West Hollywood Engineering

Parking Meter Only (METER)

Mar 24, 2022
submission #108
Apply for Parking Permit.

METER PARKING FOR WORK VEHICLE(S)/EQUIPMENT

Select start date 2022-03-30
Select end date 2022-03-31
Indicate specific parking date(s) requesting: (mm/dd : example 5/3, 5/4 & 5/5 {days} ; 5/3 - 6/4, M - F { weeks} 03/30 -4/01/2022
Total number of parking day(s) requesting: 3 days
Indicate Parking Hours (between 8am - 5pm, Monday - Friday) 3/30 12:01 am - 4/01 - 11:59pm Sep permit
Describe work perform and any additional details about this parking request: Per special event SEP22-0063, use parking meter spaces P1010-PP1008-PP1006-PP1004-PP1002-PP1000 on Poinsettia Pl for Event Loading & unloading.
Are you use the parking space(s) to place spotlight? No

PARKING METER SPACE(S)

How many parking meter space(s) would you like to apply for? 6
List the parking meter number ( meter number starts with two letters follow by numbers located in front of the parking meter) P1010-PP1008-PP1006-PP1004-PP1002-PP1000 On Poinsettia Pl

APPLICANT INFORMATION ( Responsible party for permit application).

Company Name / Permittee JIMMY'S PERMIT SERVICE
Address 7413 Hannum Ave, Culver City CA 90230-6160
Contact Name james paola
Phone Number +13105622345
Email [email protected]

PROJECT SITE ADDRESS ( One application is required per job site location).

Project Site Address ( Nearest address number) 1040 Formosa Ave
Cross Street (Distance and direction from project site) WILLOUGHBY AVE

AFFIDAVIT - APPLICATION STEP

I certify that everything included in this application thus far is true/ correct. Yes I agree.
Permit Standard Requirements Agreement

Applicant affidavit

APPLICANT’S DECLARATION I hereby apply for a permit to encroach/work in the public right of way at the described location(s) subject to the provisions required by the Municipal Code, the attachments hereon specified, and the provisions above. It is agreed by the Applicant that the City of West Hollywood and any of its officers or employees thereof shall be saved harmless by the Applicant from any liability or responsibility for any accident, loss or damage to persons or property, happening or occurring as the proximate result of any of the work undertaken under the terms of this application and that all of said liability is hereby assumed by the Applicant. I understand that noncompliance with these or other permit conditions may be cause for permit revocation I agree.
Permit number, Fee assignment and Restrictions / Conditions

ENCROACHMENT PERMIT NUMBER

Encroachment permit number ENC22-0418

RESTRICTIONS / CONDITIONS

Restrictions / Conditions ---
Additional notes ---

FEE ASSIGNMENT - PARKING METER

Number of meter space(s) ---
Number of day(s) ---

FEE ASSIGNMENT - PARKING METER (SPOTLIGHT)

Number of meter space(s) for spotlight ---
Number of day(s) for spotlight ---
Sign posting instructions

PARKING SIGN LABEL TO PRINT OUT

Parking sign label 1040 FORMOSA LABEL.pdf