ENG2024-0471 WATER AVAILABILITY CERTIFICATEof EDAg0NO�
SECTION A
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
Contact/Applicant Name Ted Dimof - Bush, Roed and Hitchings
Phone Number
206-323-4144
Email
tedd@brhinc.com
Address
15400 SE 30th PL
city
Bellevue
state WA
zip 98007
Property
Project Name 7935 Lake Ballinger Way Fire Service
Address 7935 Lake Ballinger Way
city Edmonds
state WA
zip 98026
Parcel No. 00491100001306
Does the property currently have water service? XYes (City of Edmonds water) ❑ No
Describe prpject number of�b ildings, number of units, number of stories per building):
Installation off a new 4 fire service to an existing building.
In what phase is the project?
❑ Design Review
❑ Preliminary Plat
❑ Building Permit
LJ Rezone or Other This is for a new fire service
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:
for an existing building
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.
IN] 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.
ry s9ne0 M Te0 gmol
Ted Dimof a^a� 9� �r�o�° 9/25/24
APPLICANT SIGNATURE: z�aoszs,z,s�-0�d DATE:
APPLICANT PRINTED NAME: Ted Dimof
Form Updated 3/28/2023
SECTION C
i. Z a. Water will be provided by service only to an existing 6" °' (size) water
main that is 6' (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 80 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 1413.62 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 = 88.91 psi
Residual Pressure at Available Flow = 50.05 psi
Available Flow = 1413.62 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
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DDN ig lly C=USntlby Jenege Ho
Jenelle Ho Ed-2I OUE,g.... ngaCN=Je.k HoO-TheCity of
Date: 2024A 0A 0 08 37 03.7'00'
(Title)
(Signature/Date)
Form Updated 3/28/2023