20161107120020.pdfName of Proposed Project:
Owner/A a lic n
U5G�-L-�
Name
3 ? CO A)
Street/Mailing Address
City State Zip
Telephone: A 4e 0
Applicant Contact Person:
Name
COAJ
Street/Mailing Address
City State Zip
Telephone: ..
Traffic Engineer who prepared the Traffic Impact Analysis (if applicable):
Firm Name Contact Name
Telephone: E-mail:
THRESHOLD LEVELS OF ANALYSIS
Project Traffic Levels Sections to Complete
I. Less than 25 peak -hour trips generated 1 and 7 only (Worksheet/Checklist)
U. More than 25 generated trips peak -hour All p p g sections
1. PROJECT DESCRIPTION
a. Location - Street address: r i /v SO l
_(Attach a vicinity map and site plan.)
b. Specify existing land use: 61 E EIL C Q_ _
c. Specify proposed type and size of development:
'T` (# of residential units andlor square footage of building)
d. Date construction will begin and be completed: 1'GY LA)
e. Define proposed access locations: A. -A --
f. Define proposed sight distance at site egress locations: C
2. IIp '] ERATION
Lout- shall be the Eighth Edition of the Institute of Transportation Engineers (ITE) Trip Generation
manual. For independent fee calculations, the current edition of the ITE manual may be used.
ADT = Average Daily Traffic
PM Peak -hour trips (AM, noon or school peak may also apply as directed by the City Engineer)
a. Existing Site Trip Generation Table:
PM Peak -Hour Trips
Land Use Daily (ADT) IN OUT
b. Proposed Project Trip Generation Table:
PM Peak -Hour Trips
Land Use Daily (ADT) IN OUT
c, Net New Project Trip Generation Table:
PM Peak -Hour Trips
Land Use Daily (ADT) IN OUT
d. State assumptions and methodology for internal, link -diverted or passby trips:
Revised on 6124110 E82 - Traffic Impact Analysis Worksheel Page 2 of 5
State recommended measures and fees required to mitigate project specific traffic impacts. Traffic
impact fee shall be calculated from the Edmonds Road Impact Fee Rate Study Table 4 (attached)
and as identified in ECDC 18.82.120, except as otherwise provided for independent fee calculations
in ECDC 18.82.130.
CHANGE IN USE
Fee for prior use shall be based on fee established at the time the prior use was permitted. If the
previous use was permitted prior to the adoption of Ordinance 3516 (effective date: 09/12/04),
the 2004 ECDC 18.82.120 impact fee shall be used.
Units in
ITE Land Use Category Per Unit square feet, Fee
Fee Rate # of dwelling,
of , etc.
3 AA
New Use i, �Uc� $ 1 X — $ `d
Prior Use O+ $ 1� X�
New Use Fee: $ 3 4 - Prior Use Fee: $ 1J 13 4�9 1
$
❑ NEW DEVELOPMENT
ITE Land Use Category Per Unit
Fee Rate
New Use 1 f $
OTHER
CALCULATI
1:1
Units in
square feet,
# of dwelling,
vfp, etc.
tant fee
TOTAL TRAFFIC IMPACT FEE
City of Edmonds, Engineering Division Approval
S�--:
$
.
...
------------
Date
' No impact fees will be due, nor will a credit be given, for an impact fee calculation resulting in a net negative.