HomeMy WebLinkAboutCoal Mines Trail RunV"" -MAR - 9 2016
Kittitas County, Washington
BOARD OF COUNTY COM M I SSI ON RS .
u"1ifii;�SlOiwEfiS
EVENT APPLICATION PROCESS
1. Submit a completed Event Application and materials to the Kittitas County
Commissioners Office at least 6o days prior to the event. There are several
departments who review the Event Applications and make their determination based
upon the application, written plans and documentation that has been provided. Please
note that additional permits may be required in addition from individual departments
including: the Fire Marshal, Public Health, Environmental Health, Community
Development Services, and the Public Works Department. A $200.00 permit fee is to be
submitted at the time of application for each event. Applications will not be processed
until the permit fee has been received.
2. Once a special event has been approved by the County Commissioners, the site and
facilities may need to be inspected by County officials (including but not be limited to the
Fire Marshal, Sheriffs Department, and Public Health Department) up to five days in
advance prior to opening to the general public. This is to ensure that you are complying
with the stated plans upon which the approval was made. If you fail to comply with those
requirements, your permit may be revoked and the event closed.
3. Depending upon the nature and scope of the proposed event, other permits may be
required as determined through the application process (liquor license, etc.). Some
events may require approval from other agencies or jurisdictions.
4. Permittee covenants and agrees to indemnify, defend and hold harmless the County, its
officers, agents and employees from any and all claims actions, damages, liability, cost
and expense, including reasonable attorney fees in connection with or occasioned, in
whole or in part by any act or omission of Permittee, its officers, agents, employees,
customers or licenses, or arising from or out of Permittee's failure to comply with any
provision of the Event Permit granted as a result of this application, regardless of
whether it is alleged or proven that the acts or omissions of the County, its officers,
agents or employees caused or contributed hereto.
5. Insurance Requirement: A Certificate of Insurance specifically naming "Kittitas County"
as an additional insured in the minimum amount of $1,000,000.00 per occurrence and a
$2,000,000.00 aggregate coverage must be included with the Event Application. The
County Prosecutor's office may require a greater amount if it is determined to be
necessary for the proposed event.
6. Written statements signed by the applicant and property owner allowing permission to
enter the event site for inspections and stating responsibility for the event and
compliance with the codes is required as part of the written documentation to be
submitted at the time of application.
7. Before applying for an event it is encouraged that you schedule a time to meet with
County departments so they may assist with questions you may have prior to submitting
your application.
KITTITAS COUNTY COURTHOUSE - 205 WEST 5", SUITE 108 ELLENSBURG, WA 98926
(509) 962-7508 - FAX (509) 962-7679
www, co.k ittitas, wa_us
Kittitas County Contact Information
www.co.kitfitas.wa.us
Board of County Commissioners — (509) 962-7508
Community Development Services — (509) 962-75o6
Environmental Health — (509) 962-7698
Fire Marshal — (509) 962-7000
Prosecutor — (509) 962-7520
Public Health — (509) 962-7515
Public Works Department — (509) 962-7523
Sheriffs Office — (509) 962-7525
Solid Waste Department — (509) 962-7542
KITTITAS COUNTY COURTHOUSE - 205 WEST 5", SUITE 108 - ELLENSBURG, WA 98926
(509) 962-7508 FAX (509) 962-7679
www.colittitas. wa,us
Kittitas County, Washington
r!!4 WYW4 BOARD OF COUNTY COMMISSIONERS
EVENT APPLICATION
Thank you for your interest in holding a special event in Kittitas County. Please
complete and return this application along with any other materials to the Kittitas
County Board of Commissioners at least 60 days prior to the day upon the event is
scheduled. Any misrepresentation in the application materials or deviation from the
final agreed upon route and/or method of operation described may result in the
immediate revocation of an issued permit. Specifics outlining Event Permits can be
viewed at http://iy��y v.co.kitf itas.►�\+a.us boc,(tow t� c oc.iC/title05.zlsp
Event Information
Name of event: Coal Mines Trail Run
Date(s) of event: May 7, 2016
Hours of operation: 7 AM -3 PM
Description of the event: Trail Run of 5 K and 10 K distances
Has this event taken place before? Yes N/ Dates:
Estimated attendance: 100
How is your event being publicized? Internet, website, flyers
Please attach any flyers, posters, etc. with your application submission.
Contact Information
Name of the organizer/ contact person: Meridian Geographics/ Mark Taylor
Address: 7400 Sand Point Way NE Suite 201 N Seattle, Wa 98115
Phone number(s): 206-200-2840
Email address: mark@mergeo.com
Date of birth of applicant: July 10, 1964
KITTITAS COUNTY COURTHOUSE • 205 WEST 5", SUITE 108 • ELLENSBURG, WA 98926
(509) 962-7508 • FAX (509) 962-7679
www.colittitasma.us
If the application is made on behalf of a partnership, please submit full names with their
residence and post office address for a period of six months prior to the date of
application together with the location of principal office or place of business of such
corporation.
Emergency contact name(s) and phone number(s) that can be contacted during the
event:
Mark Taylor 206-200-2840
Name Phone Number
Eric Bone 206-291-8250
Name Phone Number
WRITTEN PERMISSION TO ENTER EVENT SITE
I/We hereby permit law enforcement and/or County officials to enter the site for which
the Event Application has been granted at the time of the event and up to five days
prior to the event for the purposes of inspecting and enforcement of County Code and
other applicable laws, and pursuant to my agreement and representations made in
connection with this Event Application.
SWORN STATEMENT OF COMPLIANCE
I/ We hereby acknowledge that I/ We have read Kittitas County Code, have
familiarized myself with County requirements. I/ We agree that either my designated
agent or I/ we shall be on site at all times and shall be responsible for the operation of
the event and for compliance with all legal requirements in connection with this event.
I/We understand that failure to comply with the rules, regulations and conditions set
forth in Code may be deemed a gross misdemeanor and that drug or narcotics
violations are crimes under RCW.
Mark Taylor
Applicant Name (Print)
Applicant Name (Print)
Applicant Signature
Applicant Signature
KITTITAS COUNTY COURTHOUSE • 205 WEST 5", SUITE 108 - ELLENSBURG, WA 98926
(509) 962-7508 • FAX (509) 962-7679
www.co.kittitas.wa.us
Kittitas County, Washington
BOARD of COUNTY COMMISSIONERS
Fire Safetv and Protection
If more than 50 people are expected at your event, you must complete a separate
application process which can be obtained through the Kittitas County Fire Marshal's
office. You may contact the Fire Marshal's office at 509-962-7000.
Will there be a temporary structure erected for the event? Yes Yo
If yes, you must attach a drawing including the dimensions. The structure may
require an inspection by County staff prior to the event.
Public Health/Environmental Health
Will there be food served at the event? VS No
If no food will be served at the event then, no permit or application is required.
If yes, is the food and beverage that you intend on preparing and serving at the event
exempt from permit requirements hU wivw.co.kittitas.wa.us he,Ifth .food.as ?
- If yes, please submit an application for exemption from permit and proof of food
handlers training to the Kittitas County Public Health Department (KCPHD).
If yes, and the food or beverage is not considered exempt from permit, then does the
person or organization preparing and serving the food have a food service permit,
temporary food service permit, or catering permit from KCPHD?
- If yes, please provide a list of foods and beverages that you intend on having
prepared and served at the event along with the name and phone number(s) of
the permitted person or organization.
If yes, and the person or organization preparing and serving the food does not already
have a food service permit.
- Then a temporary food service permit or catering permit will need to be acquired
from KCPHD prior to the event.
Please allow at least 2 weeks to complete the food service permitting process.
KITTITAS COUNTY COURTHOUSE • 205 WEST 5', SUITE 108 • ELLENSBURG, WA 98926
(509) 962-7508 - FAX (509) 962-7679
wwwxo.kittitas.wa.us
Are there permanent or fixed bathroom facilities already available at the location of
the event?
Yes Vo
If yes, please provide an estimated attendance for the event, a detailed map that
identifies the name and address of the physical facility that will provide lavatory
facilities for the event, quantity of toilette facilities available for each gender, and the
distance from the event that patrons must walk.
If no, please provide an estimated attendance for the event, specific information
related to the number of portable restrooms that will be provided, the distance from
the event that patrons must walk, and a service plan to ensure that sani-cans remain in
a sanitary condition. You must include the location of the portable restrooms on a
map/ diagram of the event.
KITTITAS COUNTY COURTHOUSE • 205 WEST 5", SUITE 108 • ELLENSBURG, WA 98926
(509) 962-7508 • FAX (509) 962-7679
www.colittitas.wa.us
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Kittitas County, Washington
BOARD OF COUNTY COMMISSIONERS
Law Enforcement/Security%Ciiiergexicy Medical Services
Will there be security on site during the event? Yes V
If yes, please provide a complete list of names and contact information for who will be
providing the security.
Will Emergency Medical Services (EMS) be on site during the event? Yes 1/
If yes, please provide written verification from the providers.
Will there be music, sound amplification or any other noise impacts? y1s No
If yes, Kittitas County has a noise ordinance in effect (see County Code for details). If
your event is scheduled for outside of the allowed time, you must submit a written
letter to the Board of County Commissioners requesting a waiver and it must be
included with your application materials.
Will you have traffic control? Yes I6
If yes, please provide documentation on how the traffic control will be addressed.
Will there be off-site parking? Yes 46
If yes, please provide the location and a parking plan.
Will there be shuttle buses provided for attendees? Yes V6
If yes, provide a map of their route.
Will there be alcohol served at the event? Yes 46
If yes, a State permit is required from the WA State Liquor Control Board and must
submitted with your application materials.
KITTITAS COUNTY COURTHOUSE • 205 WEST 5", SUITE ] 08 • ELLENSBURG, WA 98926
(509) 962-7508 - FAX (509) 962-7679
www.co.keitasma.us
Kittitas County, Washington
B......ARD of COUNTY COMMISSIONERS
...........O
Public Roads
Will the event obstruct, interfere or require the closure and free use of any public
road, street or right-of-way? Yes V6
If yes, please provide a detailed adequate traffic and detour plans at the time of
submission of the application.
Will there need to be road closure or detour signs posted? Yes V6
KITTITAS COUNTY COURTHOUSE - 205 WEST 5", SUITE 108 • ELLENSBURG, WA 98926
(509) 962-7508 - FAX (509) 962-7679
www.co.kittitasma.us
+ff k f i' k 11.1'• t it l4
Kittitas County, Washington
BOARD of COUNTY COMMISSIONERS
Garbage/Recycling
Do you have a plan for garbage and recycling? V1s No
A written plan for garbage and recycling must be attached to your application
materials. For questions or assistance contact the Kittitas County Solid Waste
Department at 509-962-7542.
Insurance
Have you obtained a Certificate of Insurance, specifically naming "Kittitas County"
as an insured? Vs No
A copy of the Certificate of Insurance must be included with your application materials.
Kittitas County must be named as an additional insured in the amount of $1,000,000.00
per occurrence and $2,000,000.00 aggregate coverage.
Penal Bond - Bond of Indemni
A $5,000.00 Penal Bond - Bond of Indemnity is required to be deposited with the
County Treasurer to save and protect the streets, pavements, bridges, etc. from
damage. The deposit or its balance will be returned once the event has been held and
the Board of County Commissioners has certified no damage has been done and that
the County has not incurred additional expenses
Are you submitting a $5,000.00 Penal Bond - Bond of Indemnity with your Event
Application? Yes V
If no, you must request a letter in writing to the Board of County Commissioners
requesting a waiver to the Penal Bond - Bond of Indemnity and outline the specific
reasons why it should not be required of your event.
Coup _ Filings and Registration
Is there a cost to attend the event? Vs No
How much are you charging to attend your event? $30-$40 depending on distance
KITTITAS COUNTY COURTHOUSE - 205 WEST 5", SUITE 108 • ELLENSBURG, WA 98926
(509) 962-7508 • FAX (509) 962-7679
www.co.kiftjtas.wa.us
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