CITY OF CATHEDRAL CITY
(Staff Use Only)
68-700 Avenida Lalo Guerrero
Cathedral City, CA 92234 Case No.:
(760) 770-0396 - Phone
(760) 770-0399 - Fax
Related Files:
• Cathedral City
SPECIAL USE PERMIT FOR DOWNTOWN CATHEDRAL CITY
Please Read: It is advisable to submit applications for review 60 days prior to commencement of the use or event to ensure adequate review of the application. We must have a minimum of 30 days prior to the event. If you have any questions while completing this application, please ask a member of the Planning Department for assistance. In addition to this application, you must reserve a date for your event with the Communications/Events Manager. For recurring events, a schedule must be submitted every 3 months. In order for the City to process a Special Use Permit Application, the application fee must be submitted with the completed application. Depending on the type of event, you may also be required to provide a Clean- up/Damage Deposit. Please review the Downtown Fee Schedule for event use in the downtown area. The appropriate fee must be paid prior to the event. Incomplete applications will not be accepted (or process may be delayed). (PLEASE PRINT OR TYPE)
Name of Event:
DAR HEALTH / REMNAL VOLUNTEeR APPReCIATION
Event
CHECK TYPE OF EVENT
Festival Art Show / Outdoor Market
Parade / Race / Marathon Political Rally / Protest
Concert / Performance Other (AMS (type)
AREA OF DOWNTOWN CATHEDRAL CITY TO USE (check all that apply) Civic Center Plaza Avenida Lalo Guerrero
Civic Center Paseo George Montgomery Trail
Town Square Park City Council Chambers
Amphitheater Park 3rd Floor Parking Structure
Festival Lawn City Employee Parking Lot
Festival Lawn Annex
DATE(S) OF EVENT: 412/23 through 412_123
HOURS OF EVENT: _ AM/PM through AM/PM (If multiple days, please indicate dates and times below)
EVENT SET-UP DATE: 4/Z123 TIME: 8:00CAM/PM
TEAR DOWN DATE: 41$123 TIME: 2:00 AM/PM
DESCRIPTION OF EVENT (This should be promotional in nature and cannot exceed 250 words):
VOLUNTeeR A STAGE APIRECATION PART
EXPECTED ATTENDANCE PER DAY (List all that apply):
DAY 1: Morning 300-350 "Afternoon Evening
DAY 2 Morning Afternoon Evening
DAY 3 Morning Afternoon Evening
*In accordance to Emergency Preparedness Requirements, events with 1,000 or more attendees requires a minimum of two crowd control managers to properly direct and assist the event attendees in evacuation during an emergency.
Will your event sell beverages? Yes No
If yes, please know that all events in Downtown Cathedral City must serve Pepsi products and must be purchased through the City of Cathedral City. Please contact Chris Parman (760) 770-0396 for more details.
Is your event open to the general public? Yes _ No
Will your event sell concessions or food items? Yes u No If yes, please know that the Cathedral City Community Amphitheater Concession Stand has an exclusive operator and has exclusivity on popcorn, kettle korn, regular hot dogs, and candy.
Do you have a business license with the City of Cathedral City? L Yes No If no, you must obtain an annual business license or a special event business license with the City.
Do you have subcontractors and vendors providing a service or selling a product? V Yes _ No
If yes, each subcontractor and vendor must hold an annual business license or a temporary special event business license with the City.
Do you or a vendor of yours plan to serve or prepare food? / Yes No If yes, you must obtain proper permits from Riverside County Department of Environmental Health.
If yes, the Cathedral City Fire Department life safety / fire inspections must be conducted prior to food being served. Call (760) 770-8200 Mon. - Thurs. 7:00 a.m. to 6:00 p.m. to schedule inspections.
Will alcohol be served? Yes L No
If yes, you must obtain proper permits from California Department of Alcohol Beverage Control.
If yes, you must obtain Liquor Liability Insurance naming the City of Cathedral City, 68-700 Avenida Lalo Guerrero, Cathedral City, CA 92234 as an additional insured.
If yes, you must have a minimum of one security officer checking identifications for proper age, one security officer per entrance and exit, and one security guard for crowd monitoring (a minimum of three security guards during all alcohol serving times).
If yes, who will be pouring and serving the alcohol?
Will your event utilize tents or canopies? Yes No
If yes, proper permits must be obtained by the Cathedral City Fire Department and life safety / fire inspections must be conducted prior to their use. Call (760) 770-8200 Mon. - Thurs. 7:00 a.m. to 6:00 p.m. to schedule inspections.
The organizer of the event must ensure that all tents and canopies are properly weighted against wind gusts.
Will your event utilize bouncy houses, inflatables, slides, amusement rides or hot air balloons? Yes L No
If yes, the Cathedral City Fire Department life safety / fire inspections must be conducted prior to their use. Call (760) 770-8200 Mon. - Thurs. 7:00 a.m. to 6:00 p.m. to schedule inspections.
If yes, you must obtain liability Insurance denoting coverage for inflatables and naming the City of Cathedral City, 68-700 Avenida Lalo Guerrero, Cathedral City, CA 92234 as an additional insured.
If hot air balloons, each hot air balloon must obtain insurance of no less than a $1 million in liability coverage naming the City of Cathedral City, 68-700 Avenida Lalo Guerrero, Cathedral City, CA 92234
as an additional insured. A copy of the insurance certificate must be presented to the City before the hot air balloon can be utilized for the event.
Will your event have amplified sound and/or music? V _ Yes No If yes, the City's policy allows amplified sound and/or music between 7 am and 10 pm Fridays, Saturdays, and certain Sundays if the following Monday is a recognized national holiday. All other days, the hours of amplified sound and/or music are between 7 am and 9pm. Amplified sound or music should be normalized to 89 decibels at the perimeter of the reserved area.
Will your event bring in a temporary stage, truss rig system, and/or lighting? Yes No
If yes, the stage installer and/or owner must obtain liability insurance of no less than $1 million in coverage that names the City of Cathedral City, 68-700 Avenida Lalo Guerrero, Cathedral City, CA 92234 as an additional insured.
Will your event use searchlights or laser lights? Yes L No If yes, searchlights and/or laser lights that shoot above 50 feet in the air need F.A.A. approval as Downtown Cathedral City is under the flight path of Palm Springs International Airport.
Will your event use fireworks or pyrotechnics? Yes No
If yes, proper permits must be obtained by the Cathedral City Fire Department and life safety / fire inspections must be conducted prior to their use. Call (760) 770-8200 Mon. - Thurs. 7:00 a.m. to 6:00 p.m. to schedule inspections. Additional liability insurance must be obtained.
SECURITY, PUBLIC SAFETY, AND SANITATION
Are you hiring security for your event? Yes _ No
If yes, the security company must have a valid Private Patrol Operator's License issued by the State of California. A copy of the license must be presented to the City prior to the event.
Please describe your security plan including crowd control, internal security or venue safety, age identification checks (if applicable) and or attach your plan to this application. in 2022 we cud DAP Stall
• Please note that if you plan to use Cathedral City Police Department, the billable rate for police officers is $135 per hour per officer. CCPD will bill the event directly. Partial or all anticipated payments may be due prior to the event. The availability of CCPD police officers for your event may not be guaranteed without prior notification of at least 30 days.
What is your First Aid or Medical Plan for your event?
LITE
Sll for EmerGenge
Do you plan to provide portable toilets? Yes LNo
If yes, the number of portable toilets:
If yes, the number of ADA accessible portable toilets:
If yes, when are the portable toilets being delivered (Date and time): _ If yes, when are the portable toilets being picked-up (Date and time):
If yes, will the portable toilets be serviced during your event? Yes No Will your event allow for dogs? Yes No
How do you plan to collect and remove trash and debris during the event? In 2022 CHAS PRAMIDE TRASH BIN
• A clean-up/damage deposit of $600 or more may be required.
EVENT ENTERTAINMENT
Do you plan to have any musical or speaking entertainment for your event? Yes _ No If yes, please list the names of the band/performers, genre of music:
Name of Band / Performer/ Speaker Genre of Music
DJ Bob fletch
A complete list must be provided to the City prior to the event. The City reserves the right to deny the performance of any band or act that has a history of creating public safety concerns. The City also has the right to require additional security and/or insurance coverage at the organizer's expense for acts that have a history of creating public safety concerns.
APPLICANT AND HOST ORGANIZATION
Host Organization: DAR HCALM
Chief Officer of Host Organization: DAvin Bankman
Host Organization's Website: dap heelth. org
Applicant Name:
Address Street:
1695 ~ SUOMA LAS
City: (Arm SPrru - State: CA Zip: 32262
Telephone Prior to the Event: (760) 949-5740
-
During Event: (760) 489-- 7618 Phone number of on-site representative who can be contacted during the event, for emergencies or event coordination.
Email Address: REAPEAN @ DAPALALT. ONE
Previous Events managed or operated by the Host Organization and/or Applicant:
POENT AIDI WALK, CHASE
AFFIDAVIT OF APPLICANT
I certify that the information contained in the foregoing application is true and correct to the best of my knowledge and belief that I have read, understand and agree to abide by the rules and regulations governing the proposed Special Event under the Cathedral City Municipal Code and I understand that this application is made subject to the rules and regulations established by the City Council and/or the City Manager or the City Manager's designee. Applicant agrees to comply with all other requirements of the City, County, State, Federal, and any other applicable entity which may pertain to the use of the Even venue and the conduct of the Event. I agree to abide by these rules, and further certify that I, on behalf of the Host Organization, am also authorized to commit that organization, and therefore agree to be financially responsible for any costs and fees that may be incurred by or on behalf of the Event to the City of Cathedral City.
Printed Name of Applicant / Host Organization_ BUI KAPLAN Title UnTeer SERVICES AST
Signature
Date 4/1/22
SUBMITTAL REQUIREMENTS: DAR/REUVAL-AS A
Application Fee: $510 - payable to "City of Cathedral City" LOCAL NOT FON Non-profit certification (if applicable)
MA NAIVE A In 2022
Clean-up / Damage Deposit (if applicable) OR US DISLAETONAN Copy of site plan using map attached to this application (show stage, fencing, canopy/tent placement, food vendor locations, merchandise vendor locations, portable restroom locations, generators, etc....)
Provide all necessary insurance coverages (must be submitted prior to the event) Proof of Insurance with a minimum of $1,000,000 in liability coverage naming City of Cathedral City, 68-700 Avenida Lalo Guerrero, Cathedral City 92234 as an additional insured (must be submitted prior to the event)
Proof of all applicable licenses and permits required by local, state and federal agencies (must be submitted prior to the event)
Proof of Cathedral City Fire Department inspections and permits, if applicable (must be submitted prior to the event)
Acknowledge that applicant cannot hang any object (lights, speakers, cabling, etc.) from the pipe grid above the amphitheater's stage floor.
•
Downtown Map (Please mark the area you will be using)
Z
CV/Rep
E. Palm Canyon Drive anica
Аппех Festival Lam Bonte Lalo Guer
Che Cente
lakfair 8t
Buddy Rogers Ave
In reply refer to: 0437758212
OGDEN UT 84201-0038 Nov. 24, 2008 LTR 4168C E0
33-0068583 000000 00 000 R
00022087
BODC: TE
DESERT AIDS PROJECT
1695 NORTH SUNRISE WAY
PALM SDRINGS CA 92262-3701990
023771
Employer Identification Number: 33-0068583
Person to Contact: S. Hall
Toll Free Telephone Number: 1-877-829-5500
Dear Taxpayer:
This is in response to your request of Oct. 22, 2008, regarding your tax-exempt status.
Our records indicate that a determination letter was issued in December 1985, that recognized you as exempt from Federal income tax, and currently exempt under section 50l(c)(03)
Our records also indicate you are not a private foundation within the meaning of section 509(a) of the Code because you are described in section(s) 509(a)(1) and 170(b)(1) (A) (vi).
Donors may deduct contributions to you as provided in section 170 of the Code. Bequests, legacies, devises, transfers, or gifts to you or for your use are deductible for Federal estate and gift tax purposes if they meet the applicable provisions of sections 2055, 2106, and 2522 of the Code.
If you have any questions, please call us at the telephone number shown in the heading of this letter.
Sincerely yours,
Deborah Bington
Deborah Bingham
Accounts Management I
12 RS ingrent of the Treasu
Hernal Revenue Servil
PO BOX 400 In reply refer to: 0150164851
Holtsville NY 11742-9021 July 14, 2009 LTR 147C i O
33-0068583 200906 01 R
Input 0p: 0150164851 00001873
BODC: TE
DE SERT AIDS PROJECT
1695 N SUNRISE WAY
PALM SPRINGS CA 92262-3701
030316
Employer Identification Number: 33-0068583
Dear Taxpayer:
we received your request dated July 02, 2009, asking us to verify your Employer Identification Number (EIN) and name.
Your Employer Identification Number (EIN) is 33-0068583. Please keep this number in your permanent records. You should enter and your EIN, exactly as shown above, on all business federal tax forms that require their use, and on any related correspondence documents.
If you need forms, schedules, or publications, you may get them by visiting the IRS web site at www.irs.gov or by calling toll free at 1-800 - TAX-FORM (1-800-829-3676).
If you have any questions, please call us toll free at 1-800-829-0115.
If you prefer, you may write to us at the address shown at the top of the first page of this letter.
Whenever you write, please include this letter and, in the spaces below, give us your telephone number with the hours we can reach you.
Also, you may want to keep a copy of this letter for your records.
Telephone Number Hours_
0150164851
July 14, 2009 LTR 147C 10
33-0068583 200906 01 R
Input Op: 0150164851 00001874
DESERT AIDS PROJECT
1695 N SUNRISE WAY
PALM SPRINGS 92262-3701
We apologize for any inconvenience may have caused you, and thank you for your cooperation.
Sincerely yours,
Heckler M. Rucker
Kathleen M. Rucker, Oper. Mgr.
Accounts Management III
Enclosure(s):
Copy of this letter