FilmL.A., Inc.
6255 W. Sunset Blvd., Fl. 12
Los Angeles, CA 90028
(213) 977-8600
PERMIT APPLICATION REQUEST
General Permit Information
Production Title: _______________________________________________________________________________________
Type of Production: _____________________________________________________________________________________
Production Company Information
Insured Company Information
Company Name: ___________________________________
Company Name: __________________________________
Phone: ___________________________________________
Phone: __________________________________________
Phone: ___________________________________________
Phone: __________________________________________
Fax: _____________________________________________
Fax: _____________________________________________
Street: ___________________________________________
Street: ___________________________________________
City: _____________________________________________
City: _____________________________________________
State: ____________________________________________
State: ____________________________________________
Zip Code: _________________________________________
Zip Code: _________________________________________
Location Manager
Location Assistant
Name: __________________________________________
Name: ___________________________________________
Cell: ____________________________________________
Cell: _____________________________________________
Office: ___________________________________________
Office: ____________________________________________
Fax: _____________________________________________
Fax: ________________________________________________
Email: ___________________________________________
Email: ____________________________________________
Producer:
Director:
1st AD:
Production Manager:
________________________________________________
_________________________________________________
__________________________________________
Permit Service Company Information
Company Name: __________________________________
Representative: ___________________________________
Phone: __________________________________________
Phone: __________________________________________
Fax: ____________________________________________
Email: __________________________________________
___________________________________________
FilmL.A., Inc.
6255 W. Sunset Blvd., Fl. 12
Los Angeles, CA 90028
(213) 977-8600
PERMIT APPLICATION REQUEST
(LOCATION 1)
Location Description
Type of location: _______________________________________________
Thomas Guide Page #: ________________
Open: _______ Closed: ______
Thomas Guide Grid #: _________________
Address: _____________________________________________________________________________________________
City: ____________________________________________________
Zip Code: __________________________________
Dates
Prep Date(s) & Time(s):
_____________________________________________________________________________________________________
_____________________________________________________________________________________________________
Filming Date(s) & Time(s):
_____________________________________________________________________________________________________
_____________________________________________________________________________________________________
Strike Date(s) & Time(s):
_____________________________________________________________________________________________________
_____________________________________________________________________________________________________
Hold Date(s) & Time(s):
_____________________________________________________________________________________________________
_____________________________________________________________________________________________________
Equipment On Location
Type
Quantity
Type
Quantity
Type
Quantity
5 or 10 Ton Trucks
__________
Beebe Light/Nite Sun __________
Camera Cars
__________
Cast/Crew Vehicles
__________
Condors
__________
Cranes
__________
Cube Trucks
__________
Generator
__________
Honey Wagons
__________
Motor Homes
__________
Picture Vehicles
__________
Portable Restrooms __________
Process Trailer
__________
Scissor Lifts
__________
Semi Trucks
Stakebed Trucks
__________
Vans
__________
__________
Personnel On Location
Type
Quantity
Audience Members
__________
Cast
__________
Crew
__________
Extras
__________
Where are extras holding? ______________________________________________
FilmL.A., Inc.
6255 W. Sunset Blvd., Fl. 12
Los Angeles, CA 90028
(213) 977-8600
PERMIT APPLICATION REQUEST
(LOCATION 1)
Filming Activities
________________________________________________________________________________________
_____________________________________________________________________________________________________
_____________________________________________________________________________________________________
_____________________________________________________________________________________________________
_____________________________________________________________________________________________________
Gunfire
Shot Type
Load Type
# Takes Per Day
# Times Per Take
_____ Automatic
_________
_______________
_______________
_____ Semi Automatic
_________
_______________
_______________
_____ Single Shot
_________
_______________
_______________
_____ Non Gun
Description of Gunfire: ___________________________________________________________________________________
_____________________________________________________________________________________________________
_____________________________________________________________________________________________________
Special Effects
F/X Permit Number: ______________________________
Type
#Takes Per Day
# Times Per Take
____ Breaking Glass
______________
_______________
____ Bullets/Squib Hits
______________
_______________
____ Bum Barrels
______________
_______________
____ Car Explosion
______________
_______________
____ Dust Hits
______________
_______________
____ Explosion
______________
_______________
____ Fire Ball
______________
_______________
____ Fire Bars
______________
_______________
____ Fire Effects
______________
_______________
____ Sparks
______________
_______________
____ Other__________________
______________
_______________
Description of F/X scene:
_____________________________________________________________________________________________________
_____________________________________________________________________________________________________
_____________________________________________________________________________________________________
PERMIT APPLICATION REQUEST
(LOCATION 1)
Base Camp/Crew Parking
Base Camp
Location Type & Address: ___________________________
Address: _________________________________________
Crew Parking
Location Type & Address: ___________________________
Address: _________________________________________
Posted Parking/Closures
Posting "No Parking" signs (please indicate which side of the street: N/S-north side, E/S-east side, S/S-south side, W/S-west side, B/S-both sides)
_____________________________________________________________________________________________________
_____________________________________________________________________________________________________
_____________________________________________________________________________________________________
_____________________________________________________________________________________________________
_____________________________________________________________________________________________________
_____________________________________________________________________________________________________
Lane/Full Closure
_____________________________________________________________________________________________________
_____________________________________________________________________________________________________
_____________________________________________________________________________________________________
FilmL.A., Inc.
6255 W. Sunset Blvd., Fl. 12
Los Angeles, CA 90028
(213) 977-8600
PERMIT APPLICATION REQUEST
(LOCATION 1)
Location Description
Type of location: _______________________________________________
Thomas Guide Page #: ________________
Open: _______ Closed: ______
Thomas Guide Grid #: _________________
Address: _____________________________________________________________________________________________
City: ____________________________________________________
Zip Code: __________________________________
Dates
Prep Date(s) & Time(s):
_____________________________________________________________________________________________________
_____________________________________________________________________________________________________
Filming Date(s) & Time(s):
_____________________________________________________________________________________________________
_____________________________________________________________________________________________________
Strike Date(s) & Time(s):
_____________________________________________________________________________________________________
_____________________________________________________________________________________________________
Hold Date(s) & Time(s):
_____________________________________________________________________________________________________
_____________________________________________________________________________________________________
Equipment On Location
Type
Quantity
Type
Quantity
Type
Quantity
5 or 10 Ton Trucks
__________
Beebe Light/Nite Sun __________
Camera Cars
__________
Cast/Crew Vehicles
__________
Condors
__________
Cranes
__________
Cube Trucks
__________
Generator
__________
Honey Wagons
__________
Motor Homes
__________
Picture Vehicles
__________
Portable Restrooms __________
Process Trailer
__________
Scissor Lifts
__________
Semi Trucks
Stakebed Trucks
__________
Vans
__________
__________
Personnel On Location
Type
Quantity
Audience Members
__________
Cast
__________
Crew
__________
Extras
__________
Where are extras holding? ______________________________________________
FilmL.A., Inc.
6255 W. Sunset Blvd., Fl. 12
Los Angeles, CA 90028
(213) 977-8600
PERMIT APPLICATION REQUEST
(LOCATION 1)
Filming Activities
________________________________________________________________________________________
_____________________________________________________________________________________________________
_____________________________________________________________________________________________________
_____________________________________________________________________________________________________
_____________________________________________________________________________________________________
Gunfire
Shot Type
Load Type
# Takes Per Day
# Times Per Take
_____ Automatic
_________
_______________
_______________
_____ Semi Automatic
_________
_______________
_______________
_____ Single Shot
_________
_______________
_______________
_____ Non Gun
Description of Gunfire: ___________________________________________________________________________________
_____________________________________________________________________________________________________
_____________________________________________________________________________________________________
Special Effects
F/X Permit Number: ______________________________
Type
#Takes Per Day
# Times Per Take
____ Breaking Glass
______________
_______________
____ Bullets/Squib Hits
______________
_______________
____ Bum Barrels
______________
_______________
____ Car Explosion
______________
_______________
____ Dust Hits
______________
_______________
____ Explosion
______________
_______________
____ Fire Ball
______________
_______________
____ Fire Bars
______________
_______________
____ Fire Effects
______________
_______________
____ Sparks
______________
_______________
____ Other__________________
______________
_______________
Description of F/X scene:
_____________________________________________________________________________________________________
_____________________________________________________________________________________________________
_____________________________________________________________________________________________________
PERMIT APPLICATION REQUEST
(LOCATION 1)
Base Camp/Crew Parking
Base Camp
Location Type & Address: ___________________________
Address: _________________________________________
Crew Parking
Location Type & Address: ___________________________
Address: _________________________________________
Posted Parking/Closures
Posting "No Parking" signs (please indicate which side of the street: N/S-north side, E/S-east side, S/S-south side, W/S-west side, B/S-both sides)
_____________________________________________________________________________________________________
_____________________________________________________________________________________________________
_____________________________________________________________________________________________________
_____________________________________________________________________________________________________
_____________________________________________________________________________________________________
_____________________________________________________________________________________________________
Lane/Full Closure
_____________________________________________________________________________________________________
_____________________________________________________________________________________________________
_____________________________________________________________________________________________________