HomeMy WebLinkAboutTUP APPLICATIONType of Event:
Public Concert
Parade
Motion Picture
Fair
Demonstration
Grand Opening
Festival _ Community vent
Circus Stock Party
Other RETTAR. SALE
Event Title: 14Au.01,4eat4 RETAIL 1Et4T
Event Location: PAWe.iimsLiar 2 AT Wl s-rne`.D PLoa.A pot.►MAC
Event Date(s): From s/74/I4 to uu/Io/l*f
Actual Event Hours: 9=00 Op/pm to 1.o.60 amI
Total Anticipated Attendance: ( Participants Spectators)
Setup/assembly/construction Date: ho I f) Start time: 8:00
Please describe the scope of your setup/assembly nbly work (specific details):
14 M-1.cupEEA EXPRESS' t tJ ITIALL SET UP I S A TN p WEEK pgOei2.[r5S
1 t N6 I t�5 Dt� u R
Wrni -fEl if Mi-WEILy At*iQ S€1"VP TEAM t FIXTOKE
Dismantle Date: It/Io/If Completion Time: 67=b0
List any street(s) requiring closure as a result of this event.
and time of closing and day and time of reopening.
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A) l DItJ(, pi bu(T (N VEI4i1D 1/
AND sET.)'.
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Include street name(s), day
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Sponsoring Organization:
Chief Officer of Organization (Name) 1, T1-law F -w,
Applicant (Name): N JI5 1rLG D a. )-1 ►LI.ZuDEEN Ex2Re.,S.S.
Address:
3 a 55 7
Daytime Phone: (414) 803• ecIeR Evening Phone: ( ) SAmE
Fax: (940 5to$• tes,55 E-Mail: MMFAt-iR . GMAIL. CoM
Contact Person "on site" day of the event: MAw F,44412.Cellular: 41.$03-lixj$9
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 _XNO
Are admission, entry, vendor or participant fees required? _ YES X_ 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?
#9Lfj'a+.ij� �'eb4
40400 WO
Y t
•
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.
sae &-1-rt, aDi~SE.124 n
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, please describe:
HAubW .4t c -romasi I CL SSco>, 5 /41.17 !�F-�O 11D1�LS
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.
IYES _ NO Doe the event involve the use of tents or canopies? If YES: Number of
anopies J Sizes 507c 150 EdgT 75,60 6e4F1' NOTE: A
arate Fire Department permit is required for tents or canopies.
YES 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:
I I
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):
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 immediate area available to the public during the event)
Tables # and Chairs #
HFencing, 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: Trash containers with lids:
Describe your plan for clean-up and removal of waste and garbage during and after the event:
Rx�
.l sa: ..a~i3i `.�°:.�......�"w�.> F�.
Please describe your procedures for both Crowd Control and Internal Security:
MALL 564-1 Ty N-M' HALLOW 5-5N FXt SS e.Mpl yf E
YES NO Have you hired any Professional Security organization to handle security
arrangefnents for this event? If YES, please list:
Security Organization:
Security Organization Address:
Security Director (Name): Phone:
YES _ 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:
NALI..OW EE4a 124 56' pioURS p,Q-E cite° t* i -rt. let 00 Pttil
tNfi.1411.L USV SDrWS 5r- G.rri 'i17 %.%/N l . STaa 4ZJ) lis t, t trcF�tlU
,4ND MLA- USE pJ412..1c4 I,t4p r.QY LAGOS b.S Wt ti t sor,gE PLODD Lu(awrS To IlLi1M!
ooT S IPS,
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:
A.iTAC-g --t7 131,,F,As 'F 11J D A MAP of 101402e- -fl . 'trN'"r W t LL i3E SSer OP
W4D AkAj u ,,,,fit 1=xPIZI W1t.L A MALLS. P,K1S11h3C�pAKZt�1NCr
SrorS 1D D1,ra-BLEP p' .
Please provide a detailed description of your PARKING plan:
Gu r tc1 T 1=r1q 5-1'I NCB _pA77—V-1 N6 1 N 0'T11-1V2 a.R+rc. 0-r '11-!,
Please describe your plan for DISABLED PARKING:
KISIi IG t>15 `,6 g PA 2 V- .W" avert LA131.,5 11.1 'fl-}E MALL
Please describe your plans 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
00 l wI .Pj r� 11 y,.i lON'Y
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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 amlpm
YES I 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 )C NO Fireworks, rockets, or other pyrotechnics? if YES, please describe:
YES _ NO Any signs, banners, decorations, special lighting? if YES, please describe:
pAtui.,4v., 6 LtGH1S ANlP rUpt, LA GAS
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 (/ . „ ,vircyy Person in Charge ofteil
f Activity 4R o f€l I Uf '7 ✓ /flovl 4'1P- % 4-i,"
YAenrIai �'torn rz. scar,
Address
Telephone 'a ' 340 i3 Date(s) of Use /1-(/7 A ,c,To���
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 Date
efr1/4—:—'74L
For Office Use Only
Certificate of Insurance Approved
Date
2. Total Due
1 deelare, under
SIGNED
ational Ci
3/18/2014 1
alidation Re
CITY OF NATIONAL CITY
Finance Department
61G 336-4330
56 / 40173
03:54,000 Reg CASH22
eipt
HARGES-
D1-000D0--3040
L 94931 $ 65.00
01-00000-3043
B1186 State Disability A$ 1.0D
Sub -total
Change
$**x*****tt66.00
$**********0,00
THANK VOW
usiness Hours:
:00 - 6:00 Monday Through Thursday
losed on Fridays
THIS
INESS
RETURN THIS FORM, INFORMATION ANC
CHECK TO:
CITY OF NATIONAL CITY
BUSINESS LICENSE DIVISION
1243 NATIONAL CITY BLVD
NATIONAL CITY, CA 91950
PHONE: (619) 336-4330
OWNERSHIP .
BUSINE 3 PfLONE
.auE DATE.
Limited Liability Corp
(414)803-3989-
▪ F`ebru$ty 28, 2014
354
R)
. PARCEL NUMBER;'
fa : !AC -TAUNT NUIVIRiiblii. •
Numbep-of Effi�fiy '$
;
94931
20-5012355
sts�urity�Cbd
-Sellers Peitnit ale .
101-124373
if no.longer tiolng #busfrfess ..
please enter lle"bu tress close
date a4acl:sigt• el loin .
etie.01/7 s c_5-7/rn 874
67w-
:SS LICENSE TAX RATE SCHEDULE
ON GROSS RECEIPTS (ENTER TOTAL ON LINE I BELOW)
SLY
— A. I ype quo -contractor - uut-or-town $ 135.00
_ B,Type "A" or "B" contractor - Out-of-town $ 200.00
- C Adult only movie theater
— D. Adult only book store
— E. Amusement arcade
- F. Bowling alley
— G. Dancehall
- H. Fortune telling
- I. Bingo
— J. Pawn broker
— K. Swap meet
_ L. Mobil searchlight advertising
$ 535.00
$ 535.00
$ 265.00
$ 265.00
$ 805.00
$ 265.00
$ 50.00
$ 400.00
$ 6,000.00
$ 135.00
— M.Mobil amusement vehicle $ 65.01
— N. 2nd Location in National City $ 20.01
— O. Registered Not -for -profit N/C
— P. Fee exempt N/C
— Q. Warehouse incidental to business N/C
(Business must be in National City)
— S. Auctioneer $ 135.01
- Out-of-town vendor $65.00 per vehicle
$65.00 x vehicles
- U. Retail food & beverage vendors $200.00 per vehicl
$200.00 x vehicles =
_ V. Coin Operated Machines/Video Machines-$55 per
machine X Machines=
I. Tax Amount (ENTER AMOUNT DUE BASED ON BUSINESS TYPE ABOVE)
C. PENALTY TABLE
PENALTY DUE
State Mandated Disability Access and Education ReV living Fund $ 1.00
r7
f perjury, a
arnect on this dicYNo is true and ceryact. 1
PHONE �j`1l ��5 � 07 DATE
Y On September l 3$12, Governor Brown st .ilit Senate Bill t 186 which adds a state fee ofSI.00 on any applicant for a local business License or renewal. Effective ]auuary 1, 2013 th
fee will he required five, all new business licenses or renewals. The purpose of the fee is to provide a funding source for increased disability access and compliance with construction -related
accessibility requirements and to develop educational resources for businesses in order to facilitate compliance with the federal and stale disability laws.
Under federal and stale law, compliance with disability access laws is a serious and significant responsibility that applies to all California building owners sad tenants with buildings open to the
public. You may obtain infatuation about your legal obligations and how to comply with disability access laws at the following agencies: The Division of the State Architect at
www.dg ca.gov%dsa/Horne.apx - The Department of Rehabilitation at •"wwsetrab.eabwnel,gov- The California Commission on Disability Access at w1 r ecda.ca.gov
s
CITY OF NATIONAL CITY
Finance Department
619 336-4330
National City / 52871
03/20/2014 11:33:1 .000 Reg CASH11
Validation Race'
CHARGES-
001-12124-3553
001121 halloween retail t$
b-total $**
F'MENT-
Check - 1171
halloween tyme Ilc
400.00
$**********0.00
THANK YOU!
Business Hours:
7:00 - 6:00 Monday through Thursday
Closed on Fridays
owner signature:
BUS OWNER INFORMATION:
Name:
Street:
54152 3%3
CITY OF NATIONAL CITY
IRE DEPARTMENT
243 National City Blvd.
National City, CA 91950-4301
Phone (619) 336-4550 Fax (619) 336-4562
FOR USE OF TEN+T2i: 2 "i
201 + square feet
RECEIVED AT NCFT) BY:
Robert Hernandez
AMOUNT:
$400,00
CHECK. NUMBER:
1171
ACCOUNT NUMBER:
001-12124-3553
DATE PAID:
3/20/14
hew Fahr
Avenida Codorniz
,Marcos. CA 92069
i•803-8989
loween Retail Tent
;ing Lot 2 at Westfield Plaza Bonita Mall
Tonal City, CA 91950
Halloween Tyme LLC dba: Halloween Express
784 Avenida Codorniz
City, State, Zip:
(Area Code) Phone/Fax/Cell:
Contractor's License No.:
San Marcos, CA 92069
Ph:414-803-8989 Fx 866-568-6655
National City Business License No.:
Finance Dept Approval By/Date:
Contractor/Agent Signature:
As shown on submitted site plan, all canopies/tents described below to
105 and all other applicable codes and ordinances.
BL in File
i
ed in accordance with CFC Chapter 24 Section
Quantity
Canopy or Tent
Size and Description
To Be Erected On:
To Be Removed On:
1
Tent
50 x 150 sgft.
8/20/14
11/10/14
STIPULATIONS: (All stipulations are to be followed at all times)
1. Clear Fire Department access must be maintained at all times. 6. Extinguishers required (2A10BC
2 Vehicles may not be parked within 20 feet of canopy/tent. 7. Occupancy Load not to exceed
3. Vehicles are not permitted under canopy/tent.
4. Four (4) exits are required at all times.
5. Exits may not be blocked at any time.
8. "No Smoking" signs to be posted.
9. Tern
persons.
membrane structures, tents and canopies shall be
used for a period of not more than 180 days within a 12-mon
period on a sin leg premises.
Inspection Date:
Permit for use of canopy/tent as noted above is:
Approved
Denied
Inspector Signature:
XX l Site Plan Required
xx
Fees Paid $400.00
ignature of Fire Official
Title
Date
Fire Marshal
3/20/14
Revision: 09/15 $
HALLOWEEN EXPRESS
Halloween Tyme LLC.
dba Halloween Express
784 Avenida Codorniz
San Marcos, CA 92069
T. 414-803-8989
F. 866-568-6655
Email. mmfahrZgmail.com
Date: March 21, 2014
To: City of National City
From: Halloween Tyme LLC
Subject: Halloween Express Plan of Operation
Halloween Express is excited to have the opportunity to enter into a tentative lease agreement with
Westfield to set up a 50ft.by 130ft. tent at their Plaza Bonita Mall, in the City of National City. This
agreement is contingent on permitting. We are requesting that the City of National City, grant us a
temporary use permit to allow the tent to be set-up from August 20th to November 10th, 2014.
Halloween Express's initial set up is a two week process. It includes permitting and inspection, hiring
and training, coordination with tent delivery & set up team, fixture building, product inventory set up
and new inventory delivery. These steps are all subject to a domino effect that requires each part of
the process to start and complete before the next steps can be taken. At the end of the season, starting
November 1 ", Halloween Express has a three day 50 percent liquidation sale as well as three days of
product inventory, fixture tear down and clean up. The final step is a two day tent tear down, therefore
it is a eight day closing process.
In order to ensure the tent is successful and presents a wonderful seasonal attraction to the community,
Halloween Express is committed to have great product selection and great customer service. We
employ about 20 to 25 part time and full time employees that will be working to complete and run the
tent throughout the season. We will be open daily in September from 10:00 a.m. to 9:00 p.m. and in
October from 9:00 a.m. to 10:00 p.m..
Halloween Express will have significant product cost, fix cost and set up expenses. In order to
retrieve our costs and be competitive in the area, we will need to be open throughout September and
October, We would appreciate for the city to consider our application for Temporary use permit to set
up a tent from August 20th to Nov 10th 2014.
Sincerely Yours,
Mathew Fahr
Halloween Tyme LLC
Release and Hold Harmless Agreement
THE UNDER$1GNED HEREBY AGREES THAT:
hi consideration for Temporary Use Permit to erect a retail Halloween Tent in the shopping center
commonly known as Westfield Plaza Bonita at 3030 Plaza Bonita Road in National City California, the
undersigned, on behalf of itself and its next of kin and anyone claiming through the undersigned, hereby
releases, and forever indemnifies and hold harmless the City of National City and its officials, employees,
agents and volunteers from any and all damages, losses, claims, demands, liabilities, obligations, actions and
causes whatsoever, whether known or unknown, whether liability be direct or indirect, liquidated or
unliquidated, whether absolute or contingent, foreseen or unforeseen, suspected or unsuspected, anticipated
ui unantivipated, disclosed or undisclosed, and whether or not heretofore asserted, upon or by reason or as a
result of the use of or access to the Premises from and after the date hereof regardless of how such injury
may arise, regardless of who is at fault or whose negligence caused such injury.
COMPANY: Halloween Tyme LLC, din Halloween Express
NAME' Mathew rahr
TITLE: Member
ADDRESS: 784 Avenida Codorniz, San Marcos, California, 92069
TELEPHONE NUMBER: 414-803-8989
DATE:
3-21-2014
Release and Hold Harmless Agreement
THE UNDERSIGNED HEREBY AGREES THAT:
In consideration for Temporary Use Permit to erect a retail Halloween Tent in the shopping center
commonly known as Westfield Plaza Bonita at 3030 Plaza Bonita Road in National City California, the
undersigned, on behalf of itself and its next of kin and anyone claiming through the undersigned, hereby
releases, and forever indemnifies and hold harmless the City of National City and its officials, employees,
agents and volunteers from any and all damages, losses, claims, demands, liabilities, obligations, actions and
causes whatsoever, whether known or unknown, whether liability be direct or indirect, liquidated or
unliquidated, whether absolute or contingent, foreseen or unforeseen, suspected or unsuspected, anticipated
or unanticipated, disclosed or undisclosed, and whether or not heretofore asserted, upon or by reason or as a
result of the use of or access to the Premises from and after the date hereof regardless of how such injury
may arise, regardless of who is at fault or whose negligence caused such injury.
COMPANY: Halloween Tyme LLC, dba Halloween Express
NAME: Mathew Fahr
TITLE: Member
ADDRESS: 784 Avenida Codorniz, San Marcos, California, 92069
TELEPHONE NUMBER: 414-803-8989
SIGNATURE:
DATE: 3-21-2014
HALLOWEEN EXPRES 373
PLAZA BONITA TENT - OUTSIDE LAYOUT
ROAD side
MACYS side
Nieir
HALLOWEEN
GO410Mf0.4GGIG90GII5.
EXPRESS
OtVOM01IOn
ENTRANCE / OUTBACK side
HAL, .4WEEN
ROAD I PUMPKIN PATCH side
HALLOWEEN
L'xPRCSS
HALLOWEEN EXPRES 373
PLAZA BONITA - OUTSIDE LAYOUT
TOP OF TENT
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0 W.S6RAPCIfLT
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Westfield, LLC
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AS -IS SITE PLAN
SCALE
ellgarr
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Plaza Bonita
PLAZA BONITA
Apr0P. 2411
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