CITY
ODD PONIVERSKNE AEORPORATED A01
THE CITY OF PATTERSON
SPECIAL EVENT
PERMIT APPLICATION
RECREATION & COMMUNITY SERVICES
1033 W. LAS PALMAS AVENUE, PATTERSON, CA
SUMMARY OF EVENT
DESCRIPTION
6/17/23 94/18/23
Event Date
FESTA DO ESPIRITO SATO PATTERSOn FESTA
Event Title
EVENT LOCATION
Location SUI WARD AVE PATTERIN
Description
Rengians celebration includes Boda do Leit
(com parade) on Saturday à Queens procession on funds
Event Category Athletic/Recreation Concert/Performance Circus / Carnival Exhibits/Misc. Farmer/Outdoor Market Dance
Festival/Celebration • Private Event • Other: _
A Parade/Procession/March (not open to the public)
30/30 Number of Spectators: 200 Ons AT/
Number of Participants (units and floats): sun
Anticipated Number of Attendance: Total # Number Per Day 200
DATE/TIME
Setup Date 17 and 18 Time 8 am Day of Week Sat/Sun
Event Starts Date 17 and 18 Time 10 am Day of Week Sat/Sun Event Ends Date 17 and 18 Time 1pm Day of Week Sat/Sun
Dismantle Date 17 and 18 Time 2pm Day of Week Sat/Sun
Yes No
Is this an annual event? How many years have you been holding this event? 20+ • 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 • Garza Park NOnE
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 Patterson FDES
Chief Officer of Host Organization Albert Mendes Ill
Applicant Name Maria Azevedo
E-mail Address [email protected]
Address: Street 501 Ward Avenue
City Patterson State Zip.
Telephone: Day 2096139706 Evening Same Cell same
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: not applicable
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
Are patron admission, entry or participant fees required? If yes please provide amounts:
• 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:
• 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 What is your plan for disposing of grease, charcoal and/or waste water? * see Special Event Planning Guide for Vendor Requirements 3 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. 100 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. 6/17/23 We will organize at 501 Ward Avenue (Hall) beginning at 8 a.m., street line up at 10:30 a.m., parade Bodo Do Leite begins at 11 a.m. March to church to perform blessing, return to hall at 12:30 p.m. to 1 p.m. Dismantle, clean up 1-2 p.m. on 6/18/23 We will organize at hall at 8 a.m., 10 a.m. street line up, 10:30 march to Sacred Heart Church. Return 12-12:30 p.m will begin to line up and march by 1 p.m. to hall. Dismantle clean up between 1-2 p.m. 4 SECURITY PLAN
Yes No
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: Marshall Security - Anthony Marshall Address: Street PO Box 551
City Keokuk, lowa, 52632 State _ Zip.
Telephone: Day 2095092287 Evening Cell
Private Patrol Operator License # 14638
Please describe your security plan including crowd control, internal security or venue safety, or attach the plan to this application. Our security will have guards patrol parking lot outside hall, within the hall, at the doors and door of bar.
The guards will help with parade road closures and crowd control.
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:
Address: Street
City State _ Zip
Telephone: Day Evening Cell_
ease describe your medical plan including your communications plan, the number, certification levels (MD, R aramedic EMT and types of resources that will be at your event and the manner in which they will be manage 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 It is a straight route between Hall and Church
lave you developed a Disabled Parking and/or Transportation Plan (including the use of public trans- portation or shuttle services) for your event? Please describe Transportation is not at our location We do offer disabled parking.
Will a minimum of 10% of portable rest rooms at your event be accessible? Please describe _ not applicable. Hall and church have onsite RR.
Will all food, beverage and vending areas be accessible? Please describe there are clear paths to beverages & Seating
Will all signage be provided in highly contrasting colors and placed so pedestrian flow will not obstruct its visibility? Please describe any signage will be visible on walls, doors, posts If an information center is provided at your event will customer service representatives be available to assist disabled individuals? Please describe not applicable 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 aic stations? Please describe not applicable
PARKING AND SHUTTLE PLAN
Yes No
• V 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
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.) see next page
Street Name between and Start Time End Time
STREET CLOSURE INFORMATION, continue
Ward, Saladao, I 10 am 2pm
Street Name between and Start Time End Time
see route map
Street Name between and Start Time End Time
STREET OF EVENT CLOSURE • One Lane • Two Lane • Half of Street / Full Street (Select one or more)
Closure Type: L 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
Yes No
Are there any musical entertainment features related to 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 O What are the dimensions?
If yes, please describe
Number of Performers/Bands
Performer/Band name and music type 3-5 marching bands
Will sound checks be conducted prior to the event?
If yes, Start time 10 am Finish time 9pm
• • Will sound amplification be used?
If yes, Start time 10 am Finish time 9 pm
• • Do you plan to have a patron dance component to either live or recorded music at your event? If yes, please describe Portugese dancers during parade • Please describe the sound equipment that will be used for your event mobile PA system, marching bands
• Will inflatables, hot air balloons or similar devices be used at your event? If yes, please describe
• • 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.): Ticket system/cash at service area Explain who will serve the alcohol (professional bartenders, volunteers, etc.): volunteers comprised of committee and members
Yes No
• Is the event open to all ages?
Explain how IDs will be checked, wristbands applied and how you will monitor for underage drinking: Security guards to be posted at bar door, ID's checked by security ? underage Yes No
• Do you have an alcohol sponsor?
If yes, explain: _
TENTS
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: not applicable
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. 9 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
I 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.
Hall and Church have trash cans available for use. We also have designated people to help pick up trash, recyclables, during and after event.
MITIGATION OF IMPACT
Yes No
• 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 Social Media: facebook, instragram, radio stations (KLBS), email announcements.
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 Western Valley Insurance
*see Special Event Planning Guide for insurance requirements Address: Street
City State _ Zip_
Telephone: Day Evening. Cell
Contact Name Luis Oliveira
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.
Maria Azevedo
Name (please print)
signature Mado
Dore 00 4/7/23 "Driver License # A9986189
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
Nornmead
Elementary School
American Eagie Ave Ward Ave 1 4h 3
N 27151
lewcastle Park *
N bin
agle Ave Heath Dr
Patterson
Gobing in temporal stosa!
Ward Av Sacred Hear C
Catholic Church
Google
Map data ©2021 200 ft L
O stantronte
D End ROUTE
- Parade route
* Barricade
Parade route will start at sol ward Avenue
TRAVEL ALong N SALADO AVENUE
TURn RIGHT I Street
Turn rUNT N 6Th St
TuRn LEFT N SALADO ANE
Be PARADE ronT EnDs at 501 ward Avenne.
2 https://www.google.com/maps/@37.4736652,-121.1388002,17Z SUMMARY OF EVENT, continue
NEIGHBORHOOD I Northeastern Patterson (includes Downtown Patterson & Plaza Circle) REGION Southwestern Patterson (includes T.W. Patterson Sports Complex) | Northwestern Patters
Southeastern Patters
NEIGHBORHOOD REGION MAP
an Eagle Ave
N Solodo Ave Northeastern i
Northwestern
Patterson Palterson High Schoo Patterson
WLas Palenes Ave
5 2nd St
Milas Palmis Ave
130)
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
2 417/23, 4:08 PM REC1 Recept
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 51684305
04/07/2023 04:08 PM
Account Payment Received By
Information Credit/Debit $100.00 Johnny Nguyen at Recreation Admin Maria Azevedo Ending in 8578 Building
501 Ward Ave Merchant Code
Patterson, CA 95363 384a7008-5928-4167-bafa-
005549859aac
Item Amount Paid
Special Event Application Fee $100.00
Subtotal $100.00
Total Payment $100.00
Welcome!
1/1
https://secure.rec1.com/checkout/receipt/15a308e9bf60f8f0b5331de23ab4abcb