APPROVED BLD2021-0259 Traffic Impact Form.RECEIVED
Apr 12 2021
CITY OF EDMONDS
DEVELOPMENT SERVICES
TransEportation
Worksheet
PtRi+IITCING & U`F.VEI.,
ENGINEERIN.:
DIVISION
121 51h Avenue N
P; 425.771.0220
vjvv .edmondswa.gov
I'I C I of'?
Impact Analysis
Name of Proposed Project: Z011 S "3"t *e, 6,) WA-Q1i0'?+
Owner/Applicant Applicant Contact Person:
1
r0 -U' FuAZt . G'ru-up U-C f2-,-A
Name I Name 1
Street/Mailing Address
&-P � WA- q (b i 15—
city
State Zip
Telephone: 2.,o6 IF3a
5-P v �U
Street/Mailing Address
City State Zip
Telephone: Z..`Db
Traffic Engineer who prepared the Traffic Impact Analysis (if applicable):
Firm Name
Telephone:
l . PROJECT DESCRIPTION
Contact Name
E-mai I:
a. Location - Street address: 2 v i 1 9 ` 3 r-IL AVe
b. Specify existing land use:
4.F
(Attach a vicinity map and site plan.)
c. Specify
rproposed type and size of development: 2-k6l"-05 L L�4` s�
AqA _ (# of residential units} and/or square footage of building)
d. Date construction will begin and be completed: ! Zy z
e. Define proposed access locations:�-
Page 2 of 2
f. Define proposed sight distance at site egress locations:
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.
Per Unit
ITE Land Use Category
Fee Rate
New Use
$
Prior Use
$
X
V.i
Units in
square feet,
# of dwelling,
vfn. etc.
Fee
New Use Fee: $ - Prior Use Fee: $
$ r
NEW DEVELOPMENT
ITE Land Use Category
Per Unit
Fee Rate
New Use
1 ��
$
❑ OTHER
Units in
square feet,
# of dwelling,
of , etc.
X I I [)U
Fee
OTAL TRANSPORTATION IMPACT FEE $ � Z 1
8/ 10/2021
City of Ed s, Eng�eering 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.