Fill - Free fillable Planning & Development Department LARGE SPECIAL EVENT PERMIT (Maricopa County Telecommunications) PDF form

501 North 44

St., Suite 200  Phoenix AZ 85008  (602) 506-3301

Large Special Event Index Internet: www.maricopa.gov/planning 12/17/20

SUBMITTAL FORMS INDEX

LARGE SPECIAL EVENT PERMIT INSTRUCTIONS

LARGE SPECIAL EVENT PERMIT APPLICATION

LARGE SPECIAL EVENT PERMIT MITIGATION PLAN & PUBLIC HEALTH

CHECKLIST

LARGE SPECIAL EVENT PERMIT PROCESS & TIMEFRAME

PUBLIC HEALTH GUIDELINES

Planning & Development

Department

LARGE SPECIAL EVENT PERMIT

Planning & Development Department

LARGE SPECIAL EVENT PERMITTING

APPLICATION INSTRUCTIONS

501 North 44

St, Suite 200  Phoenix AZ 85008  (602) 506-3301

Temporary Use Permit Application Instructions Internet: www.maricopa.gov/planning 10/14/20

INFORMATION REQUIRED FOR SUBMITTAL

 Applications for Large Special Event Permit must be submitted at least 30 days prior to the

first planned event date.

 Incomplete submittals will not be accepted. Applications determined to be incomplete

shall not be processed by staff.

1. APPLICATION – The application is to be completed in full. Staff will only accept a

completed application form.

2. SITE PLAN – of the property, including the following:

a) An aerial photograph of the event site showing all structures and event

venues.

b) North arrow shown on plan.

c) Location and square footage of all structures and event venues, as well as

distance between structures and event venues.

d) Identify location of sanitation stations including location of all restrooms,

handwashing and disinfection stations or facilities.

3. NARRATIVE – describing use in detail.

a) Description of all the activities that will take place at the event.

b) Number of attendees including employees.

c) Dates and times of the event(s) and hours of operation.

4. MITIGATION PLAN REVIEW CHECKLIST – Use the attached checklist and provide explanation to

each of numbered items.

LARGE SPECIAL EVENT PERMITTING APPLICATION INSTRUCTIONS

501 North 44

St, Suite 200  Phoenix AZ 85008  (602) 506-3301  (602) 506-3711 fax

Large Special Event Permitting Internet: www.maricopa.gov/planning 12/17/20

5. ELECTRONIC COPY OF APPLICATION MATERIALS (PDF FORMAT ONLY) – Use the following

chart for the naming structure of adobe pdf documents. Example a Narrative Report should

be saved as NARR-RPTS-1.pdf

Electronic Copies of Application Materials Submit documents with the

following names

Completed Application form APPL-FORM-1

Site Plan SITE-PLAN-1

Narrative Report NARR-RPTS-1

Mitigation Plan Review Checklist PUBL-CHEC-1

Supporting documentation SUPP-DETL-1

APPLICATION SUBMITTAL – ELECTRONIC SUBMITTAL

1. Submit all application documents via e-mail to PNDSpecial.Events@maricopa.gov

2. There are no application fees associated with this Large Special Event Permit.

Please note, you may still be required to obtain permits from other County agencies

such as Maricopa County Department of Transportation, Environmental Services

Department, Parks and Recreation, and Planning and Development.

ADDITIONAL GUIDANCE AND WEBSITE LINKS:

Center for Disease Control - Events and Gatherings: Readiness and Planning Tool

Arizona Department of Health Services COVID-19 Resources for Private Events

dated 10/6/2020

501 North 44

St, Suite 200  Phoenix AZ 85008  (602) 506-3301

Large Special Event Application Internet: www.maricopa.gov/planning 12/17/2020

LARGE SPECIAL EVENT – Organized public event of more than 50 persons at one time in unincorporated County and events for more

than 50 people on property owned or managed by Maricopa County must obtain a Large Special Event Permit. Requires submittal of

Large Special Event COVID-19 Mitigation Plan with the Large Special Events Permit application.

Requested Special Event

Description of Request:

Other County permitting agencies:

Date(s) and time(s) of Large Special Event:

Existing Use of Property:

PROPERTY INFORMATION

Address:

Size in Acres: Square Feet:

Assessor’s Parcel Number(s) or description of event location:

LARGE SPECIAL EVENT PERMIT APPLICANT

(

anizer, host, owner, mana

er, other

erson res

onsible for obtainin

ermit

)

Name: Contact:

Address:

City: State: Zip:

Phone #: Fax#:

E-mail Address:

PROPERTY OWNER INFORMATION

Name: Contact:

Address:

City: State: Zip:

Phone #: Fax#:

E-mail Address:

PROPERTY OWNER AND OWNER’S AGENT AUTHORIZATION

(

AS APPLICABLE

)

I (property owner) authorize agent

to file this application on all matters relating to this request with Maricopa County. By signing this form as the property owner I hereby

agree to abide by any and all conditions that may be assigned by the Maricopa County Board of Supervisors, or Maricopa County

Planning and Development Department staff as applicable, as part of any approval of this request, including conditions, and/or

any other requirement that may encumber or otherwise affect the use of my property.

ACKNOWLEDMENT OF COVID-19 MITIGATION PLAN – Applicant or Owner to Initialize next to each of the following statements

The applicant agrees that it shall commit all necessary resources to ensure enforcement of the Covid-19 Mitigation Plan

submitted and approved in connection with this event. Failure to follow the Covid-19 Mitigation Plan may result in a civil fine

of up to $2,500 per day of day and may result in the revocation of the any issued Permit.

The applicant acknowledges that any complaints for failure to adhere to the Covid-19 Mitigation Plan will be investigated by

the Maricopa County Sheriff’s Office.

Acknowledge that the County reserves the right to revoke the permit if the Governor issues additional Executive Orders that

change the restrictions for events in the State.

VERIFICATION OF APPLICATION INFORMATION

I certify that the statements in this application and support material are true. Any approvals or permits granted by Maricopa

County in reliance upon the truthfulness of these statements may be revoked or rescinded.

Applicant Signature: Date:

Property Owner Signature: Date:

Planning & Development

Department

LARGE SPECIAL EVENT PERMIT APPLICATION

THE APPLICATION MUST BE COMPLETED IN FULL

LargeSpecialEventPermit

MitigationPlan&PublicHealthReviewChecklist



PromotingHealthyBehaviorsthatReduceSpread

1. Addresshowthefacility/eventhaspoliciesinplacethatencouragesickemployeesandattendees

tostayhome.



MaricopaCountyPublicHealthReviewComments

☐Facilityhaspoliciesinplacethatencouragesickemployeesandattendeestostayhome.



2. DescribehoweventpoliciesarecompliantwithcurrentMaricopaCountyfacemaskregulations.



MaricopaCountyPublicHealthReviewComments

☐EventpoliciesarecompliantwithcurrentMaricopaCountyfacemaskregulations.



LargeSpecialEventPermit

MitigationPlan&PublicHealthReviewChecklist



3. Describehowtheeventplanincludessignageandmessaginginhighlyvisiblelocationswhich

promoteprotectivemeasuressuchasproperlywashinghandsandwearingamask.



MaricopaCountyPublicHealthReviewComments

☐Eventplanincludessignageandmessaginginhighlyvisiblelocationswhichpromoteprotective

measuressuchasproperlywashinghandsandwearingamask.



MaintainingHealthyEnvironments

4. Describehoworganizerswillnotallowcrowdsorlinestoformneartherestroom,ensuringthat

individualsremain6feetfromotherpeople(BestPractice:floormarkingstoguidedistance.)



MaricopaCountyPublicHealthReviewComments

☐Organizerswillnotallowcrowdsorlinestoformneartherestroom,ensuringthatindividuals

remain6feetfromotherpeople(BestPractice:floormarkingstoguidedistance.)



LargeSpecialEventPermit

MitigationPlan&PublicHealthReviewChecklist



5. Describehoworganizershavecreatedlayoutstospacepeopleatleast6feetapart.



MaricopaCountyPublicHealthReviewComments

☐Organizershavecreatedlayoutstospacepeopleatleast6feetapart.



6. Describehoworganizershaveaplantocleananddisinfectfrequentlytouchedsurfacessuchas

pens,countersorhardsurfacesbetweenuseandencouragepatronstousetheirownpens.



MaricopaCountyPublicHealthReviewComments

☐Organizershaveaplantocleananddisinfectfrequentlytouchedsurfacessuchaspens,counters

orhardsurfacesbetweenuseandencouragepatronstousetheirownpens.





LargeSpecialEventPermit

MitigationPlan&PublicHealthReviewChecklist



PoliciesandProcedures

7. Explainanddescribethataplanhasbeendevelopedtoconductdailyhealthchecks(e.g.

temperaturescreeningand/orsymptomchecking)ofstaffandattendees.



MaricopaCountyPublicHealthReviewComments

☐Aplanhasbeendevelopedtoconductdailyhealthchecks(e.g.temperaturescreeningand/or

symptomchecking)ofstaffandattendees.



8. Describeifaplanhasbeendevelopedtoallowforsocialdistancingbefore,duringandafterthe

event(e.g.,limitingattendanceandmodifyinglayoutsbeforetheevent,providingphysical

barriersduringtheeventandstaggeringexittimesaftertheevent).



MaricopaCountyPublicHealthReviewComments

☐Aplanhasbeendevelopedtoallowforsocialdistancingbefore,duringandaftertheevent(e.g.,

limitingattendanceandmodifyinglayoutsbeforetheevent,providingphysicalbarriersduringthe

eventandstaggeringexittimesaftertheevent).



LargeSpecialEventPermit

MitigationPlan&PublicHealthReviewChecklist



9. ApplicantmustdesignateaspecificpersontoaddressallCOVID‐19relatedsituationsandconcerns.

Applicant must ensure staff, participants and attendees know how to contact the designated

COVID‐19staffperson.ApplicantmusthavesufficientstafftoensurecompliancewiththeCOVID‐

19mitigationplan.



MaricopaCountyPublicHealthReviewComments

☐AstaffpersonhasbeendesignatedforallCOVID‐19relatedsituationsandconcerns.Staffand

attendeesunderstandhowtocontactthisindividual.



10. Describeifpoliciesexistwhichencouragesickstaffmemberstostayathomewithoutfearofjob

lossorotherconsequences.



MaricopaCountyPublicHealthReviewComments

☐Policiesexistwhichencouragesickstaffmemberstostayathomewithoutfearofjoblossor

otherconsequences.



LargeSpecialEventPermit

MitigationPlan&PublicHealthReviewChecklist



FacilitiesandSupplies

11. Pleasedescribethesuppliesavailableattheeventincluding:soap,waterforhandhygiene,hand

sanitizerwithatleast60%alcohol,papertowels,tissues,cleaningsupplies,EPAapproved

disinfectionsupplies,clothfacecoverings,no‐touch/footpedaltrashcans,no‐touchsoap/hand

sanitizerdispensers,gloves,disposablefoodserviceitems,andothernecessaryitems.



MaricopaCountyPublicHealthReviewComments

☐Organizerswillobtainsuppliesincluding:soap,waterforhandhygiene,handsanitizerwithat

least60%alcohol,papertowels,tissues,cleaningsupplies,EPAapproveddisinfectionsupplies,cloth

facecoverings,no‐touch/footpedaltrashcans,no‐touchsoap/handsanitizerdispensers,gloves,

disposablefoodserviceitems,andothernecessaryitems.



12. Describehoworganizershavedevelopedaplantochangeseatinglayoutoravailabilityofseating,

orblockoffrowsorsections,sothatattendeescanstayatleast6feetapart.



MaricopaCountyPublicHealthReviewComments

☐Organizershavedevelopedaplantochangeseatinglayoutoravailabilityofseating,orblockoff

rowsorsections,sothatattendeescanstayatleast6feetapart.



LargeSpecialEventPermit

MitigationPlan&PublicHealthReviewChecklist



Preparingforillness

13. DescribehoworganizerswillrespondifanindividualbeginstoshowCOVID‐19symptomsduring

theevent.Optionsmayincludeanisolationroomorareatoseparateanyonewhobeginstoshow

COVID‐19symptomsduringtheeventorrequiringstafftomaskandsendhomeanyonetobegins

toshowCOVID‐19symptomsduringtheevent.



MaricopaCountyPublicHealthReviewComments

☐Organizerswillidentifyand createan isolation roomorareato separate anyone who begins to

showCovid‐19symptomsduringtheevent.Theisolationroomorareamustbeatleastsixfeetaway

(moredistanceispreferable)fromotherattendeesonallsides.Suchindividualsmustberequiredto

wearamaskwithintheisolationroomorareaeitheroutdoorsorindoorswiththedoorclosed,if

possible.



501 North 44

St, Suite 200  Phoenix AZ 85008  (602) 506-3301  (602) 506-3711 fax

Process Internet: www.maricopa.gov/planning 10/14/20

The large special event permit may be appealed to the Hearing Officer pursuant to ARS § 11-832, if

staff denies the large special event due to not meeting the requirements of Maricopa County Board

of Supervisors Resolution #C-44-21-089-X-00 and Maricopa County Public Health standards. To file an

appeal of staff’s determination for the Hearing Officer e-mail PNDSpecial.Events@maricopa.gov within

10 business days of the administrative/ministerial denial date to schedule an administrative hearing.

Planning & Development

Department

LARGE SPECIAL EVENT PERMIT APPLICATION

PROCESS & TIMEFRAME

PROCESS FLOW CHART & PROJECTED TIMEFRAME

Submittal of application via e-mail at

PNDSpecial.Events@Maricopa.gov at least 30 days prior

to start of the event(s). The applicant will be notified of

the permit tracking number via e-mail.

Public Health Department review (approx. 1 week)

Planning & Development Department staff review

(approximately within 1 week of application)

Planning &

Development

Department issues

the permit or denies

the permit.

Planning &

Development sends

comments to the

applicant with

revisions needed for

the permit.

AdministrativeOffices

4041NCentralAve,#1400•Phoenix,Arizona85012

Phone:(602)506‐6900•Fax:(602)506‐6885

WeArePublicHealth.org

Twitter.com/Maricopahealth

Facebook.com/MCDPH



In2016,theMaricopaCountyDepartmentofPublicHealthreceivedaccreditationthroughthePublicHealthAccreditationBoard.

Formoreinformationonthisachievement,pleasevisitphaboard.org.



Promoting Healthy Behaviors that Reduce Spread

Minimum Requirements:

 Signs and Messages

o Post signs in highly visible locations (e.g., at entrances, in restrooms)

that promote everyday protective measures and describe how

to stop the spread of germs by properly washing hands and properly

wearing a mask.

 Masks 

o Require the use of masks among staff and attendees. Masks

are most essential in times when physical distancing is difficult (e.g.,

when moving within a crowd or audience).

 Staying Home when Appropriate

o Educate staff and attendees about when they should stay home.

 Advise employees and attendees to stay home if they have

tested positive for COVID-19 or are showing COVID-

19 symptoms.

 Advise employees and attendees to stay home and monitor

their health if they have had a close contact with a person who

has symptoms of COVID-19 within the past 14 days.

 Hand Hygiene and Respiratory Etiquette

o Require frequent employee handwashing

o If soap and water are not readily available, employees can use hand

sanitizer that contains at least 60% alcohol and rub their hands until

dry.

o Encourage attendees to wash hands often and cover coughs and

sneezes.

 Adequate Supplies 

o Ensure adequate supplies to support healthy hygiene behaviors.

Supplies include soap, water, hand sanitizer containing at least 60

percent alcohol, paper towels, tissues, disinfectant wipes, & masks.

 Cleaning and Disinfection

o Clean and disinfect frequently touched surfaces within the venue at

least daily or between uses as much as possible.

o Clean and disinfect shared objects between uses—for example,

payment terminals, tables, countertops, bars, and condiment holders.

o Consider closing areas such as drinking fountains that cannot be

adequately cleaned and disinfected during an event.

o Develop a schedule for increased, routine cleaning and disinfection.

o If transport vehicles like buses are used by the event staff, drivers

should practice all safety actions and protocols as indicated for other

staff.

o Use disposable gloves when removing garbage bags or handling and

disposing of trash.

 Restrooms

o Consider limiting the number of people who occupy the restroom at

one time to allow for social distancing.

o Do not allow lines or crowds to form near the restroom without

maintaining a distance of at least 6 feet from other people.

 Ensure that open restrooms are cleaned and

disinfected regularly, particularly high-touch surfaces such as

faucets, toilets, stall doors, doorknobs, countertops, diaper

changing tables, and light switches.

 Adequately stocked with supplies for handwashing, including

soap and water or hand sanitizer with at least 60% alcohol (for

staff and older children who can safely use hand sanitizer),

paper towels, tissues, and no-touch trash cans.

 Modified Layouts

o Limit attendance or seating capacity to allow for social distancing (6

ft apart), or host smaller events in larger rooms.

o Use multiple entrances and exits and discourage crowded waiting

areas if possible.

o Block off rows or sections of seating in order to space people at least

6 feet apart.

o Eliminate lines or queues if possible or encourage people to stay at

least 6 feet apart by providing signs or other visual cues such as tape

or chalk marks.

 Physical Barriers and Guides

o Provide physical guides, such as tape on floors or sidewalks and

signs on walls, to ensure that individuals remain at least 6 feet apart

in lines and at other times (e.g., guides for creating one-way routes).

o Install physical barriers, such as sneeze guards and partitions, in

areas where it is difficult for individuals to remain at least 6 feet

apart. Barriers can be useful at cash registers and other areas where

maintaining physical distance of 6 feet is difficult.

 Communal Spaces

o Stagger use of shared indoor spaces such as dining halls, game

rooms, and lounges as much as possible and clean and

disinfect them between uses.

 Shared Objects

o Discourage people from sharing items that are difficult to clean,

sanitize, or disinfect.

o Limit any sharing of food, tools, equipment, or supplies by staff

members.

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