• New Year’s Eve on Pine
    New Year’s Eve on Pine
  • Cambodian Festival
    Cambodian Festival
  • Drifting at the Annual LB Grand Prix Event
    Drifting at the Annual LB Grand Prix Event
  • Long Beach Marathon
    Long Beach Marathon
  • Boat Races at Marine Stadium
    Boat Races at Marine Stadium
  • Filming in Downtown Long Beach
    Filming in Downtown Long Beach
  • On Location for a Car Explosion Shot
    On Location for a Car Explosion Shot

Block Party Online Form

Occasional Event Permit Application

All and any changes, which need to be made must be done through the office of the Special Events and Filming.
GENERAL EVENT INFORMATION
Public or Private Event:(*)

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Name of Event (if part of a City Special Event, list the name of the event with the name of your event if different):
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Location of Event:
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Type of Event (Grand Opening, Raffle, Dance, Concert, Fundraiser, or Other):
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Event Date(s):
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Event Hours:
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Type of Entertainment (please be specific; list of bands, entertainers, performers, rides, and vendors. Please list any effects, smoke, pyrotechnics, etc.):
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Expected Number of Attendees:
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Admission Fee (if applicable):
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Has a Promoter Been Contracted?
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If Yes, provide Name, Address, & Business License# of Promoter:
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Will Merchandise be Sold? (Must have a valid city business license.):
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Will food be sold? (Must have valid county or city health permit):
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Will minors be allowed on premises?
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APPLICANT/ORGANIZATION INFORMATION
Name:
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Organization and Business License #:
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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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Email Address:
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Contact Person & Cell Phone # (Day of Event):
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ALCOHOL INFORMATION (If alcohol will be sold, attach a copy of Department of Alcohol Beverage Control License):
Will Alcohol be sold, served, or consumed?

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Description of Beer Garden Alcohol Control:
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Description of Procedure how to identify patrons over 21 years old who wish to purchase alcohol:
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ALCOHOL CONTROL - CONDITIONS FOR LOCATIONS WITHOUT A LIQUOR LICENSE

• All alcohol sales shall cease one (1) hour prior to the scheduled end of the event. Non-alcoholic drinks and food shall remain available for patrons.

• If drink tickets are used, drink ticket sales shall cease one and a half (1 1/2) hours prior to the end of the event.

• All alcohol shall be served in wide-mouth plastic containers.

• A strict limit of two (2) drinks at a time may be purchased.

SECURITY INFORMATION
Will Private Security be Provided?
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Name of Security Company:
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State of California Private Patrol Operator (PPO) License #:
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Security Supervisor's name & phone #:
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Number of Unarmed Security:
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Number of Armed Security:
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Method or Plan of Communication (include # of radios/cell phones and which persons will be equipped):
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Description of Security Uniforms (Include shirt and color, pants and color, AND any badge patch, or log identifying security):
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Please list on your site plan, a detailed depiction of the locations of where your security will be stationed. Please include perimeter security and roving security personnel if needed. (Note: Off Duty Police Officers working in a "Private Security" capacity, may NOT wear anything identifying them as a peace officer)
EVENT MARKETING/TICKETING/ENTRY:
How is the event marketed? (Internet, TV, Radio, Flyers, etc.):
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How are tickets obtained? (Pre-Sale, At Door, etc.)
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Describe Entry and Search Area (Bag Checks, Wanding, Pat-Down, etc.):
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List of Prohibited Items (List should be posted in Entry Area and should include a trash can or "Amnesty Box" for discarded items):
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List of any dress code restrictions:
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If Event sells out, what procedure is in place?
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APPLICANT SIGNATURE
I, the undersigned, have been provided with a copy of, and am familiar with the requirements and provisions of Section 5.72.130 of the Long Beach Municipal Code (L.B.M.C.). I understand that adult entertainment, as defined in Section 21.15.110 of the Long Beach Municipal Code (L.B.M.C.) is not allowed.
Under penalty of perjury, I declare that I am at least 21 years of age, and that all the information listed herein is true and accurate to the best of my knowledge.
Permittee Signature:
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Submit Form:

Applications Received less than Ten (10) days prior to the event will NOT be accepted.