22-101773-CO-Permit Application-04-25-2022-V141k
CITY OF
Federal Way
PERMIT NUMBER 22 101773
PERMIT APPLICATION
PERMIT CENTER + 33325 8th Avenue South + Federal Way, WA 98003-6325
253-835-2607 + FAX 253-835-2609 + permitcenterL&_cityoffederalway.com
— co
TARGET DATE
SITE ADDRESS
SUITE/UNIT #
1701 S Commons, Federal Way 98003
PROJECT VALUATION
ZONING
ASSESSOR'S TAX/PARCEL #
City Center -Core
$ 100,000.00
TYPE OF PERMIT
❑ BUILDING ❑ PLUMBING ❑ MECHANICAL ❑ DEMOLITION ® ENGINEERING ❑ FIRE PREVENTION
NAME OF PROJECT
The Commons Pad H Site Only
Construct the Pad H Site Onlyincludingparkinglot
PROJECT DESCRIPTION
curb and utilities. Building, sidewalk and connections
Detailed description of work to
under separate permit.
be included on this permit only
NAME
Merlone Geier Partners
PRIMARY PHONE
(858) 350-1977
PROPERTY OWNER
MAILING ADDRESS
E-MAIL
457 SW 148th Street, Suite 202
ggoodman@merlonegeier.com
CITY Burien
WAEP
IP 98166
NAME
PHONE
MAILING ADDRESS
E-MAIL
CONTRACTOR
CITY
STATE
ZIP
FAX
WA STATE CONTRACTOR'S LICENSE #
EXPIRATION DATE
UEI #
NAME
PRIMARY PHONE
Laura Bartenhagen
(253) 838-6113
APPLICANT
MAILING ADDRESS
33400 8th Avenue South, Suite 205
E-MAIL
laura.bartenhagen@esmcivil.com
CITY
Federal Way
STATE
yip,
ZIP
98003
FAX
NAME
Laura Bartenhagen
PPHONE (53)838-6113
PROJECT CONTACT
MAILING ADDRESS
33400 8th Avenue South, Suite 205
E-MAIL
laura.bartenhagen@esmcivil.com
(The individual to receive and
respond to all correspondence
CITY
Federal Way
STATE
WA
ZIP
98003
FAX
concerning this application)
PROJECT FINANCING
NAME
® OWNER -FINANCED
When value is $5, 000 or more
MAILING ADDRESS, CITY, STATE, ZIP
PHONE
(RCW 19,27.095)
I certify under penalty of perjury that I am the property owner or authorized agent of the property owner. I certify that to the best
of my knowledge, the information submitted in support of this permit application is true and correct. I certify that I will comply with
all applicable City of Federal Way regulations pertaining to the work authorized by the issuance of a permit. I understand that the
issuance of this permit does not remove the owner's responsibility for compliance with local, state, or federal laws regulating
construction or environmental laws.
I further agree to hold harmless the City of Federal Way as to any claim (including costs, expenses, and attorneys' fees incurred in
the investigation and defense of such claim), which may be made by any person, including the undersigned, and filed against the city,
but only where such claim arises out of the reliance of the city, including its officers and employees, upon the accuracy of the
information supplied to the city as a part of this application.
4�__
SIGNATURE: DATE April 25, 2022
Laura Bartenhagen
PRINT NAME:
Bulletin #100 — February 19, 2020 Page 1 of 2 k:\Handouts\Permit Application