TIA - 20732 76th Ave W.pdfOV EQA1
City of Edmonds
Traffic Impact Analysis Worksheet
Name of Proposed Project:
Owner/Applicant
Name
Street/Mailing Address
Applicant Contact Person:
Name
Street/Mailing Address
City State Zip City
Telephone: Telephoner
Traffic Engineer who prepared the Traffic Impact Analysis (if applicable):
Firm Name..._..................................�..................................... Contact Name
Telephone:
THRESHOLD LEVELS OF ANALYSIS
E-mail:
State Zip
Project Traffic Levels Sections to Complete
I Less than 25 peak -hour trips generated 1 and 7 only (Worksheet/Checklist)
............... ............... ........................................ . .............�...
II. More than 25 peak -hour trips generated All sections
1. PROJECT DESCRIPTION
a. Location - Street address: —
b. Specify existing land user
a vicinity map and site plan.)
c. Specify proposed type and size of develoPmenta..
1....Z� -f
............................................................................... (# of residential units and/or square footage of building)
Revised on 6124110 E82 - Traffic Impact Analysis Worksheet Page I of 5
7. MITIGATION RECOMMENDATIONS
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 Rate # of dwelling,
vfzp,, etc.
Use" New U e $ (l��7• &s— X J
U® �'O�d,d.............._._....................................
Prior Use $ X
New Use Fee: $ Prior Use Fee: $ = $ 1
f"'.f"'V NEW DEVELOPMENT
ITE Land Use CategoryI Per Unit
Fee Rate
New Use
1.1 OTHER
Units to
square feet, Fee
# of dwelling,
vfp, etc.
X� = $ 3149,
ly1TTT(--ATT()l� FFF RF (�MMFNT) TT —L
INDEPENDENT FEE CALCULATION: $200.00 (+ consultant fee) $
TOTAL TRAFFIC IMPACT FEE $
,Op
`p
City of . m. nds, Engineering Division Approval Date
' No impact fees will be due, nor will a credit be given, for an impact fee calculation resulting in a net negative.
Revised on 6/24/10 E82 - Traffic Impact Analysis Worksheet Page 5 of 5