APPROVED BLD2021-1266+Transportation_Impact_Form+9.13.2021_1.30.23_PM+2405194APPENDIX A
�y of F 0Mo� Page 1 of 2
Transportation Impact Analysis
Worksheet
PERMITTING & DEVELOPMENT
ENGINEERING
DIVISION
121 5th Avenue N
P: 425.771.0220
Name of Proposed Project:
Owner/Applicant
Name
Street/Mailing Address
City
Telephone:
Applicant Contact Person:
Name
Street/Mailing Address
State Zip City State Zip
Telephone:
Traffic Engineer who prepared the Traffic Impact Analysis (if applicable):
Firm Name
Telephone:
1. PROJECT DESCRIPTION
a. Location - Street address:
Contact Name
E-mail:
(Attach a vicinity map and site plan.)
b. Specify existing land use:
c. Specify proposed type and size of development:
(# of residential units and/or square footage of building)
d. Date construction will begin and be completed:
e. Define proposed access locations:
HANDOUT UPDATED 09.02.2021
APPENDIX A
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 3.36.125, except as otherwise provided for independent fee calculations in ECDC
3.36.130.
❑ 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 impact fee rate 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: $ 1 - I Prior Use Fee: $ 1 _ 1 $
❑ NEW DEVELOPMENT
Units in
ITE Land Use Category Per Unit square feet,
Fee Rate # of dwelling,
vfp, etc.
New Use $ X =
❑ NO CHANGE
❑ INDEPENDENT FEE CALCULATION
Fee
MITIGATION FEE RECOMMENDATION:
$
INDEPENDENT FEE CALCULATION: $240.00 (+ consultant fee)
$
TOTAL TRANSPORTATION IMPACT FEE
$
City of Edmonds, 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.
HANDOUT UPDATED 09.02.2021
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7
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A
C
M1l
E
F
G
1
J
K
L
0.905'
FIRE SEPARATION
SITE PLAN
SCALE: 1/4"=1'-0"
NORTH
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16
A
B Main Street Commons
550 Main Street
Edmonds, WA 98020
C 603 Stewart Street
suite 610
seattle, washington 98101
206.466.5239 p
206.713.4076 m
ksmith@smithco.org
http://www.smithco.org/
Consultant
E
Consultant Registration
F
Architect Registration
6294
G F;gHlITECT
ERED
K MITH
STA E OF WASHINGTON
Issues and Revisions
No. Date Issues
1 09,1521 PERMIT
J
Project Name
Project Number 02016063.01
Description SITE PLAN
K Computer File T4.0.DWG
Scale AS NOTED
Template
All ideas, designs, arrangements, and plans indicated or
represented by this drawing are owned by and the
property of smith co. Ilc and were created, evolved, and
developed for use on and in connection with the
specified project. None of such ideas, designs,
Larrangements or plans shall be used by or disclosed to
any person, firm, or corporation for any purpose
whatsoever without the written permission of smith co. Ilc.
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