REVIEWED BLD2021-0088+Water_Availability_Cert+6.7.2021_11.59.04_AM+2235248`Cl� 1;1� 7!}
WATER AVAILABILITY
CERTIFICATE
7Ile, I',)ll
PERMITTING & DEVELOPMENT
ENGINEERING
DIVISION
121 5th Avenue N
P: 425.771.0220
www.edmondswa.gov
ITEMS IN THIS BOX TO BE FILLED IN BY APPLICANT
® Building Permit ❑ Preliminary Plat or PUD
❑ Subdivision ❑ Rezone or Other
Applicant's name: Robert Hill
Proposed Use: Retirement Home (building permit not yet applied)
Location (attach map and legal description if necessary): 21200 7211 Ave W
Updated on 811412018 Page 1 of 2
ITEMS IN THIS BOX TO BE FILLED IN BY EDMONDS DEVELOPMENT SERVICES DEPARTMENT
Permit Number n/A
Project Name Senior Living Development
1. X a. Water will be provided by service connection only to an existing 8 inch (size) water
main that is adjacent 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. X 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. X 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. X 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
❑ Less than 500 gpm. (approximately gpm)
❑ 500 to 999 gpm
❑ 1500 gpm or more
❑ Flow test of gpm
X Calculation of 2382.91 gpm
Duration
❑ Less than one (1) hour
❑ One (1) to two (2) hours
X Two (2) hours or more
❑ Other
(Commercial building permits require flow test or
OR
❑ b. Water will system is not capable of providing fire flow.
WATER AGENCY CERTIFICATION
COMMENTS/CONDITIONS: Per model Static Pressure is 88.81 psi
at 1000 cipm, residual pressure is 86.25 psi
at max flow of 2382.91 cipm, residual pressure is 75.63 psi
I hereby certify that the above water purveyor information is true. This certification shall be valid for
one year from date of signature.
City of Edmonds Gregory Malowicki
(Agency Name) Signatory Printed Name
Associate Engineer `tee
(Title) l(ignature/Date)
Updated on 811412018 Page 2 of 2