Fillable Riverside Police Department ENTERTAINMENT PERMIT CHECKLIST (City of Riverside, California)

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Riverside Police Department ENTERTAINMENT PERMIT CHECKLIST (City of Riverside, California)

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BROWSE CITY OF RIVERSIDE, CALIFORNIA (CA) FORMS

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Riverside Police Department
ENTERTAINMENT PERMIT CHECKLIST
GENERAL INFORMATION
Date:
Applicant Name:
Applicant Address:
For any new establishment or for an establishment requesting alterations, plans shall:
- Be submitted in a clear and legible manner drawn to scale/fully dimensioned and on standard 8 1/2” x 14”
format minimum; larger maps or plans may be necessary to show all facility details needed.
- Be prepared by a licensed design professional as required by State law.
- Include a detailed and dimensioned floor plan of the establishment depicting all entertainment configurations,
dance floors, stage areas, and square footages, as well as any pool tables, video games etc. as applicable. If
multiple configurations are proposed for different events, times, dates etc., submit a floor plan for each configuration.
- Floor Plan Details to Include: · exit locations and dimensions · exit doors ·curtain(s) · placement of exit signs
and emergency lighting · portable fire extinguishers · no smoking signs · number of table(s)/chairs · table
dimension · chair spacing · chair bonding more than 200 · aisle locations - length & width · flooring material(s)·
provide room or area dimensions · existing stage(s), platforms, or dance floor(s) and occupancy load
PLANNING AND ZONING CLEARANCE
Zoning Clearance Approved
Zoning Clearance Denied
Not Applicable
Do you currently have a Conditional Use Plan and for what use?
Case file:
Comments:
Planning Signature:
BUILDING & SAFETY CLEARANCE
Are you planning any construction related improvements to the building or tenant space?
If yes, what type?
Have you modified the space to allow for proposed entertainment and related activities?
If yes, what types of modifications have been made?
Building & Safety Not Applicable
Building & Safety Clearance Denied
Building & Safety Clearance Approved
Page 1 of 2
Building & Safety Signature:
Contact Number:
E-mail address:
EP_Checklist_05_2020
Page 2 of 2
FIRE PREVENTION CLEARANCE
Provide a detailed description of the event(s) being proposed and place on professional map plan for review and
approval:
(If so, explain in detail. You may be asked to submit plans for modifications to your business for proper permitting.)
NOTE: If yes, to ANY of the questions above, please provide further explanation and include any changes on the
professional map plan for review and approval.
Any new construction shall require a Building Permit.
Any outdoor events shall obtain a Fire Department Special Event Permit/fee(s) and any other applicable
permits from other City Departments for items such as tents, canopies, portable heaters, generators, etc.
NO Fireworks, smoke machines, and/or spark machines will be allowed at any time!
Entertainment Permit Issuance: Failure to comply with the requirements(s) of the application and approved site map
may result in an Administrative Citation with monetary fines and/or cancellation of your event. The Administrative
Citation will be issued to the applicant and/or vendor.
I CERTIFY THAT ALL THE INFORMATION SUBMITTED IS CORRECT. I AGREE TO COMPLY WITH ALL LOCAL
LAWS RELATED TO FIRE PREVENTION, AND TO THE RULES AND REGUATIONS ADOPTED BY THE
CALIFORNIA STATE FIRE MARSHAL. I HEREBY AUTHORIZE REPRESENTATIVE OF THE FIRE DEPARTMENT
TO ENTER UPON THE ABOVE-MENTIONED EVENT PREMISES FOR INSPECTION PURPOSES.
Fire Prevention Clearance Approved
Fire Prevention Clearance Denied
Not Applicable
Fire Prevention Signature:
APPLICANT SIGNATURE
PRINT Name and Title:
Signature:
Date:
I declare, under penalty of perjury, that I am authorized to complete this application and, that to the best of my
knowledge, the provided information and statements are true and correct.
EP_Checklist_05_2020
Will there be different seating arrangements for dancing or shows? (Show on map plan)
(You will need to store tables/chairs if your changing floor arrangement)
Yes No
Will there be modifications to the building (i.e. interior floor plan, stage, walls, and/or moving tables & chairs)?
NoYes
Will there be an increase to the "Maximum Approved Occupancy" listed above?
NoYes
What occupancy were you originally approved for? (i.e. 49 people)
(You may have to use Building & Safety's computer to get occupancy.)
(If so, how many occupants?)
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Riverside Police Department ENTERTAINMENT PERMIT CHECKLIST (City of Riverside, California)

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Completed 25 February 2021

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