Apply for Parking Permit
METER PARKING FOR WORK VEHICLE(S)/EQUIPMENT
| Select start date |
2024-11-08
|
| Select end date |
2024-11-08
|
| Indicate specific parking date(s) requesting: (mm/dd : example 5/3, 5/4 & 5/5 {days} ; 5/3 - 6/4, M - F { weeks} |
11/8/24, Friday
|
| Total number of parking day(s) requesting: |
1 day
|
| Indicate Parking Hours (between 8am - 5pm, Monday - Friday) |
8am - 5pm
|
| Describe work perform and any additional details about this parking request: |
Reserve parking meter spaces for delivery trucks to deliver material. [ 2 signs]
|
| 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) |
NO9009, NO9011
|
APPLICANT INFORMATION ( Responsible party for permit application).
| Company Name / Permittee |
Forza Construction Inc
|
| Address |
25243 Avenue Tibbitts, Valencia CA 91355-3433
|
| Contact Name |
Gabriella
|
| Phone Number |
+18054153411
|
| Email |
[email protected]
|
PROJECT SITE ADDRESS ( One application is required per job site location).
| Project Site Address ( Nearest address number) |
9061 Nemo St, West Hollywood CA 90069-5511
|
| Cross Street (Distance and direction from project site) |
Nemo Street and Santa Monica Blvd. About half a block east.
|
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 |
ENC24-1014
|
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
