Please print the following pages of permits and policies. Fill out all that are appropriate to your requirements and fax to City of Anaheim's Department of Public Works at 714-765-4667 Attn: Cyndee Blake
1. Applications/permit forms are required for production companies.
2. Production companies must acquire a City of Anaheim business license (714-765-5194) which can be obtained the same day it is applied for. Student productions are exempt from the business license requirement. Fees for a business license are as follows:
- $68.00 – License
- $27.00 – Processing Fee
- $10.00 – For Each Employee Working In Film
3. A written notification shall be distributed to the adjacent property owners by the applicant(s) at least 48 hours prior to the filming, if the following conditions occur:
4. Production companies whose operations utilize or impact City facilities or property must be insured and agree to a "hold-City harmless" clause. This documentation must be filed with the Traffic Engineering Division.
5. If filming will take place on private property, the Production Company must obtain permission from the property owner.
6. If filming will take place on public (city owned) property, the production company must notify the Police Department at (714-765-1893) if pedestrian or vehicular traffic will be affected, so that traffic control officers can be assigned to the site.
These services will be billed at:
- $11.68/hour with a minimum of three (3) hours for traffic control assistant
- $25.58/hour with a three (3) hour minimum for a traffic control supervisor
- $47.97/hour for a motor officer
- $57.56/hour for a motor sergeant if required.
7. If pyrotechnics (fireworks, explosions or similar special effects) will be used in the production, a separate permit and fee will be required from the Fire Prevention Division at (714-765-4040). A separate insurance policy will also be required if pyrotechnics are used. A representative from the Fire Department may be present during this phase of the filming.
8. Student productions must have a letter from the school.
Note: fees/rates are subject to change.
PHOTOGRAPHY/FILMING PERMIT
| Date: ____________________ |
Permit:___________________________ |
| Company:_________________ |
Project Title:_______________________ |
| Address:__________________ |
Production Type:____________________ |
| ________________________ |
Location Manager:___________________ |
| ________________________ |
Phone:___________________________ |
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DATE |
TIME |
LOCATION AND ACTIVITY |
FILM |
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Total Personnel: ___________
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Total Vehicles/Equip: ____________ |
Generator(s):
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Cars:
___________ |
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Trucks: ___________
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Motorhomes: ___________ |
Business Licence: _________________________ |
Other: ___________ ___________ |
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Pyrotechnics: .....Yes....... No (if yes, permit #) _____________________________
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Special Effects Permit#:
________________________________ |
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Police Required: .....Yes....... No
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Fire Required: .....Yes....... No |
Other Required: _____________________ |
| Approvals: |
Police: ____________ |
Fire: ____________ |
Other: ____________ |
| Other Provisions: |
_______________________________________________________ |
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Attachments: ________________________ |
This permit must be cancelled by: _______________________ |
Permittee agrees to all the terms and conditions of this permit including provisions on the reverse side of this form and any attachments. Further, permittee agrees to comply with all applicable laws and to maintain the premises in good condition and to return said premises in the same condition as they were before said use.
Will operations utilize or impact City facilities or property
Yes: ____________ No: ____________
If yes, Liability Insurance is required.
PHOTOGRAPHY/FILMING PERMIT
The City of Anaheim shall have the privilege of inspecting the premises covered by this permit at any or all times.
This permit shall not be assigned.
The City of Anaheim may terminate this permit at any time if permittee fails to perform any covenant herein contained at the time and in the manner herein provided. The City of Anaheim agrees it will not unreasonably exercise this right of termination.
The parties hereto agree that the permittee, its officers, agents and employees, in the performance of this permit shall act in an independent capacity and not as officers, employees or agents of the City of Anaheim.
No alteration or variation of the terms of this permit shall be valid unless made in writing and signed by the parties hereto.
Permittee will not discriminate against any employee or applicants for employment because of race, color, religion, ancestry, sex, age, national origin or physical handicap. The permittee will take affirmative action to insure that applicants are employed and that employees are treated during employment without regard to their race, color, religion, ancestry, sex, age, national origin or physical handicap.
Permitttee agrees to comply with the terms and conditions contained in the attached Exhibit(s), which terms and conditions are by this reference, made a part thereof.
The permittee hereby agrees to comply with all the rules and regulations of the facility of institution subject to this permit.
| ________________________________ |
___________________________ |
| City of Anaheim |
Company Representative |
PERMIT MUST BE KEPT ON SITE AT ALL TIMES
PHOTOGRAPHY/FILMING PERMIT VEHICLES
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Company: |
______________________ |
Contact: |
_________________________ |
| Production: |
______________________ |
Phone: |
_________________________ |
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Location: |
______________________ |
Date: |
_________________________ |
Please provide information for those vehicles which will be parked on site overnight. Use back of form if additional space is required.
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MAKE/MODEL |
COLOR |
LICENSE # |
OWNER & ADDRESS |
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HOLD HARMLESS AND INDEMNITY AGREEMENT
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(company name)_________________________________________ agrees to defend, indemnify, and hold harmless the City of Anaheim, its officers, agents and employees form all loss and claims for bodily injury,property damage, and personal injury, sustained by the City of Anaheim or by anyone in connection with (company name)________________ actions, errors or omissions or those of any and all damage to the property of the City of Anaheim, or loss or theft of such property, done or caused by such persons. City of Anaheim assumes no responsibility whatsoever for any property placed on the premises.
(Company name)_______________________________ agrees to waive all subrogation rights against the City of Anaheim. |
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(title) |
| Representing: |
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(company) |
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(address)
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Date:_________________________ |
HOLD HARMLESS AND INDEMNITY AGREEMENT
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I, _______________________, |
an employee of _____________________agree |
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(employee name)
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to defend, indemnify, and hold harmless the City of Anaheim, its officers, agents and employees from all loss and claims for bodily injury, property damage, and personal injury, sustained by the City of Anaheim or by anyone in connection with (company name)____________________________________ actions, errors or omissions or of its officers, agents or employees.
(Company name) __________________________ shall pay for any and all damage to the property of the City of Anaheim, or loss or theft of such property, done or caused by such persons. City of Anaheim assumes no responsibility whatsoever for any property placed on the premises.
(Company name)____________________________ employees, agents and volunteers are not eligible to receive, and are not covered by Workers’ Compensation from the City of Anaheim. |
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I, _________________________________, agree to waive all subrogation rights against the City of Anaheim.
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______________________________ |
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(Signature)
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(title)
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| Representing: |
_______________________________________ |
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(company)
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(address)
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Date:_______________________ | |