Fillable 5359 City of Huntington Park • Department of Parks & Recreation

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5359 City of Huntington Park • Department of Parks & Recreation

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The 5359 City of Huntington Park • Department of Parks & Recreation form is 8 pages long and contains:

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  • 78 check-boxes
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BROWSE CITY OF HUNTINGTON PARK (CA) FORMS

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SPECIAL EVENT PARK USE PERMIT APPLICATION
PERMIT No. ___________ FILING FEE: $80 (for-profit organization) $30 (non-profit organization)
Applications must be submitted by October 1 to be considered for following calendar year
Applications received after October 1 must be submitted at least 90 days before event
A. APPLICANT INFORMATION
Applicant Name:
(If organization/business, include name of a contact person)
Address:
Telephone #: Emergency Telephone #:
Huntington Park Business License #: Are you a non-profit organization? Yes No
Applicant’s authorized representative(s) for management of event. If more than one, please list on a separate
sheet of paper. (Note: Applicant/authorized representative(s) must be present at all times during event)
Name:
Telephone #: Drivers License #:
E-mail address:
Address:
B. APPLICANT EXPERIENCE/REFERENCES
The organization applying for the special event permit must have at least three years of experience
conducting the same or similar event proposed in this application.
Does your organization have at least three years of experience? Yes No
Provide three references of other cities/counties where you have conducted a similar event.
1. City/County: Contact Person:
Telephone #: Dates of last event:
2. City/County: Contact Person:
Telephone #: Dates of last event:
3. City/County: Contact Person:
Telephone #: Dates of last event:
Revised. 2-2014
2
C. EVENT INFORMATION
Description of Event (Include all goods/services to be sold, number of rides, concessions, tents, stages, special displays or
equipment used, animals, etc. If more space is needed attach a separate sheet of paper)
Anticipated Attendance Total: Per Day:
D. EVENT ENTERTAINMENT
Attach a 1-2 page detailed list and description of all entertainment to be featured at your event.
E. EVENT DATES/TIMES
Setup
Setup begins on: Setup ends on:
mm/dd/yyyy mm/dd/yyyy
Setup will occur each day from: until
Time (HH:MM) Time (HH:MM)
Event
Event begins on: Event ends on:
mm/dd/yyyy mm/dd/yyyy
Event will be open each day from: until
Time (HH:MM) Time (HH:MM)
Cleanup
Cleanup begins on: Cleanup ends on:
mm/dd/yyyy mm/dd/yyyy
Cleanup will occur each day from: until
Time (HH:MM) Time (HH:MM)
Notes:
F. EVENT LOCATION
Salt Lake Park Freedom Park Robert Keller Park Senior Park
Other
(Describe area of park your event will utilize)
G. The following is required three weeks prior to event:
$2,500 Refundable Deposit Business License Building Permit
County Fire Permit Security Plan Plot Plan
Entertainment Approval Insurance (must list “City of Huntington Park” as additional insured)
Rev. 2-14
3
H. SITE PLAN
Your site plan/route map should be submitted in blueprint or computer-generated format and include:
An outline of the entire event venue including the names of all streets or areas that are part of
the venue and the surrounding area. If the event involves a moving route of any kind, indicate
the direction of travel and all street or lane closures.
The location of fencing, barriers and/or barricades. Indicate any removable fencing for
emergency access.
The provision of minimum 20-foot emergency access lanes throughout the event venue.
The location of first aid facilities and ambulances.
The location of all stages, platforms, scaffolding, bleachers, grandstands, canopies, tents,
portable toilets, booths, beer gardens, cooking areas, trash containers and dumpsters, and other
temporary structures.
A detail or close-up of the food booth and cooking area configuration including booth
identification of all vendors cooking with flammable gases or barbecue grills
Generator locations and/or source of electricity.
Sources of water.
Placement of vehicles and/or trailers.
Exit locations for outdoor events that are fenced and/or locations within tents and tent
structures.
Identification of all event components that meet accessibility standards.
Other related event components not listed above.
Rev. 2-14
4
I. SECURITY PLAN
Have you hired a licensed professional security company to develop and manage your event’s security
plan?
Yes No
If yes, you are required to provide a copy of the security company’s valid Private Patrol Operator’s License
issued by the State of California.
Security Organization:
Address:
Telephone #: Emergency Telephone #:
Cell #: Fax #:
Private Patrol Operator License #
Please describe your security plan including crowd control, internal security or venue safety, or attach the
plan to this application.
Rev. 2-14
5
J. BUILDING AND SAFETY INFORMATION SHEET
Building and Safety Fee Schedule for Special Events:
Tents/structures/devices
For inspection of structures or devices regulated
by Chapter 66 the first inspection or first
structure/device $267.04
Each additional structure and/or device $42.88
Electrical
Carnival rides (electric or generator driven): $ 63.52 each
Carnival rides (mechanically driven): $ 26.40 each
Walk through – attractions/electric displays: $ 26.40 each
Booth lighting (i.e. carnival games, etc.): $ 26.40 each
Temporary power pole: $ 71.36 each
Motors, generators, transformers (rating in horsepower HP, kilowatts KW, kilovolt amperes KVA):
Rating over 3 and not over 10, each $ 32.64
Rating over 10 and not over 50, each $ 75.36
Rating over 50 and not over 100, each $ 140.96
Rating over 100, each $ 232.64
Any installation of any equipment rated at 400 amperes or larger;
Any installation of a motor rated more than 10 HP;
Any installation of equipment rated above 600V require Plan Review, please submit electrical plans 90
days prior to event. Plan Check fees are 70% of permit fees but not less than $
179.04
Other
Minimum fee for any inspection not covered above is $100.30 per hour (minimum of two hours)
Issuance fee per each permit: $45.28
EVENT INFORMATION
Applicant:
Event address: Date:
Event contact name: Phone:
Event contact name: Phone:
Tents (indicate number of tents and size of each:
Rides and attractions:
# electrical/generator driven rides: # mechanical driven rides:
# walk through/electric displays/booths:
Generators:
(circle one) (circle one)
# @ hp kw kva # @ hp kw kva
# @ hp kw kva # @ hp kw kva
Rev. 2-14
6
FOR OFFICE USE ONLY
Date submitted:
Received by:
File fee:
Receipt #:
Application must be
submitted to Director of Parks & Recreation a
minimum of 90 days
prior to event
date and
returned a minimum of 3 weeks prior to event date
with all required approvals (see attached
checklist). Two sets of plot plans and/or floor plans showing locations of all event activity, pedestrian
trash, porta-potties, security plan, entertainment list, and vehicle circulation, pedestrian circulation or
parking as necessary must be attached.
CERTIFICATE OF THE APPLICANT
: I understand and agree to abide by all of the Special
Event Permit regulations of the City of Huntington Park and any other conditions
imposed for the event requested. I certify that all statements made on this application
are true and complete to the best of my knowledge. I understand that any false
statement may result in denial of the requested permit or revocation of any issued
permit.
_____________________
Applicant’s Signature Date
Rev. 2-14
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7
PERMIT No. _________ APPROVAL CHECKLIST
The Department of Parks & Recreation requires proof of approval from the following departments and agencies. Please be
advised that the $80 fee will not be refunded if event does not take place as scheduled due to denial of request by other
agency and/or property owner (s) or failure by applicant to obtain required approval signatures.
L.A. County Fire Department, Prevention Bureau
3161 E. Imperial Highway, Lynwood, CA 90255 (310) 603-5258
Approved Not Approved No Approval Necessary Approved with conditions: _____________
_____________________________________________ ___________________________________________
Name/Title: __________________________ _______________ Signature: ____________________________
L.A. County Health Department, Environmental Health Specialist
245 S. Fetterly Ave., Room 2014, Los Angeles, CA 90022 (323) 780-2272
Approved Not Approved No Approval Necessary Approved with conditions: _____________
_____________________________________________ ___________________________________________
Name/Title: __________________________ _______________ Signature: ____________________________
State Department of Alcohol, Beverage Control, Duty Investigator
300 S. Spring St., Suite 2001-N, Los Angeles, CA 90013 (213) 897-5391
Approved Not Approved No Approval Necessary Approved with conditions: _____________
_____________________________________________ ___________________________________________
Name/Title: __________________________ _______________ Signature: ____________________________
City of Huntington Park Police Department, Watch Commander
6542 Miles Avenue, Huntington Park, CA 90255 (323) 584-6254
Approved Not Approved No Approval Necessary Approved with conditions
Entertainment Security Plan Street Closure Parking
_____________________________________________ ___________________________________________
Name/Title: __________________________ _______________ Signature: ____________________________
City of Huntington Park City Clerk
6550 Miles Ave., Huntington Park, CA 90255 (323) 584-6230
Approved Not Approved No Approval Necessary Approved with conditions
Contracts Insurance
_____________________________________________ ___________________________________________
Name/Title: __________________________ _______________ Signature: ____________________________
Rev. 2-14
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City of Huntington Park Finance Department, Collections Division
6550 Miles Ave., Huntington Park, CA 90255 (323) 584-6237
Approved Not Approved No Approval Necessary Approved with conditions: _____________
_____________________________________________ ___________________________________________
Name/Title: __________________________ _______________ Signature: ____________________________
City of Huntington Park Building Department, Plan Review
6550 Miles Ave., Huntington Park, CA 90255 (323) 584-6315
Approved Not Approved No Approval Necessary Approved with conditions: _____________
_____________________________________________ ___________________________________________
Name/Title: __________________________ _______________ Signature: ____________________________
City of Huntington Park Engineering Department, Assistant City Engineer
6550 Miles Ave., Huntington Park, CA 90255 (323) 584-6253
Approved Not Approved No Approval Necessary Approved with conditions: _____________
_____________________________________________ ___________________________________________
Name/Title: __________________________ _______________ Signature: ____________________________
City of Huntington Park Public Works Department, Director of Public Works
6900 Bissell St., Huntington Park, CA 90255 (323) 584-6320
Approved Not Approved No Approval Necessary Approved with conditions
Water Electrical Dig Alert Trash/Recycle
_____________________________________________ ___________________________________________
Name/Title: __________________________ _______________ Signature: ____________________________
Dig Alert, www.digalert.org (800) 227-2600
Approved Not Approved No Approval Necessary Approved with conditions: _____________
_____________________________________________ ___________________________________________
Name/Title: __________________________ _______________ Signature: ____________________________
Parks & Recreation Commission City Council
Rev. 2-14
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5359 City of Huntington Park Department of Parks & Recreation

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Completed 13 July 2020

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