ENP2022-0002 WATER AVAILABILITY CERTIFICATERECEIVED
Of EDig0�
t C. 1590
SECTION A
JAN 24 2022
WATER AVAILABILITY APPLICATION
Complete and submit this form through www.Mwww.MyBuildingPermit.com.CITY MONDS
DEVELOPMENT
SERVICES DEPARTMENT
Applicant Information
Contact/Applicant Name R
Phone Number
Email W i
Address U bya,
City
State
Zip q -L-1-L
InformationProperty
Project Namefto S i Eau
Associated Permit Number U — Q
Address 8051 184TH ST SW
City State fA
zip U�
Parcel No. 16 LA ` DO
Does the property currently have water service? Yes (City of Edmonds water) ❑ No
Describe project (number.of buildings, number of units, number of stories per building):
In what phase is the project?
❑ Design Review 29 Building Permit
�1/Gt�Yl'ti 1
❑ Preliminary Plat ❑ Rezone or Other
Associated permit application number(s), if applicable:
SECTION B
Applicant certifies that this project is a single-family residence, multi -family project of four units or
less with combo water/fire lines, or short plat subdivision (four single-family lots or less), in which case
completion of a full utility availability study shall not be required. Please sign below and submit this form
through www.MyBuildingPermit.com.
❑ For all other permit types, a utility availability study is required and associated fees will be due. Please
submit the complete application through www.MyBuildingPermit.com.
APPLICANT SIGNATURE: //L--� DATE: I
APPLICANT PRINTED NAME:_ 1 ) (W W_ SVV, LP
Form Updated 12/9/2021
SECTION C
1. ® a. Water will be provided by service only to an existing
(size) water main that is 190 (feet) from the site.
OR
12" Cast Iron
❑ 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 400 feet from the building/property (or as marked on
attached map)
Rate of Flow
❑ Less than 500 gpm. (approximately gpm)
❑ 500 to 999 gPm
❑ 1500 gpm or more
❑ Less than one (1) hour
❑ One (1) to two (2) hours
❑ Two (2) hours or more
Duration
❑ Flow test of gpm ❑ Other
❑ Calculation of 3362.40 gpm (Commercial building permits require flow test or
calculation)
OR
❑ b. Water system is not capable of providing fire flow.
Water Agency Certification
Comments/Conditions:
Per model, static pressure is 65.38 psi
At 1000 gpm, residual pressure is 64.31 psi
At max flow of 3362.40 gpm, residual pressure is 58.61 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
1 /28/2022
(Title)
( nature Date)
Form Updated 09/02/2021