Water Availability Certificate ENG2023-0138-LFof EDA10+
V •r
ANC. i 8' o
SECTION A
WATER AVAILABILITY APPLICATION
Complete and submit this form through www.MyBuildingPermit.com.
Applicant
Contact/Applicant Name Alexandra Immel Residential Design LLC
Phone Number 206-501-3038
Email info alexandraimmeldesi n.com
Address 3439 NW 62nd. St
city Seattle
state WA
zip 98107
Property Information Haider Residence
Associated Permit Number BLD2022-1324
Address 915 Brookmere St
city Edmonds
state WA
zip 98020
Parcel No. 00548900000302
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):
Proposed 2-story addition to (E) single family residence. 1 building, 1 unity
In what phase is the project?
[A Design Review
❑ Preliminary Plat
❑ Building Permit
❑ Rezone or Other
Associated permit application number(s), if applicable:
SECTION B
BLD2022-1324
131 Applicant certifies that this project is a single-family residence, multi -family project of four units or
less with combo water/fire lines, or short plat subdivision (four single-family lots or less), in which case
completion of a full utility availability study shall not be required. Please sign below and submit this form
through www.MyBuildingPermit.com.
M For all other permit types, a utility availability study is required and associated fees will be due. Please
submit the complete application through www.MyBuildingPermit.com.
Applicant requested paid certificate.
APPLICANT SIGNATURE: �'""' �"�" �" ArR�' DATE: 2.8.2023
APPLICANT PRINTED NAME: Jessica Kashian for AIRD
Form Updated 12/9/2021
SECTION C
1. V a. Water will be provided by service only to an existing
(size) water main that is 20 (feet) from the site.
OR
4" cast iron
❑ b. Water service will require an improvement to the water system of:
❑ W. 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. 91 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. 91 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. V 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 320 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 gvm
❑ Less than one (i) hour
❑ One (1) to two (2) hours
❑ Two (2) hours or more
❑ Other
Duration
❑ Calculation of 673 gpm (Commercial building permits require flow test or
calculation)
OR
❑ b. Water system is not capable of providing fire flow.
Water Agency Certlficati-)n
Per model, static pressure is 85 psi
At hydrant available flow of 673 gpm, pressure is 68 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
(Signature/Date)
Associate Engineer
itle
Form Updated 12/9/2021