Fillable Commercial Filming Application (Temporary Use Permit) (DS-258) (City of Murrieta)

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Commercial Filming Application (Temporary Use Permit) (DS-258) (City of Murrieta)

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Page 1 of 11 Rev. 12/2019
Commercial Filming Application (Temporary Use Permit)
(DS-258)
A Temporary Use Permit is required for certain projects that because of their nature or operation may affect
neighboring properties. In order to ensure compatibility with neighboring properties, The Planning Division will
review such items as traffic, relationship with surrounding properties, and the operation of the use. The Planning
Division and other reviewing disciplines may require certain conditions that ensure that the proposed filming
activities will not cause an adverse impact to the neighborhood. The information listed in this application is
required to be completed for all commercial filming activities being processed under the Murrieta Municipal Code
(MMC) Section 16.70.030(K). Refer to Information Bulletin #IB-230 for additional information.
INCOMPLETE APPLICATIONS WILL NOT BE ACCEPTED
For Planning Division Office Use Only
Case Number: Date Submitted: Received by:
I. FILING INSTRUCTIONS FOR
COMMERCIAL FILMING APPLICATION (TEMPORARY USE PERMIT)
The following instructions are intended to provide the necessary information and procedures to facilitate the
processing of a Commercial Filming Application (Temporary Use Permit). Your cooperation with these instructions
will insure that your application can be processed in the most expeditious manner possible.
THE COMMERCIAL FILMING APPLICATION (TEMPORARY USE PERMIT) PACKAGE MUST CONSIST OF THE
FOLLOWING:
Please contact the Planning Division to verify submittal requirements. City staff may request additional items
based on initial review.
INITIAL SUBMITTAL (TO BE CONFIRMED BY STAFF):
PROVIDED?
YES NO COMPLETED AND SIGNED COMMERCIAL FILMING APPLICATION (TEMPORARY USE PERMIT).
YES NO THE APPROPRIATE FEE FOR THE APPLICATION TYPE OR TYPES. TO VIEW THE FEE SCHEDULE,
GO TO: https://www.murrietaca.gov/departments/planning/default.asp
YES NO SEVEN (7) SETS OF SITE PLAN (FOLDED TO 8 ½” X 11”) AND A DIGITAL COPY (IF AVAILABLE)
YES NO COMPLETED TEMPORARY COMMERCIAL FILMING INDEMNIFICATION AND HOLD HARMLESS
FORM (EXHIBIT #A)
CITY OF MURRIETA
Development Services Department
Planning Division
1 Town Square | Murrieta, CA 92562 | 951-461-6061
Page 2 of 11 Rev. 12/2019
FOLLOW UP ITEMS (TO BE CONFIRMED BY STAFF):
PROVIDED?
YES NO COMMERCIAL LIABILITY INSURANCE POLICY (EXHIBIT #B) (ATTACH POLICY TO THIS FORM)
INSURANCE COMPANY NAME AND ADDRESS
INSURED NAME AND ADDRESS
POLICY NUMBER AND PERIOD
THE CITY OF MURRIETA SHALL BE NAMED AS ADDITIONALLY INSURED
POLICY SHALL INCLUDE - COMMERCIAL GENERAL LIABILITY, AUTO LIABILITY, PROOF OF
WORKERS COMPENSATION
$1 MILLION PER OCCURRENCE AND $2 MILLION AGGREGATE
ADDITIONAL INSURANCE MAY BE REQUIRED ON A CASE-BY-CASE BASIS DEPENDING ON
THE ASSOCIATED ACTIVITY
YES NO CITY OF MURRIETA BUSINESS LICENSE- Please contact Business Licensing at (951) 461-6040
OR VISIT https://www.murrietaca.gov/departments/finance/license/default.asp
YES NO ADDITIONAL INSURANCE (IF APPLICABLE), HAZARDS, AIRCRAFT, DRONES, ETC.
YES NO ENCROACHMENT PERMIT (FOR FILMING AT ROADWAYS OR SIMILAR LOCATIONS) (IF
APPLICABLE)
YES NO TRAFFIC CONTROL PLAN (FOR FILMING AT ROADWAYS OR SIMILAR LOCATIONS)
YES NO HAZARDOUS ACTIVITIES AND CONTROL METHODS PLAN (AS DETERMINED BY POLICE AND
FIRE)
YES NO COPY OF THE DRONE PILOT’S FAA LICENSE (IF APPLICABLE)
YES NO COPY OF THE FAA REGISTRATION CARD FOR EACH DRONE THAT WILL BE ON LOCATION (IF
APPLICABLE)
YES NO A MAP SHOWING THE FLIGHT AREA (IF APPLICABLE)
YES NO FAA APPROVAL (IF APPLICABLE)
AT APPROVAL (TO BE CONFIRMED BY STAFF):
PROVIDED?
YES NO ALL ITEMS REQUIRED AS PART OF INITIAL AND FOLLOW-UP SUBMITTAL PHASES
YES NO APPLICATION SIGNED-OFF BY ALL APPLICABLE DEPARTMENTS
II. LOCATION INFORMATION
(Attached additional sheets if needed)
Please provide specifics about your shoot, describing the scenes to be shot at each location and any use:
Assessor’s Parcel Number(s):
Property Address (Cross-Streets if not addressed/ Or identifying Feature(s)):
Page 3 of 11 Rev. 12/2019
Assessor’s Parcel Number(s):
Property Address (Cross-Streets if not addressed/ Or identifying Feature(s)):
Assessor’s Parcel Number(s):
Property Address (Cross-Streets if not addressed/ Or identifying Feature(s)):
YES NO IS FILMING OCCURING AT ROADWAYS OR SIMILAR LOCATIONS?
ENCROACHMENT PERMIT (AS APPLICABLE)
Please contact the City’ Engineering Department for further details and any associated information needed:
Please see https://murrieta-prod.civica.granicusops.com/departments/engineering/forms.asp and select
Encroachment Permit Application (Microsoft Excel form)
TRAFFIC CONTROL PLAN (FOR FILMING AT ROADWAYS OR SIMILAR LOCATIONS) (AS APPLICABLE)
Please contact the City’ Engineering Department for further information and coordination with Public Safety:
• Provide an exhibit/map that identify what roadway segments are proposed to be closed
• Identify where pedestrian and vehicle traffic would be re-routed
• Identify the timeframes associated with any proposed closures
• Police and/or the Fire Departments may have additional information needed
III. PROJECT INFORMATION
PRODUCTION TYPE: STILL PHOTOGRAPHY COMMERCIAL TV-REALITY TV EPISODIC
FEATURE FILM MUSIC VIDEO DOCUMENTARY INDUSTRIAL OTHER _______________
DESCRIPTION OF ACTIVITIES (Describe the proposed filming production or project and proposed parking/staging
arrangements; proposed Security Services; proposed first-aid services; proposed trash collection and disposal;
proposed restroom facilities; stunts/special effects pyrotechnics (as applicable))
Page 4 of 11 Rev. 12/2019
DATE/TIME OF ACTIVITIES? (INCLUDING PREPARATION AND STRIKING DAYS)
DATE:
START __________ END ____________
TIME:
START __________ AM/PM (CIRCLE) END ____________ AM/PM (CIRCLE)
NUMBER OF INDIVIDUALS IN CAST AND CREW?
EQUIPMENT DETAIL: (Please supply total number of each of the following items to be used at the filming
location(s).
GENERATORS _____ LARGE TRUCKS _____ MOTOR HOMES _____ VANS _____ TRAILERS ____
CAMERA CARS _____ PICTURE VEHICLES _____ CAST/CREW CARS _____ OTHER _____
YES NO ARE THERE VEHICLES ASSOCIATED WITH THE PRODUCTION/PROJECT?
(Attached additional sheets if needed)
Make: Model: License: _____________________
Make: Model: License: _____________________
Make: Model: License: _____________________
Make: Model: License: _____________________
YES NO AIRCRAFT/DRONES ASSOCIATED WITH THE PRODUCTION/PROJECT?
(Please describe and attached additional sheets if needed) (Please Note: Additional
insurance/fees may be required as determined on a case-by-case basis)
_________________________________________________________
______________________________________________________________________________________
AIRCRAFT
An additional Insurance Certificate is required in the event of use of airplanes or helicopters with an additional
insurance certificate and Letter of Endorsement required in the amount as determined by the City. FAA approval,
in writing, is also required.
DRONES
An additional Insurance Certificate is required in the event of the use drones with an additional insurance
certificate and Letter of Endorsement required in the amount as determined by the City. Also required are as
follows:
Copy of the drone pilot’s FAA license
Copy of the FAA registration card for each drone that will be on location
A map showing the flight area
YES NO ARE THE USE WILD ANIMALS, CHEMICALS, EXPLOSIVES OR FIRE OR SIMILAR SPECIAL
EFFECTS, OR INTENDS TO ENGAGE IN ANY OTHER HAZARDOUS ACTIVITY ASSOCIATED WITH
THE PRODUCTION/PROJECT?
(Fire and Police would need to review specific activities)(Please describe, and attached
additional sheets if needed)
_________________________________________________________
______________________________________________________________________________________
_________________________________________________________
Hazardous Activities and Control Methods Plan (As determined by Fire and Police)
Additional insurance/applicable review fees may be required as determined on a case-by-case basis.
Page 5 of 11 Rev. 12/2019
IV. CONTACT INFORMATION
APPLICANT
PLEASE INDICATE WHICH OF FOLLOWING WILL FUNCTION AS THE AUTHORIZED REPRESENTATIVE AND CONTACT
FOR THIS APPLICATION FOR WHOM THE PERMIT WILL BE ISSUED TO:
(SELECT ONLY ONE): DIRECTOR FIRST ASSISTANT DIRECTOR UNIT PRODUCTION MANAGER
UNIT LOCATION MANAGER OTHER________________________
APPLICANT
Contact Name: E-Mail:
Company Name: E-Mail:
Mailing Address:
Street
City State ZIP
Daytime Phone No: ( ) Fax No.: ( )
SECONDARY CONTACT (Representative for Production or Project)
(SELECT ONLY ONE): DIRECTOR FIRST ASSISTANT DIRECTOR UNIT PRODUCTION MANAGER
UNIT LOCATION MANAGER OTHER________________________
Contact Name: E-Mail:
Company Name: E-Mail:
Mailing Address:
Street
City State ZIP
Daytime Phone No: ( ) Fax No: ( )
THIRD CONTACT (AS DETERMINED) (Representative for Production or Project)
(SELECT ONLY ONE): DIRECTOR FIRST ASSISTANT DIRECTOR UNIT PRODUCTION MANAGER
UNIT LOCATION MANAGER OTHER________________________
Contact Name: E-Mail:
Company Name: E-Mail:
Mailing Address:
Street
City State ZIP
Daytime Phone No: ( ) Fax No: ( )
Page 6 of 11 Rev. 12/2019
GENERAL TERMS, CONDITIONS, AND RESTRICTIONS
AUTHORITY This permit is issued by the authority of the City of Murrieta, for the purpose of
photographing, filming, or videotaping in the City of Murrieta in accordance with Section
16.70.030(K) MMC. This permit does not constitute or grant permission to use or occupy
property not belonging to, or under the control of, the City of Murrieta. Permission to use or
occupy these properties must be obtained from the owner or controller of such property in
addition to this permit. Proof of such permission may be required prior to issuance of a permit
by completing an Addendum form. PERMIT REQUIREMENT This permit must be in the
possession of the applicant at all times while on location and must be made available for
inspection when requested by City authorities or the public. Use of this permit implies
agreement on the part of the holder to comply with the terms and conditions of the permit.
COMPLIANCE WITH LAWS Permittee agrees to comply with all federal, state, and local laws,
regulations, ordinances, and rules. Vehicle code provisions and/or posted parking regulations
will be enforced unless noted otherwise in this permit. The Filming Fire and Life Safety
Inspection Check List will be strictly enforced. INSURANCE Prior to beginning operations under
this permit, Permittee must submit evidence of general liability insurance. The amount and
type of such insurance shall be that required by the City of Murrieta at the time this permit is
issued, unless a different amount and type of insurance is specified in the permit. If Permittee
uses or operates licensed motor vehicles pursuant to this permit, automobile liability insurance
is required as well. INDEMNIFICATION Except for the active negligence or tortuous conduct of
the City of Murrieta, Permittee agrees to indemnify, defend and hold harmless the City and any
other agencies designated at 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 as noted in further detailed in Exhibit #A. WORKER’S COMPENSATION
By signing below, Permittee agrees to conform to all applicable Federal and State requirements
for Worker’s Compensation insurance for all persons operating under this permit. ASSIGNMENT
This permit shall not be assigned by the Permittee without the written consent of the City.
CONSIDERATION Permittee shall pay, prior to the issuance of a permit or rider thereto, all fees
and deposits required. Service charges and use fees listed on this form are estimates. Actual
charges, computed at the completion of filming, may be less or exceed these estimates.
Permittee agrees to pay any additional charges which may accrue incidental to any use or
service provided to the Permittee within 10 days after receipt of any invoice for such use or
services. Overpayments will be refunded. CREDIT The City of Murrieta expects film credit,
unless otherwise determined by an authorized representative of the City of Murrieta
AUTHORITY TO REVOKE OR CANCEL In the event that an authorized representative of the City
finds that the activities being conducted by the Permittee unnecessarily endanger the health or
safety of any person or that said activities are or will cause damage to real or personal property,
said representative, at his sole direction may suspend, cancel, or amend this permit. The City
reserves the right to suspend, cancel, or amend this permit at any time without incurring any
liability to the Permittee. RIDERS Additional documents known as “riders” may, on occasion, be
issued to alter or amend an original permit. Except as amended by the riders, all other terms,
conditions, and provisions of the original permit remain in effect. When executed, a rider
becomes part of and must be attached to the original permit. ADDITIONAL TERMS APPLICABLE
TO FILMING ON CITY OWNED PROPERTY Permittee shall be subject to the control and
instructions of the City representative(s) assigned to the Permittee in order to avoid any
interference with the operations of the City’s facilities or property.
Page 7 of 11 Rev. 12/2019
Permittee acknowledges that its use of City facilities for purposes of the permit is at its own risk
and expressly waives any right to make or prosecute claims or demands against the City for any
loss, injury, or damage which Permittee may sustain by virtue of the exercise of the permission
granted or by reason of any defect, deficiency, or impairment which may occur from time to
time from any cause of the utilities or other services furnished or for any loss resulting from
fire, water, tornado, civil commotion, riot, landslide, windstorm, earthquake or acts of God. On
or before the date of the expiration of this permit, the Permittee shall remove from said
properties all location sets, structures, rubbish and unsightly matter placed on the property by
the Permittee unless the City agrees that this may be done at a later time. In the event
Permittee fails to do so, the City may cause the same to be done and Permittee agrees to pay
the City any cost incurred. Permittee agrees to pay the City for damage to City property
resulting from the operations undertaken by Permittee. By issuance of this permit, the City
does not imply that use by Permittee shall be exclusive. We hereby accept this permit and
agree to abide by all the terms and conditions thereof.
Applicant Witness
Print Name Print Name
Address Address
FOR-INTERNAL-USE-ONLY
APPROVAL (INITIALS):
PLANNING
PUBLIC WORKS
FIRE
POLICE
BUSINESS
LICENSE
Page 8 of 11 Rev. 12/2019
SITE PLAN CRITERIA
The following information is to be shown on the site plan submitted as part of an application
for a Commercial Filming Application (Temporary Use Permit). Distinguished between existing
(dashed lines) and proposed (solid lines) and show sufficient dimensions to adequately describe
the project/production proposed.
1. Property lines and dimensions.
2. Building and structure footprints (if applicable).
3. All abutting streets.
4. Parking lot layout handicapped facilities and all curbs, sidewalks, etc.
Show number of parking stalls (if applicable).
5. Location of road closures (if applicable) and type of equipment to be used.
6. Location and method of outdoor lighting for buildings and parking lot (if
applicable).
7. Location and number of portable restrooms including handicap.
8. Location of proposed and existing fire extinguishers.
9. All points of ingress and egress.
10. Location of all proposed signage. (if applicable).
11. Location of medical services (if applicable).
12. A vicinity map.
Page 9 of 11 Rev. 12/2019
EXHIBIT #A
TEMPORARY COMMERCIAL FILMING INDEMNIFICATION &
HOLD HARMLESS FORM & INSURANCE EXHIBIT
INDEMNIFICATION AND HOLD HARMLESS AGREEMENT
FOR USE OF CITY GROUNDS AND FACILITIES
In consideration for the use of City grounds and facilities and to the furthest extent allowed by law,
Applicant does hereby agree to indemnify, hold harmless and defend the City of Murrieta (“City”) and
each of its officers, officials, employees, agents and volunteers from any and all loss, liability, fines,
penalties, forfeitures, costs and damages (whether in contract, tort or strict liability, including but not
limited to personal injury, death at any time and property damage) incurred by City, Applicant or any
other person, and from any and all claims, demands and actions in law or equity (including attorney's
fees and litigation expenses), arising or alleged to have arisen directly or indirectly out of the use of
City ground and facilities. Applicant’s obligations under the preceding sentence shall apply
regardless of whether City or any of its officers, officials, employees, agents or volunteers are
negligent, but shall not apply to any loss, liability, fines, penalties, forfeitures, costs or
damages caused solely by the gross negligence, or caused by the willful misconduct, of
City or any of its officers, officials, employees, agents or volunteers.
Throughout the life of this Agreement, Applicant shall pay for and maintain in full force and effect all
insurance as required in Exhibit #B, which is incorporated into and part of this Agreement, or as may
be authorized or required in writing by City Manager or his/her designee at any time and in his/her
sole discretion.
Applicant shall conduct all defense at his/her/its sole cost. The fact that insurance is obtained by
Applicant shall not be deemed to release or diminish the liability of Applicant, including, without
limitation, liability assumed under this Agreement. The duty to indemnify shall apply to all claims
regardless of whether any insurance policies are applicable. The duty to defend hereunder is wholly
independent of and separate from the duty to indemnify and such duty to defend exists regardless of
any ultimate liability of Applicant. The policy limits do not act as a limitation upon the amount of
defense and/or indemnification to be provided by Applicant. Approval or purchase of any insurance
contracts or policies shall in no way relieve from liability nor limit the liability of Applicant, its officials,
officers, employees, agents, volunteers or invitees.
City shall be reimbursed for all costs and attorney’s fees incurred by City in enforcing this
Agreement. This Indemnification and Hold Harmless Agreement shall survive the use of City
grounds and facilities.
The undersigned acknowledges that he/she (i) has read and fully understands the content of
this Indemnification and Hold Harmless Agreement; (ii) is aware that this is a contract
between the City and Applicant; (iii) has had the opportunity to consult with his/her attorney,
in his/her discretion; (iv) is fully aware of the legal consequences of signing this document;
and (v) is the Applicant or his/her/its authorized signatory.
Signed, sealed and delivered this day of 2019.
Applicant Witness
Print Name Print Name
Address Address
Page 10 of 11 Rev. 12/2019
EXHIBIT #B
COMMERCIAL LIABILITY INSURANCE EXAMPLE
(Please attached insurance documents once completed)
Coverage
Commercial
General
Liability
Auto Liability
Proof of
Workers
Compensation
Limits
$1 Million per
Occurrence
$2 Million
Aggregate
Additionally Insured
The City of Murrieta, its officers, employees and agents named.
If a policy contains a “blanket” additionally insured, then the Certificate must note “City of
Murrieta as additionally insured per by “blanket endorsement”.
If policy has no blanket endorsement refer to following page for endorsement
Insurance Company
Must be licensed to do business in California.
Page 11 of 11 Rev. 12/2019
Additional copies of this application may be obtained from the Planning Division’s
Webpage at https://www.murrietaca.gov/departments/planning/default.asp
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Commercial Filming Application (Temporary Use Permit) (DS-258) (City of Murrieta)

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Completed 14 July 2020

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