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Application and Permit Types

2. Application Type*

   1. New Permit
   2. Renewal
3. Permit Type*

   1. Annual, 2026
   2. New year Annual, 2027 renewal
   3. Monthly
5. Number of Months*
   -- Select One --123456

   Monthly permits may be purchased one month at a time or up to 6 months in advance. No more than 6 monthly permits may be issued to the same residence.

7. Continue

Vehicle Owner Information

2. First Name*
3. Last Name*
5. Address
   The owner's residence address must be the same address where the vehicle is registered.
7. House Number*
8. Street Name*
   -- Select One --Acacia StAcaso StAgnes AveAlessandro AveArden DrArdenel AveArdsley DrArrowood StAvon AveBaldwin AveBarela AveBartlett AveBidwell StBirchland PlBisby StBlackley StBogue StBroadwayBurghardt RdBurton AveButtons AveCallita StCambury AveCamellia AveCamino Real AveCloverly AveCraiglee StDaines DrDaineswood DrDaleview AveDanbury StDegas AveDoreen AveDuffy StDupuy CirEl Monte AveEllis LnElm AveEmperor AveEncinita AveEstrella AveFairhall StFairview AveFarago AveFiesta AveFlaherty StFortson DrFratus DrFreer StGaribaldi AveGidley StGlickman AveGolden West AveGracewood AveGrand AveGreen StGreen Tree LnHaldeman StHalifax RdHallowell AveHallwood DrHarker AveHart AveHecla AveHeleo AveHermosa DrHilton AveHowland DrIvar AveJaylee DrKauffman AveKennerly StKey West StLa Rosa DrLandseer StLas Tunas DrLemon AveLeslie DrLinden LnLive Oak AveLivia AveLoma AveLongden AveLora StLower Azusa RdLyledale StLynrose StMcClintock AveMcCulloch AveMiller DrMiloann StMuscatel AveMyda AveNadine StNoel DrOak AveOlema StOlive CtOlive StPal Mal AveParmerton AvePentland StPersimmon AvePrimrose AveRancho Real RdRandwick DrReno AveRichmond WayRio Hondo AveRobinhood AveRoccus LnRoseglen StRosemead BlvdRosevale DrRowland AveRyland AveSaint James DrSalter AveSanta Anita AveSara Mar LnSaunders CirSereno DrSparklett StSultana AveTemple City BlvdTree Rose TerTrelawney AveVal StVillage Circle DrWarman LnWedgewood StWelland AveWendon StWildflower RdWillmonte AveWindsor LnWoodruff AveWoolley StWorkman AveWorthington DrZadell Rd
9. Unit No.
11. City*
12. ZIP Code*
14. Phone*
15. Email*
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Residence Information

2. Residence Type*

   1. House
   2. Condo or Townhouse
   3. Duplex or Triplex
   4. Apartment
   5. Accessory Dwelling Unit (ADU) / Granny Flat / Guest House
3. Parking Space Certification*

   I certify that there are more vehicles registered at my residence address than there are parking spaces at the residence. I certify that no portion of any parking space, including my garage, is used for storage of any kind or is used to park any off-road vehicle, boat, trailer, RV, or inoperative or unregistered vehicle.

   1. Check to certify
5. Number of Parking Spaces
   How many parking spaces are in each of the following locations at your residence? If your residence is a duplex, triplex, or apartment, list the number of spaces assigned to your unit.
7. Garage or Carport*
   If none, type 0
8. Driveway*
   If none, type 0
9. Other*
   If none, type 0
10. Total*
    If none, type 0
12. Continue |Go Back

Vehicle Information

2. License Plate Number*
3. State*

   1. California
   2. Other
4. Year*
6. Make*
   -- Select One --AcuraAudiBMWBuickCadillacChevroletChryslerDodgeFiatFordGMCHondaHyundaiInfinitiIsuzuJaguarJeepKiaLand RoverLexusLincolnMazdaMercedesMercuryMiniMitsubishiNissanOldsmobilePlymouthPontiacPorscheSaabSaturnScionSmartSubaruSuzukiTeslaToyotaVolkswagenVolvoOther
7. Model*
8. Color*
   -- Select One --BlackBlueBrownGray/SilverGreenRedWhiteYellowOther
10. Registration*

    Upload a photo or scan of the current registration for this vehicle. See samples below.  

11. Unpaid Parking Citations*

    I certify that there are no unpaid parking citations for this vehicle (unless going through the appeal process or on a payment plan). I understand that the City will verify this information and that my permit application will be denied if there are unpaid parking citations on this vehicle.

    1. Check to certify
13. Registration Expiration Date
    Registration Expiration Date
15. Registration Card Sample 1
    
16. Registration Card Sample 2
    
18. Continue |Go Back

Other Vehicles

2. Registration for Other Vehicles

   You must provide copies of current registration for all OTHER vehicles parked at your residence. To qualify for a permit, all vehicles must be registered to your residence address. Please note that Planned Non Operation (PNO) and Temporary Operating Permit (TOP) are not accepted as current registration. 

3. Number of Other Vehicles*

   How many other vehicles park at the residence address, not including the vehicle receiving the permit? (If there are more than 6 other vehicles registered to your residence, please apply for your permit in person at City Hall.)

   1. 1
   2. 2
   3. 3
   4. 4

   1. 5
   2. 6
   3. None
5. Vehicle 1 Registration

   Upload a photo or scan of the current registration for vehicle 1.

6. Vehicle 2 Registration

   Upload a photo or scan of the current registration for vehicle 2.

8. Vehicle 3 Registration

   Upload a photo or scan of the current registration for vehicle 3.

9. Vehicle 4 Registration

   Upload a photo or scan of the current registration for vehicle 4.

11. Vehicle 5 Registration

    Upload a photo or scan of the current registration for vehicle 5.

12. Vehicle 6 Registration

    Upload a photo or scan of the current registration for vehicle 6.

14. Continue |Go Back

Payment and Permit

2. Payment Method*

   If your application is approved, how would you like to submit payment?

   1. Pay with credit card
   2. Mail a check or money order
   3. Pay in person at City Hall
3. Permit Method*

   Once payment is received, how would you like to obtain your permit?

   1. Mail my permit to my residence
   2. I will pick up my permit at City Hall
7. Senior Discount*

   If the registered owner of the vehicle is over 65 years old, the owner can receive a discount on his or her annual parking permit.  Is the registered owner 65 years old, or more?

   1. Yes
   2. No
8. Proof of Senior's Age

   To receive the senior discount, we must have proof that the registered owner is 65 or more years old.  Please provide proof that the owner is more than 65 years old.  

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Daily Overnight Parking Permits

2. WARNING

   Purchase daily, overnight parking permits while your annual permit application is under review.  

   Vehicles undergoing the annual permit review may still receive a citation if a valid, daily overnight parking permit is not displayed.  

4. Certification

   I understand that submitting an application does not exempt my vehicle from being cited for parking on the street overnight.  If I park my vehicle on the street overnight, I must purchase a daily overnight parking permit while my annual overnight parking permit is under review.  

   1. Yes
   2. No
8. Continue |Go Back

Certification and Signature

2. By entering my electronic signature below, I certify under penalty of perjury that the information provided in this application is true and correct to the best of my knowledge. I acknowledge that my application will be denied and/or my permit will be subject to revocation if I provide false information. I understand that an overnight parking permit does not exempt me from any other parking restrictions. I understand that my electronic signature has the same force and effect as my original signature.
4. Electronic Signature*
   Type your name as you would sign a legal document. This is your electronic signature.
Leave This Blank:


5. 1. Receive an email copy of this form.
6. Email address

   This field is not part of the form submission.

7. Submit Submit and Print | Go Back

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