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Home My WebLink AboutTUP APPLICATION(\TA' \11'6.ne N\vec6 Type of Event: _ Public Concert Festival ' Communityent _ Fair _�v Parade _ Demonstration _ Circus Block Party _ Motion Picture _ Grand Opening Other Event Title: Event Location: I7-13 f-jk . z3Co ' 4,i-t v \ fa4, ci 195 Event Date(s): From 12 25.2ci3 to 12' 25‘ Lci3 Actual Event Hours: ( arr pm to 2. am rr Total Anticipated Attendance: ( Participants Spectators) Setup/assembly/construction Date: 12.2-5 2-c43 Start time: CAW: 00 0" Please describe the scope of your setu //assembly work (specific details): Dismantle Date: ti--Zy le,3 Completion Time: V2-- a 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. ). )-v-1 €€v'l 4 t \\ \2- � \ 2..: zg ; Z-v t)..s,\� Sponsoring Organization: G2 \ A nZ 5 ��% \}� \C$—$ \\ I 1 Chief Officer of Organizat n (Name) \ . \f\ Applicant (Name): Address: \IDC `� `;-0-0 )1a,):) CP\ `1212`i Daytime Phone: Z' 10 Evening Phone: 2 2)2 1L Fax: ( ) i ` E-Mail: b Y4\c, Cb56 q'v(VA a.\\ c Cc.)V`\ Contact Person "on site" day of the event: �7ca Cellular: • 32. \c 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): $ Iv /A Estimated Gross Receipts including ticket, product and sponsorship sales from this event. $ N ) i\ Estimated Expenses for this event. What is the projected amount of revenue that the Nonprofit Organiza on 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. \\ff\ , 6: �� =-` \�-�Ct�.�1 � t '/ cz,v�T ,U� y\TL C1 c 6\e, 5 '\ma gkr, -e i ? (,.c ev cs` 1e walk_ C, \ cw Otk /t e Uv de c C1e aY) v .. (_Ock- (V‘` - 1) _YES 0 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: /A _ YES _X NO Does the event involve the sale or use of alcoholic beverages? _ YES po Will items or services be sold at the event? If yes, please describe: YES YES YES O 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. O Does the event involve a fixed venue site? If YES, attach a detailed site map showing all streets impacted by the event. O 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. O Will the event involve the use of the Cat 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: H Alcoholic and Nonalcoholic Concession and/or Beer Garden areas. Food Concession and/qr Food Preparation areas Please describe how food will be served at the event: k; !Pc. If you intend to cook food in the event area please specify the method: GAS ELECTRIC CHARCOAL OTHER (Specify): rdPortable and/or Permanent Toilet Facilities umber 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) nTables # and Chairs # encing, 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 conclusio of the event the area must be returned to a clean condition.) Number of trash cans: Trash containers with lids: 2- Describe your plan for clean-up and remgval of w ste and garbage during and after the event: r bo �7 t °�c� ��1 k-e z,Pe, 1I o c -e V, r s 5iG�� c A) o- i s m NOTE: eighborhoo re i nts mus scheduled in the City parks. Please describe your procedures for both Crowd Control and Internal Security: 15 \-eaves \-\\e\ \\Q--\\Y\v\)' e07\e1 \(‘Nie-\ \vA Q Ni) yCLi) (4 i YES Have you hired any Professional Security organization to handle security arrangements for this event? If YES, please list: Security Organization: Security Organization Address: Nii-N Security Director (Name): v / IN! ET 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. Please describe your Accessibility Plan for access at your event by individuals with disabilities: C \;-i r� =v-� � t.t-;1 \\ J Sec) Please provide a detailed description of your PARKING plan: Please describe your plan for DISABLED PARKING: Please describe you plans�to� notify all res er busin ses and event: C .`�O'� 'C� \ T � c v. e \r enob ie 7 hours in c eq impacted by the advance when eve s a e� _ 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: _ YESX 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 NO Fireworks, rockets, or other pyrotechnics? If YES, please describe: NO Any signs, banners, decorations, special lighting? If YES, please describe: Revised 02/29/12 r 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 C\m'i^\' w e t L\\') M. teu• 0 C ►t) Person in Charge of Activity \ 2 \ v Jh Address 4LU Jl i4Z 1ej30 CPi Telephone O II f )55 "91 ` Date(s) of Use 0- - Z6 ' 24)3 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. ignature of Applicant Official Title Date k\/\r b_c.'1% 3 For Office Use Only Certificate of Insurance Approved Date Storms Book Store byte _„,. 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