APPROVED ENG BLD2023-1244+Transportation_Impact_Form+10.5.2023_12.56.50_PM+3824061APPENDIX A
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Transportation Impact Analysis
Worksheet
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PERMITTING & DEVELOPMENT
ENGINEERING
DIVISION
121 5th Avenue N
P: 425.771.0220
www.edmondswa.gov
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 Contact Name
Telephone: E-mail:
i
1. PROJECT DESCRIPTION
a. Location - Street address:
(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:
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 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.
ITE Land Use Category
New Use
Prior Use
Per Unit
Fee Rate
$ X
$ X
Units in
square feet,
# of dwelling,
vfb. etc.
Fee
New Use Fee: $ - Prior Use Fee: $ $ 1
❑ NEW DEVELOPMENT
Units in
ITE Land Use Category Per Unit square feet,
Fee Rate # of dwelling,
vfp, etc.
New Use $ X
❑ OTHER
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.