ENG2023-0235 WATER AVAILABILITY CERTIFICATEComplete and submit this form through www.MyBuildingPermit.com. Submit as a
new application using the following prompts: Application Type — Utilities, Activity
Type — Utility Availability, Scope of Work — Water Main.
SECTION A
InformationApplicant
Contact/Applicant Name A� , L L C
Phone Number 4ZS . nq
EmaileW yt p rn
Address 1-0 � M
City
State W Y)
Zip
'
• perty Information
Project Name &kV16
Address 3Z-1- Z q Nvt S
City mm6S
1 State w
Zip
Parcel No.
Does the property currently have water service? ❑ Yes (City of Edmonds water) No
Proposed Development
Describe project (number of buildings, pumber of units, number of stories per building):
In what phase is the project?
❑ Design Review <rBuilding Permit
EIVED
MAY 01 2023
❑ Preliminary Plat ❑ Rezone or Other CITY OF EDMONDS
�L'� _z ' , _ t�� DEVELOPMENT
Associated permit application number(s), if applicable: SERVICES DEPARTMENT
SECTION B
Applicability
Exemptions from Utility Availability Study: i) Single-family residence; 2) Multi -family project of four
units or less with combo water/fire lines; 3) Short plat subdivision (four single-family lots or less). Please
check one of the following:
❑ A utility availability study IS NOT requested/required. The applicant certifies that this project
is exempt from needing a study as described above and is not requesting a full utility availability
study at this time. Please sign below and submit this form through www.MyBuildingPermit.com.
AK A utility availability study IS requested/required for the project, and associated fees will be
due. Please submit the complete application through www.MyBuildingPermit.com.
APPLICANT SIGNATU DATE:
APPLICANT PRINTED
K
Form Updated 3/28/2023
SECTION C
1. ✓❑ a. Water will be provided by service only to an existing 6" Cast Iron (size) water
main that is 27 (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 203 feet from the building/property
(or as marked on attached map)
Rate of Flow
❑ Less than 500 gpm. (approximate] gpm)
❑ 500 to 999 gPm
❑ 1500 gpm or more
❑ Flow test of QDm
❑ Less than one (1) hour
❑ One (1) to two (2) hours
❑ Two (2) hours or more
❑ Other
Duration
❑ Calculation of 1197.42 gpm (Commercial building permits require flow test or
calculation)
OR
❑ b. Water system is not capable of providing fire flow.
Water Agency
Comments/Conditions:
Static pressure is 113.31 psi
Maximum available flow is 1197.42 gpm
Pressure at available flow is 99.44 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
9/11/2023
(Title)
(Si nature Date)
Form Updated 3/28/2023