APPROVED BLD2021-1190+Transportation_Impact_Form+9.28.2021_10.33.10_AM+2432305RESUB
Sep 28 202 "
CITY OF EDMOND:
DEVELOPMENT SERVI
DEPARTMENT
PERMITTING & DEVELOPMENT
ENGINEERING
DIVISION
121 5th Avenue N
P: 425.771.0220
BLD2021-1190 APPENDIX A
Page 1 of 2
Transportation Impact Analysis
Worksheet
Name of Proposed Project: LifeStance Health
Owner/Applicant
Precision Permit Services
Name
75 - 60th St. SW
Street/Mailing Address
Wyoming M 1 49548
City State Zip
Telephone: 616-493-9384
Applicant Contact Person:
Amy Diekevers
Name
Same
Street/Mailing Address
City State Zip
Telephone:
Traffic Engineer who prepared the Traffic Impact Analysis (if applicable):
Firm Name
Telephone:
1. PROJECT DESCRIPTION
Contact Name
E-mail:
a. Location - Street address: 21727 76th Ave. West, Suite C, Edmonds WA 98026
b. Specify existing land use:
(Attach a vicinity map and site plan.)
MEDICAL OFFICE BUILDING
c. Specify proposed type and size of development: COUNSELING OFFICE (3606 SF)
(# of residential units and/or square footage of building)
d. Date construction will begin and be completed: 10 / 15 — 12 / 15
e. Define proposed access locations: EXISTING TO REMAIN
HANDOUT UPDATED 03.24.2021
APPENDIX A
Page 2 of 2
£ Define proposed sight distance at site egress locations: EXISTING TO REMAIN
2. MITIGATION RECOMMENDATIONS
State recommended measures and fees required to mitigate project specific traffic impacts.
Traffic impact fee shall be calculated from the attached Impact Fee Rate Tables 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,
vfp, etc.
New Use $ X
Prior Use $ X =
New Use Fee: $ - Prior Use Fee: $ _ $ '
❑ NEW DEVELOPMENT
Units in
ITE Land Use Category Per Unit square feet,
Fee Rate # of dwelling,
vfp, etc.
New Use $ X
X NO CHANGE
❑ INDEPENDENT FEE CALCULATION
MITIGATION FEE RECOMMENDATION:
$
INDEPENDENT FEE CALCULATION: $240.00 (+ consultant fee)
$
TOTAL TRANSPORTATION IMPACT FEE
$
�arvhv� 10/8/2021
City of Edmunus, r.nguieeri,ig 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.
HANDOUT UPDATED 03.24.2021