SACRED HEART CATHOLIC CHURCH
January 18, 2023
City of Patterson
P.O. Box 667
Patterson, CA 95363
Re: Special Event Permit - Good Friday Live Stations of the Cross Please accept this letter as authorization from Sacred Heart Catholic Church giving Lizeth Llamas approval to apply for the Special Event Permit for the Live Stations of the Cross to be held on Friday, April 7, 2023.
Please contact me if you have further questions.
Sincerely,
Rev. Nhan H. Tran (Fr. Tino), C.M.
Administrator
529 I Street, Patterson, CA 95363-2219 | 209-892-9321 | Fax 209-892-2102 www.sacredheartpatterson.org / [email protected]
OOD PONIVSRSAIE NCORPORATED
THE CITY OF PATTERSON
SPECIAL EVENT
PERMIT APPLICATION
RECREATION & COMMUNITY SERVICES
1033 W. LAS PALMAS AVENUE, PATTERSON, CA
SUMMARY OF EVENT
DESCRIPTION
04/07/2023
Event Date
Live stations of the cross
Event Title
ATIO
Location Event will begin at Bonaventure Hall
Description
parking and end at sacred Heart Church
Event Category Athletic/Recreation J Concert/Performance _ Circus / Carnival Exhibits/Misc. Farmer/Outdoor Market • Dance
Festival/Celebration - Private Event • Other:
Parade/Procession/March (not open to the public)
Number of Participants (units and floats): Number of Spectators:
Anticipated Number of Attendance: Total # 250 Number Per Day
DATE/TIME
Setup Date 4/07/23 Time 1:00 pm Day of Week Friday
Event Starts Date 4/07/23 Time 1:30pm Day of Week Friday Event Ends Date 4/07/23 Time 3:00pm Day of Week Friday
Dismantle Date Time Day of Week
Yes No
Is this an annual event? How many years have you been holding this event?_ 0 t X Is your event part of a larger marketing campaign (i.e. Back to School Block Party & Safety Fair, Apricot Fiesta, etc.)?
If yes, please list
PARK LOCATION • North Park L Garza Park
VENURE • South Park • Sports Complex
(Select one or more)
1 APPLICANT AND HOST ORGANIZATION INFORMATION
A written communication from the Chief Officer of the Host Organization authorizing the applicant and/or professional event organizer to apply for this Special Event Permit on their behalf must be submitted with your permit application.
Host Organization_ Sacred Heart Church
Chief Officer of Host Organization
Lizeth Lamas DOB: 05/271982
Applicant Name
E-mail Address [email protected]
Address: Street PO Box 993
City Patterson CA Zip 95363
_ State
Telephone: Day (209) 342-88109 cell 209) 342-8869
Evening.
Please list any professional event organizer, event service provider, or commercial fund-raiser hired by you that is authorized to work on your behalf to plan, produce and/or manage your event.
Applicant Name:
E-mail Address
Address: Street
City State . Zip
Telephone: Day Evening - Cell
ORGANIZATION STATUS/PROCEEDS/REPORTING
Yes No
Is the Host Organization a commercial entity?
Is the Host Organization a bona fide tax exempt, nonprofit entity? If yes, you must attach to this application a copy
V Are patron admission, entry or participant fees required? If yes please provide amounts:
V Are vendor or other fees required?
If yes please provide amounts:
VENDORS
Yes No
Does your event include food vendors? If yes number of tents/canopies:
V Will any of the food vendors be cooking or heating food on-site? How many:
What methods will be used (check all that apply)? Gas • Electric • Charcoal • Other maris you da for dean gras, arcade as war.
* see Special Event Planning Guide for Vendor Requirements 3 SUMMARY OF EVENT, continue
NEIGHBORHOOD M Northeastern Patterson (includes Downtown Patterson & Plaza Circle) REGION •] Southwestern Patterson (includes T.W. Patterson Sports Complex) 7 Northwestern Patterson
7 Southeastern Patterson
All four regions
NEIGHBORHOOD REGION MAP
American Eagle ve N Salado Ave Northeastern To
Northwestern
Patterson Patterson High School Patterson
WLas Palmas Ave
Is pures
Spenty Ave
Walmart Supercenter @
Southwestern Southeastern
Patterson Patterson
* see Special Event Planning Guide with approved street closure for the Plaza Circle - under Street Closure Information on pages 5-7
2 VENDORS, continue
Yes No
Will items or services be sold at your event?
If yes, please describe or attach a complete list of vendors and include a sample of the vendor pass that will be used.
• Will items or services sold at your event present unique liability issues (e.g. body piercing, massage, animal rides, etc.)?
If yes, please describe or attach a complete list of vendors._
SITE PLAN/ROUTE MAP
Your event site plan/route map should be submitted in blueprint or CAD format and include but not be limited to:
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 twenty foot (20') 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.
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.
NARRATIVE
Please provide a narrative and timeline of your event. You may provide this information as an attachment if necessary.
Live Station of the Cross will begin at Sacred Heart School and will walk towards Sacred Heart Church where it
Will end on churd property
SECURITY PLAN
Yes No
M Have you hired a licensed professional security company to develop and manage your event's security plan? 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: N/A
Address: Street
City State Zip
Telephone: Day Evening Cell
Private Patrol Operator License #
Please describe your security plan including crowd control, internal security or venue safety, or attach the plan to this application.
MEDICAL PLAN
Yes No
• Have you hired a licensed professional emergency medical services provider to develop and manage your event's medical plan?
If yes, please list:
Medical Services Provider: N/A
Address: Street
City State Zip
Telephone: Day Evening Cell
Please describe your medical plan including your communications plan, the number, certification levels (MD, RN, Paramedic, EMT) and types of resources that will be at your event and the manner in which they will be managed and deployed. Your plan should include hours of setup and dismantle of medical aid areas. You may attach the plan to this application if necessary.
5 ACCESSIBILITY PLAN
This checklist is intended to serve as a planning guideline and may not be inclusive of all City, County, State and Federal access requirements. You may attach more detailed information if necessary.
Yes No
Will there be a Clear Path of Travel throughout your event venue? Please describe Have you developed a Disabled Parking and/or Transportation Plan (including the use of public trans- portation or shuttle services) for your event? Please describe Will a minimum of 10% of portable rest rooms at your event be accessible? Please describe Will all food, beverage and vending areas be accessible? Please describe Will all signage be provided in highly contrasting colors and placed so pedestrian flow will not obstruct its visibility? Please describe
If an information center is provided at your event will customer service representatives be available to assist disabled individuals? Please describe
If all areas of your event venue cannot be made accessible will maps or programs be made available to show the location of accessible rest rooms, parking, phones (if any), drinking fountains, and first aid stations? Please describe
PARKING AND SHUTTLE PLAN
Yes No
Will your event involve the use of a parking and/or shuttle plan? If yes, please describe or provide an attachment of your plan
STREET CLOSURE INFORMATION
Yes No
M Will your event involve street closures?
Name of streets) to be closed: (Attach additional pages as needed; or for moving events such as parades, runs, walks,marches, etc. indicate "see route" and attach the approved map.) N. 6th St. Ward Ave Sacred Heart School 1:30 pm 135pm
Street Name between Start Time End Time
uth st. 5th St. 1:35pm 145pm
M St.
N. 5th St. M St L St 1:45pm 1:55pm
6 STREET CLOSURE INFORMATION, continue
N. 5th St L ST St. 1:55pm 2:05pm
N. 5th st. K st St 2. 05pm 2:15 p.
Street Name between and start Time End Time
J St N. 5th st. N. 6th st. 1:15pm 2:25pm
treet Nam Start Time and Time
N. Betweenst N. Goth st 2:25pm 2: 35 p.m
STREET OF EVENT CLOSURE One Lane Two Lane Half of Street M Full Street (Select one or more)
Closure Type: Rolling Street Closure (street opens to normal traffic after participants pass) Hard Street Closure (street closed for an extended period of time and/or event equipment will be placed in street for duration of the event; no vehicle access) Yes No
Will your event requiring encroachment on City right-of-way or public facilities (park, sidewalks, facilities? **Please refer to Special Event Planning Guide page 16 and Best Management Practices (BMPs) that must be implemented during your event.
ENTERTAINMENT AND RELATED ACTIVITIES
Yo M are me any musical entrain eles rite your event?
If yes, complete the following information or provide an attachment listing all bands/performers, type of music, sound check and performance schedule.
Number of Stages What are the dimensions?
If yes, please describe
Number of Performers/Bands
Performer/Band name and music type
• Will sound checks be conducted prior to the event?
If yes, Start time Finish time
• • Will sound amplification be used?
If yes, Start time Finish time
• • Do you plan to have a patron dance component to either live or recorded music at your event? If yes, please describe
• Please describe the sound equipment that will be used for your event Car converter for speaker
• • Will inflatables, hot air balloons or similar devices be used at your event? If yes, please describe
• M Does your event include the use of fireworks, rockets, lasers, or other pyrotechnics? If yes, please describe
• Will your event include the use of any signs, banners, decorations, or special lighting? If yes, please describe
7 ALCOHOL
* see Special Event Planning Guide (pages 9-11) for Alcohol Management Plan Yes No
Does your event involve the use of alcoholic beverages? If yes, please check all that apply: Beer •Wine Distilled Spirits Explain your sales plan (ticket system, cash at service area, etc.): _ N/A
Explain who will serve the alcohol (professional bartenders, volunteers, etc.):
N/A
Yes No
L Is the event open to all ages?
Explain how IDs will be checked, wristbands applied and how you will monitor for underage drinking:
N/A
Yes No
• L Do you have an alcohol sponsor?
If yes, explain: N/A
TENTS
Yes No
Will your event include tents or canopies for vendors? (Food and non-food vendors) Number of tents / canopies:
If yes, indicate on the site map and explain
8 TENT PERMIT APPLICATION
Location of tent:
Date of set-up: Date of take down:
Event Date(s): Start Time:
Event Sponsor:
Event Address:
City: State: Zip:
Sponsor Contact: Phone:
Rental Company:
Address:
City: State: Zip:
Rental Contact: Phone:
Brief Description of Event:
Estimated Attendance:
Applicant Signature: Date:
Tent Permit Fees are $159.00. A check made payable to the City of Patterson Fire Department shall be submitted with this application.
*Permits that require after hours inspection will be billed by invoice for the inspection. Normal inspection hours are Monday - Friday 8:00 am to 5:00 pm.
PORTABLE REST ROOMS
You are required to provide portable rest room facilities at your event, unless you can substantiate the sufficient availability of both ADA accessible and nonaccessible facilities in the immediate area of the event site which will be available to the public during your event.
Yes No
M Do you plan to provide portable rest room facilities at your event? If yes: Total number of portable toilets_
Number of ADA accessible portable toilets
If no: Please explain:
Rest Room Company
Address: Street
City State Zip
Telephone: Day Evening Cell
Equipment Setup: Date Time Pickup: Date Time
SANITATION AND RECYCLING
Number of Trash Cans
Number of Trash Cans with Lids
Number of Dumpsters with Lids
(One for every increment of 400 people)
Number of Recycling Containers
Sanitation Company:
Address: Street
City State Zip
Telephone: Day •Evening Cell
Equipment Setup: Date Time Pickup: Date Time_
Please describe your plan for cleanup and removal of recyclable goods, waste and garbage during and after your event.
10 MITIGATION OF IMPACT
Yes No
• M Have you meet with the residents, businesses, places of worship, schools and other entities that may be directly impacted by your event? * see Special Event Planning Guide for requirements If yes, please attach a complete list of these entities.
If no, please explain
Do you have a sample of the notice that you propose to distribute two weeks prior to your event? * see Special Event Planning Guide for sample of the notice If yes, please attach.
If no, please explain
MARKETING AND PUBLIC RELATIONS
Yes No
Will this event be marketed, promoted, or advertised in any manner? If yes, please describe_ Sacred Heart Church parishioners, church Bulletin.
• Will there by live media coverage during the event?
If yes, please describe
Will media vehicles be parked within the event venue?
If yes, please describe safety plan
Do you plan to place signs or hang banners on City property? If yes, please describe
11 INSURANCE REQUIREMENTS
Name of Insurance Agency _
* see Special Event Planning Guide for insurance requirements Address: Street
City State Zip.
Telephone: Day Evening Cell
Contact Name
Policy Number
Yes No
Have you submitted the Certificate of Insurance & Additional Endorsement? (Your permit will not be issued until both the Certificate of Insurance and Additional Endorsement have been received.) If you do not have insurance, contact HUB International Insurance for Special Event coverage. For more information visit www.eventinsure.com
AFFIDAVIT OF APPLICANT
I have read the rules and regulations contained in this document and agree to abide by these rules and regulations. I am duly authorized by the Organization to submit this application on its behalf and agree to be financially responsible for any fees and costs that may be incurred by or on behalf of the event in the City of Patterson. I certify that the information that I have provided on this application is true and accurate to the best of my knowledge. If the event details change, I agree to submit a revised application or provide additional information in writing at least 30 days prior to the event.
Name (please print) Lizeth Lamas
Signature mel
01/23/23 "DriverLicense# A2321042
Date
"Additional Documentation Required: Please attach a current copy of your Driver's License or California ID to complete application.
12 Thank you for completing your Special Event Permit Application.
Before you submit your application to the City of Patterson, please make sure that the following steps have been completed:
Have you?
• Signed and dated your application?
Attached your event site plan?
Provided samples of communications that will be distributed to impacted residents, businesses, schools, places of worship and other entities? • Attached your Certificate of Insurance and Additional Endorsement? • Attached a copy of your IRS 501(C) tax exemption letter, if applicable? Submit your completed permit application to:
City of Patterson
Recreation & Community Services
1033 W. Las Palmas Ave.
Patterson, CA 95363
This information is available in alternative formats upon request. & Printed on Recycled Paper (REC 06/20)
Copyright © City of Patterson
Addenaum L Parade Route #
Parade Route # 1
Staging Area
+ Barricade
Parade Route
Start of Route (Staging)
End of Route
Citv of Patterson-Special Event Permit Application 34
Internal Revenue Service Department of the Treasury
P.O. Box 2508
Cincinnati, OH 45201
Date: August 24, 2022 Person to Contact:
R. Meyer ID# 0110429
Toll Free Telephone Number:
United States Conference of Catholic 877-829-5500
Bishops
3211 4'h Street, NE
Washington, DC 20017-1194 Group Exemption Number:
0928
Dear Sir/Madam:
This responds to your June 23, 2022, request for information regarding the status of your group tax exemption.
Our records indicate that you were issued a determination letter in March 1946, that you are currently exempt from federal income tax under section 501(c)(3) of the Internal Revenue Code, and are not a private foundation within the meaning of section 509(a) of the Code because you are described in sections 509(a)(1) and 170(b)(1)(A)(i).
With your request, you provided a copy of the Official Catholic Directory for 2022, which includes the names and addresses of the agencies and instrumentalities and the educational, charitable, and religious institutions operated by the Roman Catholic Church in the United States, its territories, and possessions that are subordinate organizations under your group tax exemption. Your request indicated that each subordinate organization is a non-profit organization, that no part of the net earnings thereof inures to the benefit of any individual, and that no substantial part of their activities is for promotion of legislation. You have further represented that none of your subordinate organizations is a private foundation under section 509(a), although all subordinates do not all share the same sub-classification under section 509(a). Based on your representations, the subordinate organizations in the Official Catholic Directory for 2022 are recognized as exempt under section 501(c)(3) of the Code under GEN 0928.
Donors may deduct contributions to you and your subordinate organizations as provided in section 170 of the Code. Bequests, legacies, devises, transfers, or gifts to them or for their use are deductible for federal estate and gifts tax purposes if they meet the applicable provisions of section 2055, 2106, and 2522 of the Code.
Subordinate organizations under a group exemption do not receive individual exemption letters. Subordinate organizations are not listed in Tax Exempt Organization Search (Pub 78 data), and many are not listed in the Exempt Organizations Business Master File extract, or EO BMF. Donors may verify that a subordinate organization is included in your group exemption by consulting the Official Catholic Directory, the official subordinate listing approved by you, or by contacting you directly. IRS does not verify the inclusion of subordinate organizations under your group exemption. See IRS Publication 4573, Group Exemption, for additional information about group exemptions.
Each subordinate organization covered in a group exemption should have its own EIN.
Each subordinate organization must use its own EIN, not the EIN of the central organization, in all filings with IRS.
If you have any questions, please call us at the telephone number shown in the heading of this letter.
Sincerely,
stepten a. martn
Stephen A. Martin
Director, Exempt Organizations
Rulings and Agreements
1/25/23, 11:11 AM REC1 Receipt
City of Patterson, CA
City of 1033 W. Las Palmas Ave.
PATTERSON Patterson, CA 95363
California 209-895-8080
[email protected]
https://www.ci.patterson.ca.us/218/Recreation-Comm
Registration/Payment Receipt 49048732
01/25/2023 11:09 AM
Account Payment Received By
Information Cash $100.00 Johnny Nguyen at Recreation Admin Lizeth Llamas Memo: Live Stations of the Cross Building 25 Weber Ave 4/7/23
PO Box 993
Patterson, CA 95363
Item Amount Paid
Special Event Application Fee $100.00
Subtotal $100.00
Total Payment $100.00
Welcome!
https://secure.rec1.com/checkout/receipt/3869a467fbaab5535ccd72ad3d051757/63d17e2a79750 1/1