DNS CG Engineers Task Order Form - ANTHOLOGYof EDVO City of Edmonds
REQUEST FOR PLAN REVIEW CONSULTANT SERVICES
BUILDING DIVISION
�t. i g90 (425) 771-0220
Task Order #: B2022-0001
Budget Line Number: 001.000.620.524.100.410
Project Name & Plan Check #: ANTHOLOGY FILL/GRADE- VAULT BLD2021-0116
Consultant: CG ENGINEERING Consultant Contact Person: Chew Chase Phone: 425-778-8500
City of Edmonds Requester: Leif Bjorback, Building Official Phone: 425-771-0220 ext. 1380
Reimbursable by Applicant:
XX Yes, by ANTHOLOGY (APPLICANT)
(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
XX Structural Only Plan Review
Additional Instructions:
❑ Non -Structural Only Plan Review
COMPENSATION
❑ BASED ON CONSTRUCTION VALUATION and City Plan Review Fee per Professional Services Agreement
Valuation: Plan Review Fee:
%: = Fixed Fee:
XX TIME AND MATERIALS per Professional Services Agreement. Compensation for these services will be on a Time
and Materials basis, not to exceed $ $2,500.00 without written authorization.
SCHEDULE The Consultant shall complete the services described above as follows:
❑ In accordance with Standard Review Timelines per the Professional Services Agreement
• Completed V review due to City by (see below for subsequent reviews)
XX Alternate review time as agreed upon in advance with the City per the Professional Services Agreement (only to be used
when approved by the Building Official).
• Completed review due to City by 12/28/2022 (see below for subsequent reviews)
All provisions of the Professional Services Agreement dated 1/7/2022 shall be in full force and effect for this Task Order.
APPROVED:
CITY OF EDMONDS CON ULTA
By: KrCs vvJohnko-vvl> of Lef Bfo-rback, 111312022 By.&"'-_-1/13/2022
Leif Bjorback, Building Official Date Date
RETURN ORIGINAL SIGNED TASK ORDER TO THE VITY
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SCHEDULE OF SUBSEQUENT REVIEWS:
L:\TEMP\DST's\Forms\Task Order Forms\Eagle Eye Engineers Task Order Form.doc
❑ 2nd REVIEW DUE TO CITY BY:
❑ 3rd REVIEW DUE TO CITY BY: