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to the issuance of a Certificate of Concurrency. (City of Sammamish)

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801 228
th
Ave NE
Sammamish, WA 98019
425-295-0500 | www.sammamish.us
2020-01-TCRA Page 1 of 5
TRAFFIC CONCURRENCY
REVIEW APPLICATION
ABOUT THE TRAFFIC CONCURRENCY REVIEW
Submittal Instructions
Complete & save this form
before uploading it to
MyBuildingPermit.com in the
“File Upload” section along
with the required submittal
documents.
Code Reference
Concurrency
Chapter 14A.10 SMC
Questions?
Submit Project Guidance
Visit the Permit Center
City of Sammamish
801 228th Ave SE
Sammamish, WA 98075
www.sammamish.us
Chapter 14A.10 of the Sammamish Municipal Code requires each
applicant for a permit that generates additional vehicular trips to apply for
a Certificate of Concurrency.
The City shall perform a concurrency test for proposed development prior
to the issuance of a Certificate of Concurrency.
A concurrency test is the determination of a proposed development’s
impact on transportation facilities in conformance to the City’s adopted
level of service standards per SMC 14A.10.050.
CONCURRENCY TEST EXPIRATION (SMC CHAPTER 14A.10)
• A Concurrency Certificate shall expire, and a new concurrency test
application is required unless the Development Permit for which the
concurrency is reserved is applied for within 180 calendar days of
issuance of the Certificate of Concurrency.
• A Concurrency Certificate shall be valid for the Development Permit
application period and subsequently for the same period of time as
the Development Permit for which it was issued expires.
• A Certificate of Concurrency is valid only for the uses and intensities
authorized for the Development Permit with which it is issued.
• A Certificate of Concurrency is valid only for the Development Permit
with which it is issued, and for subsequent Development Permits for
the same parcel, as long as the Applicant obtains the subsequent
Development Permit prior to the expiration of the earlier
Development Permit.
• A Certificate of Concurrency runs with the land and cannot be
transferred to a different parcel.
FEES
Applicants are responsible for providing an initial deposit (as well as
additional deposits as needed) to cover all application review costs.
The fee applicable to this application is a Concurrency Test Administrative
Fee. See current fee schedule.
2020-01-TCRA Page 2 of 5
TRAFFIC CONCURRENCY REVIEW APPLICATION
APPLICANT INFORMATION
Name:
Company:
(if applicable)
Address:
Phone:
E-Mail:
PROPERTY OWNER INFORMATION (If different from applicant information above)
Name:
Owner Name:
(if different)
Address:
Phone:
E-Mail:
Property Address:
Development Name:
Parcel Number(s):
Phone Number:
PROJECT INFORMATION
Project Description:
(please be specific)
Preapplication No:
Preapplication
Meeting Date:
2020-01-TCRA Page 3 of 5
TRAFFIC CONCURRENCY REVIEW APPLICATION
DEVELOPMENT PERMIT TYPE TO BE APPLIED FOR
A PDF of each document is required at time of submittal. Please label files as follows:
ProjectType_DocumentType (for example: TCRA_SitePlan)
☐
Single Family
Required submittal documents:
☐
Traffic Concurrency Review Application
Project Information:
☐
Multi-Family
Required submittal documents:
☐
Traffic Concurrency Review Application
☐
Site Plan
☐
Traffic Trip Generation Memo
Project Information:
Proposed Total Multi-Family Units:
☐
No
Development Name:
Existing Single-Family Units:
Located in Town Center?
☐
Yes
Permit Type:
☐
Short Subdivision
Required submittal documents:
☐
Traffic Concurrency Review Application
☐
Site Plan
Project Information:
Proposed Total Single-Family Units:
☐
Yes
☐
No
Development Name:
Existing Single-Family Units:
Located in Town Center?
Choose one
2020-01-TCRA Page 4 of 5
TRAFFIC CONCURRENCY REVIEW APPLICATION
DEVELOPMENT PERMIT TYPE TO BE APPLIED FOR (CONTINUED)
☐
Subdivision
Required submittal documents:
☐
Traffic Concurrency Review Application
☐
Site Plan
☐
Traffic Trip Generation Memo
Project Information:
Proposed Total Single-Family Units:
☐
Yes
☐
No
Development Name:
Existing Single-Family Units:
Located in Town Center?
☐
Commercial
Required submittal documents:
☐
Traffic Concurrency Review Application
☐
Site Plan
☐
Traffic Trip Generation Memo
Project Information:
Located in Town Center?
☐
Yes
☐
No
Development Name:
Existing Single-Family Units:
Current or Prior Type of Use:
Proposed Type of Use:
(Be Specific)
Permit Type:
☐
Tenant Improvement
Required submittal documents:
☐
Traffic Concurrency Review Application
☐
Site Plan
☐
Traffic Trip Generation Memo
Tenant Improvement continued on next page
Choose one
2020-01-TCRA Page 5 of 5
TRAFFIC CONCURRENCY REVIEW APPLICATION
DEVELOPMENT PERMIT TYPE TO BE APPLIED FOR (CONTINUED)
Tenant Improvement (continued)
Proj
ect Information:
☐
Yes
☐
No
Development Name:
Located in Town Center?
Current or Prior Type of Use:
Proposed Type of Use:
(Be Specific)
☐
ADU (Accessory Dwelling Unit)
Required submittal documents:
☐
Traffic Concurrency Review Application
Project Information:
Permit Type:
CERTIFICATIONS & SIGNATURES
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. I acknowledge that willful misrepresentation of information will terminate this application.
Property Owner Signature:
Date:
Applicant Signature:
Date:
I, the property owner, authorize my agent/applicant to receive all original correspondence. I understand I will
receive a copy of all correspondence sent to my agent.
Property Owner Initial:
Date:
Choose one
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Completed 24 January 2021

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