Special Event Application

General Event Information
(*) Denotes Required Fields. 3MB Max file size for file uploads.
Event Name:(*)
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Event Dates:(*)
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Event Daily Operating Hours(*)
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Event Set Up Date:(*)
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Event Set Up Time:(*)
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Event Move Out Date:(*)
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Event Move Out Time:
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Event Location:(*)
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Event Contact Information (Please provide a street address for each contact, P.O. Boxes are not acceptable)
Event Organizer
Name:(*)
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Organization:
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Street Address:(*)
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City:(*)
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State:(*)
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Zip Code:(*)
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Office Phone #:(*)
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Cell Phone #:(*)
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Fax Phone #:
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Email:(*)
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Event Co-Organizer or Professional Event Planner
Name:
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Organization:
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Street Address:
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City:
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State:
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Zip Code:
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Office Phone #:
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Cell Phone #:
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Fax Phone #:
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Event Representation for Public Information/Media Contact
Name:
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Primary Phone #:
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Secondary Phone #:
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E-mail:
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Event Website:
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Event Organizer Tax Status

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Non-Profit Name:
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Street Address:
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City:
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State:
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Zip Code:
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Organization Website:
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Event Description
Please use the space provided below to provide a detailed description of the purpose and activities included in your event. You may attach additional pages to this document if needed.
(*)
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Upload any additional pages in the form of a PDF or text document
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Event Attendance Information
Total Attendance per Day
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Total Participants @ Event
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Total Staff/Volunteers @ Event:
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Event Admissions Information
Will fees for admission, entry, vendor or visitor participation be required?

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If yes, you must upload a copy of your Admission and Re-entry Policy as well as corresponding Admission Rates.
Admission & Re-entry Policy:
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Admission Rates:
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If no, please check the box that best describes your plan:

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Event Activity and Program Schedule Information
The Event Organizer shall provide a detailed description of their programmed activities within the venue. This includes providing the City with a daily schedule for each area where activities or entertainment will be programmed. The schedule should include the names of the talent/entertainment, the time they perform, timing for sound checks, etc. Please describe the sound equipment as well as any lighting packages that are included in the production. The event organizer shall attach a copy of the activity and program plan to this document.
General Description of Event, Programs, or Activities (Check All Boxes That Apply)(*)

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Please upload a copy of the Activity and Program Plan (PDF or text document)
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Event Specialized Program Information

If the Event Organizer's Program includes any of the activities listed below, a detailed description of these activities shall be included in the program schedule attached to this document.

-Massage demonstrations or services;
-Fire performers/dancers;
-Tattoo or piercing demonstrations or services;
-Casino games/drawings;
-Parachute teams;
-Racing or racing demonstrations; or
-Aircraft
Event Route Information
Is this event a Parade, Run, Walk, Bike Tour, etc?(*)
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If your event is a parade, walk, fun run, bike ride, or other activity with a specific route or competition area, you must provide a map of your route and describe the route. The plan should include information on where you will start and finish the event, staging areas, competition areas, loading zones, step off location, disbanding areas, etc. You must upload the route plan in the next step.
Please upload the Event Route Plan (PDF or text document)
Invalid Input. Make sure the file size does not exceed 3MB and is a PDF, .doc or .txt file.

Event Site Plan Information

The Event Organizer shall provide a detailed drawing of the site plan. The site plan shows the placement of temporary structures and equipment on public property and/or rights of way. The following information is required on your site plan. Please show:

The perimeter of the entire venue, include the names of all adjacent streets or areas that are part of the venue; show all street closures and/or lane closures associated with the site plan;
-The location of fences, barricades and barriers,
-The access and egress points for the venue,
-The access and egress points for tents and structures within the venue,
-The 20 foot wide fire lane (emergency access) through out the venue,
-The locations of all stages, platforms, bleachers, grandstands, canopies, tents, portable toilets, trash containers, or any other temporary structure,
-The dimensions or size of the equipment and structures within the site plan,
-The cooking areas to be used for the event, show the locations of food trucks or carts,
-The location of all alcohol points of sale (beer gardens or free flow plan, points of sale, etc.),
-The location of First Aid and Emergency Service Coordination Staff,
-The location of power sources or generators, show the distribution of power within the venue, generators must be cordoned off within event venue
-The locations of carnival rides, games, live animals, inflatables, or similar equipment,
-The location of any/all fuel stations, show the location of propane tanks, natural gas lines, black powder storage, and pyrotechnics locations,
The locations of parking for public, vendors and VIP's, show where trailers or large trucks will be stored, and
The location of "free speech" zone, etc...
Please upload the Event Site Plan (PDF or text document)
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Event Parking Information
Total Guest Parking Demand
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Total Vendor/VIP Parking Demand
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Guest Parking Locations:
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Vendor/Staff/VIP Parking Locations
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Event Traffic Management Information
Street closures, lane closures, traffic detours, traffic directional signage, temporary no parking locations, times and signs, or other tasks requiring traffic safety equipment, you must use one of the many city approved contractors. The plans used by the contractors must be approved by the City of Long Beach prior to the permit being issued.

You must attach a copy of your Traffic Management and Parking Plan in the next step.

Please upload a copy of your Traffic Management Parking Plan (PDF or text document)
Invalid Input. Make sure the file size does not exceed 3MB and is a PDF, .doc or .txt file.

Event Site Services Information (Custodial Services, Comfort Stations, Waste & Recycling Management, Street Sweeping, etc...)
The Event Organizer must maintain a safe, clean and accessible environment for the event attendees. Please see the Special Event Planning Guide for additional information. Describe your plan to provide custodial services, comfort stations, refuse collections and removal, recycling services, etc...
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Event First Aid, Medical Services and Emergency Management Plans
The organizer is responsible for the safety and well being of the guest at their event. Please describe the plan to provide First Aid, Medical Services and Emergency Management should they be needed. Include staffing levels and staff assignments. Please use the space below to describe how you will provided these services. You may upload an additional document below if necessary.
(*)
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Please upload any additional information (PDF or text document)
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Crowd Management and Venue Security (Venue Access, Event Staff, Security Staff, etc...)
Download the Security Plan Worksheet. Please provide a detailed plan for venue and security management with the application. Required information must include a "dot map" showing the location of security staff and their assignments. The Office of Special Events cannot approve a permit unless we have received and approved a security plan at least three weeks before the planned event date.
Please upload the completed Security Plan Worksheet (PDF or text document)
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Alcohol Control and Management Plans
(*)

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If you plan to sell, sample or consume alcoholic beverages at this event, you are required to obtain a permit from the State Department of Alcoholic Beverage Control (ABC). You must provide a copy of the security plan for alcohol service area. Download the Security Plan Worksheet here. The City of Long Beach Special Event permit will define where and how alcoholic beverages services will be allowed.
If "Yes" to above, please upload the completed Security Plan Worksheet (PDF or text document)
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Concessions Management Plans
The organizer has the ability to provide food, services and merchandise to attendees at their event. The event organizer is responsible to ensure the vendors obtain the appropriate equipment, personnel and permits required to complete this assignment.
Food Concessions
Will the event organizer provide food and beverage concessions as part of the program?(*)

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Merchandise Concessions
Will the event organizer provide merchandise or service concessions as part of the program?(*)

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Live Animal Plans
Will the event organizer require live animals to be included in this programmed acitvity?

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Insurance Requirements
An original Certificate of Insurance and the Additional Insured Endorsement must be submitted to the Office of Special Events and Filming thirty (30) days prior to the event. Copies of the certificates and/or endorsements can be submitted with this application.
Please upload copies of any certificates and/or endorsements (PDF or text document)
Invalid Input. Make sure the file size does not exceed 3MB and is a PDF, .doc or .txt file.

Event Organizer Requirements
Special Event permit requirements are based on Long Beach Municipal Code Section 5.60. The City of Long Beach requires the signature(s) of the party/parties who will be held responsible for the payment of any City services and/or fees. The applicants and, if applicable, the professional event organizer must complete and submit this application. In order to complete the Special Event application, payment must be mailed within ten (10) business days from online submittal to the following address:
City of Long Beach
Special Events and Filming
211 E. Ocean Blvd., 410
Long Beach, CA 90802

The Applicant and/or Event Organizer are individuals authorized to make operating decisions, and negotiate the terms and conditions for city services for the producer. These people are responsible for the payment of any expenses generated by the City of Long Beach to support or oversee the event. Any notice, demand, request, consent, approval, or communication that the City desires, or is required to give to the event organizers or producer shall be addressed to the individuals listed in this document.

Statement of Affidavit
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 Long Beach 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 Government, and any other applicable entity which may pertain to the use of the Event venue and the conduct of the Event. In the event that a possessory interest subject to property taxation is created by virtue of this use permit, I agree to pay all possessory interest taxes and the City shall not be liable for the payment of such taxes. I further agree that the payment of any such taxes shall not reduce any consideration paid to the City pursuant to this use permit. 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 Long Beach.
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Event Organizer Signature(*)
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Event Co-Organizer Signature
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Please enter the code:(*)
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