21-101265-SU-2021 FW Concurency Application-03-15-2022-v1E:\TR Media Information\FW Concurency Application Rev. Jan2021.doc
2021 TRAFFIC CONCURRENCY REVIEW APPLICATION
APPLICATION NO(S) Date
Project Name
Property Address/Location
Parcel Number(s)
Project Description
PROPERTY OWNER
Name: Phone/Fax:
Address:
City/State/Zip:
Email: Cell:
Signature:
APPLICANT (If different than Owner)
Name: Phone/Fax:
Address:
City/State/Zip:
Email: Cell:
Signature:
Type of Development permit to be applied for:
Commercial Multifamily (MF) Subdivision Short Subdivision
Single Family (SF) None (Feasibility only) Other __________________________
Approval for City to perform Concurrency analysis: Yes No
If NO: Applicant’s Traffic Engineer must perform Concurrency analysis consistent with City procedures; however, the
application fee remains the same.
PUBLIC WORKS DEPARTMENT
33325 8th Avenue South
Federal Way WA 98003-6325
253-835-2700; Fax 253-835-2709
www.cityoffederalway.com
Voda house 35027 21st Ave SW 2-Lot Short Plat
Split existing single-family lot into (2) single-family lots
242103-9072
35027 21ST AVE SW FEDERAL WAY, WA 98023
3/10/2022
VASILIY AND OKSANA ODARCHUK
35027 21ST AVE SW FEDERAL WAY, WA 98023
253-740-6761
Hamid Korasani
6608 110th Ave. N. E. Kirkland, WA. 98033
425-214-2280hamidkorasani@yahoo.com
E:\TR Media Information\FW Concurency Application Rev. Jan2021.doc
I have read the above information regarding expiration deadlines and appeal process. I further understand that issuance of a
concurrency certificate is not a guarantee that the City will issue a development permit or building permit.
_______________________________________ _______________________
Property Owner/Agent Signature Date
I have read the above information regarding expiration deadlines. I further understand that issuance of a concurrency certificate is
not a guarantee that the City will issue a development permit or building permit.
_______________________________________ _______________________
Property Owner/Agent Signature Date
Required Information – Application is incomplete and will be returned if not filled out.
Gross Square Feet (Commercial) Existing______________________ Proposed _____________________
Number of Dwelling Units Existing______________________ Proposed______________________
Number of Employees Existing______________________ Proposed______________________
Parcel size (acres or square footage) Existing______________________ Proposed______________________
Has the property previously been reviewed for concurrency? Yes___________ No__________
If yes, date of original application_____________________ Concurrency Permit No: ______________
Is this an amendment to an existing Concurrency Certificate? Yes___________ No_______________
Will the project be phased? _____________________________________________________________________
Development Build-Out Year _____________________________________________________________________
Note: - Commercial subdivisions and other projects constructed in phases shall be evaluated for concurrency as each phase is submitted
for applicable development permits.
- Once the concurrency test result has been determined, any changes to the development project require additional review will be
billed on an hourly basis.
Estimated Number of New Trip Generated by Project per Pre-application Summary: __________________________
If the applicant’s engineer has prepared a trip generation analysis, please provide the following. If not, staff will calculate
the trip generation based on the above information.
Existing PM Peak Hour Trips (if applicable) __________________________
Proposed PM Peak Hour Trips __________________________
Net New PM Peak Hour Trips __________________________
A Concurrency Reserve Certificate (CRC) is valid until the underlying development permit expires, is withdrawn or
cancelled, whichever occurs first. In that case, a new concurrency application would be required.
A Concurrency Reserve Certificate is valid only for the specific development approval consistent with the
development parameters and City file number within the CRC issued.
A Concurrency Reserve Certificate (CRC) runs with the land, and cannot be transferred to a different parcel.
CONCURRENCY TEST EXPIRATION (FWRC 19.90)
Permit Submittal: The following items are required for all applications:
Completed and signed Concurrency Application
Concurrency Application Fee paid (See Below)
Net New PM Peak Hour Trip Less than 10 11 - 50 51 - 500 Greater than 500+
2021 Application Fee $1,801.00 $5,167.00 $9,452.00 $15,152.00
SUBMITTAL REQUIREMENTS – STAFF USE ONLY
1 2
N/A
N/A
2 per day
2/20/2022