West Hollywood Engineering

Parking Meter Only (METER)

Feb 27, 2024
submission #689
Apply for Parking Permit

METER PARKING FOR WORK VEHICLE(S)/EQUIPMENT

Select start date 2024-03-04
Select end date 2024-03-15
Indicate specific parking date(s) requesting: (mm/dd : example 5/3, 5/4 & 5/5 {days} ; 5/3 - 6/4, M - F { weeks} Monday to Friday
Total number of parking day(s) requesting: up to 2 weeks
Indicate Parking Hours (between 8am - 5pm, Monday - Friday) 8am - 7pm Monday to Friday
Describe work perform and any additional details about this parking request: We are working on the 9055 Santa Monica remodel. We need space for two tool trucks
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) SM9025, SM9023

APPLICANT INFORMATION ( Responsible party for permit application).

Company Name / Permittee Robert Polo Building Group Inc.
Address 27434 Westover Way, Valencia CA 91354-1837
Contact Name Robert Polo
Phone Number +12135955866
Email [email protected]

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

Project Site Address ( Nearest address number) 9055 Santa Monica Blvd, West Hollywood CA 90069-5520
Cross Street (Distance and direction from project site) Doheny is about 1/2 a block from the project

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 ENC24-0142

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 ---