cooking areas and grounds surrounding the event. 10) First Aid will be provided by organization, CITY OF NATIONAL CITY NEIGHBORHOOD SERVICES DIVISION APPLICATION FOR A TEMPORARY USE PERMIT RECOMMENDED APPROVALS AND CONDITIONS OF APPROVAL SPONSORING ORGANIZATION: St. Anthony of Padua Church EVENT: St. Anthony of Padua Festival DATE OF EVENT: June 1-2, 2013 TIME OF EVENT: 12pm to 10pm and 6am to 6pm (respectively) APPROVALS: DEVELOPMENT SERVICES FIRE PUBLIC WORKS/PARKS FINANCE COMMUNITY SERVICE POLICE CITY ATTORNEY RISK MANAGER YES [x] NO [ ] YES Ix] NO[ ] YES [x] NO [ ] YES[x] NO[ ] YES [x] NO [ ] YES [ x ] NO [ ] YES [x] NO [ ] YES [ x ] NO [ ] SEE CONDITIONS SEE CONDITIONS SEE CONDITIONS SEE CONDITIONS SEE CONDITIONS SEE CONDITIONS SEE CONDITIONS SEE CONDITIONS CONDITIONS OF APPROVAL: CITY ATTORNEY Requires an indemnification and hold harmless agreement, and a policy of general liability insurance, with the City and its officials, employees, agents and volunteers as additional insureds, with amounts of coverage to be determined by the Risk Manager POLICE 336-4400 The police department does not have any stipulations to this TUP. I will inform the on -duty supervisor to provide some extra patrol for the event. PUBLIC WORKS 336-4580 Street Division: • Staff will deliver barricades to street corners or to applicant prior to the event. The applicant shall install these barricades and remove them to a safe location at the conclusion of the event. • Staff will post "no parking" signs along affected streets before the event. • The cost to provide street personnel for the event is estimated to be: 1. Man Hours _1.5 hrs x $32.57 $ 48.86 2. Equipment/Truck 1.5 hrs x $12.07 18.11 3. "No Parking" Signs 6 x $0.45 ea 2.70 4. Barricades 8 x $0.35 ea 2.80 5. Total $ 72.47 Facilities Division: No involvement by custodial or trade personnel. Parks Division: No involvement. RISK MANAGER (619) 336-4370 For St Anthony of Padua Festival, please have them provide the following: -Applicant to provide insurance certificate and specific endorsement naming the City of National City as an additional named insured. -Must sign the Hold Harmless Agreement. FIRE (619) 336-4550 Stipulations required by the Fire Department for this event are as follows: 1) Maintain Fire Department access at all times. 2) Means of egress shall not be obstructed in any manner and shall remain free of any material or matter where its presence would obstruct or render the means of egress hazardous. 3) Access for Fire Department shall be maintained at all times. At no time shall fire lanes, fire hydrants, fire protection systems of all types etc. be obstructed at any time. A minimum of 20 feet wide shall be maintained for the use of fire lanes. 4) All cooking booths or areas to have one 2A:10BC. If grease or oil is used in cooking a 40:BC or class "K" fire extinguisher will be required. Extinguisher to be mounted in a visible location between 31/2` to 5' from the floor to the top of the extinguisher. Maximum travel distance from one extinguisher to another shall not be more than 75 feet travel distance. All fire extinguishers to have a current "State Fire Marshal Tag" attached. Please see attached example 5) If tents or canopies are used, tents having an area in excess of 200 square feet and or canopies in excess of 400 square feet or multiple tents and or canopies placed together equaling or greater than the above stated areas, are to be used, they shall be flame-retardant treated with an approved State Fire Marshal seal attached. A ten feet separation distance must be maintained between tents and canopies. A permit from the Fire Department must be obtained. Cooking shall not be permitted under tents or canopies unless the tents or canopies meet "State Fire Marshal approval for cooking. If cooking is to be done, a ten feet separation shall be maintained from cooking appliance and canopies. Certificate of State Fire Marshal flame resistancy shall be provided to the National City Fire Department if applicable. Canopies: Tents: 0 — 400 sf - $0 401 — 500 sf - $250.00 501 — 600 sf - $300.00 601 — 700 sf - $400.00 0 —200 sf - $200.00 201 — (+) sf - $400.00 6) If Charcoal is being used, provide metal cans with lids and label "HOT COALS ONLY" for used charcoal disposal. 7) Any electrical power used is to be properly grounded and approved. Extension cords shall be used as 'Temporary Wiring" Only. 8) A map is to be submitted describing layout of event. 9) A fire safety inspection is to be conducted by the Fire Department prior to operations of the event to include all cooking areas and grounds surrounding the event. 10) First Aid will be provided by organization. FINANCE All food handlers will need the certificate from the health department. If there will be "outside" vendors they will need to obtain a business license. For instance, if the Church is making and selling the food that is fine. But, if they are hiring a "Taquero" or other food vendor, that vendor will need a license DEVELOPMENT SERVICES Amplifiers and speakers must be directed away from nearby residences to the extent feasible. Activities shall comply with Title 12 of the Municipal Code (Noise).