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Home My WebLink AboutTUP APPLICATIONType of Event: — Public Concert _ Fair _Festival _Community vent _ Parade _ Demonstration — Circus _ Block Party _ Motion Picture _Grand Opening _ Other , Event Title: N10-\--; -� C'k'cam &� ,.-r r C " C� "6W$M-TuwC.'_1- Event1"e_crb'� . Location: r: c� Skt-C'\ 3i-k t-,\\ \a„/•a, �j o vie-1' Event Date(s): From ► DI 3\ to 1 01 3 Actual Event Hours: 5-:am/e to (VC) am rr Total Anticipated Attendance: SOO (5D Participants Lt,bSpectators) Setup/assembly/construction Date: lo/3b Start time: )0'. t1DO._►"x Please describe the scope of your setup/assembly work (specific details): Nl 'F-6 L % \\ C o v&--rk =N/'-4- A-r.n r.,, ,,v•I-e t- i (r\h, O. k rm,v4eck km 1'1.- • - !JC.F-TA v-1%\\ sty mac) #\1.e Ckerv..INI c�9.k. 0 rtt S ti - avv^vVU,11nn.��1 tXJ,/ i va lmAk f.. ft C 6 5'{-1 ccsti,f v'+ Dismantle Date: \\ 1 3 Comr tion Time: , ' 6--z) am/0 List any street(s) requiring closure a0 result of this event. Include street name(s), day and time of closing and day and time+ f reopening. N C BRA r L\o 0-c-C-es s' - C-A & rain I to ('Ai- 3 to &. \ if,isC & C Arc . .Z .ta, t\\ 4y� A C.bc.ti6 dJ %,,,/ Pv`b1(o Sponsoring Organization: po.kt,A6a ckk roc , 1-0C a111 Chief Officer of Organization (Name) 'c:•Yrs. Applicant (Name): �c;1/4.NAAzS Address: ci c ik ,S4 Sown o, C4 ii i(a Daytime Phone: (0`\) $ I -7' 572 7 Evening Phone: ( ) Fax: ( ) E-Mail: 35�1 \ zS @ t/�c� jOci Cep S 0 ' Contact Person "on site" day of the event: Darn t vvt,r Cellular: (i (e E) `1 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? )(YES _ NO Are admission, entry, vendor or participant fees required? _ YES) NO 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. _ 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 4NO Does the event involve the sale or use of alcoholic beverages? YES XNO Will items or services be sold at the event? If yes, please describe: 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. X_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 Cy or your stage or PA system? SPECIFY: Q.e-� �� ScdC COS 1)...W41- 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 Preparation areas Please describe how food will be served at the event: If you intend to cook food in the event area please specify the method: GAS ELECTRIC CHARCOAL OTHER (Specify): iRiportable 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 immediate area available to the public during the event) (Tables # and Chairs # [ ] Fencing, barriers and/or barricades [1 Generator locations and/or source of electricity Canopies or tent locations (include tent/canopy dimensions) Booths, exhibits, displays or enclosures ri 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: Trash containers with lids: Describe your plan for clean-up and removal of waste and garbage during and after the event: Please describe your procedures for both Crowd Control and Internal Security: - Dc' \\ . v.Ar v'( rn is^s- rxn �c9_ �-•-� c s.r�„r \.' v�v--r i��l _ ir i f t p (O.`/ v` 0 0 , IC S Cs tti-.cv,.,,L ;\ \'vim " g w _ YES[O Have you hired any Professional Security organization to handle security arrangements for this event? If YES, please list: Security Organization: Security Organization Address: k,ES Security Director (Name): Phone: _ 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: ; ._{ : �i� ,. evY r i- Please indicate what arrangement you have made for providing First Aid Staffing and Equipment. 9 f V WL t Please describe your Accessibility Plan for access at your event by individuals with disabilities: 'AC-(Aj E (J L')c i14 t- t . 1\ tom— cu A,LA 4-ea. CI InA.ASZ. Please provide a detailed description of you PARKING plan: Please describe your plan for DISABLED PARKING: Please describe your plans to notify all residents, businesses and event: S \ s r- S J77 \ p, 4-0-- NOTE: Neighborhood residents must be notified 72 hours in scheduled in the City parks. churches impacted b the rm to ran �1.9 "^ ,,E _ advance when events are _ YES 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: _.--•"-`7ES _ NO Will sound amplification be used? If YES, please indicate: Start time: 5 - 5 D am/ Finish Time 1 I 6Y) am/ 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 Al‘Fireworks, rockets, or other pyrotechnics? If YES, please describe: *-4ES — NO Any signs, banners, decorations, special lighting? If YES, please describe: 1 \\0\- &.mac ern s sr 3 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 {'J cic C:\ky Fstc--" ai1 tALPG on y LI Person in Charge of Activity 'br> YN IAA; V• L� Address 3L\ , g- I it d J4Q0,41-Ovoi CA/ tok 9 l Telephonebtt b 17 IC - (3 t S Date(s) of Use H o f I dO 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 Official Title D 1,25 $1)-wI13 Rife- Q'efF For Office Use Only Certificate of Insurance Approved Date The National City Firefighters will convert the training tower located at 343 E.16th into a haunted house. The l S` and 2nd floor of the tower will be utilized to set up props that go with the Halloween them of gore and scariness. Guest will enter the West side of the drill yard using the access gate located on C Avenue. Guest will leave the property on the East side of the drill yard leading to 16th Street. All guest entering the tower of terror will be escorted by an off duty NCFFA member or volunteer from the community. A request will be made to NCPD to provide one officer at the entrance and exit to the drill yard. The event will be start at 1700 Hrs and end at 2100 Hrs. , o ('u U S6'X S- c r( C ft-y -fig; Attachment #2 The National City Firefighters are requesting to close access to "C" Avenue from 16th St. to the 1500 Block of C Avenue. This will a coordinated closure with the National City Public Works Depait,,,ent and National City Police Department