ENG2022-0590 Water Availability Certificate - 8907 192nd St SWRECEIVED
eV EL),klo+
WATER AVAILABILITY APPLICATION
Dec 12 2022
CITY OF EDMONDS
DEVELOPMENT SERVICES
DEPARTMENT
Complete and submit this form through www.MyBuildingPermit.com.
SECTION A
Applicant Information
Contact/Applicant Name eMD Design
Phone Number 206-775-1471
Email ermias@emddesignpractice.com
Address 105 Mall Way #1027
City Marysville
State WA
zip 98270
Property Information
Project Name Teseha Res. Interior Alternation for AFH
Associated Permit Number
Address 8907 192nd ST SW
City Edmonds
State WA
zip 98270
Parcel No. 00434600002811
Does the property currently have water service? X Yes (City of Edmonds water) ❑ No
Describe project (number of
In what phase is the project?
stories per building):
❑ Design Review 0 Building Permit
❑ Preliminary Plat ❑ Rezone or Other
Associated permit application number(s), if applicable:
SECTION B
0 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.
X 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: Tsehay DATE: 12/09/2022
APPLICANT PRINTED NAME: Tsehay Ghebresilassie
Form Updated 12/9/2021
Infortnatinn to Be Completed by Water Agency
1. W a. Water will be provided by service only to an existing 8" ductile iron
(size) water main that is 215 (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. V, 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. V 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 250 feet from the building/property (or as marked on
attached map)
Rate of Flow Duration
❑ Less than 500 gpm. (approximately gpm)
❑ Less than one (1) hour
❑ 500 to 999 gpm
❑ 1500 gpm or more
❑ Flow test of
❑ One (1) to two (2) hours
❑ Two (2) hours or more
❑ Other
❑ Calculation of 1566 gpm (Commercial building permits require flow test or
calculation)
OR
❑ b. Water system is not capable of providing fire flow.
Water Agency Certif ication
Per model, static pressure is 103.67 psi
At 1000 gpm, pressure is 97.22
At hydrant available flow of 1566 gpm, pressure is 89.67 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 - Engineering
Russell Lynch
(Agency Name
(Signatory Printed Name
Associate Engineer
Title
(Signatuye/Date)
: ,%- c =� j'''�"'� 2_ , ��✓j
f '
Form Updated 12/9/2021