STEP #1
Enter the following information
Project Name
Permit Number
Applicant Name
Street Address
City, State Zip
Parcel Number(s)
Traffic Impact Fee Estimated By
STEP #2
Enter the Transportation Service Area (TSA) that contains the location of the project. This must be a
number between 1 and 11.
TSA #
STEP #3
Select the proposed Land Use Type(s) from the dropdown menu below. Enter the proposed number
of units for the Project.
Unit of
Measure
Number of
Unit(s)
Preliminary
Traffic Impact
Fee Amount
1)
NONE
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--
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2)
NONE
--
--
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3)
NONE
--
--
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4)
NONE
--
--
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5)
NONE
--
--
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STEP #4
Enter any applicable Exemptions
Exemption
Rate
Exemption Category
Traffic Impact
Fee Amount
with
Exemptions
1)
NONE
0%
NONE
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2)
NONE
0%
NONE
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3)
NONE
0%
NONE
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4)
NONE
0%
NONE
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5)
NONE
0%
NONE
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STEP #5
This step applies to projects that include a CHANGE IN USE of an existing building or dwelling unit.
If this does not apply, skip this step and scroll down and continue with Step #6.
List any impact fee previously paid for the land use category of the prior
use (do not include administrative fees).
$0.00
If no impact fee was required for the prior use, the impact fee for the new use shall be reduced by an amount equal to the current impact fee rate for
the prior use. In this situation, fill out the lines below with the details of the prior use.
Unit of
Measure
Number of
Unit(s)
Change in Use
Credit per Unit of
Measure
Change in Use
Credit Amount
1)
NONE
--
--
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2)
NONE
--
--
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3)
NONE
--
--
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4)
NONE
--
--
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5)
NONE
--
--
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STEP #6
Enter any applicable Credits, and/or Adjustments.
Credit(s)
Example of Credit: Monetary value of SEPA improvements
CREDIT AMOUNT
$0.00
ADJUSTMENT AMOUNT
$0.00
Adjustment(s)
Example of Adjustment: Applicant has submitted an independent calculation
that has been approved by the County Engineer.
Notes
STEP #7
Calculate estimated Traffic Impact Fee payment amount, including Administrative fees.
Check the appropriate type of development(s) that are included in the proposed project. Note that the definition of "Residential" means all
types of construction intended for human habitation. This includes single family, duplex, multifamily, manufactured homes, etc.
NON-RESIDENTIAL
FALSE
FALSE
TOTAL NUMBER OF DWELLING UNITS
STEP #8
RESIDENTIAL
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LAND USE
UNIT OF
MEASURE
TSA 1
TSA 2
tsa 3
tsa 4
tsa 5
tsa 6
2.07
2.63
2.69
4.15
364.26
798.34
2.25
3.43
3.05
4.02
2.92
5.17
9.62
2.29
24.44
12.80
10.26
9.61
7.60
43.25
7.62
5.44
5.24
1.51
6.19
3.60
10.09
5.74
5.86
4.11
4.73
4.53
4.80
5.41
5.82
7.36
9.32
3.86
8.38
5.43
18.50
21.86
14.23
3,084.60
1,966.98
8.12
0.99
1.25
1.29
1.98
173.72
380.73
1.07
1.63
1.45
1.92
1.39
2.47
4.59
1.09
11.66
6.10
4.89
4.58
3.63
20.62
3.63
2.59
2.50
0.72
2.95
1.72
4.81
2.74
2.80
1.96
2.26
2.16
2.29
2.58
2.78
3.51
4.44
1.84
3.99
2.59
8.82
10.43
6.79
1,471.07
938.07
3.87
0.95
1.20
1.24
1.90
167.01
366.04
1.03
1.57
1.40
1.84
1.34
2.37
4.41
1.05
11.21
5.87
4.70
4.41
3.49
19.83
3.49
2.49
2.40
0.69
2.84
1.65
4.63
2.63
2.69
1.88
2.17
2.08
2.20
2.48
2.67
3.38
4.27
1.77
3.84
2.49
8.48
10.02
6.52
1,414.29
901.86
3.73
tsa 7
0.09
0.12
0.12
0.18
15.95
34.96
0.10
0.15
0.13
0.18
0.13
0.23
0.42
0.10
1.07
0.56
0.45
0.42
0.33
1.89
0.33
0.24
0.23
0.07
0.27
0.16
0.44
0.25
0.26
0.18
0.21
0.20
0.21
0.24
0.26
0.32
0.41
0.17
0.37
0.24
0.81
0.96
0.62
135.10
86.15
0.36
tsa 8
tsa 9
tsa 10
1.39
1.77
1.81
2.79
245.12
537.22
1.51
2.31
2.05
2.70
1.96
3.48
6.47
1.54
16.45
8.61
6.90
6.47
5.12
29.10
5.13
3.66
3.53
1.02
4.17
2.42
6.79
3.86
3.95
2.76
3.19
3.05
3.23
3.64
3.92
4.95
6.27
2.60
5.64
3.66
12.45
14.71
9.57
2,075.72
1,323.64
5.47
2.07
2.63
2.69
4.15
364.26
798.34
2.25
3.43
3.05
4.02
2.92
5.17
9.62
2.29
24.44
12.80
10.26
9.61
7.60
43.25
7.62
5.44
5.24
1.51
6.19
3.60
10.09
5.74
5.86
4.11
4.73
4.53
4.80
5.41
5.82
7.36
9.32
3.86
8.38
5.43
18.50
21.86
14.23
3,084.60
1,966.98
8.12
0.69
0.88
0.90
1.38
121.34
265.93
0.75
1.14
1.02
1.34
0.97
1.72
3.20
0.76
8.14
4.26
3.42
3.20
2.53
14.41
2.54
1.81
1.75
0.50
2.06
1.20
3.36
1.91
1.95
1.37
1.58
1.51
1.60
1.80
1.94
2.45
3.10
1.29
2.79
1.81
6.16
7.28
4.74
1,027.52
655.22
2.71
tsa 11
0.06
0.07
0.07
0.11
9.99
21.90
0.06
0.09
0.08
0.11
0.08
0.14
0.26
0.06
0.67
0.35
0.28
0.26
0.21
1.19
0.21
0.15
0.14
0.04
0.17
0.10
0.28
0.16
0.16
0.11
0.13
0.12
0.13
0.15
0.16
0.20
0.26
0.11
0.23
0.15
0.51
0.60
0.39
84.61
53.95
0.22
936.16
16.28
4,082.48
5.61
6,169.19
0.65
3.02
3.02
1.66
0.45
2.15
0.00
494.12
1,251.14
1,998.37
999.19
3,359.07
446.46
7.76
1,946.97
2.68
2,942.14
0.31
1.44
1.44
0.79
0.22
1.03
0.00
235.65
596.68
953.04
476.52
1,601.97
429.23
7.46
1,871.81
2.57
2,828.57
0.30
1.38
1.39
0.76
0.21
0.99
0.00
226.55
573.65
916.25
458.13
1,540.13
41.00
0.71
178.80
0.25
270.19
0.03
0.13
0.13
0.07
0.02
0.09
0.00
21.64
54.80
87.52
43.76
147.12
629.97
10.95
2,747.22
3.78
4,151.43
0.44
2.03
2.03
1.12
0.30
1.45
0.00
332.51
841.93
1,344.77
672.39
2,260.42
936.16
16.28
4,082.48
5.61
6,169.19
0.65
3.02
3.02
1.66
0.45
2.15
0.00
494.12
1,251.14
1,998.37
999.19
3,359.07
311.84
5.42
1,359.92
1.87
2,055.03
0.22
1.01
1.01
0.55
0.15
0.72
0.00
164.60
416.77
665.68
332.84
1,118.95
25.68
0.45
111.98
0.15
169.21
0.02
0.08
0.08
0.05
0.01
0.06
0.00
13.55
34.32
54.81
27.41
92.14
0
0
0
0
Applicant
Street Address
City, State Zip
0
0
0
--
NONE
#VALUE!
--
NONE
#VALUE!
--
NONE
#VALUE!
--
NONE
#VALUE!
--
NONE
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Less Exemption(s)
THESE VALUES
ARE FOR
ESTIMATING
PURPOSES ONLY
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Notes
0
171070741.xls.ms_office
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