Water Availability CertificateRECEIVED
OCT 26 2021
OF EDMONDS
ITY
.:
WATER AVAILABILITY APPLICATION CDEVELOPMENT
SERVICES DEPARTMENT
Complete and submit this form to EngineeringPermits rr)edmondswa.gov
SECTION A
Contact/Applicant Name KeNin Rider
Phone Number
Email
ke,6nr Rcfires %stemswest.com
Address
0
(-Ity State Zip
Pacific
Name
Num
City, Edmonds I State w4 Zip
Parcel No.
270g2go0a00100 _
Does the property currently have water service? xi Yes (City of Edmonds water) No
Describe project (number of buildings, number of units, number of stories per building):
_Adding a new fire sprinkler riser to provide fire sprinkler coverage to a new building.
In what phase is the project?
❑ Design Review
❑ Preliminary Plat
SECTION B
® Building Permit
❑ Rezone or Other
❑ Applicant certifies that this project is a single-family residence or short plat subdivision (four lots or
less), in which case completion of a full utility availability study shall not be required. Please sign below
and submit this form to Engine•criiigPerntitst(,)cdmonds%va.gox-.
® For all other permit types, a utility- availability study is required and associated fees will be due. Please
submit the complete application to Engittet ringPe rmitti(a�t�tlmonCLst�tt. o�'.
APPLICANT SIGNATURE: Z'- /��� DATE: 10-26-2021
APPLICANT PRINTED NAME: Kevin Rider
Form Updated 09/02/2021
SECTION C
1. ❑ a. Water will be provided by service only to an existing 8" Cast Iron
(size) water main that is 30 (feet) from the site.
OR
❑ b. Water service will require an improvement to the water system of:
❑ (1). feet of water main to reach the site; and/or
❑ (2). The construction of a distribution system on the site; and/or
❑ (3). Other (describe)
2. ® a. The water system is in conformance with a City approved water comprehensive plan.
OR
❑ b. The water system improvement will require a water comprehensive plan amendment.
(This will cause a delay in permit issuance and approval.)
3. ® a. The proposed project is within the corporate limits of the City, or has been granted
Boundary Review board approval for extension of service outside the City, or is within the City approved
service area of a private water purveyor.
OR
❑ b. Annexation or Boundary Review Board approval will be necessary to provide service.
4. ❑ a. Water is/or will be available at the rate of flow and duration indicated below at no less than
20 psi - Measured at the nearest fire hydrant 20 feet from the building/property (or as marked on
attached map)
Rate of Flow Duration
❑ Less than 500 gpm. (approximately -gpm) ❑ Less than one (i) hour
❑ 500 to 999 gpm
❑ One (1) to two (2) hours
❑ 1500 gpm or more ❑ Two (2) hours or more
❑ Flow test of _gpm ❑ Other
❑ Calculation of 2803 ---gpm (Commercial building permits require flow test or
calculation)
OR
❑ b. Water system is not capable of providing fire flow.
AgencyWater
Comments/Conditions:
Per model, static pressure is 127.61 psi
At 1000 gpm, residual pressure is 124.33 psi
At max flow of 2803 gpm, residual pressure is 102.81 psi
I hereby certify that the above information is true. This certification shall be valid for one year from the date of signature.
City of Edmonds
Russell Lynch
(Agency Name)
(Signatory Printed Name)
Associate Engineer
�` Z/-
(Title)
ature Date)
Form Updated 09/02/2021