Application for Use of Public Domain

Business Information

DBA Business Name	Dialog Cafe
Applicant Name	---
Business Address	8766 Holloway Dr, West Hollywood CA 90069-2327
Business Phone	---
Business E-mail	---
COVID-19 Operational Point Person Name	---
COVID-19 Operational Point Person Phone	---
COVID-19 Operational Point Person Email	---
How will the public space be used?	Restaurant/Dining

Restaurant/Dining Use

Describe how the space will be used for dining/restaurant use	Currently have encroachment permits, surveys, insurance, etc. completely. I would like to codify the existing outzone seating that we have been operating with for the past few years. This outzone area will remain as dining and restaurant use.
Are you serving alcohol in the public space?	Yes
Where is my restaurant abutting or adjacent to?	Commercially zoned or non-residential property on all sides

Restaurant/Dining Use Location

Do you plan to use the sidewalk in front of your business?	Yes
Do you plan to use curbside parking spaces?	Yes
Do you plan to use a pre-existing City parklet?	No
Do you plan to build a new parklet?	Yes

Restaurant/Dining Sidewalk Use Barrier Needed

I acknowledge it is required to install an impermeable, cleanable, and transparent barrier that is at least 6 feet high and able to be removed daily.

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Restaurant/Dining Use On-Street Parking Spaces

Number of on-street parking spaces affected	---
I acknowledge it is required to install concrete “K” rail that are at least 36 inches high and 18 inches thick as protective barriers in the area encompassing on-street parking.	---

Restaurant/Dining Use New Parklet

I acknowledge that my new parklet is a separate process and not part of the Temporary Outdoor Expansion Program and will cause delays and additional fees to the issuance of a permit.

I agree

Administrative Requirements

I acknowledge and have implemented the LA County Public Health protocols specific to my business sector re-opening.	---
I acknowledge to comply with all applicable laws and regulations, including, but not limited to, the Americans with Disabilities Act (ADA)?	---
I acknowledge to comply with all West Hollywood OUT Zone Permit Design and Operational Standards for my specific business sector.	---

Program Eligibility

I acknowledge I operate a legally established and existing West Hollywood business.

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Pedestrian Access

I acknowledge proposed use of public space will provide at least 48 inches of continuous unobstructed pedestrian access.

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Restaurant/Dining Hours of Operation (Commercial Zoned)

I acknowledge it is required to operate the OUT Zone Area only from 6:00 A.M. to 12:00 A.M., Sunday through Thursday, and from 6:00 A.M. to 1:00 A.M., Friday and Saturday.

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Alcohol Service (Restaurants/Dining Only)

I acknowledge I have an existing ABC license for my existing and operating restaurant/dining establishment.

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Restaurant/Dining Operations

I acknowledge it is required that the OUT Zone dining area will only be used for sit-down food and beverage service (i.e., no stand-up service).	---
I acknowledge it is required to keep the sidewalk, parking lane, or parklet dining area clear of litter, food, and drink spills and clean (sweep and/or mop) it at the end of each day.	---

Fire Exiting Required

I acknowledge it is required that my proposed furnishings, signs, and temporary barriers keep clear of any legal exit from the building and a minimum 48 inch wide exit path from the legal exit to the public right of way.

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Noise

I acknowledge it is required that my business activity on public space will not have any amplified noise (e.g. music, speech) and will only generate noise typical to outdoor business activity.

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Temporary Structures

I acknowledge temporary free standing umbrellas are the only shade structures allowed.	I DO NOT agree and request approval for an alternative shade structure. I understand this will require a building permit subject to additional submittals, fees, and time.
I acknowledge my temporary enclosures are not higher than 8 feet tall	I agree

Use of Neighboring Property

Will you be using the sidewalk in front of a neighboring property?

Yes

Use of Neighboring Property Vacancy

Is the neighboring property vacant or tenant-occupied?

Tenant-Occupied

Site Plan Verification

I acknowledge my site plan includes dimensions of the proposed OUT Zon area.	---
I acknowledge my site plan identifies the business property line, adjacent buildings, streets, sidewalks, tree wells and any additional permanent structures.	---
I acknowledge my site plan identifies temporary structures, including tables, chairs, staff stations, utensil and handwashing stations, temporary barriers, shade structures, trash cans, recycling bins, and valet stands.	---
I acknowledge my site plan identifies the exit(s) from the business/building and indicate how the exits will be maintained and kept clear for all occupants.	---
I acknowledge my site plan includes dimensioned seating layout showing the location and number of proposed seats and identify the required path of travel for exiting and accessible route throughout proposed dining area (48” wide minimum).	---
I acknowledge my site plan Identifies the required designated accessible dining tables/seating (30”wide x 48” long minimum) with 5% of each seating area type accessible to persons with disabilities.	---
I acknowledge my site plan identifies an accessible route of travel to the proposed temporary dining area to/from the business entrance and public-right-of-way and/or accessible parking.	---

Site Plan Verification for Sidewalk Barrier

I acknowledge my site plan identifies an impermeable, cleanable, and transparent barrier that is at least 6 feet high and able to be removed daily.

I agree

Upload Site Plan

Upload your completed site plan

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Neighboring Tenant Consent

Upload your written proof of tenant consent
I acknowledge if the neighboring tenant and/or landlord requests use of the public right of way the applicant use shall be terminated, the applicant has 24 hours to remove all elements from their neighboring frontage.	I agree
I hereby declare under the penalty or perjury that I am the owner, tenant or representative authorized to executive this request on behalf of the property involved in this request. I further declare that the information submitted herewith are true and correct.	I agree

Affirm that you Agree to the Temporary COVID-19 Outdoor Encroachment Agreement

I acknowledge, understand, and agree to the terms of the Temporary COVID-19 Outdoor Encroachment Agreement.	---
I acknowledge I am the business owner or the representative on behalf of the business owner.	I agree

Recitals

Business Name	Dialog Cafe
Business Address	8766 Holloway Dr, West Hollywood CA 90069-2327
Amount of Square Feet in the Public Domain	745

Upload Insurance Documents

Upload a certificate(s) showing your current insurance policies for General Liability, Workers' Compensation with the City of West Hollywood as the certificate holder with 8300 Santa Monica Boulevard, West Hollywood, CA 90069 as the address.	---
I acknowledge my certificate of insurance names PROPERTY OWNER(S) and The CITY OF WEST HOLLYWOOD, its elected or appointed officers, officials, employees, agents, and volunteers are to be covered as additional insureds on the Commercial General Liability (CGL) insurance.	---
I acknowledge I and my successors in interest, shall hold the City of West Hollywood, its officers, agents, and employees free and harmless from any claims for damages to persons or property including legal fees and costs of defending any actions or suits thereon, including appeals therefrom, which may result from granting this permit.	---
I certify that I am presently the legal owner or representing the legal owner of the above-described business. Further, I acknowledge the filing of this application and certify that all of the information on the application is true and correct. I grant permission to the City to conduct site visits necessary to investigate the proposed project. I agree to comply with these regulations and any other local, state, and federal regulation that my relation to this proposed business.	---