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Additional Locations Form
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Steps
1.
Please Choose Location Number
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This section is incomplete
2.
Location Additional - General Location Information
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3.
Streets - based on the information provided below the permit may be subject to traffic control requirements.
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This section is incomplete
4.
Equipment - Please provide the total number for each type of equipment listed below.
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5.
Personnel (Cast and Crew)
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This section is incomplete
6.
B-Roll - B-Roll activities, as defined by the county, are very limited. For instance, using a drone is not a B-Roll activity. Please review the County B-Roll Policy before proceeding.
This section is complete
This section is incomplete
7.
Animal Services
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This section is incomplete
8.
Drones - documentation required. See Drone Policy for details including insurance requirements.
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This section is incomplete
9.
Aircraft
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This section is incomplete
10.
Noise
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This section is incomplete
11.
Stunts
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12.
Pyrotechnics
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13.
Special Effects
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14.
Weapons
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15.
Unusual Props
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Please Choose Location Number
Location
3
4
5
6
7
8
9
10
Each location after Location 2 requires a separate form to be be completed. Please check which location you are completing. If you have more than six locations please contact the Placer-Lake Tahoe Film Office.
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Location Additional - General Location Information
Auburn Historic Courthouse Policy
Link
Foresthill Bridge Policy
Link
Is this location the Auburn Historic Courthouse?
Yes
No
View Above Policy
Is this location the Foresthill Bridge?
Yes
No
View Above Policy
Interior Filming:
Yes
Exterior Filming:
Yes
Location Name
*
Location Address
*
Location City
*
Location State
*
Location Zip
*
If no address, GPS Coordinates
Basecamp address same as location address?
Yes
No
Basecamp Address
City
State
Zip Code
If no Basecamp address, GPS Coordinates
Do you have more than one Basecamp?
Yes
No
Address for Additional Basecamp
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Streets - based on the information provided below the permit may be subject to traffic control requirements.
Using/Impacting Streets:
Yes
No
If YES please provide us with all the information in this section.
Street Activity Description:
Street Name:
Section of Street (Use one: Addresses/Cross Streets/Mile Marker/GPS):
List All Cross Streets if Intersection:
Zip Code:
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Equipment - Please provide the total number for each type of equipment listed below.
Generators
Cars
Trucks
RVs
Watercraft
Cranes
Other - please provide description and total number
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Personnel (Cast and Crew)
Total Personnel:
Children:
Yes
No
Age range for children under 18 years old
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B-Roll - B-Roll activities, as defined by the county, are very limited. For instance, using a drone is not a B-Roll activity. Please review the County B-Roll Policy before proceeding.
B-Roll - If you check Yes, A) add instructions if they have no more locations; B) add instructions if they have more locations)
Yes
No
B-Roll Description
If the production meets all criteria as specified in the County B-Roll definition select the appropriate answer below
-- Select One --
Yes
No
B-Roll Policy
Link
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Animal Services
Animal(s):
Yes
No
If YES please provide us with all the information in this section.
Animal Activity Description:
# of Animals:
Type of Animals:
Wild/Domestic:
-- Select One --
Wild
Domestic
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Drones - documentation required. See Drone Policy for details including insurance requirements.
Drone (UAS)
Yes
No
If YES please provide us with all the information in this section.
Drone Activity Description:
# of Drones:
Drone Policy:
Link
Drone Operator First Name:
Drone Operator Last Name:
Drone Company:
Drone Documentation Upload
Upload required documents here.
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Aircraft
Aircraft:
Yes
No
If YES please provide us with all the information in this section.
Aircraft Activity Description
Aircraft Type:
Aircraft Documentation
Upload FAA documents here
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Noise
Will the activity exceed standard noise decibels for the area?:
Yes
No
If YES please provide us with all the information in this section.
Noise Description
County Noise Ordinance
Link
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Stunts
Stunts:
Yes
No
If YES please provide us with all the information in this section.
Stunt Activity Description
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Pyrotechnics
Pyrotechnics/Campfires:
Yes
No
If YES please provide us with all the information in this section.
Pyrotechnic Activity Description
Pyrotechnician First Name:
Pyrotechnician Last Name:
Pyro License #:
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Special Effects
Special Effects:
Yes
No
If YES please provide us with all the information in this section.
SFX Activity Description:
SFX Operator First Name:
SFX Operator Last Name:
SFX Permit #:
SFX Type - Squib:
Yes
SFX Type - Explosion:
Yes
SFX Type - Fire:
Yes
SFX Type - Spark:
Yes
STX Type - Smoke
Yes
SFX Type - Other:
Yes
Other SFX (please specify):
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Weapons
Weapon (Prop or Actual):
Yes
No
If YES please provide us with all the information in this section.
Weapon Activity Description:
Types of Weapon(s):
Gunfire Type - None:
Yes
Gunfire Type - Blanks:
Yes
Gunfire Type - Other:
Yes
Gunfire type - Other description:
Armorer First Name:
Armorer Last Name:
Armorer License #:
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Unusual Props
Unusual Props:
Yes
No
If YES please provide us with all the information in this section.
Unusual Props Description:
Leave This Blank:
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Email address
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