West Hollywood Engineering

Parking Meter Only (METER)

Oct 05, 2022
submission #331
Apply for Parking Permit.

METER PARKING FOR WORK VEHICLE(S)/EQUIPMENT

Select start date 2022-10-13
Select end date 2022-10-14
Indicate specific parking date(s) requesting: (mm/dd : example 5/3, 5/4 & 5/5 {days} ; 5/3 - 6/4, M - F { weeks} 10/13/,10/14
Total number of parking day(s) requesting: 2 days
Indicate Parking Hours (between 8am - 5pm, Monday - Friday) 8am - 5pm Monday-Friday
Describe work perform and any additional details about this parking request: Pouring 60 yards of concrete. Dates are subject to change depending on my Pre inspection date. I just want to have everything paid and ready to go to safe time.
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) LB1220, LB1218, LB1216,LB1214

APPLICANT INFORMATION ( Responsible party for permit application).

Company Name / Permittee STS LA CORP
Address 1140 S Hope St, Los Angeles CA 90015-2119
Contact Name David Jimenez
Phone Number +12067699854
Email [email protected]

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

Project Site Address ( Nearest address number) 1234 N La Brea Ave, West Hollywood CA 90038-1179
Cross Street (Distance and direction from project site) La Brea / Fountain

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 ---