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

Sound Truck Permit Application 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 the outdoor use of amplified sound equipment a�ached to or being carried on a motor vehicle or other means of conveyance.

PLEASE PRINT CLEARLY

Name of Event

Name of Applicant (First Name, Last Name)Email

Business Phone Mobile phone Fax

Business Organization Name

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

Please a�ach a Route Map and provide a general description of the area(s) in the City in which the Sound Truck(s) will be used. Describe whether the activity will take place on a public street or sidewalk, private property, or other type of location.

This application must be accompanied by:

• Permit application fee (Online with credit card or check made payable to: City & County of San Francisco). To view permit fees and pay online, visit http://sfgov.org/entertainment/fees-pay-online

• Full copy of Parade Permit from SF Police Department (where applicable);• Full 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 a letter of approval from the appropriate governing agency (where

applicable).

Provide a detailed description of the nature of the event and for what purpose the Sound Truck(s) will be used:

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

NOTE: A single Sound Truck permit shall be issued for no longer than one 12-hour period. A single permit may be issued for multiple trucks for the same time and place, subject to payment of the applicable fee. There shall be no limit to the number of trucks that may be covered by one permit.

Hours when outdoor amplified sound will occur 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.

Parade

Other (Specify)

March/Rally Athletic/Race Church/Religious Street Fair

Entertainment CommissionCity and County of San Francisco

Sound Truck Permit Application

Type of Event (Check All That Apply):

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, explain

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

Page 2 of 3

Are you also applying for a One Time Entertainment Event Permit for this same event? Yes No

Expected Number of A�endees

Type of Outdoor Sound to be Amplified (e.g., human speech, music, etc)

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

Sound Truck PermitName 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 Crystal.Stewart@sfgov.org 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).• When sound truck is in motion, sound level may not be audible beyond 450 feet of permi�ed area as specified by Article 15.1 section 1060.16 of the SF Police Code.• When sound truck is not in motion, sound level may not be audible 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.

This Section for Office Use Only

This Section for Office Use Only

Entertainment CommissionCity and County of San Francisco

Sound Truck Permit Application 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: General Description of the area(s) in the city in which the sound truck will be used, including the proposed route.

Responsible Person In Direct Control of Sound Truck(s):

Full name (First Name, Last Name)

Mobile Phone Business phone

Address

Description of the Sound Amplifying Equipment to be used

Rated Power Output of Sound Amplifying Equipment (wa�s)

District station comments by: Star Number: Date:

Validation Signature: Print Name: Date:

Signature of Permi�ee: Date:

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