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Home My WebLink AboutYakima River Canyon Marathon ApplicationAztgIl2823 L7:.I8 5499555485 Name of Date(s) of event:7o MAILNMORE Kittitas County, Washington BOARD orCO EVENT APPLICATION Event Information Gn RECEIVED FIB 0 2 2823 PAGE 81-I8g RS {. L Hours of opera tion:ct Description of the event: W fl 5fr Has this event taken place before? @ No D 7001.>> Estimated attendance, *00 9DO How is yotu event being publicized? Pleaae attach any flyns, posters, etc. withyow application submisaion Contact Name of the orgarizerfcontact to0 Phone nunrber(s): EmaiI Date of birth of ,\oth v fief KITTITAS COUI.TTY COURTIIOU5E . 205 WEST Y., SUITB IO8 ELLENSEURG' WA 98926 (st]e) e6z-7508 FA)t (s09) 962-767e wr\.ryr. co-kittitgs -wu.us 8218L/2823 17: LB 58995s5485 MA]LNMORE PAGE A2I8E Kittitas Couffy, Washington BOARD or COTINTY COMMISSIONERS Fire Safetv and Protection If more than 50 people are expected at your event, you must complete a reparate application procees which can be obtained through the Kittitas County Fire Marshal's office. You may contact the Fire Marshal's office at509-962-7000. Will there be a structure etected for the* 7o*Y0- temporary {e"f lrr^{-tLs parfr,,rq {af u(h E If yes, you must attach a drawing incl County staff uding the dimensions. require an inspection by prior to the event. Public Health/Environmental H ealth Will there be food senred at the event? Yes If no food will be served at the event ther! no permit or application is required. If yes, is the food and beverage that you intend on and serving at the event exempt f rom permit requirernents www.co od KTTTITAS coUNTY COURTTIOUSE' 205 WEST f', SUITE 108 ELIENSBURC, WA 96926 (sot) e62-7s08 FAx (5oe) 962"7679 www.co"kittitras.ws.ur 2 - If.yes, please submit an appli$lion for exeml4ian from perrnit and pl9of of food handt&s training to the rcittitas County Public HealthDepartment (KCPHD). If yes, and the food or beverage is not consid.ered. exerypt from_permi.t, tfren does the person or organization prepaiing and senring the food h3yg_a_!ood service permit, l*.pottty fiod service permit, ir catering pErmit frorn KCPHD? - If.yes, please provide a Hst of foods and beverages that you intend on lavyg - pr"eparea and served at the event along with the name and phone number(s) of the permitted person or organization, If yes, arrd the person or orgarrization preparing and serving the food does not already have a food service permit. - Then a temporary food serrrice permit or catenng permit will need to be acquired from KCPHD prior to the event- Please allow at least 2 weeke to complete the food service pennitting process. 821s1,t2823 L7:L8 589s655485 MAILNMORE PAGE A3/AE If the application is mad.e on behal-f of a partnership, please submit full names with their address for a period of six months prior to the date of the location of principal office or place of business of such residence and post office application together with corporation. Ernergenry contact name(s) and phone nurnber(s) that can be corrtacted dwlng the fo?-Q{ / -Q 7R N k Phone Number ,D q.?o /-> t +# Name Phone Nurnber VVTilTTEN PERMISSION TO ENTER EVENT SITE I/We hereby permit law enlorcement and/or County officials to entet 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 corurection with this Event Application, SWORN STATEMENT OF COMPTIANCE I/We hereby acknowledge that I/We have read Kittitas County Code, have familiarlzed mysell 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 iegal requirements in connection with this event- I/Werrnderstand that failure to comply with the tules, regulations and conditions set forth in Code may be deemed a gros$ misdemearror and that drug or narcotics violations are sirnes under RCW. Fn"^k P,.*-1,, Applicant Signature ApplicantName (Print)Applicant Signature KITTITAS COUNTY C0URTHOUSE ' 205 wEsr s" sutTE 10$ ELLENSBURGT wr198926 (509) 962-?so8 FAX (soe] e6z-76'19 www.ca. kittitas. era.u€ A2loLt2A23 17: L0 5899555485 MA]LNMORE Are ttrete Permanent or fixed bathroom facilities already available at the location ofthe event? Yes KtrrrrAs couNTY couRTt ousE , zos wBsr $ , sunB t08 ELLENSBURG' wA 98926 (s09) t62-7508 ' FAX (soe) e62-7679 www.co.ki(itas.ws.ug PAGE 84/A8 Jf.yes,plea"se provide an estirnated attendance for the event, a detailed map that identifies the name and address 0f the physical facility that will provide lavatory facilities for the event quantity of toileite facilities avijlable for each gender, and the distance from the evenfthat pitrons must walk. If _no, pleasg provide an estimated attendarrce for the event, specific information related to the number of portable restroorns ihat will be provlded, the distance frorn the event that patrons must walk, and a service plan to dnsure that sani-cans remain in a sanitary conditio:rr. You must include the location of the portable restrooms on a map/diagrarn of the eve{rt. 'I#"8,b{r&,v#il#,oj;. j,f #:Yf 'Yi:tr#L lr^{"" prIftYa w; [[ h ^f fu 6ia,t 4 lw * Vafr,'*o Gu*'{dS , 82t81,12823 L7: L8 5499555486 j LT MA]LNMORE O}\ PAGE 85/88 Y* ta,r*" Ri.r.,- C.^Aqrr,thc"." Cor*se- ( t Rl. Ail LT A Hsf t$sh# (g,a *i)I st ttlr^.* [ t Ceitler NT\vTEq iJ l) MAPS. Tmu.S.ZlKwoGr crimtrAvreo lfltuodthrar'd.dil't id.-a r' grgtrc lElf'?om tvty CollEctlon GARMIN. 82t81,/2A23 17: L8 5899555485 I.lAILNM0RE PAGE 861A8 Kittitas County, Washington B OARD or' COLINTY COMMIS SIONERS En-forc Will there be secwify on aite during the event? Yes If yes, please provide a complete list of names and contact irrformation for who will be providing the secruity. Will Emergency Medical services (EMS) be on site during the event? @ to If yes,pleaseprovidewrittenverificationfromtheproviders. 9ehfi Ffi,ef P'OSCt < WilI there be music, eound. amplification or any other noise impacts? Yes (t If yes, Kittitas Corrnty has a noise ordinance in effect (see County Code fot details). If your event is scheduled for outside of the allowed time, you must subrnit a written letter to the Board of County Commissioners requesting a waiver and it must be included with your application materials. Wilt you have traffic control? @ No If ves. please provide docurnentation on how the kaftic control will be addressed. S+t: +rs. Q*t'rtl*"t{efiep**w$urtfl c,p.#e V,\L iln'Ellroeb",*1 f b. Ph.'llp $ilonne 19 oilt'b"+".+6f th ererrV?Vep^rtweul - Will there be off-site parking? Yes @ If yes, please provide the location and a parking plan. KITTITAS cotNTY COURTHoUEt' 205 wEsT 56 | SUmE I08 ELLENSFURG, wA 98926 (soe)e624508 FAx(so9)962-7679 www,co.kittitee.wa.us if yes, a State permii is required from the WA State Liguor Control Boatd and must submitted with yout application materials. g2lALl2A23 L7:I8 5899555486 F{AILNMORE PAGE A7188 Kittitas Corurty, Washington BOARD oF COUNTY COMMISSI ONERS Public Roads Will there need to be road closure or detour signe poeted?No .'t/ 6* WilI the event obsfouct, interferelryequire the closure andfree uee of any public road" #reet orright-of-way? @ -*o If yes,. please provide a detailed adequate traffic and detotu plans at the time of srrbmission of the application Fd='d"dt" r(+h* cartyorl v) +{^.* fk ,"a*tlnw E6t,uq r,/'- I I rilbil a cln Kpo;o* o{ P.r*e 8"*,1 a w Canj ft*d .OA KtrrtrAs couNTy couRrT{ousE ' zos wgst $' , sulrE IoE fiLLENSEURG, wA eaez6 (509) e62-7508 FA)( (so9) s62-767e www.co.k ittitas.wa.ur A2/AL/2923 t7:.I8 5499655486 MA]LNMORE PAGE A8/88 Kittitas County, Washiugton BOARD orCOtII{TY CO MMISSIONERS Garbaee/ftecvc line Do you have a plan for garbage and recycling? Have you obtained a Certificate of Insu(ance naming /'Kittites Count5/' as an insured? No No specifically 4 $5,000.00 Penal Bond - Bond of Indenrnity is required to be deposited withthe county Treasruer to_save and protect the streets, pavements, bridges, etc, from damage. The deposit or its balarrce will be retruiled once the evefrt hac been held and the Board of County Comrnieeloners has certified no darnage hae been done and. that the Counfy has not incured additional expenses A"re you submitdng a $5,000,00 P9B4l Bond - Bond of Indemnity with your EventApplication? Yes Nd If no, you must request a letter in writing to the Board of County Commissioners requesting a waiver to the Penal Bond - Bond of tndemnity and outline the specific r€ason$ why it should not be required of your event. County Eilifrgs and Re#stration Is there a cost to aftend the event? Yes @ How muclx are you charging to attend your event? t I Fa*"1'fcfiodc Pdg a^ enlv4{ee- 5P"cil-l"'5 a}Lsot ctar9ql - Penal Bond -Bond of Indemnitv KlrflTAs corJNry couRrrlousE ' 20i wEsr S, sults los EITBNSBLIRc, wA 9gtz6 (5oe)edz-7508 . FAX (t09) 96?-767e www.co,kirritas. vra,u s Kittihs County Ofrce Of The Treasurer Amy Cziske, Treasulrr 2O5 1;lIsrlt*rrrlur, $utir lU.? FllencburE,lTe 99926 Phonc (509)962-7535 Fax(509) 933-8212 Cash Suspense Receipt Number: Received From: FundCode 001 2023-6t2 MANDY BUCHHOLZ, OFFICE ADMINISTRATOR Date 02/06/2023 CheckAmount: $300.00 Cash Amount: $0.00 OtherAmount: $0.00 Total Amount: $300.00 Deputy: MANDYR Receipt Type: CHK Template: COMMISSIONERI COMMISSIONERS Comments: SPECIAL EVENT APPLICATION FEE FOR YAKIMA RIVER CANYON MARATHON TotalAmount: Kittitas County Treasurer's Office Submitted By: MANDY ROBINSON Amount $300.00 $300.00 GlCode t632l7t Description SPECIAL EVENTS FEE (c) 2OO2 Cashtax All Rights Reserved 0210612023 1 5:05:02 MANDYR Treasu rer Cashtax Receipt Submission Submission Date: Name: * Department: * Transaction Date * Form Type:* Cashtax Receipt: Also Notify: Notes: Urgent? 2t6t2023 Mandy Buchholz Commissioners 216t2023 Cash Suspense Crystal Reports.pdf YAKIMA RIVER CANYON MARATHON SPECIAL EVENT APPLICATION. Yes e No 6B.72KB