Form Center

Application Information

Summary of Production
Production Title:*
Date of Project:
Date of Project:
Location 1:*
Location 2:
Film Description:*
Attach Schedule:*
Production Category*
1. Feature Film
2. Short Film
3. B-Roll Film
4. Reality Television
1. Episodic Television
2. Documentary
3. Public Announcement
4. Commercial
1. Music Video
2. Photo Shoot
3. Other
Other Description:
Production Includes: *
1. Street Closures
2. Lane Closures
3. Intermittent Traffic Control
4. Public Right of-Way
5. Private Property
6. Public Park
7. Private Park
8. No Parking Signage
1. Tent/Canopy
2. Drone
3. Camera Vehicles
4. Gunfire
5. Weapon Props
6. Knives/Swords
7. Criminal Situations
8. Special Effects
1. Explosive Devices
2. Open Flame
3. Pyrotechnics
4. Smoke Machines
5. Stunts
6. Animals
7. Other
Other Description:
Number of Cast and Crew:*
Number of Cast/Crew Vehicles *
Number of Equipment Vehicles: *
Production Manager, Applicant and Location Manager Information
Production Company:*
Website:
Production Manager:*
Email:*
Phone Number:*
Applicant Name: *
Email:*
Phone Number:*
Location Manager:*
Email:*
Phone Number:*
On-site Contact: *
Mobile Number:*
Office Number:
Billing Contact:*
Phone Number:*
Billing Address:*
City:*
State:*
Zip Code:*
Production Timeline and Lane/Street Closure Information
Production Start: *
Production Start:
Production Start:
Production End:*
Production End:
Production End:
Street(s) to be Closed for Production, Location 1:*
If you do not have closures, enter none
Street(s) Closure(s) for Location 1:
Street(s) Closure(s) for Location 1:
Street(s) Closure(s) for Location 1:
Street(s) re-opening for Location 1:
Street(s) re-opening for Location 1:
Street(s) re-opening for Location 1:
Street(s) to be Closed for Production, Location 2:
Street(s) Closure(s) for Location 2:
Street(s) Closure(s) for Location 2:
Street(s) Closure(s) for Location 2:
Street(s) re-opening for Location 2:
Street(s) re-opening for Location 2:
Street(s) re-opening for Location 2:
Attach Street Closure Map, Location 1 :
Attach Street Closure Map. Location 2:
Location for Intermittent Traffic Control:
Intermittent Traffic Control Start:
Intermittent Traffic Control Start:
Intermittent Traffic Control Start:
Intermittent Traffic Control End:
Intermittent Traffic Control End:
Intermittent Traffic Control End:
Attach Site Map:
Are you using Traffic Barricade Company:*
1. Yes
2. No
Contacts Name:
Phone Number:
Equipment Deployment:
Equipment Deployment:
Equipment Deployment:
Equipment Pickup:
Equipment Pickup:
Equipment Pickup:
Additional Information/Secondary Permits Required
Using Tent/Canopy on-site?:*
1. Yes
2. No
*If Yes, Must apply for Tent Permit.*
Provider Contact:
Phone Number:
Does your Production include the use of Fireworks, Rockets, Lasers, or other Pyrotechnics? *
1. Yes
2. No
*If Yes, Must apply for fireworks permit*
Provider Contact:
Phone Number:
Using drone on-site? *
1. Yes
2. No
Type of License:
1. Commercial
2. Recreational
Operator Name:
Operator Phone Number:
Attach Copy of License:
If No License, Please Explain:
Will your Production include the use of any Signs, Banners, or Special Lighting? *
1. Yes
2. No
If Yes, Please Describe:
Cast/Crew Parking *
1. Yes
2. No
Parking Locations:
1. Parking Garage
2. Paved Lot
3. Street
4. Un-paved Lot
5. Other
If No Parking, Please Explain:
Attach Map of Parking Plan:
If Private Property, Owner(s) name:
Owner(s) Phone Number:
Using City, County or Private Park?*
1. Yes
2. No
If yes, Please list name & location of Park:
Property Owners Name & Phone Number:
Using Portable Toilets? *
1. Yes
2. No
If Yes, Provider Name:
Provider Phone Number:
Equipment Setup:
Equipment Setup:
Equipment Setup:
Equipment Removal
Equipment Removal
Equipment Removal
Location to be Placed:
Using Security/Police? *
1. Yes
2. No
Name of Contact:
Contact Phone Number:
Using Medical Services? *
1. Yes
2. No
Name of Contact:
Contact Phone Number:
Using Fire Department? *
1. Yes
2. No
Name of Contact:
Contact Phone Number:
Mitigation of Impact
Please describe your plan for cleanup and removal of recyclable goods, waste, and garbage during and after your production:*
Number of Trash Receptacles:
Number of Dumpsters:
Number of Recycling Containers:
Have you met with the residents, businesses, places of worship, schools and other entities that may be directly impacted by your production? *
1. Yes
2. No
If yes, please attach a complete list of these entities.
If no, please explain:
Do you have a sample of the notice that you propose to distribute to the impacted entities? *
1. Yes
2. No
If yes, please attach.
If no, please explain:
Continue

General Rules and Electronic Signature

General Rules for Film Permit

1.	A Film Permit is required for any outdoor production proposed to block pedestrian or vehicular traffic, or to take place on public or private property.
2.	Traffic control devices must be placed according to the Manual on Uniform Traffic Control Devices (MUTCD) and any additional City requirements for any type of road or lane closure venue.
3.	The Jenks Police Department (918-556-7489) must be contacted for film-related intermittent traffic control or using criminal stimulations and/or weapon props.
4.	Contact the Jenks Fire Department (918-298-1491) for a proposed explosion, open flame and/or pyrotechnics.
5.	Contact Emergency Medical Services Authority (EMSA) for medical stand-by.
6.	Public rights-of-way must not be altered. Streets, sidewalks, trees, plants and building must be protected from damage during your production.
7.	Notification to all impacted entities within 300 feet is required for the proposed production (see below).
8.	Applicants must remove all trash and debris immediately following the production.
9.	Streets must not be painted. Handheld chalk and/or tape are the only allowed means of marking start lines, finish lines, route markers, logos and placement of tents, props, etc., unless approved by the City.
10.	A permit does not give permission to trespass on private, county, state or federal property. You will need to show written proof that you have permission to use such property.
11.	A written communication from the Chief Officer of the Production Company authorizing the Applicant and/or Location Manager to apply for this Film Permit on their behalf must be submitted.
12.	The City of Jenks must not be included as a sponsor of your event unless authorized in writing.
13.	Any Film which necessitates the closing or using a street or sidewalk, private property for an outdoor production, police escort or intermittent traffic control must carry a policy of liability insurance in the amount of $1,000,000.00. Such insurance policy should be issued by an insurance company licensed to do business in the State of Oklahoma. A certificate of such insurance coverage, naming the City of Jenks (211 North Elm Street, Jenks, OK 74037) as Additional Insured, must be on file with the City of Jenks before the production occurs. List the name and date of the production on the certificate of insurance.
14.	In most cases, issuance of a Film Permit will serve as your approval to use amplified sound within your production venue as outlined in your permit application. Sound levels should not exceed 90 decibels 15 feet from the source. Sound levels may have to be lowered between 11 p.m. and 7 a.m.
15.	Tents, canopies or grouping of tents over 400 square feet require a tent permit. A tent permit must be obtained before erecting a tent. Tent stakes driven into the ground, street, sidewalk, or tent straps attached to poles are prohibited on public property.
16.	There is no permit required for a Drone within the City limits at this time; however, all FAA regulations must be followed. Please Register your Drone and send a copy of the license to the Special Events Committee. (https://www.faa.gov/uas/getting_started/register_drone/)
17.	Rules for discharges into the storm sewer are stated in Jenks City Code section 13-4-3: “It is a violation for any Person to improperly dispose of any contaminant into [the municipal storm sewer system].” This includes, but is not limited to, paints, process wastewater and liquids other than uncontaminated water. Violations of the pollution ordinance carry fines up to $500.00 per violation.
18.	The City Engineer must be notified of any plans to change or restrict any public, normal vehicular or pedestrian access ways and should review and approve all traffic control plans for any changes to normal vehicle or pedestrian access in the public right-of-way.
19.	If porta-potties and trash receptacles will be brought in, the Jenks Police Department must be apprised of their location(s).
20.	Your permit may be revoked for any of the following: fraud, misrepresentation, imminent threat to public health, safety and/or welfare. If your permit is revoked, future permit requests may be denied.

AFFIDAVIT OF APPLICAITON
I certify that the information contained in this Application is true and correct to the best of my knowledge and belief. That I have read, understand, and agree to abide by the rules and regulations governing this Event. I agree to comply with all requirements of the City, County and State, and any other regulatory entity related to this Event. I agree to pay and be financially responsible for any costs and fees that may be incurred by the City of Jenks due to the Event. I further agree to indemnify and hold harmless the City of Jenks, and all City of Jenks officers, employees, agents, representatives, from any claims (including cost of defending such claims) or damages that may arise from activities related to the Event. I understand that a Permit does not excuse my failure to comply with orders of law enforcement personnel, firefighters, City Event personnel, or emergency workers, and does not provide immunity from civil claims of third parties that are based upon injuries sustained at, or in conjunction with this Event.
Electronic Signature Agreement
By checking the "I agree" box below, you agree and acknowledge that 1) your application will not be signed in the sense of a traditional paper document, 2) by signing in this alternate manner, you authorize your electronic signature to be valid and binding upon you to the same force and effect as a handwritten signature, and 3) you may still be required to provide a traditional signature at a later date.
1. I agree.
Electronic Signature
Continue |Go Back

Search Forms:

Film Permit Application

Steps

Application Information

General Rules and Electronic Signature

Review

Contact Us

Quick Links

Helpful Links