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HomeMy WebLinkAboutTUP APPLICATIONType of Event: _ Public Concert Parade Motion Picture Event Title: Event Location: Event Date(s): From OCf IZ/4to 2C/ / 2 /41 Actual Event Hours: on am/pm to /Op/y1 am/pm Total Anticipated Attendancle: / 000 (500Participants Ce)Spectators) Setup/assembly/construction Date: 061 / 7-1 /qi Start time: P /r Please describe the scope of your setup/assembly work (specific details): 45B t ('L/s7v L» CAW Ser L/? PELi) • fy/CT L'v / u 5 Cr (IP Ft C VV C r16 o r / 20vif8 � iEt-i) Pero,' •To 5771 7 C/_ Cfr flC" Fair _ Demonstration _ Grand Opening Festival Circus X. Other 1 tI}iJ Mln rem _ Community event _ Block Party f Lti VtU t-TER /16711 Lie ikOL He l rc i'7 /nl( ,,/`rl cue) Mbli t /✓L F. N C C 4 c//q50 a /r - upper v,,_ /0 wrr Dismantle Date: O?! %.j IL/ Completion Time: /0 pm am/pm List any street(s) requiring closure as a result of this event. Include street na and time of closing and day and time of reopening. Sponsoring Organization: (rkc er L tJ 76,-H SC'/ OO/_. Chief Officer of Organization (Name) /1'l 6'AV/0v Applicant (Name): vi.W C 7C I -'7Er /776 f-( SCf k2 L (45() Address: s2'iC0 / /6M. n/Vb Mir/ N 477U/vf1t e ir-y 7,4- e/1 /- Ca Daytime Phone: (to) 3L}' c 7 /0 Evening Phone: (6/q) 15 7 - G3 Fax: (619) 9 ly- 7 5E}Mail: popt /'! (I 6i . p t' re Z D s� It e f w6rterE c h cols . oJ Contact Person "on site" day of the event: fly Pe 7 C Z Cellular:1(0C) 1-5 ;.'J 1 S NOTE: THIS PERSON MUST BE IN ATTENDANCE FOR THE DURATION OF THE EVEN` AND IMMEDIATELY AVAILABLE TO CITY OFFICIALS eC _(?1i3a Fr/ Cg �G I `i) �-1 � mil- 415 6 - bra) L-7y-175 mks 60/ 2a L's (k' 4) Ll 7 LJ _ i 5 2_ • Is your organization a `Tax Exempt, nonprofit" organization? A. YES _ NO Are admission, entry, vendor or participant fees required? X YES _ NO If YES, please explain the purpose and provide, amount(s): EozJ DI�Pteng /Nro ,;e1-10c1- /r L6r7e Pro6i'/4 ins. $ 55-; CC(); Estimated sales from this event. Gross Receipts including ticket, product and sponsorship $ 37 JCX- Estimated Expenses for this event. $ �' `�N) 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. Li GAG(t( If; y5fr4dL(Lf se h JOr3 [tor f'itit 6 !N/ 1-1M-F7-7/nt- 7 Cl�vv /45 /S PL f) V [t PHo rat he m /Nth 0/ten' 4- vIV &u Alec /13 E i r/ cPowki IIL"L.• _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: _/ YESK NO n YES NO kirpj PI fi _YESXNO _YES �NO YES . NO Does the event involve the sale or use of alcoholic beverages? Will items or services be sold at the event? If yes, please describe: /7 7n5 Cofie E SioA) 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. Does the event involve a fixed venue site? If YES, attach a detailed site map showing all streets impacted by the event. Does the event involve the use of tents or canopies? If YES: Number of tent/canopies '2 — Sizes i (7 JC l L) NOTE: A separate Fire Department permit is required for tents or canopies. YES _ NO Will the event involve the use of the* ((c, SPECIFY: y9UP PA �JS/T/YJ tage or oal «.n ¥td s ofo rti Y j nb t)pto S ec Aon.cs In addition to the route map required above, please attach a diagram showing the overall layout and set-up locations for the following items: rI Alcoholic and Nonalcoholic Concession and/or Beer Garden areas. v l Food Concession arVor Fopd preparation ar as Please describe how food will be served at the event: bo q 61 oo.# A s If you intend to cook food in the event ar a please pecify the method: GAS ELECTRIC CHARCOAL OTHER (Specify): C/ C pO* Fq/Portable and/ 'Perman .t Toilet Facilities Number of po o (1 for every 250 people is required, unless the applicant can show that there are facilities in he immediate area available to the public during the event) Tables # "il,' and Chairs # \ Fencing, barriers and/or barricades y4 ihl 1-C t'1 Ci h9 G -5 ) Generator locations and/or source of electricity 6 J Canopies or tent locations (include tent/canopy dimensions) Booths, exhib , ys or enclosures (�ti���� y"" Scaffolding leachers platforms, stages, gran sans or related structures �� Vehicles and/ortrd ers G�v1 t en Y r lA/irtj ipId,r, Other related event components not covered 'above Trash containers and dumlpsters (�41 Cya) (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: 5 0 Trash containers with lids: $ /3/ 0.1 S Describe your piaci for clean-up and removal of waste and garbage during and after the event: L(-bit)D 57-ffrf cu/tL CLONzAP 11-F7M i As. Please describe your procedures for both Crowd Control and Internal Security: 3 1tiPl ri A -NW IRO m o iYl E et V /5 i •TIN 5/I)1 St,IP Kt,'isl0A1 $' YES _ NO Have you hired any Professional Security organization to handle security arrangements for this event? If YES, please list: Security Organization: 5 5eC LA r 1-, Security Organization Address: I J 1 3 Ni(1 Vi l C .I c 11(1 0 Security Director (Name): 5(`0f-}' v i- 1-C 9 Phone: -7 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: MELD ILiGH , cfrirP45 j,i(FIT Please indicate what arrangement you have made for providing First Aid Staffing and Equipment. CPI - carink�D -� fi gsir i D can n ski ni4 tip Please describe your Accessibility Plan for access at your event by individuals with disabilities: 1111 S-*' fc PrDil 0_0 PU _ I'N i) IC P 19/1- V1 6-t f azs, yke-�s Please provide a detailed description of your PARKING plan: �9 N it7 P >tt N b Iry n i L FHB L& ON i R51" colt, FI P-s1" 5rilAry i16 _ o r1 — lam Ioff Ptil41 N /i? ovJ ?J Please describe your pip for DIISABLED PARKING: Please describ�ey';our plans to event: (Y ' IA \ roti all residents, businesses and churches impacted by the pnavh t 5"VkFAA c NOTE: Neighborhood residents must be notified 72 hours in advance when events are scheduled in the City parks. X. 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. at ft TnkRCf f 't DTI `b - YES _ NO Will sound amplification be used? If YES, please indicate: Start time: Finish Time C YES _ NO Will sound checks be conducted prior to the event? If YES, please indicate: Start time: �� amf Finish Time Please describe the sound equipment that will be used for your event: JcHeVL< L2frt, Ph- ys 1 Pigr ft\ralitjc1�!�� 4 YES _ NO Fireworks, rockets, or other pyrotechnics? If YES, please describe: Fq 120-MG4t\l Ic »»SP/r` YES _ NO Any signs, banners, decorations, special lighting? If YES, please describe: 1205> " LtE H- 1K6 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 \; Vat fr102 1+1 CI H Ma - Person in Charge of Activity PMgiait /1frt2i 1 N Address 2�10U 141 1-1 Liil' f\ALLI N(,&\ 1I4 71 Telephone((O10 41-4-1 L Date(s) of Use Cc 1 j ; 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 15 it p)I JfrL 'r SniDrNt nVi 1-1E5 giUv/%� l For Office Use Only Certificate of Insurance Approved Date Sweetwater High School - Google Maps - " Page 1 of 1 Imagery ©2014 DigitalGlobe, Sanborn, U.S. Geological Survey, Map data ©2014 Google 50 ft https://www.google.com/maps/place/Sweetwater+High+School/@32.6591251,-117.0942379,225m/data=! 3m 1 ! 1 e3 !4m2! 3m 1 ! 1... 8/29/2014 Sweetwater High School - Google Maps Page 1 of 1 ‘1", (1 i( • IA ,) cyc. ti \tit!, 44 \IN( f\‘t. Imagery ©2014 DigitalGlobe, Sanborn, U.S. Geological Survey, Map data ©2014 Google 50 ft https:// www. google.com/maps/place/Sweetwater+High+School/@32.6591754,-117.09448... 8/29/2014 ?� Joy-)1 -mod g g , U.S. Geological Survey, USDA Farm Service Agency, Map data ©2014 Google 100 ft