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HomeMy WebLinkAboutTUP APPLICATION/timp/<i Sf�- Ni 7 o hi rre._, - -?/ z Event Date(s): From 4 ? to /0/3 / Actual Event Hours: n /pm to g am Total Anticipated Attendance: Setup/assembly/construction Date: / Start time: �j9 rrJ Please describe the scope of your setup/assembly work (specific details): ..SS r Le)F 5S-- %u p CZe-2v? J'2J 612- / Dismantle Date: f / / y Completion Time: S am 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. Sponsoring Organization: Bn.giQ y Chief Officer of Organizati Applicant (Name): Type of Event: _ Public Concert _ Fair _ Festival _ Community vent Parade _ Demonstration _ Circus _ Block Party _ Motion Picture _ Grand Opening _ Other Event Title: Event Location: ( Participants Spectators) •"/5/ ma5 $ I) e. ame)/!ztiV/2/, i✓ 1-r• _60 2A/Q. Address: / /o4 g U.eijyv/.e �s� . 2 1$ IZ I + 5z, 9/3 Daytime Phone: ecdf 6 - -71,16 (p Evening Phone: ( ) Fax: Y!✓9 Sr3I I. gcr? 1 E-Mail: fez eili . a . n . , CO /I'7 Contact Person "on site" day of the event: ,A ALrevp Cellular: I:014, (/7 J NOTE: THIS PERSON MUST BE IN ATTENDANCE FOR THE DURATION OF THE EVENT AND IMMEDIATELY AVAILABLE TO CITY OFFICIALS • Are admission, entry, vendor or participant fees required? If YES, please explain the purpose and provide amount(s): Is your organization a "Tax Exempt, nonprofit" organization? YES YES (4O $ t D © ()Estimated Gross Receipts including ticket, product and sponsorship sales from this event. $ ItD0009 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. As1)2,. A-0- a tiA-1- q _ 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? YES NO Will items or services be sold at the event? If yes, rrWry^ s) cj,Le)ee" ri e s YES )(NO Does the event involve a moving route of any kind please describe: aill, p1� S©dQ �ere.or,r/ 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. YES _ NO 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 NO Will the event involve the use of the Citv 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 Food Prepara ion area Please describe how food will be served at the event: p©9 y n/+ So 014_ If you intend to c ok fdod in the event area please specify the method: GAS ELECTRIC CHARCOAL OTHER (Specify): 17X,1 Portable and/or Permanent Toilet Facilities Number of portable toilets: ,S (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 # )4encing, 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 „XIVehicles 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 conclusio the event the area must be returned to a clean condition.) Number of trash cans: Trash containers with lids: A Describe your plan for clean-up and remov I of waste d garbage during arid afte the event: play 3-1-1 --Gen -et, as /vee a� I Pl/ea�e des ribe your procedures or both Crowd Control and Inter al Security: l- W A,Iv - NiV 'e,5.Q rI h di a1/9 bJ4Sv Fey/ v d 5c L i) k, `L J rhaij 4-1p__ tifiriL, 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: �k'YES — NO Is this a night event? If YES, please state how the event and surrounding area will be illQiminated to ens re saf ty of the participants a d pectators: /s 7' 11kr d hie YS Plea indic to what arran2emen , have fade fo rovi ng Fir�t Aid Staffin and Equipment. �C /1/ Please describe your Accessibili Plan for acce s at your event by individ .. ► er.e %)A-e ja a ai c4/ Ja,G-1'.� fr'€ 4 _€ n 4/,4 c PI als i�disabil disabilities: se provide p. detaile description your PARKING plan: • :3` Please describe your plan for DISABLED PARKING: Please describe your pns to notify all residents, businesses and churches impacted by the event: 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: Number of Bands: Type of Music: YES%NO Will sound amplification be used? If YES, please indicate: Start time: 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 1�/ NO Fireworks, rockets, or other pyrotechnics? If YES, please describe: YES _ NO Any signs, banners, decorations, special lighting? If YES, please describe: 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 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 cn 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 Official Title Date 0// 2 For Office Use Only Certificate of Insurance Approved Date Pumpkin Station i9onita Plaza Shopping Center Temporary Use Permit Application i)escription of Event: Pumpkin Station is a pumpkin patch and a children's carnival combined. We cater to children age 2-9. We offer numerous rides including a boat ride, car ride, swing ride, bumble bee swing ride, lil' toot ride, inflatable slide, inflatable pumpkin jump, and petting zoo. Pumpkin Station also provides free entertainment on Saturday & Sunday's which include magicians, ventriloquist, jugglers, live animal show and puppet show (3 shows per day each weekend). Also available are 4 different games for the children, Turtle Fishing, Pumpkin Toss, Tic Tac Toe, and Ping Pong Toss with a winner every t,rme. Pumpkin Station also offers Group Packages to local schools, day care centers and other children groups. Pumpkins We offer a very large selection of pumpkins from 1# size to Bodacious Pumpkins weighing over 150#. We also offer bales of straw, corn stalks, gourds of all sizes, and other holiday decorating items. S'ifinajie We have 2 signs — on at our entrance (4' X 8') and one on our storage 4.ailer (10' X 40'). 1 xperience This is our 15th year of experience operating Pumpkin Station —1 year at Plaza Camino Real in Carlsbad,10 years at Mission Valley Shopping Center in San Diego and 10 years at Bonita Plaza Shopping Center 6 years at Parkway Plaza in El Cajon and 6 years at the Del Mar 1 7 airgrounds. -170 FEET- / 1 / / ■ /' A. 3O' X 30' MAIN ENTRANCE CANOPY B. 20' X 20' TRAIN CANOPY K t 11/E R!t7 S D N 1. PLAY CENTER Nil MORE 5 PARRIB WHEEL 6. DINO JUMP T c. MANAGERS RV P©RTA-POTTIESW STATIONS DUMPS : MAIN POWER SOURCE 32'39'26.34" ri 117°04'[O3.0/' L"! elev Plaza Bonita July 5, 2013 City of National City Building & Safety Department 1243 National City Boulevard National City, California 91950-4301 Re: Temporary Use Permit Pumpkin Station — Westfield Plaza Bonita To whom it may concern: 3030 Plaza Bonita Road #2075 National City, CA 91950 T 619.267.2850 F 619.472.5652 I herE by authorize Norm Osborne, acting as representative of Pinery Christmas Trees, Inc., to operator a business known as Pumpkin Station in parking lot #1 at Westfield Plaza Bonita during the dates of SeptE tuber 9, 2013 — November 4, 2013. Norm Osborne has permission to install temporary power to poles in parking lot #1 to provide power during the temporary use time if adequate power is not already in place. Norm Osborne will obtain all necessary permits from National City for occupancy at Westfield Plaza Bonita. Please feel free to call me if you have any questions at 619.267.2850. SincE rely, _� Shery Jones, CSM, CMD General Manager Westfield Plaza Bonita Cc: retailers file 9:`