West Hollywood Engineering

Parking Meter Only (METER)

Mar 31, 2022
submission #113
Apply for Parking Permit.

METER PARKING FOR WORK VEHICLE(S)/EQUIPMENT

Select start date 2022-04-05
Select end date 2022-04-05
Indicate specific parking date(s) requesting: (mm/dd : example 5/3, 5/4 & 5/5 {days} ; 5/3 - 6/4, M - F { weeks} 4/5/22
Total number of parking day(s) requesting: 1 day
Indicate Parking Hours (between 8am - 5pm, Monday - Friday) 9am-5pm
Describe work perform and any additional details about this parking request: Per special event SEP22-0068, use parking meter spaces RB609, RB611, RB613 for temp valet.
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? 3
List the parking meter number ( meter number starts with two letters follow by numbers located in front of the parking meter) RB609, RB611, RB613

APPLICANT INFORMATION ( Responsible party for permit application).

Company Name / Permittee Soulmate
Address 631 N Robertson Blvd, West Hollywood CA 90069-5016
Contact Name Nick Shultz
Phone Number +13234198319
Email [email protected]

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

Project Site Address ( Nearest address number) 631 N Robertson Blvd, West Hollywood CA 90069-5016
Cross Street (Distance and direction from project site) North of Melrose

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 ENC22-0429

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 631 ROBERTSON LABEL.pdf