Water Availability Certification 22617 176th Ave WRECEIVED
Mar 11 2024
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SECTION A
CITY OF EDMONDS
WATER AVAILABILITY APPLICATION DEVE OPARTMENRVICES
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
Contact/Applicant Name
Chris Davidson, AIA
Phone Number
253.337.1055
Email
chris@JCRCollective.com
Address
950 Broadway, Suite M-100
city
Tacoma
I state WA
zip 98402
Property
Project Name
Stone Court
Address
22617 76th AVE W
city
Edmonds
state WA
zip 98026
Parcel No.
27042900308600
Does the property currently have water service? X Yes (City of Edmonds water) ❑ No
Describe project (number of buildings, number of units, number of stories per building):
Existing Building w/ a proposed project to convert 6 office spaces to residential units and convert 2-3
ottice spaces to church office space that will be useci Tor offices and small gatherings
In what phase is the project?
❑ Design Review
❑ Preliminary Plat
® Building Permit
❑ Rezone or Other
Associated permit application number(s), if applicable:
SECTION B
Exemptions from Utility Availabilit
units or less with combo water/fire
check one of the following:
residence; 2) Multi -family project of four
7ision (four single-family lots or less). Please
❑ 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.
0-49-k—
APPLICANT SIGNATURE: DATE: 3/6/2024
APPLICANT PRINTED NAME: Chris Davidson, AIA
Form Updated 3/28/2023
SECTION C
i. Z a. Water will be provided by service only to an existing 6 Inch Cast Iron (size) water
main that is 15 (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 85 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
❑ One (1) to two (2) hours
❑ Two (2) hours or more
❑ Flow test of gpm ❑ Other
Z Calculation of 1247.54 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: 101.90 psi
Residual Pressure at Available Flow: 92.61 psi
Available Flow: 1247.54 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
g
"D'N:C-U5 Ej nele.hol@e mmds .gov O=The City
J e n e l l e H o of Edmonds, DD-Ee9,neerin0. CN ene a Ho
Dale: 2024 03.130939:17-OT'00'
(Title)
(Signature/Date)
Form Updated 3/28/2023