Apply for Parking Permit.
METER PARKING FOR WORK VEHICLE(S)/EQUIPMENT
| Select start date |
2022-10-20
|
| Select end date |
2022-10-21
|
| Indicate specific parking date(s) requesting: (mm/dd : example 5/3, 5/4 & 5/5 {days} ; 5/3 - 6/4, M - F { weeks} |
Thursday 10/20 & Friday 10/21
|
| Total number of parking day(s) requesting: |
2 days
|
| Indicate Parking Hours (between 8am - 5pm, Monday - Friday) |
10/20 6pm -10/21 12am
10/21-6pm-10/22 12m
|
| Describe work perform and any additional details about this parking request: |
Per special event SEP22-0267, use parking meter spaces PP1000 PP1002 PP1004 PP1006 PP1008 PP1010 for guest drop off ONLY. Meter usage is only for guest drop off operations, any other use is not allowed. Protect pedestrians at all times.
|
| 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) |
PP1000 PP1002 PP1004 PP1006 PP1008 PP1010
|
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) |
1041 N Formosa Ave, West Hollywood CA 90046-6703
|
| Cross Street (Distance and direction from project site) |
Romaine St
|
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 |
ENC22-1479
|
RESTRICTIONS / CONDITIONS
| Restrictions / Conditions |
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|
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 |
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|
Sign posting instructions
PARKING SIGN LABEL TO PRINT OUT
