West Hollywood Engineering

Parking Meter Only (METER)

Oct 04, 2022
submission #328
Apply for Parking Permit.

METER PARKING FOR WORK VEHICLE(S)/EQUIPMENT

Select start date 2022-10-04
Select end date 2023-01-10
Indicate specific parking date(s) requesting: (mm/dd : example 5/3, 5/4 & 5/5 {days} ; 5/3 - 6/4, M - F { weeks} 10/4-1/10, M-F
Total number of parking day(s) requesting: up to 4 weeks
Indicate Parking Hours (between 8am - 5pm, Monday - Friday) 8am - 5pm, Monday - Friday
Describe work perform and any additional details about this parking request: This work will consist of the removal and replacement of concrete sidewalks, curb and gutter, driveways, asphalt roadway pavement, ADA curb ramps, traffic signals and implementing new streetlights and pedestrian lights, landscaping, benches, trash cans, and bike racks
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? 4
List the parking meter number ( meter number starts with two letters follow by numbers located in front of the parking meter) NA

APPLICANT INFORMATION ( Responsible party for permit application).

Company Name / Permittee Sully-Miller Contracting Company
Address 135 S State College Blvd, Brea CA
Contact Name Martin Rivera
Phone Number +17148534271
Email [email protected]

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

Project Site Address ( Nearest address number) 8490 Melrose Ave, West Hollywood, CA 90069
Cross Street (Distance and direction from project site) Project Location: Melrose Street Cross Streets: La Cienega Blvd. & Croft 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

FEE ASSIGNMENT - PARKING METER (SPOTLIGHT)

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