ENG2023-0494 WATER AVAILABILITY CERTIFICATERECEIVED
Oct 09 2023
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SECTION A
CITY OF EDMONDS
DEVELOPMENT SERVICES
DEPARTMENT
WATER AVAILABILITY APPLICATION
Complete 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.
Applicant Information
Contact/Applicant Name S
r
Phone Number Jo& -- U 7t
Email r,-/S ° ' Ci../C 6
Address 0•7 - w au
City ' L-1A)6
State
Zip
Property Information
Project Name lq4ARI
Address /0_,-)- %AVE
City _ .O + State W %a
Zip y
Parcel No. 1r)6)5 &&cr any 400
Does the property currently have water service? es (City of Edmonds water) ❑ No
Describe project (number of buildings, number of units, number of stories per building):
a� 570 y^ Vol -/-S 5 /d 3 y s /Ck-
In what phase is the project?
❑ Design Review Building Permit [A)) Y' Cc V) S '4-1-Ue-4I 0P7
❑ Preliminary Plat ❑ Rezone or Other
Associated permit application number(s), if applicable: 65L D ,�V.), Q S' J 3
E I 'av'q ( --0.x l
SECTION B :2 0 a 1 _ 0,;),
Exemptions from Utility Availability Study: 1) 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.
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 SIGNATURE: 1% i /r"a,2Ak 1 DATE: ` r� L72 j
APPLICANT PRINTED NAME: V/ll %Lir 14AR61 S
Form Updated 3/28/2023
SECTION C
i. Z a. Water will be provided by service only to an existing 8" Ductile Iron (size) water
main that is 48 (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. 0 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. 0 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. 0 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 90 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 9Pm
❑ 1500 gpm or more
❑ One (]) to two (2) hours
❑ Two (2) hours or more
❑ Flow test of gpm ❑ Other
Z Calculation of 2513.90 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:
Static Pressure: 76.10 psi
Pressure at Available Flow: 61.63 psi
Maximum Available Flow: 2513.90 gpm
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
Jenelle Ho
(Agency Name)
(Signatory Printed Name)
Associate Engineer
Dig: allysignetlby Jenelle Ho
oODN O=US, fn a gov, ,
CThe,Cillly o.Edmonds. OU=EngineeringJeneIle HN=JcN
(Title)
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Form Updated 3/28/2023