HomeMy WebLinkAboutThe Patch Special Event ApplicationRECEIVED
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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 b;rred
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 $zoo.oo 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 p11al 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 and endorsements specifically
naming "Kittitas Coungr" as an additional insured in the minimum amount of
$1,ooo,ooo.oo per occurrence and a$z,ooo,ooo.oo aggregate coverage must be
included with the Event Application. This insurance must apply first and on a primary
non-contributing basis in relation to any other insurance or self-insurance available to
Kittitas County. 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 rwitten 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.h, SUITE I08 ELLENSBURG, WA 98926
(s09)962-7s08 FAX (509) 962-7679
www.co.kittitas.wa. us
Kittitas Count_v Contact Information
www.co.kittitas.wa.us
Board of County Commissioners - (Sog) 96z-75o8
Community Development Services - (Sog) 96z-75o6
Environmental Health - (Soq) 962-7oo5
Fire Marshal - (Sog) 96z-7ooo
Prosecutor - (Sog) 962-752o
Public Health - (Sog) g6z-75t5
Public Works Department - (Sog) 96z-7529 Sheriffs
Office - (Sog) 962-7525
Solid Waste Department - (Sog) 96z-7542
KITTITAS COUNTY coURTHoUSE . 205 WEST 5'h, SUITE I08 ELLENSBURG, wA 98926
(s09) 962-7s08 FAX (509) 962-7679
www.co.kittitas.wa.us
Admissions Tax
Kittitas County Ordinance 20 I 6-003
Ordinance amending Ch.3.22 Kittitas County Code to impose an Adrnissions Tax
"Admissions charge," in addition to its usual and ordinary meaning includes but shall not be
limited to a charge for participation in an event or activity; a charge made for season tickets or
subscriptions, or a charge made for use of seats and tables, reseled or otherwise, and other
similar accomtnodations; and a charge made for rental or use of equipment or facilities for
pulpose of recreation ol' alrrusement, and where the rental of the equipment or facilities is
necessary to the enjoyment of the privilege for which a general admission is charged, the
combined charges shall be considered as an admission charge. A donation for admittance
shall also be deemed an admission charge. Admission charge includes any money paid
witliin or without of Kittitas County for any of the kinds of admission charges defined herein so
long as the facilities, entertainment, recreation or amusement privilege derived from such
admission charge occurs in Kittitas County.
The tax irnposed shall be collected at the tirne admission charge is paid by the person seeking
admission to any place and shall be reporled and remitted by the person receiving the tax to
the Treasurer in quafierly installments on or before the last day of the month next succeeding
the end of the quarterly period in which the tax is collected or received.
Any person conducting or operating any activity for which an admission charge is made
shall register with the Auditor.
ln order to complete the registration process, you will need to register online.
Any questions, please contact the Treasurer's office aI 509-962-7535; Auditor's office at 509-
9 62-7 502 or email at admissionstax@co.kittitas.wa. us.
Kittitas County, Washington
BOARD oe 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. A.y misrepresentation in the application materials or deviation from the
final agreed upon route andf 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/ countycode/ title05.asp
Event Information
Name of event: Fall Festival at The Patch at Jensen Farms
Date(s)of event: Seot 24 - Oct 30
Hours of operation:Thurs - Sun 1Oam to 4 o m
Description of the event: U-pick pumpkin patch with hayrides, corn maze, petting zoo,
kid's play zone, vard games, concessions, farm store and new this year - axe throwinq
Has this event taken place before? %No Dates ' This will be our 1Oth season
Estimated attendance 80 00
How is your event being pu blicized? Social media, radio, newspaper,
oarades. bloos. o osters
Please attach any flyers, posters, etc. zuith your application submission.
Contact Information
Name of the organizer f contact person : Hilary Jensen
Address 6 1 81 Wi lson Creek Rd Ellensbu WA 98ro 926
Phone number(s)509.899.2002
Email address: H i lary@thepatch iensenfa rms. com
Date of birth of 11t09t197 4 - You real have to ask that? :-l
KITTITAS coLrNTy couRTHousE . 205 WEST 5'n, SUITE 108 ELLENSBURG, wA 98926
(s09)962-'7s08 FAX (s09) 962_7679
www.co.kittitas.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:
lllarv Jensen 509 899 2002
Name
John Jensen
Phone Number
425.495.5955
Name Phone Number
WRITTEN PERMISSION TO ENTER EVENT SITE
I/We hereby permit law enforcement andf 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 COMPTIANCE
l/We hereby acknowledge that I/rNe have read Kittitas County Code, have
familiarized rnyself with County requirements. I/We agree that either my designated
agent or If 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.
l/We understand that failure to comply with the rules,conditions set
forth in Code may be deemed a gross misdemeanor and
violations are crimes under RCW.
Applicant Name (Print)
Applicant Name (Print)
narcotics
Applicant Signature
KITTITAS COTINTY coURTHoUSE . 205 WEST 5.I', SUITE IO8 ELLENSBURG, wA 98926
(s09)962-7s08 FAX (509) 962-7679
www.co.kittitas.wa.us
Kittitas County, Washington
BOARD oF COLTNTY COMMISSIONERS
Fire SafeW 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 Counfy 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 ("
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? lt1 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 at the event
food.aso?exempt from permit requirements htto: / /www.co
preparing and serving
.kittitas.wa.us / health /
- 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 orgarization.
If yes, and the person or orgar\zation 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'h, SUITE I08 ELLENSBURG, wA 98926
(soe) 962-7s08 FAX (509) 962-1679
www.co.kittitas.wa.us
Are there permanent or fixed bathroom facilities already available at the location of
the event?
Yes )i6
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, piease 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
rnap/diagram of the event.
KITTTTAS coLrNTy couRTHousE . 205 wEST s'h, sUITE t08 ELLENSBURG, wA 98926
(s09) 962-7s08 FAX (509) 962-7679
www.co.kittitas.wa.us
Kittitas County, Washington
BOARD oe COIINTY COMMISSIONERS
Law Enforcemen ersencv Medical Services
Will there be security on site during the event? Yes ry6
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 W
If yes, please provide written verification from the providers.
Will there be music, sound amplification or any other noise impacts? V" 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.
WilI you have traffic control? Yes ry6
If yes, please provide documentation on how the traffic control will be addressed.
Will there be off-site parking? Yes V6
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 Vd
If yes, a State permit is required from the WA State Liquor Control Board and must
submitted with your application materials.
KITTITAS couNTy couRTl{ousE . 205 WEST 5,h, SUITE 108 ELLENSBURG, wA 98926
(s09)962-'.7s08 FAX (509) 962-7679
www.co.kittitas.wa.us
Kittitas County, Washington
BOARD or COUNTY COMMISSIONERS
Public Roads
Will the event obstruct, interfere or require the closure and free use of any public
toad, street or right-of-way? Yes tI6
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 #
KrrrrrAs couNTy couRTHousE 205 wEST 5,r,, surrE l0B ELLENSBURG, wA 98926
(s09) 962-7s08 FAX (s09) 962-7679
www.co.kittitas.wa.us
Kittitas County, Washington
BOARD oF COLINTY COMMISSIONERS
Garbaee/fte cvclins
Do you have a plan for garbage and recycling? V" 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 509-9 62-7 542.
Insurance
Have you obtained a Certificate of Insurance and endorsements, specifically
naming "Kittitas Counfy" as an insured? Vg No
A copy of the Certificate of Insurance amd endorsements 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. This
insurance must apply first and on a primary non-contributi-n-g bEsis in relation to any
other insurance or self-insurance available to Kittitas County.
Penal Bond - Eond of Indemnify
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 EventApplication? Yes )i6
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.
County Filinss and Resistration
Is there a cost to attend the event?V"No
How much are you charging to attend your event? 10.00
KITTITAS coLINTy couRTHousE . 205 wEST 5'h, sUITE 108 ELLENSBURG, wA 98926
(s09)962-7s08 FAX (509) 962-7679
www.co.kittitas.wa.us
Axe throwing lanesPlay areaHorseshoesSlide mountain: dirt, 3-20'slidesHorse swings: old tires repurposed into horsesWall ball: 8x4 plywood wall with various sized holesfor throwing balls throughMini slides: 2-5' on straw bales stacked two highTrikesSit on sand diggersPlayset with swings, cargo net (6') climbing wall (6')Kettlecorn/donutsGift shop(-)of3o)N(DPicnicshelter!c3-foofParking areaholeRubber duckracesSilo cafeStoragesiloBBQshackantmaPottiesSinksTo theHayride pick up anddrop offls/pettinflzoo UTrike courseGEAB
August 3,2022
Kittitas County Board of Commissioners
205 W 5th Ave #108
Ellensburg, WA 98926
To Whom it May Concern
This letter is to serve as a request for a penal bond waiver for The Patch at Jensen Farm's fall harvest
season event
We have been operating at this location for ten years now, with no issues arising. As a result, I would
like to formerly request a waiver as part of our special event application which is currently under review.
Thank you for your time and consideration.
Hilary Jensen
Sincerely,
Hila
That Patch at Jensen Farms
H ila ry@thepatchjensenfa rms.co m
509.899.2002