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HomeMy WebLinkAboutApplication (2)--1 r Kittitas County, Washington BOARD OF COUNTY COMMISSION 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. 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 51h, SUITE 108 • ELLENSBURG, WA 98926 (509) 962-7508 - FAX (509) 962-7679 www.colittitasma.us Kittitas County Contact Information www.co.kittitas.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 Sheriff's 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 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: / /www.co.kittitas.wa.us/boc/countvcode/title05.aV Event Information Name of event: Gran Fondo Ellensburg Date(s) of event. 6-10-18 Hours of operation: 8:00 am - 5:00 Pm Description of the event: 88 mile bicycle ride Has this event taken place before?/S No Dates: June 11, 2017 Estimated attendance: 100 How is your event being publicized? www.rideviciouscycle.com Please attach any flyers, posters, etc. with your application submission. Contact Information Name of the organizer/ contact person: Jake Maedke Address: 139 E SW Ephrata, WA 98823 Phone number(s): (509) 750-0977 Email address: eehratabikes c1mail.com Date of birth of applicant: 10-14-77 KITTITAS COUNTY COURTHOUSE • 205 WEST 5" , SUITE 108 • ELLENSBURG, WA 98926 (509) 962-7508 • FAX(509)962-7679 www,colittitas.wa.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: Jake Maedke (509) 750-0977 Name Phone Number Karen Maedke (509) 760-3620 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. Jake Maedke _4--zz'�ya -- Applicant Name (Print) Applicant Signature Applicant Name (Print) Applicant Signature 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 BOARD of COUNTY COMMISSIONERS LL+L.4 k Fire Safe 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 klo 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? Yes 1Z 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 ht!p.://www.co.kittitas.wa.usIhealth/food.aW? If yes, please submit an apylication 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 www.co.kittitasma.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.co.kittitas.wa.us Kittitas County, Washington BOARD of COUNTY COMMISSIONERS Law EnforcemenilSecuribff mergenU Medical Services Will there be security on site during the event? Yes Vo 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 l/ If yes, please provide written verification from the providers. Will there be music, sound amplification or any other noise impacts? Yes l 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 IO If yes, please provide documentation on how the traffic control will be addressed. Will there be off-site parking? Yes IY If yes, please provide the location and a parking plan. Will there be shuttle buses provided for attendees? Yes l If yes, provide a map of their route. Will there be alcohol served at the event? Yes l 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 108 • ELLENSBURG, WA 98926 (509) 962-7508 - FAX (509) 962-7679 www.co.kittitasma.us Kittitas County, Washington BOARD of COUNTY COMMISSIONERS Public Roads Will the event obstruct, interfere or require the closure and free use of any public road, street or right-of-way? Yes y6 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 V KITTITAS COUNTY COURTHOUSE • 205 WEST 5", SUITE 108 • ELLENSBURG, WA 98926 (509) 962-7508 • FAX (509) 962-7679 www.co.kittitas.wams rM!11.— F�l "i Kittitas County, Washington BOARD of COUNTY COMMISSIONERS Garbage&ecycling Do you have a plan for garbage and recycling? VZ- 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? Yes 4(o 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 Indemnity 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. Counfy Filings and Registration Is there a cost to attend the event? Vs No How much are you charging to attend your event? $70 KITTITAS COUNTY COURTHOUSE • 205 WEST 5`" , SUITE 108 • ELLENSBURG, WA 98926 (509) 962-7508 • FAX (509) 962-7679 www.co.kittitas.wa.us January 10, 2018 Kittitas County Solid Waste Department 205 West 5th, Suite 108 Ellensburg, WA 98926 RE: Solid Waste Plan for Bicycle Event Dear Kittitas County Solid Waste Department: This letter is to inform you of our Garbage/Recycling plan for the Gran Fondo Ellensburg scheduled to take place on June 11th. All refuse generated from the Bicycle event will be picked up and disposed of by the event Director. There will be a follow vehicle that will be picking up refuse at the end of the event. Recyclable water bottles and/or cans will be collected and recycled by the event Director. Sincerely, Jake Maedke Vicious Cycle Events Inc. Vicious Cycle Events Inc. 139 EST SW Ephrata, WA 98823 509-750-0977 January 11, 2018 Kittitas County Commissioners 205 West 5th, Suite 108 Ellensburg, WA 98926 RE: Requesting a waiver to the Penal Bond — Bond of Indemnity Dear Kittitas County Commissioners: On behalf of Vicious Cycle Events Inc., we are requesting a waiver to the $5000 Penal Bond - Bond of Indemnity. We don't anticipate any damage to any county roads during this Gran Fondo Ellensburg Bicycle Ride. We have done several bicycle rides throughout different counties in Washington and have had zero problems with damage. We have worked with Grant, Douglas, Chelan and Klickitat counties as well as the DOT and Department of Fish and Wildlife utilizing their roads for the purpose of these bicycle rides. There are between 100-200 riders on the road spread out over the course of approximately 7 hours for an 88 mile bike ride. All riders will be advised to obey all traffic laws. We appreciate your consideration. Sincerely, Jake Maedke Vicious Cycle Events Inc. Vicious Cycle Events Inc. 139 EST SW Ephrata, WA 98823 509-750-0977 EVENT Gran Fondo Ellensburg Vicious Cycle Events Medical Plan DATE ,lune 10, 2018 1. Will there be an EMT or ambulance on site? Yes X No If not on site, how will emergency medical staff be notified? Pay Phone X Cell Phone Radio Other: 2. Are there event staff or certified volunteers with Red Cross First Aid training? Yes No If yes, what training? X Basic Advanced - Identify staff: Karen Maedke/Ruth Lamb 3. Is there a First Aid kit on site? X Yes __ No 4. Will police or security services be on site? Yes x No 5. Will emergency medical staff at event site be clearly identified? X Yes No 6. First aid and emergency medical stations identified? X Yes _ No 7. Does course design allow easy access for emergency vehicles? x Yes No 8. Describe emergency medical transportation? Ambulance 9. City/Location of nearest hospital' Kittitas Valley Hospital- Ellensburg WA 10. Distance from event: 30 Miles 30 Minutes 11. Has hospital been notified of the event? x Yes _ No 12. Is emergency air transportation available? X Yes No Response time: NA Minutes 13. How will air transport be notified? X Phone Radio X EMT 14. What is the plan for suspending or postponing the event if a serious injury occurs? Ridina will be suspended until the injured rider is safely removed from course NOTES: HOSPITAL PHONE NUMBER: 509-925-8472 AMBULANCE PHONE NUMBER: 509-962-7275 POLICE/SHERIFF PHONE NUMBER: 509-962-7527 ADDITIONAL INFORMATION: "Sag Wagon's" will be carrying a first aid kit as well as each of the "Aid Stations" GRAN FONDO ELLENSBURG CUE SHEET Continue onto US -97 S 1.9 mi Tum left onto Thorp Hwy S 2.3 mi Turn left onto Thorp Cemetery Rd 7.0 mi Continue onto NF -33/W Taneum Rd 11.7 mi Turn right to stay on NF -33/W Taneum Rd 17.5 mi Turn right to stay on NF -33 20.4 mi Continue onto NF -133 21.7 mi Turn right onto NF -119 23.6 mi Turn left onto NF -3350 25.6 mi Continue onto Westside Rd 32.1 mi Continue straight onto Mohar Rd 32.2 mi Turn left onto Upper Peoh Point Rd 34.2 mi Turn left onto Lower Peoh Point Rd 35.2 mi Turn left onto Garfield PI 35.7 mi Turn left onto 6th St 35.9 mi 6th St turns right and becomes Marie Rd 36.0 mi Continue onto Westside Rd 36.1 mi Turn right to stay on Westside Rd 38.1 mi Turn left onto Woods and Steele Rd 39.7 mi Turn left onto NF -4510 40.5 mi Slight left onto NF -3300 55.4 mi Slight right to stay on NF -3300 57.1 mi Turn right onto NF -33 66.6 mi Continue onto Thorp Cemetery Rd 76.6 mi Tum right onto Thorp Hwy S 81.3 mi Turn right onto US -97 S 86.0 Forest Service Roads: 33, 133, 119, 3350, 4510, 3300 Z- -Q-111 N.—«.. f Kittitas County Office Of The Treasurer At Brett Wachsmith, Treasurer t 205 W 5th Avenue, Suite 102 Ellensburg, Wa 98926 Phone (509) 962-7535 Fax (509) 933-8212 Cash Receipts Receipt Number: 2018-940 Received From: MANDY BUCHHOLZ DEPUTY CLERK OF THE BOARD II Check Amount: $200.00 Cash Amount: $0.00 Other Amount: $0.00 Total Amount: $200.00 Deputy: JENN Receipt Type: CHK Template: Comments: CSR 2018-718 GRAN FONDO SPECIAL EVENT APPLICATION PERMIT FEE Date: 02/12/2018 FundCode GlCode Description Amonn 001 1632171 SPECIAL EVENTS FEE $200.00 Total Amount: $200.00 Kittitas County Treasurer's Office Submitted By: JENNIFER COLLINS (c) 2002 Cashtax All Rights Reserved www.balancedacbon.com