Applicant Information
Applicant Information
| Business Name ("Permittee") |
Luxelab
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| Name of Contact Person (All correspondence will be sent to the contact person) |
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| Mailing Address |
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| Business Address |
1408 Montana Ave, Santa Monica CA 90403-1712
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| Business Phone |
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| Business E-mail |
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| City of Santa Monica Business License Number |
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| Are you a new applicant or an existing parklet operator? |
I am an existing temporary parklet permit holder converting to a permanent parklet
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| How will the parklet be used? |
Other Activity
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| Are you requesting a payment plan for payment of your wastewater fees? |
No
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Parklet Location & Upload Application Materials
Information Regarding Parklets
| Number of Parking Spaces Occupied by Parklet |
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| If your parklet is in front of parking meters, please enter parking meter numbers |
1408
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| Will you be using a street parking space that is more than 50% in front of a neighboring storefront? |
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Upload Parklet Site Plan
| Upload your parklet plans. Note that parklets that propose canopies or lighting must be prepared by a licensed professional and will require full review and approval by Building & Safety. |
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| Upload 3 site photos: 1) View from across the street; 2) View from down the street; 3) View from up the street |
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Upload Maintenance Agreement
| Upload Signed Maintenance Agreement |
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Description of Parklet Use
Other Activity Use
| Describe how the parklet will be used for another business activity |
Parklet will be used for clients to sit and wait till there appointment. More or less a waiting area.
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Hours of Operation
| Will the hours of the parklet match those of your existing business? |
Yes
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| What are the hours of operation of the parklet? |
Sunday - Monday 10-6, Tuesday -Friday 9-8, Saturday 9-6
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Canopies, Lighting & Propane Heaters
Applicability
| Will you be installing canopies in your parklet? |
No
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| Will you be installing lighting in your parklet? |
No
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Upload Insurance Documents
Does the City Already Have Your Insurance Documents?
| Have you already submitted your insurance documents (including Liquor Liability Certificate for restaurants) with a prior application AND is your insurance still valid? (If so, we can check and review your documents if already submitted and on record) |
No, I need to submit my insurance documents OR I can resubmit my insurance documents & Liquor Liability Certificate
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Upload Insurance Documents
| Upload a certificate(s) showing your current insurance policies for General Liability, Workers' Compensation with the City of Santa Monica as the certificate holder with 1685 Main Street, Santa Monica, CA 90401 as the address. |
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| Earliest Expiration Date |
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| Upload Separate Additional Insured Endorsement for General Liability |
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| Upload Separate Waiver of Subrogation for Workers' Compensation |
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