One Time Outdoor Amplified Sound Permit Application (No ... Time Outdoor... · Fee waiver requests: Individuals must submit an Aﬃdavit of Indigency Form; Community-Based Organizations

Entertainment CommissionCity and County of San Francisco

City Hall, 1 Dr. Carlton B. Goodle� Place, Room 12 San Francisco, CA 94102 www.sfgov.org/entertainment (415) 554-6678, (415) 554-5706 Main, (415) 554-7934 Fax

One Time Outdoor Amplified Sound Permit Application (No Entertainment Furnished)

Used for types of permi�ed activity that do not include any entertainment or live performance including, but not limited to, human speech; pre-recorded background music that does not accompany entertainment; and radio or television or streaming broadcast. Received:

APPLICATION DEADLINE: No less than Seven (7) days before the event.

Please Read:San Francisco Police Code Article 15.1 §1060-1060.1 requires a permit for amplified sound outdoors, or projected outdoors, and where no entertainment is furnished. For an event with amplified sound that furnishes entertainment, see One Time Entertainment Event Permit. For sound trucks or floats with outdoor amplified sound, see Sound Truck Permit. For events on SF Recreation & Park, Presidio Trust, or U.S. National Park Service/GGNRA land, refer to those governing organizations for outdoor amplified sound permi�ing.

PLEASE PRINT CLEARLY

Name of Event

Type of Event (Check All That Apply)

Athletic/Race

Cra� Fair

Fundraiser

Parade

Church/Religious

Culinary Event

March/Rally

School Fair

Corporate

Farmers Market

Conference

Street Fair Other (Specify)

Film Shoot

Neighborhood Block Party

Street Party (not open to the general public)

(Connected To Adjacent Bar/Venue/Business)

Name of Applicant (First Name, Last Name) Email

Business Phone Mobile phone Fax

Business Organization Name

Address (Number, Street, Apt., City, State, Zip)

If Yes, provide Contact Name, Company/Organization, Address, Email, Business Phone, Mobile Phone

Permit application fee (Online with credit card or check made payable to: City & County of San Francisco). Note: The fee covers up to 4 hours of outdoor amplified sound. Each additional hour is subject to an hourly rate. To view permit fees and pay online, visit http://sfgov.org/entertainment/fees-pay-onlineFee waiver requests: Individuals must submit an Affidavit of Indigency Form; Community-Based Organizations including Nonprofits and Neighborhood Associations must submit the Community-Based Organization Waiver Request Form. To download forms, see “Request a Fee Waiver”: http://sfgov.org/entertainment/fees-pay-onlineFull copy of ISCOTT Street Closure permit from SFMTA (where applicable);Full copy of Special Event License to Use Port Property from the Port of San Francisco (where applicable);For any activity that will take place on private property, attach a letter of approval from the property owner (where applicable);Any City, Federal or State Building permit agreement or letter of approval from the appropriate governing agency (where applicable)

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This application must be accompanied by:

Are you applying on behalf of another person, organization, or company responsible for the event (i.e., the Event Sponsor)? Yes No

http://sfgov.org/entertainment/fees-pay-online



Day(s) & Date(s) of Event

NOTE: Hours of operation of outdoor sound equipment shall be no earlier than 9:00 a.m. and no later than 10:00 p.m., unless otherwise permi�ed by the Entertainment Commission. A public hearing may be required.

Give the location(s) of the planned event and activities, including each specific location where the outdoor amplified sound is proposed. Provide street address(es) or cross streets. Include all areas and describe whether the activity will take place on a public street or sidewalk, private property, or other type of location.

Event hours A.M. /P.M. to A.M./P.M.

Will there be a sound-check? Yes/No If yes, what hours? A.M. /P.M. to A.M./P.M.

Provide zip code(s) for the planned event and activities

Provide a detailed description of the nature of the event and activity:

Expected Number of A�endees

Types of Outdoor Sound to be Amplified (e.g., human speech, pre-recorded background music)

Will your activity take place within 300 feet of a hospital, school, place of worship, courthouse, mortuary, public library, or City Hall? (250 feet equals approximately one city block) Yes No

If yes, please list all places and addresses

I DECLARE UNDER PENALTY OF PERJURY THAT THE FOREGOING IS TRUE AND CORRECT, EXECUTED AT SAN FRANCISCO, CALIFORNIA. I UNDERSTAND THAT ANY FALSE OR INCOMPLETE INFORMATION PROVIDED BY ME, RELATIVE TO THIS APPLICATION, MAY BE

CONSIDERED CAUSE TO EITHER DENY THE REQUESTED PERMIT OR REVOKE THE PERMIT THAT IS GRANTED.

Please note that this document is a public record. If you have provided personal residence contact information, please check below if you wish to keep your residence information private/confidential.

Yes, I wish to keep my personal residence address, phone, fax and email information private No, please disclose my personal residence address, phone, fax and email upon request by the public.

Signature and date required below

SIGNATURE OF APPLICANT DATE

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One Time Outdoor Amplified Sound Permit (No Entertainment Furnished)

Name of Event

THIS PERMIT IS VALID ONLY FOR ABOVE LOCATION, DATE AND TIME. A CHANGE TO THE SCOPE OF THE EVENT MAY REQUIRE A NEW PERMIT APPLICATION.

SF POLICE DEPARTMENT CONDITIONS(SFPD district station to complete this section and email to [email protected] or Fax to (415) 554-7934)

VALIDATION BY ENTERTAINMENT COMMISSION(to be validated by Entertainment Commission)

• This Permit Is Valid Only For The Above Location, Date(s) And Time(s).• Sound Level May Not Go Beyond 250 Feet Of Permi�ed Area As Specified By Article 15.1 Section 1060.16 Of The Sf Police Code.• Permi�ee Shall Reduce Sound Level To A Volume That Complies With The Noise Control Ordinance (Article 1 Section 49 Of The SF Police Code).• This Permit Is Void Immediately If Used In Conjunction With Any Illegal Activity, Or Unlawful Assembly. I Understand And Accept The

Stipulations And Conditions Of This Permit. Any Violation(s) Of These Stipulations And Conditions Will Cause This Permit To Be Revoked.

Applicant’s signature and date required below.



Page 3 of 3

Day(s) & Date(s) of Event Event hours A.M. /P.M. to A.M./P.M.

Hours When Outdoor Amplified Sound Will Occur A.M. /P.M. to A.M./P.M.

Location (Include Street Addresses)

Responsible Person In Direct Control of Sound Equipment:

Full name (First Name, Last Name)

Mobile Phone Business phone

Address

Sound Amplifying Equipment

Rated Power Output (wa�s)

District station comments by: Star Number: Date:

Validation Signature: Print Name: Date:

This Section for Office Use Only

This Section for Office Use Only

Signature of Permi�ee: Date:


Documents

One Time Outdoor Amplified Sound Permit Application (No ... Time Outdoor... · Fee waiver requests: Individuals must submit an Aﬃdavit of Indigency Form; Community-Based Organizations