Special events such as fairs, carnivals, festivals, public dances, shows and concerts can play an important role in the life of a healthy and vibrant community.  Such events, however, if not planned properly, can have a negative effect on surrounding residents and businesses.  The City of Newark desires to regulate these special events to ensure that events are planned properly, minimize negative impacts on the surrounding neighborhoods and assure the safety and protection of event attendees.

 

A special event permit is required and must be made to the Newark Police Department at least forty-five calendar days prior to the event and shall be fully and truthfully completed by the applicant.

 

Review Newark Municipal Code - Special Event Permit for requirements prior to completing the information below.  IMPORTANT! Once you complete and submit the form, please call Management Analyst Kamini Kumar at (510) 578-4351 to confirm receipt of your applications.

1

Applicant Information

 *

Applicant Information

Name of Host	Address	City
Zip Code	Phone Number	Email

2

If host is an organization, please provide name and date of birth of an authorized representative

If host is an organization, please provide name and date of birth of an authorized representative

Name	Date of Birth

3

Person who will be present and in charge of the event

 *

Person who will be present and in charge of the event

Name	Address
Phone Number	Email

4

Property owner information (if different from event host)

Property owner information (if different from event host)

Name	Street Address	City
Zip Code	Phone Number	Email

5

Event Information

 *

Event Information

Event Title

Start Date

End Date

Describe the nature and purpose of the event

Event Location

Estimated attendance

Estimated Start Time (be sure to include AM and/or PM)

Estimated End Time (be sure to include AM and/or PM)

Description and location of any sound amplification equipment that will be used

Plan for control of noise, including, but not limited to, the noise generated by the amplification equipment, motors, and other equipment, that may affect nearby premises, with special attention to prevention of noise nuisance to nearby residences, if any

Number of bands and/or musical units

Describe the type of equipment to be used by the band(s) and/or musical unit(s) to produce sound or noise

Describe the type of lighting equipment that will be used, if any, and its proposed location(s)

Alcohol and Food Information

6

Will alcoholic beverages be sold or offered to event attendees?

Will alcoholic beverages be sold or offered to event attendees?

Yes

No

If so, what kind? If other, type text here.

7

Will any food be prepared and/or sold at the event?

Will any food be prepared and/or sold at the event?

Yes

No

8

If food is prepared and/or sold at the event, will there be open flames/fire?

If food is prepared and/or sold at the event, will there be open flames/fire?

Yes

No

N/A

What type of cooking equipment will be used? If other, type text here.

9

Permit / Application

Attach Alcohol Permit and or Application from Department of Alcoholic Beverage Control Click button for uploading file Clear Maximum size allowed: 5 MB Allowed types: .gif, .jpg, .jpeg, .png, .doc, .docx, .xls, .xlsx, .rtf, .pdf, .txt

Between what hours will alcohol be sold or offered? (be sure to include AM and/or PM)

Attach Alameda County Health Department Permit and/or Application Click button for uploading file Clear Maximum size allowed: 5 MB Allowed types: .gif, .jpg, .jpeg, .png, .doc, .docx, .xls, .xlsx, .rtf, .pdf, .txt

10

Will security persons be present at the event?

Will security persons be present at the event?

Yes

No

11

Facility

Facility

What is the anticipated number of parking spaces needed?

Describe your parking plan for minimizing negative impacts of the event parking on adjacent properties

Number of location(s) of portable sanitation facilities, if any

What arrangements have you made, if any, for first-aid and/or emergency medical services?

How will you collect and dispose of trash and recycling?

How will notice of permit conditions be provided to permit participants, businesses and/or residents who may be directly affected by the event?

12

Will applicant have insurance and/or surety bond coverage?

Will applicant have insurance and/or surety bond coverage?

Yes

No

13

Proof of Coverage

If applicant has insurance and/or surety bond coverage, please attach proof of insurance coverage Click button for uploading file Clear Maximum size allowed: 5 MB Allowed types: .gif, .jpg, .jpeg, .png, .doc, .docx, .xls, .xlsx, .rtf, .pdf, .txt

14

Attachments not covered above - please upload all attachments requested below

Attachments not covered above - please upload all attachments requested below

Attach a detailed floor plan and site plan of the premises showing the building(s) interior and exterior grounds. Your plans should include parking spaces, locations of sanitation facilities, eating arrangements, dance floor area, location of sound equipment, lighting equipment locations, bar location, fire exits, and the dimension of each portion with the layout of the special event, when/where applicable. Click button for uploading file Clear Maximum size allowed: 5 MB Allowed types: .gif, .jpg, .jpeg, .png, .doc, .docx, .xls, .xlsx, .rtf, .pdf, .txt

Attach a copy of the rental agreement between the applicant and facility owner. (Not required if the applicant is the registered owner of the facility in which the event will occur.) Click button for uploading file Clear Maximum size allowed: 5 MB Allowed types: .gif, .jpg, .jpeg, .png, .doc, .docx, .xls, .xlsx, .rtf, .pdf, .txt

Attach a copy of the tax exemption letter issued if you are an appicant claiming to be a tax-exempt, non-profit organization with a principal place of business in the City of Newark or provides a services to or benefits to residents of the City of Newark Click button for uploading file Clear Maximum size allowed: 5 MB Allowed types: .gif, .jpg, .jpeg, .png, .doc, .docx, .xls, .xlsx, .rtf, .pdf, .txt

Attach a copy of any application to and/or permits received from any other governmental agency having jurisdicition over the event Click button for uploading file Clear Maximum size allowed: 5 MB Allowed types: .gif, .jpg, .jpeg, .png, .doc, .docx, .xls, .xlsx, .rtf, .pdf, .txt

NONREFUNDABLE APPLICATION FEE
Upon application, the applicant shall pay a nonrefundable fee as established by the Master Fee Schedule.  The fee shall cover the actual costs of processing and investigating special event applications.

FOR OFFICE USE ONLY:

 

 

 

 

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To the extent authorized by law, I, on behalf of myself and/or the event host, agree to defend, indemnify, and hold harmless the city, its officers, agents, employees, and volunteers from any and all claims, cause of action, penalties losses, expenses (including reasonable attorneys' fees) and any other liability for injuries or damage to persons or property resulting from the event that are caused by the omissions or authorized acts of the event host's officers, agents, or employees.

I certify that the information contained in the foregoing application is true and correct to the best of my knowledge and belief and that I have read, understand and agree to comply with the Special Event Ordinance N.M.C. Chapter 5.40.  Applicant agrees to comply with all other requirements of the City, County, State and Federal Governments, and any other applicable entity which may pertain to the use of the Event venue and the conduct of the Event.  I agree to abide by these rules and further certify that I, on behalf of the host, am also authorized to commit the 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 Newark under the Special Event Ordinance.

15

CERTIFICATION

CERTIFICATION

Print name of Applicant/Event Host. By typing my name in the box below and clicking on the submit button, I agree to the terms and conditions listed above.

Date

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