City of Oxnard Planning Division (805) 385-7858 214 S. C Street, Oxnard CA 93030 oxnard.org/planning
Security Deposit Received: $_____________________
WHEN APPROVED, THIS FORM IS YOUR PERMIT AND MUST BE KEPT AT EVENT SITE
AND MADE AVAILABLE UPON REQUEST
Please type or PRINT legibly. Provide all information for your event or write “not applicable” or “N/A.” where appropriate.
The City cannot review this application unless all required information is provided. Refer to: Temporary Use Permit
Information” for additional information and requirements.
Please allow for at least 30-days processing in advance. Larger events may require up to 90-day processing.
Events on public property require General Liability Insurance. Any application involving a public street/sidewalk
closure requires at least 30 days for review and may require an encroachment permit.
Plaza Park or Downtown events, uses specific forms available here:
oxnard.org/planning under Planning Handouts &
Applications.
All businesses, vendors, service providers, contractors, etc. that are conducting business in the City are required to have a
valid City of Oxnard Business Tax Certificate (BTC). All businesses including non-profit organizations must be registered
and approved by Licensing Services prior to TUP application approval. Businesses without a current business tax certificate
must obtain one from the City’s License Services located at 214 South C Street. 805-385-7817 or may apply online
oxnard.org/city-department/city-treasurer/business-license
Applicant Name
Applicant Phone
Business/Organization Name BTC#
Non-Profit Organization? YES NO __ If yes, provide 501(C) Corporate No.
Mailing Address
Email Address
Description of Event
___
Event Location/Address
Event Contact Person Contact Phone
Event Date(s) From to Event Hours to
Set-Up: Date and Time Finish/Clean-Up: Date and Time
Will the event be open to the general public? YES NO__ Anticipated number of guests
Organizations Volunteering? YES NO__
Will there be on-site security? YES NO __ (if YES, please include security information below)
Security Company Name Contact Phone
Contact Person How Many Officers?
Approval Stamp Here
APPLICANT INFORMATION
EVENT
LOCATION/
ACTIVITY INFORMATION
Temporary Use Permit
Application (TUP)
TUP No._____________________ __
TUP PZ No. ___________________
Are you planning to serve food or drink? YES NO __
(if YES, please include required information and initial below). Events with food booths/tents/trucks require the applicant to obtain a
Food Truck/Food Booth Vendor Agreement from the Oxnard Fire Department.
Will there be cooking at the event? YES NO __
If yes, indicate: __Booth __Food Truck __Other: ____________________________________________________________
If there will be cooking, please describe how food will be cooked and state how many cooking stations/food trucks/stands. (Include
food stand stations in event map):
______________________________________________________________________________________________________
______________________________________________________________________________________________________
I, the applicant/applicant’s representative, understand that it is my responsibility to contact the Ventura County
Environmental Health Department at (805) 654-2647 before the start of this event to secure necessary approvals and
inspections.
Applicant Date
Are you planning to serve alcohol? YES NO __
(if YES, please include required information and initial below)
Catering Company Name
Catering Contact Name
Catering Contact Phone BTC#
Check One:
Servers have received RBSS (Responsible Beverage Sales and Service) training.
Training arrangements for alcohol servers have been made with the Alcohol Coalition.
Number of Servers Training Date Contact Name
List the all businesses participating in the event and include Business License # (BTC). Attach a separate sheet if additional space is needed.
BUSINESS NAME CONTACT NAME PHONE NUMBER BTC#
List names and contact information for individuals or groups performing at event and include Business License # (BTC).
Attach a separate sheet if additional space is needed.
BUSINESS NAME CONTACT NAME PHONE NUMBER BTC#
FOOD
CONTRACTORS, SUB
-
CONTRACTORS,
VENDORS, INSTALLERS, PROMOTERS
, SECURITY
EVENTS WITH ALCOHOL SERVED
ENTERTAINMENT
TUP PZ No. ___________________
Will the event occur on city streets and/or sidewalks? YES NO __
(if YES, please include information below. Show all affected streets and sidewalks on Site Plan)
List the affected streets and sidewalks
Will the streets need to be partially or completely closed? YES NO
If yes, list the closures
Hours of street closure
Will there be excessive traffic before/during/after the event? YES NO
If yes, explain how this will be mitigated
List all on-site and off-site parking locations and include parking plan if event will exceed 100 attendees:
Number of parking spaces provided
For
off-site parking locations on private property, please provide authorization letter from property owner.
Is this for a Run/Walk event or parade? YES NO __
(if YES, please include information below. Describe route and show on Site Plan. Show all affected streets)
Will police be required to stop traffic? YES NO
Do groups of participants start at the same time? YES NO
Exact time road closure begins Exact time road closure ends:
CHECK ALL THE ITEMS BELOW THAT APPLY TO THE EVENT SET-UP
ADD ANY ADDITIONAL ITEMS NOT ON THIS LIST
SHOW EACH ITEM ON THE SITE PLAN
Numbers in (parenthesis) on this form refer to instructions and requirements in document,Temporary Use Permit Information”.
< Food and Game Booths < Jolly Jumper(s) < Blocking Parking Areas
< Serving Alcohol Stand/Garden (13,15) < Electric Generators (10) < Temporary Fencing
< Merchant Stand(s) < Electrical Connections < Trash/Recycle Bins
(17)
< Information/Service Tables/Booths
<
Open Flame or Use of
Propane
< Traffic Barricades
< Mechanical Rides < Grandstands, Bleachers, or Stage (Size _____x_____)
(11)
< Amplified Sound/Live Music (7) < Banner (Size _____x_____)
(6)
< Portable Restrooms/Handwashing (5) < Tent/Canopy (Size _____x_____) (9)
(
For tents larger than 10’ x 10’)
< Additional Parking
< Trailers, other vehicles or mobile equipment
< Other:
< Other:
STREETS &
TRAFFIC
EVENT SET
-
UP
RUN/WALK
EVENTS &
PARADES
PARKING
TUP PZ No. ___________________
1. Permittee/Applicant shall be responsible to adhere to all event conditions provided by this permit.
2. Amplified music/sound and noise shall comply with sound ordinance and not exceed the perimeter of the event
3. Permittee/Applicant shall provide portable restrooms & handwashing stations available at the venue.
4. Permittee/Applicant shall maintain adequate refuse and recycle receptacles throughout the venue.
5. Refuse and recycle receptacles shall be emptied as needed to prevent any spillover of trash and debris.
6. Venue and surrounding areas shall be restored to pre-event condition or better.
7. Permittee to cooperate fully with law enforcement and all applicable City departments.
8. No food or alcohol shall be sold, served, or permitted at the event without required Ventura County Environmental
Health permits.
9. Events having food trucks require a Food Truck Vendor Agreement from the Oxnard Fire Department.
10. Events having food booths/tents are required to obtain a Festival Food Booth Vendor Agreement, which is to be
presented on site at all times and presented upon request by any Oxnard Fire Department Personnel.
11. No on-site signage allowed unless specified on the permit.
Additional Conditions:
____________________________________________________________________________________________
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____________________________________________________________________________________________
____________________________________________________________________________________________
____________________________________________________________________________________________
____________________________________________________________________________________________
____________________________________________________________________________________________
____________________________________________________________________________________________
____________________________________________________________________________________________
____________________________________________________________________________________________
____________________________________________________________________________________________
____________________________________________________________________________________________
____________________________________________________________________________________________
____________________________________________________________________________________________
____________________________________________________________________________________________
EVENT CONDITIONS:
TUP PZ No. ___________________
Draw or provide a site plan showing location of any checked items above with this application. Include ALL affected streets and sidewalks
where applicable. Use additional sheets if necessary. Show a north arrow.
EVENT SITE PLAN
TUP PZ No. ___________________
PROPERTY OWNER AUTHORIZATION
I/We the undersigned, as owner(s), lessee(s) or manager of the above-described property, do hereby
request approval of a temporary use permit in accordance with Sections 16-475 through 16-483,
inclusive, of the Oxnard City Code. I/We have read the above-referenced sections of the City Code
and agree to comply with them, as well as any conditions that may be imposed by any of the
approving City Divisions. In addition, I/we do hereby agree to return the area to its condition prior to
the temporary use.
Please Check One:
Property Owner Management Company
Business Organization Name
Business Organization Contact Name
Signature
Date Contact Phone
APPLICANT STATEMENT
I hereby certify under penalty of perjury that the above information provided on this form is
true and correct to the best of my knowledge. I also acknowledge that I have read the City of
Oxnard temporary use permit handouts provided with this application and agree to comply
with the laws, or regulations, and the policies set forth therein. I further agree that this event
will not result in the violation of any local, state, and/or federal regulation(s).
Print Applicant Name
Signature
Date Contact Phone
ACKNOWLEDGEMENT/AUTHORIZATION FORM
click to sign
signature
click to edit
click to sign
signature
click to edit
****OFFICE USE ONLY****
When applying, Planning Staff will identify and check appropriate departments for review signatures
required prior to issuance of TUP application
****OFFICE USE ONLY****
Previous TUP No.
Notes
Department Contact
Contact
Phone
Department
Main Line
Location Signature Date
Planning Counter
Planning
Staff
(805) 385-7858 (805) 385-7858 214 S. C St
Planning Manager
Scott
Kolwitz
(805) 385-8370 (805) 385-7858 214 S. C St
Business Licensing
Paul
Weinstein
(805) 385-7809 (805) 385-7817 214 S. C St
Econom
i
c
Development
Rosie
Ornelas
(805) 385-7932 (805) 385-7407 214 S. C St
Community
Development
Jeff
Pengilley
(805) 385-8208 (805) 385-7925 214 S. C St
Facilities
Art
Gutierrez
(805) 385-8082 (805) 385-7950 1060 Pacific Av
Fire Department
Roy
Peacock
(805) 385-7787 (805) 385-7722 360 W. 2
nd
St
Gold Coast Transit
John Kelley
(805) 489-3959
x189
(805) 483-3959 301 E. 3
rd
St
Parks & Facilities
Gene
Gonzales
(805) 385-8245 (805) 385-7950 1060 Pacific Av
Police
Rocky
Marquez
- (805) 385-7600 251 S. C St
Police (Alcohol)
Rocky
Marquez
- (805) 385-7600
251 S. C St
Code Compliance
(After police)
Roger
Brooks
(805) 385-7944 (805) 385-7940 214 S. C St
Public Works
Jessica
Smith
(805) 385-7890 (805) 385-7925 214 S. C St
Recreation
Yolanda
Pina
(805) 385-7439 (805) 385-7995 305 W. 3
rd
St
Risk Management
(Insurance)
Amelia
Pacheco
(805) 385-7470 (805) 385-7590
300 W. 3
rd
St
(1
st
flr)
Traffic Engineer
Call office (805) 200-5258 (805) 385-7866 214 S. C St
Other/Final Review
Other/Final Review
Other/Final Review
Planning Final
Action
Planning
Staff
(805) 385-7858 214 S. C St
DEPARTMENT REVIEW CHECK LIST