Application For Temporary Use Of Annual License Form. This is a Oregon form and can be use in Liquor Control Commission Statewide.
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Print Form Reset Form OREGON LIQUOR CONTROL COMMISSION APPLICATION FOR TEMPORARY USE OF AN ANNUAL LICENSE FULL ON-PREMISES SALES LICENSE TEMPORARY USE APPLICATION Allows an Oregon Full On-Premises Sales Licensee to sell wine, cider, malt beverages, and distilled spirits for drinking on the special event licensed premises. There is no license fee. LIMITED ON-PREMISES SALES LICENSE TEMPORARY USE APPLICATION Allows an Oregon Limited On-Premises Sales Licensee to sell wine, cider, and malt beverages for drinking on the special event licensed premises. There is no license fee. Process Time: OLCC needs your completed application to us in sufﬁcient time to approve it. Sufﬁcient time is typically 1 to 3 weeks before the ﬁrst event date listed in #9 below (some events may need extra processing time). License Days: In #9 below, you can apply for a maximum of 7 license days per application form. A license day is from 7:00 am to 2:30 am on the succeeding calendar day. 1. My annual license is a: FULL ON-PREMISES LIMITED ON-PREMISES 2. Licensee Name (please print): ______________________________________________________________________ 3. Trade Name of Business: ______________________________________________ 4. Fax: _____________________ 5. Street Address of Annual Business: __________________________________ 6. City/ZIP: ____________________ 7. Contact Person: ______________________________________________ 8. Contact Phone: ___________________ 9. Date(s) of event: _______________________________ 10. Start/End hours of alcohol service: ______ to _______ LICENSED AREA BOUNDARIES: ORS 471.159 prohibits the OLCC from licensing an area that does not have deﬁned boundaries. OLCC may require the licensed area to be enclosed and may require you to submit a drawing showing the licensed area and how the boundaries of the licensed area will be identiﬁed. 11. Address of Special Event Licensed Area: ______________________________________ (Street) ___________________ (City) 12. Identify the licensed area (for example: entire premises; a room within the premises; an area in a park; etc.): 13. List the primary activities within the licensed area (like: dinner; auction; beer festival; wine festival; food fair; art show; music; patron dancing; sports event; etc.). If entertainment will be offered in the areas where alcohol will be sold or consumed, please describe the entertainment, the times it will be offered, and list the targeted age of attendees: 14. Will minors and alcohol be allowed together in the same area? Yes No 15. What is the expected attendance per day in the licensed area (where alcohol will be sold or consumed)? _______ PLAN TO MANAGE THE SPECIAL EVENT LICENSED AREA: If your answer to #15 is 501 or more, in addition to your answers to questions 16, 17, and 18, you will need to complete the OLCC’s Plan to Manage Special Events form (available on www.oregon.gov/OLCC), unless the OLCC exempts you from this requirement. 16. Describe your plan to prevent problems and violations. page 1 of 3 (rev. 5/2010 1-800-452-OLCC (6522) www.oregon.gov/OLCC American LegalNet, Inc. www.FormsWorkFlow.com 17. Describe your plan to prevent minors from gaining access to alcoholic beverages and from gaining access to any portion of the licensed premises prohibited to minors. 18. Describe your plan to manage alcohol consumption by adults. MANAGER AND SERVICE PERMITS: You must name a manager or managers who will be at the special event. 19. List name(s) of on-site manager(s): _________________________________ 20. Contact Phone: _______________ 21. Service permit number of manager(s): _______________________________________________________________ LIQUOR LIABILITY INSURANCE: I certify that I have obtained at least $300,000 of liquor liability insurance coverage for this event as required by ORS 471.168. 22. Insurance Company: ________________________ 23. Policy #: ______________ 24. Expiration Date: __________ 25. Name of insurance agent: _______________________________ 26. Agent’s phone number: ___________________ FOOD SERVICE: See the attached sheet for an explanation of this requirement. 27. If you will NOT provide distilled spirits, name at least two different substantial food items that you will provide: __________________________ __________________________ 28. If you are a Full On-Premises Sales Licensee and will provide distilled spirits, name at least ﬁve different substantial food items that you will provide: _______________ _______________ _______________ _______________ _______________ 29. Licensee Name (please print): _____________________________________________________________________ 30. LICENSEE SIGNATURE: _____________________________________________ 31. Date: ___________________ GOVERNMENT RECOMMENDATION: Once you’ve completed this form to this point, you must obtain a recommendation from the local city or county named in #32 below before submitting this application to the OLCC. 32. Name the city if the event address is within a city’s limits or name the county if the event address is outside the city’s limits: ____________________________________________ CITY OR COUNTY USE ONLY The city/county named in #32 above recommends: Grant Acknowledge Deny (attach written explanation of deny recommendation) City/County Signature: ________________________________________________ Date: _____________________ FORM TO OLCC: This license is valid only when signed by an OLCC representative. Submit this form to the OLCC ofﬁce regulating the county in which your special event will happen. OLCC USE ONLY License is: Approved Denied Restrictions: OLCC Signature: __________________________________________________ Date: _________________________ page 2 of 3 (rev. 5/2010) 1-800-452-OLCC (6522) www.oregon.gov/OLCC American LegalNet, Inc. www.FormsWorkFlow.com FOOD REQUIREMENTS FOR TEMPORARY USE OF AN ANNUAL LICENSE WHAT AMOUNT OF FOOD MUST I PROVIDE? • Two different food items: A Full On-Premises Sales Licensee NOT providing distilled spirits at the event and a Limited On-Premises Sales Licensee must provide at all times and in all areas where alcohol service is available at least two different substantial food items. • Five different substantial food items: A Full On-Premises Sales Licensee providing distilled spirits at the event must provide at all times and in all areas where alcohol service is available at least ﬁve different substantial food items. WHAT IS A SUBSTANTIAL FOOD ITEM? This is a food item that is typically served as a main course or entrée. Some examples are ﬁsh, steak, chicken, pasta, pizza, and sandwiches. Side dishes, appetizer items, dessert items, and snack items such as popcorn, peanuts, chips and crackers do not qualify as substantial food items. WHAT DOES DIFFERENT MEAN? Different means substantial food items that the OLCC determines differ in their primary ingredients or method of preparation. For example, a turkey sandwich differs from a salami sandwich, a beef burger differs from a turkey burger, and fried chicken differs from baked chicken. Different sizes of the same item are not considered different. IS THERE AN EXCEPTION TO PROVIDING THE TWO OR FIVE DIFFERENT SUBSTANTIAL FOOD ITEMS? The OLCC must determine that the clearly dominant emphasis is food service at all times in the area where alcohol service is available in order for you to provide only one substantial food item if you are not providing distilled spirits or one to four different substantial food items if you are a Full On-Premises Sales Licensee providing distilled spirits. The OLCC will work with you to make this determination prior to approving your application. WHAT DOES IT MEAN TO PROVIDE FOOD SERVICE AT ALL TIMES AND IN ALL AREAS WHERE ALCOHOL SERVICE IS AVAILABLE? Patrons must be able to obtain food service inside the special event licensed area. You may use either of the following two methods to provide food service: • Within all areas where alcohol service is available, have the minimum required food items available for patrons at all times; or • Within all areas where alcohol service is available, have a menu of the minimum required food items (plus any other items you may choose to include) available for patrons at all times and be able to provide the food items in the area if a patron chooses to order food. The food items could be kept at a location other than the area where the alcohol is served; however, you must be able to provide the food items to the patron in the area where alcohol service is available. IS PROVIDING TASTINGS OF ALCOHOL CONSIDERED PROVIDING ALCOHOL SERVICE? Yes, providing tastings of alcohol is considered providing alcohol service; therefore, the food requirements must be met. CAN I USE FOOD PROVIDED BY A CONTRACTOR OR CONTRACTORS TO MEET THE FOOD REQUIREMENT? Yes, the food service may be provided by someone other than you; however, even if food service is provided by a contractor, you are fully responsible for compliance with the food requirements. You may sell or serve alcohol only when food service that meets the requirement is provided to patrons at all times and in all areas where alcohol service is available. WHO CAN THE CONTRACT FOR THE FOOD SERVICE BE WITH? The contract can be between: • You (the OLCC licensee) and the food service contractor; or • The organizer of the event and the food service contractor. DOES THE FOOD SERVICE CONTRACT NEED TO BE IN WRITING? No, the food service contract does not need to be in writing; however, you may sell or serve alcohol only when food service that meets the requirement is provided to patrons at all times and in all areas where alcohol service is available. page 3 of 3 (rev. 5/2010) 1-800-452-OLCC (6522) www.oregon.gov/OLCC American LegalNet, Inc. www.FormsWorkFlow.com