West Hollywood Engineering

Parking Meter Only (METER)

Apr 13, 2023
submission #544
Apply for Parking Permit

METER PARKING FOR WORK VEHICLE(S)/EQUIPMENT

Select start date 2023-04-25
Select end date 2023-05-05
Indicate specific parking date(s) requesting: (mm/dd : example 5/3, 5/4 & 5/5 {days} ; 5/3 - 6/4, M - F { weeks} 4/25/23 - 5/5/23
Total number of parking day(s) requesting: 4 days
Indicate Parking Hours (between 8am - 5pm, Monday - Friday) 8am-5pm, MON - FRI
Describe work perform and any additional details about this parking request: PER ENC23-0406; install electrical conduit per approved Street Improvement plan (Construction note 22 on SPIP plan). Contractor must follow approved City and SCE plan. Traffic control per approved traffic control plan. Sidewalk pattern to be restored per Santa Monica Master Plan. Preconstruction meeting and final inspection required.
Are you use the parking space(s) to place spotlight? No
Are you applying as part of a Special Event application? No

PARKING METER SPACE(S)

How many parking meter space(s) would you like to apply for? 2
List the parking meter number ( meter number starts with two letters follow by numbers located in front of the parking meter) (2 METERED SPACES SM8934 AND SM8936)

APPLICANT INFORMATION ( Responsible party for permit application).

Company Name / Permittee SOUTHERN CALIFORNIA ELECTRICAL FIRM
Address 386 Beech Ave, Torrance CA 90501-6202
Contact Name JIM PUGH
Phone Number +14243981719
Email [email protected]

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

Project Site Address ( Nearest address number) 8980 Santa Monica Blvd, Los Angeles CA 90069-4910
Cross Street (Distance and direction from project site) N La Peer Blvd 180 ft to the South

Additional documents

Additional documents (optional) ---

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 ENC23-0407

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 8980 SMB LABEL.pdf