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407 - Malibu Permit Application 2019-20

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7/2019
Permit is issued in accordance with Malibu Municipal Code Chapter 5.20
Questions and Concerns: Contact Malibu Film Office (805) 495-7521
FILING INSTRUCTIONS FOR
MALIBU FILMING PERMIT
Questions? Call 805-495-7521 or E-mail: filming@sws-inc.com
1. You May Fax or E-mail a completed Filming Permit Application to: 805-495-7621 or filming@sws-inc.com
Page 1 “Type of Production” & “Location Information” completed with phone, fax numbers & E-mail. Don’t forget to put an
ON-SITE Representative from Production with Cell Number (Production Representative only)
Page 2 Location 2 & 3 (if applicable)
Page 3 “General Information Notes”
Page 4 “General Conditions of Filming Permits” Signed by “Permittee, Signature required (not typed in)
Page 8 “Hold Harmless agreement” signed by “Permittee”, Signature required (not typed in)
2. Provide a “Permission to Use Property for Filming, Stills & Parking” form. (Page 5). This form must be
signed by the Property Owner prior to issuance of your permit. This form may be signed by an “Authorized
Representative” however we must have the authorization from the property owner on file; please call to confirm
that we have this.
3. Insurance in the amount of $1,000,000 naming the City of Malibu 23825 Stuart Ranch Road,
Malibu, CA. 90265, this must include the 2
nd
page additionally insured’s endorsement.
4. If filming is scheduled before 7:00 am and/or after 10:00 pm, signatures supporting 100% of Contiguous
Properties and 80% thereof are required within a 500’ radius. Signatures are required for all special effects,
excessive noise, music playback, and excessive lighting. The signature forms and the 500’ Radius of Addresses
are provided by the Malibu Film Office and circulated by the Production Company.
5. Application fees are to be made payable to the "City of Malibu". All fees are due in advance of all filming
activities and are to be submitted to the Malibu Film Office: 25 W. Rolling Oaks Drive, Suite 201 Thousand Oaks,
Ca. 91361. The Film Office also accepts Visa & MasterCard! A credit card fee does apply for credit card
transactions. The Film Office will submit to you an invoice in which to pay from once the application is received. A
receipt is provided as part of the approved permit.
6. The Malibu Film Office collects the Los Angeles County Fire Department permit fees. (See Invoice for
fees.) For those productions that are not assessed Fire Safety Officers or Advisors on their shoot, a Field
Inspection worksheet will be sent to you with the approved permit. Please make sure you have this worksheet
filled out and available to an LA County Fire Officer upon request.
7. If a Los Angeles County Sheriff is required for a permit a minimum of three (3) days advance notice is
required for proper scheduling.
8. Any Parking, road work or placement of equipment on Pacific Coast Highway (PCH) is under the
jurisdiction of the State of California; A Caltrans Permit must be obtained; do not list PCH as parking on your
permit as it will be removed.
9. If an Unmanned Aircraft System (UAS) or Drone is to be used, a City Drone Application and all
attachments are required seven (7) days in advance of the scheduled use. All FAA requirements apply.
PLEASE NOTE: Submitting an incomplete application with missing information may result in delays. If you have
not received an invoice from our office, chances are we did not get the application. Please call to confirm
805-495-7521, once permit is submitted, cancellation fees, county fire review fees & rider fees (if applicable)
apply. You will be invoiced for the fees and these are due upon receipt of invoice.
7/2019
Permit is issued in accordance with Malibu Municipal Code Chapter 5.20
Questions and Concerns: Contact Malibu Film Office (805) 495-7521
City of Malibu
Film Application/Permit
23825 Stuart Ranch Road, Malibu, CA 90265 - E-mail: filming@sws-inc.com
(805) 495-7521 Fax: (310) 456-5799 or (805) 495-7621
CITY OF MALIBU TAX IDENTIFICATION NUMBER: 95-4324107
FINAL PERMIT TO BE ON LOCATION & POSTED ON SITE AT ALL TIMES
RIDER NUMBER: PERMIT NUMBER: /
TYPE OF PRODUCTION: DATE SUBMITTED:
MOTION DRONE APPLICATION
STILL B-ROLL
TV FEATURE COMMERCIAL SOCIAL MEDIAL LIVE FEED (TUP MAY BE REQUIRED)
VIDEO/YOU-TUBE MUSIC T YPE_______________ OTHER
C
OMPANY NAME: TELEPHONE NUMBER:
STREET ADDRESS: FAX NUMBER:
CITY, STATE, ZIP CODE: EMAIL:
PRODUCTION NAME AND/OR NUMBER:
ORDERED BY: PHONE #: CELL#:
LOCATION MANAGER: PHONE #: CELL#:
ON-SITE PRODUCTION COMPANY REPRESENTATIVE: NAME: CELL#:
MISCELLANEOUS PERMIT REQUIREMENTS:
1. I
F A MOTION OR STILL FILM PERMIT HAS FIFTEEN (15) OR MORE PEOPLE THE FILM OFFICE IS REQUIRED TO NOTIFY
THE NEIGHBORHOOD
, THUS A COMPLETE PERMIT SUBMITTAL TO THE FILM OFFICE, INCLUDING PAYMENT IS
REQUIRED A MINIMUM OF
24 HOURS BEFORE THE PREP/SHOOT START TIME.
2. I
F A PRODUCTION COMPANY IS FILMING THEIR SHOOT LIVE, IT IS THEN A FILMING EVENT. THEREFORE, A
TEMPORARY USE PERMIT IS REQUIRED FROM THE PLANNING DEPARTMENT. APPLICATIONS TO CITY ARE DUE 40
DAYS IN ADVANCE
.
3. I
F A SHOOT IS COMPLICATED OR CONTROVERSIAL TO THE COMMUNITY, THE FILM OFFICE IS REQUIRED TO DO A
PRE
-PRODUCTION WALK THROUGH TO ASSESS AND MITIGATE THE IMPACT OF FILMING ACTIVITIES. THIS SHALL BE
DONE A MINIMUM OF
2 DAYS PRIOR TO ANY ACTIVITIES.
4. I
F ANY PERMIT HAS OVER 125 PEOPLE IT REQUIRES THE APPROVAL OF THE CITY MANAGER’S OFFICE. THUS
PERMIT SUBMITTAL REQUIRED
5 DAYS PRIOR TO PREP/SHOOT DAY.
5. I
F ANY PERMIT IS CONSTRUCTING, ERECTING, MODIFYING ANY LOCATION OR HAS OVER 125 PEOPLE IT WILL
REQUIRE A PERFORMANCE BOND IN ACCORDANCE WITH MALIBU MUNICIPAL CODE SECTION
5.20.120. THE BOND
WILL ENSURE THE
CITY CAN RECOVER COSTS SHOULD THE PERMITTEE FAIL TO RESTORE DAMAGED AND
DISRUPTED AREAS
.
6. A
PPLICANT MUST PROVIDE ANY AND ALL PRIOR WRITTEN WARNINGS AND NOTICE OF VIOLATIONS AND CITATIONS
IF ANY ISSUED BY THE
CITY OF MALIBU OR THE MALIBU FILM OFFICE WITHIN THE LAST FIVE YEARS RELATING TO
VIOLATIONS OF THE
MALIBU MUNICIPAL CODE SECTION 5.20 FOR THE PRODUCTION COMPANY OR LOCATION.
FILM OFFICE USE ONLY:
P
ERFORMANCE BOND NO: AMOUNT:
C
ASHIER’S CHECK NO: AMOUNT:
7/2019
Permit is issued in accordance with Malibu Municipal Code Chapter 5.20
Questions and Concerns: Contact Malibu Film Office (805) 495-7521
LOCATION INFORMATION: NOTE: 3 LOCATIONS MAXIMUM, PREP AND STRIKE DAYS ARE RESTRICTED TO 7AM TO 10PM/14 PEOPLE
L
OCATION 1
TOTAL NUMBER OF PEOPLE AT LOCATION 1(CAST, CREW, PARENTS & EXTRAS):
PRIVATE PROPERTY CITY ROAD USE CITY PARK ITC POSTING ROADS COUNTY BEACH
PARKING - (BE SPECIFIC):
SCENES:
BEACH ACTIVITY DETAILS:
CONSTRUCTION DETAILS & EQUIPMENT: (NOTE-ENGINEERED PLANS MAY BE REQUIRED FOR REVIEW)
SANITARY FACILITIES (PRODUCTION COMPANY MUST PROVIDE PORTABLE FACILITIES IF THE CREW AND CAST NUMBERS MORE THAN 15):
FILMING TIMES: NOTE FILMING IS PROHIBITED ON SUNDAYS.
C
ONSTRUCTION DATE (S) STRIKE DATE(S) HOLD DATES(S)
LOC # DATE
FROM
D
ATE
TO
H
OURS
F
ROM
H
OURS TO
(TAILLIGHTS)
S
PECIAL
EFFECTS
C
AST &
CREW
TOTAL
M
ISC. INFO.
1
1
1
1
1
ADDITIONAL LOCATION 1 INFORMATION:
P
LEASE NOTE THAT ANY FILM LOCATION WITH OVER 125 PEOPLE WILL REQUIRE THE APPROVAL OF THE CITY MANAGER’S OFFICE AND
MAY REQUIRE A PERFORMANCE BOND
. THIS WILL REQUIRE ADDITIONAL TIME TO PROCESS.
7/2019
Permit is issued in accordance with Malibu Municipal Code Chapter 5.20
Questions and Concerns: Contact Malibu Film Office (805) 495-7521
LOCATION 2
PRIVATE PROPERTY CITY ROAD USE CITY PARK ITC POSTING ROADS COUNTY BEACH
TOTAL NUMBER OF PEOPLE AT LOCATION 2(CAST, CREW, PARENTS & EXTRAS):
PARKING - (BE SPECIFIC):
SCENES:
BEACH ACTIVITY DETAILS:
CONSTRUCTION DETAILS & EQUIPMENT: (NOTE-ENGINEERED PLANS MAY BE REQUIRED FOR REVIEW)
SANITARY FACILITIES (PRODUCTION COMPANY MUST PROVIDE PORTABLE FACILITIES IF THE CREW AND CAST NUMBERS MORE THAN 15):
FILMING TIMES: NOTE FILMING IS PROHIBITED ON SUNDAYS.
C
ONSTRUCTION DATE (S) STRIKE DATE(S) HOLD DATES(S)
LOC # DATE
FROM
D
ATE
TO
H
OURS
F
ROM
H
OURS TO
(TAILLIGHTS)
S
PECIAL
EFFECTS
C
AST &
CREW
TOTAL
M
ISC. INFO.
2
2
2
2
2
A
DDITIONAL LOCATION 2 INFORMATION:
P
LEASE NOTE THAT ANY FILM LOCATION WITH OVER 125 PEOPLE WILL REQUIRE THE APPROVAL OF THE CITY MANAGER’S OFFICE AND
MAY REQUIRE A PERFORMANCE BOND
. THIS WILL REQUIRE ADDITIONAL TIME TO PROCESS.
7/2019
Permit is issued in accordance with Malibu Municipal Code Chapter 5.20
Questions and Concerns: Contact Malibu Film Office (805) 495-7521
LOCATION 3
PRIVATE PROPERTY CITY ROAD USE CITY PARK ITC POSTING ROADS COUNTY BEACH
TOTAL NUMBER OF PEOPLE AT LOCATION 3(CAST, CREW, PARENTS & EXTRAS):
PARKING - (BE SPECIFIC):
SCENES:
BEACH ACTIVITY DETAILS:
CONSTRUCTION DETAILS & EQUIPMENT: (NOTE-ENGINEERED PLANS MAY BE REQUIRED FOR REVIEW)
SANITARY FACILITIES (PRODUCTION COMPANY MUST PROVIDE PORTABLE FACILITIES IF THE CREW AND CAST NUMBERS MORE THAN 15):
FILMING TIMES: NOTE FILMING IS PROHIBITED ON SUNDAYS.
C
ONSTRUCTION DATE (S) STRIKE DATE(S) HOLD DATES(S)
LOC # DATE
FROM
D
ATE
TO
H
OURS
F
ROM
H
OURS TO
(TAILLIGHTS)
S
PECIAL
EFFECTS
C
AST &
CREW
TOTAL
M
ISC. INFO.
3
3
3
3
3
A
DDITIONAL LOCATION 3 INFORMATION:
P
LEASE NOTE THAT ANY FILM LOCATION WITH OVER 125 PEOPLE WILL REQUIRE THE APPROVAL OF THE CITY MANAGER’S OFFICE AND
MAY REQUIRE A PERFORMANCE BOND
. THIS WILL REQUIRE ADDITIONAL TIME TO PROCESS.
7/2019
Permit is issued in accordance with Malibu Municipal Code Chapter 5.20
Questions and Concerns: Contact Malibu Film Office (805) 495-7521
GENERAL INFORMATION/NOTES:
#
PEOPLE GENERATORS TRUCKS VANS DRESSING ROOMS/HW MOTOR HOMES
CAMERA CARS/PICTURE CARS CREW CARS OTHERS
INTERIOR DIALOGUE EXTERIOR DIALOGUE INT. / EXT. STILL SHOTS NUDITY DRIVING SCENES
RUNNING SHOTS TOW SHOTS DRIVE BY DRIVE UP & AWAY CAMERA MOUNTS CAMERA: ROAD SHOULDER
CAMERA: TRAFFIC LANE LEGALLY PARKED EQUIPMENT ON SHOULDER OF ROAD.
SOLID WASTE/RECYCLING (IDENTIFY HAULER ON SHOOTS OF 14 OR MORE):
BE REMINDED THAT ONLY A MALIBU PERMITTED SOLID WASTE HAULER MAY BE USED & RECYCLING IS
MANDATORY
. NOTE THAT THE USE OF EXPANDED POLYSTYRENE PRODUCTS (CUPS, BOWLS, PLATES,
EATING UTENSILS
, STRAWS, ETC.) ARE NOT ALLOWED IN CRAFT SERVICES PER ORDINANCE 432.
DRIVING DETAILS:
SPECIAL EFFECTS - DETAIL:
PYROTECHNICS - DETAIL:
OTHER:
DO NOT WRITE BELOW THIS LINE: FOR CITY FILM OFFICE USE ONLY!
NOTES & SPECIAL CONDITIONS:
E-MAILED TO: RECEIVED APPROVALS:
AGENCY: DATE TIME DATE TIME
LA COUNTY FIRE
FIRE NO: FSA (______) FSO (______) FI (______)
CITY MANAGER’S OFFICE
LA COUNTY SHERIFF
LA CO BEACHES & HARBORS
PARKING
MALIBU PUBLIC WORKS DEPT.
MALIBU PARKS & REC. DEPT.
7/2019
Permit is issued in accordance with Malibu Municipal Code Chapter 5.20
Questions and Concerns: Contact Malibu Film Office (805) 495-7521
GENERAL CONDITIONS OF FILMING PERMITS :
In accordance with Malibu Municipal Code Chapter 5.20
1. INDEMNIFICATION: Permittee agrees to indemnify, defend and hold harmless the City of Malibu as permittor, their agents, officers
employees and contractors from and against any and all liability, expense, including defense costs and legal fees, and claims for damages
of any nature, include arising from the conditions of City facilities; such claims may include, but not be limited to, those alleging bodily
injury, death, personal injury, or property damage hereunder. Permittee further agrees to indemnify, defend and hold harmless the City of
Malibu from any and all workers compensation suits, liability or expenses arising from or connected with any services for or on the behalf of
Permittee or any person pursuant to this permit.
2. INSURANCE: Without limiting Permittee's indemnification of Malibu, Permittee shall provide and maintain at its own expense during the
term of this permit the following policy or policies of insurance covering its operations here-under. Such insurance shall be secured
through a carrier satisfactory to the City and evidence of said insurance shall be delivered to the City of Malibu on or before the effective
date of this permit. A General Liability Special Endorsement Form is required.
a. GENERAL LIABILITY: Such insurance shall include, but not be limited to, comprehensive general liability with a limit of
$1,000,000 per occurrence and evidence workman’s compensation coverage. Such insurance shall be primary to other insurance
maintained by the City and shall name the City of Malibu as additionally insured.
3. CONSIDERATION: Permittee shall pay, prior to issuance of the permit or subsequent rider, all fees and deposits required by the
permit. In addition, Permittee agrees to pay, within ten (10) days, all subsequent charges for the use of a reservation, or City or County
department(s) as a result of the permit.
4. ASSIGNMENT: It is understood and agreed that this permit is a license agreement and/or temporary use or encroachment permit and
is not a lease and the permit is a personal, revocable and unassignable permission to perform the acts herein set out without reserving or
granting to Permittee any interest in real property.
5. ANTI-DISCRIMINATION/COMPLIANCE WITH LAWS: Permittee agrees not to discriminate, distinguish or restrict on account of color,
race, religion, ancestry, or nation origin contrary to the provisions of Section 51 of the California Civil Code nor violate the provisions of
Section 12900 et seq. of the California Government Code, and Permittee agrees to comply with anti-discrimination provisions of the City of
Malibu Code, Chapter 4.32.010. Permittee agrees to comply with all applicable Federal, State, and Local rules, regulations and
ordinances, and all provisions required thereby to be included herein are hereby incorporated by reference, and Permittee in the course
thereof agrees to obtain and keep in effect all permits and licenses required to conduct the permitted activities.
6. AUTHORITY TO STOP/CANCEL: If policies are violated the permit will be revoked. In the event that an authorized representative of
the City of Malibu finds that the activities being conducted by the Permittee unnecessarily endanger the health and safety of any person or
that said activities are or will cause damage to real property, said representative, at their discretion, may suspend or cancel this Permit.
The City reserves the right to cancel this permit at any time without incurring any liability to the Permittee whatsoever. Los Angeles County
Sheriff’s Department is the law enforcement agency for the City of Malibu and shall enforce all conditions of the permit and protect the
health and safety of the citizens of the City of Malibu. Note: This includes adhering to stated start and end times identifie
d on this permit.
7. NOTICES shall be distributed by the City of Malibu Film Office. SIGNATURES shall be done by the production companies. All
signatures shall be on file with the film office prior to permit issuance. MONITORS shall be assigned as deemed necessary by the Film
Office.
8. POLICIES AND CODE OF CONDUCT: Permittee acknowledges that they have received and read the Policies and the Code of
Conduct and agree to comply with all applicable provisions thereof. Permittee further acknowledges that said policies and procedures and
Code of Conduct are incorporated by reference herein. Reminder: Use of bullhorns is prohibited & NO filming activities on Sundays.
9. EXECUTION: Pursuant to various sections of the City Code, this permit has been executed on behalf of the City of Malibu by the City
of Malibu Film Office on the date listed below.
10. PERMIT ISSUANCE: This permit is granted on the condition that permission to use the property has been obtained.
11. PERMIT REVISIONS/Cancellations: All revisions to this permit must be done by a rider, in writing and shall be approved in
advance. Once permit is processed through County Fire and City Departments, cancellation fees do apply.
PERMITTEE: **
Signature Required** PERMITTOR: City of Malibu
(Do not type in)
By: By:
Title: Title: Film Permit Coordinator - City of Malibu Film Office
Date: Date:
City of Malibu
23825 Stuart Ranch Road - Malibu, CA 90265
(805) 495-7521 Fax (310) 456-5799 or (805)495-7621
Permission to use Private Property for
Filming, Parking or Still Photography
(Must accompany permit application)
I hereby give permission for to use the property located at
(Production Company Name)
for the purposes of Filming / Parking or Still
(Address)
Photography on the following date(s) between the hours of to .
I understand that filming, parking and still photography production within the Malibu city limits requires
the issuance of a City of Malibu film permit regardless of crew size. The Production Company above
has obtained all necessary permissions to film / park at this location from all entities that have legal
jurisdiction in this neighborhood. **Do not check authorized representative box unless you have
confirmed with our office that written Authorization from Homeowner is on file
Please check:
I declare that I am the:
Property Owner or ***Authorized Representative of the Owner of the above
reference property (attach written Authorization to
consent to filming, e.g.: lease), see above.
Signature of Owner or Authorized Agent to Sign on Behalf of the Property Owner
Name (Please print)
Telephone Number
Questions: Contact the Malibu Film Office at (805) 495-7521; E-Mail: filming@sws-inc.com
click to sign
signature
click to edit
City of Malibu
23825 Stuart Ranch Road - Malibu, CA 90265
(805) 495-7521 Fax (310) 456-5799
or (805)495-7621
Filming Code of Conduct
It is the goal of the City of Malibu to enhance the filming experience for the
production company and the surrounding community. Our Code of
Conduct is a way to assist us toward this goal.
-1-
When filming in a neighborhood or business district,
proper notification is to be provided to each merchant
or resident who is directly affected by the company.
The Malibu Film Office will distribute all notifications
for filming shoots and still shoots larger than 14
people.
-2-
Production vehicles should not enter a neighborhood
prior to the approved time listed on the permit.
Please turn off engines as soon as possible. Park
only in areas designated by the permit. Violation
results in revocation of permit or doubling of fees.
-3-
If production passes are issued, please distribute to
all cast and crew.
-4-
Vehicles cannot be towed or moved without the
express permission of the City or property owner.
-5-
Driveways cannot be blocked for any reason!
-6-
The use of sandbags made from plastic or containing
plastic materials within the City is prohibited by
Ordinance 419.”
-7-
Removal and trimming of vegetation or trees is
prohibited unless approved by the permit.
-8-
Please dispose of all trash relating to the food
services provided to the cast and crew. Use a City
permitted hauler for trash service. Recycling is
mandatory. Remove all directional signage,.
-9-
No vendor shall use, provide, distribute, or sell
polystyrene food and beverage containers including
plastic beverage straws, plastic stirrers, or plastic
cutlery within the City in accordance with Ordinance
432.
-10-
Any signs erected, covered or removed as part of
the filming activities must be put back in their
original condition upon completion of the project.
-11-
Please keep all noise levels to a minimum. No
bullhorns permitted!
-12-
Please keep the cast and crew in the areas
approved by the permit. Do not trespass onto
neighbors' property or merchants' property. Please
remain within the boundaries of the approved film
permit.
-13-
Unless expressly approved by the permit, do not
bring guests and animals to the location.
-14-
Observe designated smoking areas and extinguish
cigarettes in receptacles.
-15-
Please refrain from lewd or improper language
within earshot of the general public.
-16-
Permit applications must be submitted with all
required information in order for the permit to be
processed. Missing information may result in not
processing of your permit. Company will comply
with all the provisions of permit
.
MALIBU FILM OFFICE
23825 Stuart Ranch Road - Malibu, CA 90265
Phone: 805-495-7521 FAX: 805-495-7621 E-mail: filming@sws-inc.com
FILM PERMIT RIDER & CANCELLATION FORM
(Must be submitted in advance of all changes)
Date: Production Company:
Permit #:
Phone #:
Title: Fax #:
Agent:
Representative:
Revision requested on filming permit:
DO NOT WRITE BELOW THIS LINE: FOR CITY FILM OFFICE USE ONLY
ADDITIONAL NOTES & SPECIAL CONDITIONS:
Processed by Film Office Staff: Rider # Date:
Fire Sheriff City Manager Public Works Parks & Recreation Beaches Parking
MALIBU FILM OFFICE
23825 Stuart Ranch Road - Malibu, CA 90265 filming@sws-inc.com
Phone: 805-495-7521 FAX: 310-456-5799 or 805-495-7621
HOLD HARMLESS AGREEMENT
(Note: Insert Production Company name in blank space, fill in text & sign at the bottom of page)
_____________________________________________hereafter referred to as the “Production
Company” agrees to and does hereby indemnify and hold harmless the City of Malibu, its
officers, agents and employees from every claim or demand made, and every liability, loss,
damage, or expense of any nature whatsoever, which may be incurred by reason of:
(1) Liability for damages for (1) death or bodily injury to a person, (2) injury to, loss or theft of
property, or (3) any other loss, damage, or expense arising under either (1) or (2) above
sustained by the production company or any person, firm or corporation employed by the
“Production Company” upon or in connection with the activity called for in this
Agreement, except for liability resulting from the sole negligence or willful misconduct of
the City, its officers, employees, agents or independent contractors who are directly
employed by the City; and
(2) Any injury to or death of persons or damage to property caused by any act, neglect,
default or omission of the production company, or any person, firm, or corporation
employed by the “Production Company”, either directly or by independent contract,
including all damages due to loss or theft, sustained by any person, firm or corporation,
including the City, arising out of, or in any way connected with the activity covered by this
agreement, whether said injury or damage occurs either on or off City property, if the
liability arose from the negligence or willful misconduct of anyone employed by the
”Production Company”, either directly or by independent contract.
(3) “Production Company” at their own expense, cost, and risk, shall defend any and all
actions, suits, or other proceedings that may be brought or instituted against the City, its
officers, agents, or employees, on any judgments that may be rendered against the City,
its officers, agents or employees in any action, suit or other proceedings as a result
thereof.
Describe Filming Activity:
Signature of Production Company and/or its legal representative: (Do not type in)
Permit Agent or
X Production Co.: Date:____________
Signature required
OFFICE CITY OF MALIBU 11
23825 Stuart Ranch Road - Malibu, CA 90265
Phone: 805-495-7521 FAX: 805-495-7621 E-mail: filming@sws-inc.com
Request for Release of Performance Bond or Refund of Cashier’s Check
Film Permit No.: Deposit Amount Provided: $
Name of Production on Permit:
Performance Bond No or Cashier’s Check No..:
Who will receive the Bond Release Letter or Refund:
Company Name: Phone:
Attention: E-Mail:
Mailing Address:
City: State Zip
TO PERMITTEE:
Within six (6) months of completion of filming activity within the City of Malibu, complete this form
and e-mail it to: filming@sws-inc.com or mail to: Malibu Film Office, 25 W. Rolling Oaks Drive, #
201, Thousand Oaks, CA 91361.
Print the name & title of the person applying for refund
Signature of the person applying for the refund Date
City Use Only: Refund request to be E-mailed to City Hall:
Permit Complete, No Issues, please process above request,
By: Date: Time:
SWS Inc./ Malibu Film Office
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407 - Malibu Permit Application 2019-20

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Completed 14 July 2020

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