Tracking #:
Permit #:
New Application Revised Application
Date of Application:
Main Contact:
Primary Email:
Secondary Email:
Project Title:
Production Company:
Local Office Address:
Office Phone:
Office Fax:
Production Permanent Address:
City: State: Zip: Phone:
Location Manager:
Cell Number:
Assistant Location Manager:
Cell Number:
ProductionType: Feature Television Production Type Description:
Location Information: Please be specific (i.e. Road Numbers, Highway Numbers, Mile Markers, etc.)
Location 1: Private Property:
Location 2: Private Property:
Location Dates of Filming Start Time End Time
Location 1
Location 2
Location of Basecamp and Crew Parking (cannot be on streets) Move In Move Out
Day/Date: Day/Date:
Time: Time:
Tents or Canopies? YES NO Move In Move Out
Size of Each: Day/Date: Day/Date:
Time: Time:
Catering and Craft Services? YES NO
Caterer: Phone #: Permit #:
Craft Services: Phone #: Permit #:
**Both entities must have an environmental health permit from CABQ, Bernalillo County, or the State of NM. If they are unable to produce a permit, they must contact Bernalillo County Health Promotions at (505) 314-0310.
County Roads Used? YES NO
Barricade Company:
Contact: Phone Number:
ITCClosure Barricade Set Up Time: Removal Time:
On From To Direction
Street Name Street Name Street Name
ITCClosure Barricade Set Up Time: Removal Time:
On From To Direction
Street Name Street Name Street Name
ITCClosure Barricade Set Up Time: Removal Time:
On From To Direction
Street Name Street Name Street Name
ITCClosure Barricade Set Up Time: Removal Time:
On From To Direction
Street Name Street Name Street Name
ITCClosure Barricade Set Up Time: Removal Time:
On From To Direction
Street Name Street Name Street Name
**Intermittent Traffic Control cannot exceed 5 minutes
Detailed summary and scope of work of scene(s) to be filmed:
Extraordinary Scenes(i.e. Use of animals, aircraft, use of firearms, use of fire and/or explosives, etc.) YES NO
Construction? YES NO Temporary Permanent If Permanent, attach county building permit
Scope of Work
Significant disturbance of terrain or vegetation? YES NO If YES, please describe you reclamation plan.
SPFX? YES NO If YES, please describe:
Drone? YES NO If YES, please describe:
Night Filming? YES NO
Extraordinary Noise (over 55 Decibels)? YES NO
If YES to either, please describe:
Number of Vehicles: Number of Personnel
Trucks Dressing Room Vans Busses Generator Cars Picture Vehicles Crew Cast
Solid Waste Disposal Plan
Insurance:
Company Coverage Amount
Bernalillo County Economic Development Approval Applicant Signature
Approval Status:
Approval Date:
Approved By:
Signature
Signature Date:
Signer's Full Name:
Confirm Signer's Name:
By checking this box, I signify that I am authorized by the Production Company to submit this application on its behalf and the Production Company agrees to abide by all terms of this permit once approved
Pay Application Fee Save & Submit Application
There is a $100.00 non-refundable application fee. This fee can be paid now by electronic check, credit or debit card or a paper check, money order, or cashier's check may be sent by mail.

Payment Status: Not Paid


Please select how you would like to pay the application fee:
You may save this application to continue filling out later by clicking on the "Save Application" button. When you save your application you will receive an email with a link to continue editing it later (you may save as often as you wish).

You can submit this application for processing now by clicking the "Submit Application" button. If you have chosen to pay electronically, you will be taken to a secure payment page to process your payment along with the submitted application.