20160705090809.pdfof E bjtI� . City of Edmond Al
REQUEST FOR PLAN REVIEW CONSULTANT SERVICES
BUILDING DIVISION
(425) 771-0220
Task Order No. �w`-r ®� _. Budget Line Number: 001.000.620.524.100.410
Project Name & Plan Check
Consultant: Eagle Eye Cons. Eng. Consultant Contact Person: Marty Gillis Phone:, 425-773-0448
Fax:
City of Edmonds Requester LeifBiorback, Bgil,I ing Mcial Phone: 425-771-02 0, ext 1380
Reimbursable by Applicant:
❑ Yes, by ........................... ._._............
(Name, address, phone number of person/organization who will reimburse City)
No
DESCRIPTION OF TASK ASSIGNMENT
Review the enclosed plans, calculations and documents, for compliance with State and City adopted building codes
Structural & Non -Structural Plan Review Fire Sprinkler Plan Review
Structural Only Plan Review F_� Non -Structural Only Plan Review
Additional Instructions: _.. _..........
COMPENSATION V 0 44 d11 $ 1041000, — 4 ; OIOIq X ,a
)4 BASED ON CONSTRUCTION VALUATION per Professional Services Agreement
�3,30P,1 b
❑ TIME AND MATERIALS per Professional Services Agreement. Compensation for these services will be on a Time
and Materials basis, not to exceed $ _3,';5qq. 15 without written authorization.
SCHEDULE The Consultant shall complete the services described above as follows:
In accordance with Standard ReviewTimelines, imelrnes per lhre Professional Services. Agreeuent
• Completed I" review due to City by _� (see below for subsequent reviews)
❑ Alternate review time as agreed upon in advance with t e City per the Professional Services Agreement (only to be used
when approved by the Building Official).
• Completed review due to City by (see below for subsequent reviews)
All provisions of the Professional Services Agreement dated 10/26/2009 shall be in full force and effect for this Task Order.
APPROVED:
CITY OF EDMONDS
CONSULTANT
BY....._ _.� IIy......... ........
_eif Ip l a ^, Building Official Date Marty Gillis Date
y
RETURN' ORIGINAL SIGNED TASK ORDER TO THE CITY
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SCHEDULE OF SUBSEQUENT REVIEWS:
2nd REVIEW DUE TO CITY BY:,�
3rd REVIEW DUE TO CITY BY:
L:\TEMP\DST's\Forms\Task Order Forms\Eagle Eye Engineers Task Order Form.doc