801 228
th
Ave NE
Sammamish, WA 98019
425-295-0500 | www.sammamish.us
2020-01-FSUB/FSHP Page 1 of 5
FINAL PLAT/FINAL SHORT PLAT
APPLICATION
ABOUT FINAL PLATS & FINAL SHORT PLATS
Code Reference
Final Plat & Short Plat Maps
Chapter 19A.16 SMC
Resources
King County iMap
Sammamish Property Tool
Questions?
Submit Project Guidance
Visit the Permit Center
City of Sammamish
801 228th Ave SE
Sammamish, WA 98075
www.sammamish.us
Approval of a final plat or final short plat is the last step of the subdivision
process. It occurs after preliminary plat approval and completion of site
development, for the recordation of new lots.
Full copies of plat documents must be submitted as part of the application
and when revisions are proposed.
APPLICATION REVIEW PROCESS
Final Short Plats are approved by the Director, and Final Plats are approved
by the City Council, both based on conformance with the conditions set
forth by the preceding Preliminary Plat/Preliminary Short Plat.
FEES
Applicants are responsible for providing an initial deposit (as well as
additional deposits as needed) to cover all application review costs.
FEES APPLICABLE TO THIS PROJECT
Counter Service Intake, Type 2 (Short Subdivisions)
Counter Service Intake, Type 3 (Subdivisions)
Environmental Consultant Services (if applicable)
Environmental Checklist Review (if applicable)
Final Review Deposit, Planning
Review Deposit, Engineering
See current fee schedule
2020-01-FSUB/FSHP Page 2 of 5
FINAL PLAT/FINAL SHORT PLAT APPLICATION
OWNER INFORMATION
Owner is organized as an LLC*
Name:
Company:
(if applicable)
Address:
Phone:
E-Mail:
APPLICANT/REPRESENTATIVE INFORMATION
Applicant is organized as an LLC*
Name:
Address:
Phone:
E-Mail:
*O2020-513 requires owners/applicants organized as a single-member or multiple-member LLC to provide the
names and addresses of all members, including all individuals who hold transferable interests in the applicant
or its members. Please provide this information using the supplemental form on www.MyBuildingPermit.com.
PROPERTY INFORMATION
Property Address:
Parcel Number(s):
Total Lot Area(s):
Total Critical Areas on Property:
(Square Feet)
(Square Feet)
Please complete the below for any critical areas on property:
Type
Total Area
Type
Total Area
(Square Feet)
(Square Feet)
Frequently flooded area
Lake
Landslide area
Critical aquifer recharge area
Seismic hazard area
Wetland
Erosion hazard area
Stream
Erosion hazard near sensitive
water bodies overlay
Fish & wildlife habitat
conservation area
2020-01-FSUB/FSHP Page 3 of 5
FINAL PLAT/FINAL SHORT PLAT APPLICATION
SUBMITTAL CHECKLIST
A PDF of each document is required at time of submittal. Please label files as numbered and listed below:
(For example: 02 Project Narrative)
01. Signed Application Form
02. Project Narrative
Briefly describe the site and the project
03. Acceptance of Financial Responsibility - Affidavit of Applicant Status
04. Declaration for Assessment & Collection of Impact Fees
05. Bond Quantity Worksheet
06. Developer Contribution Summary
07. Water & Sewer District Approval
08. Title Report (<30 days old)
Must be less than 30 days old
Must be for the parcel(s) related to this application
09. Declaration of Covenant & Easement
10. Legal Description
Must be for parcel(s) related to this application
Must be a title verified description by a Washington State licensed surveyor
11. SEPA Checklist
12. Critical Area Affidavit
13. Letter of Certification (Certificate of Landscape Installation)
14. Condition Compliance Matrix
Include a line item explanation of compliance for each preliminary condition of approval
demonstrating it has been completed
15. Calculations, Lot Closures, Lot Summary
16. Final Plat/Short Plat Worksheet
17. Traffic Concurrency Certificate
18. Storm Drainage Analysis (Technical Information Report)
19. Stormwater Facility Information Form
20. Stormwater LID Educational Materials
21. Storm Water Pollution Prevention Plan (projects vested to 2016 King County Surface Water Design
Manual only)
Submittal Checklist continued on next page
2020-01-FSUB/FSHP Page 4 of 5
FINAL PLAT/FINAL SHORT PLAT APPLICATION
SUBMITTAL CHECKLIST CONTINUED
22. PW Standards Deviation (if proposed)
23. Public Works Inspection Certificate
24. Plan Set
Subdivision name
Plat and short plat locations by section/township/range and scale
Delineation boundary of plat or short plat
Name of streets as approved by the city engineer and exact locations/widths
True courses and distances to nearest established street lines,
Municipal, township, city or section lines tied to the lines of subdivision by distance and course
Address ranges as designated by the City
Radii, internal angles, points of curvature, tangent bearings and length of all areas
Square footage of lots and tracts
Lot and block numbers with dimensions in feet and hundredths
Accurate location of all monuments
Meander lines or reference lines along bodies of water established above the high-water line
Accurate outlines and legal descriptions of dedications and easements
Building setbacks lines
All requirements of the King County health department applicable to the property.
Plat or short plat restrictions.
Notarized signatures of ownership and security interests in the property.
Certificates and Conditions of approval (including legal descriptions for public dedications and
restrictions, certification by surveyor)
Signature blocks for city and county officials and property owners.
25. Tree Retention Compliance Form
CERTIFICATIONS & SIGNATURES
I have read this application in its entirety and certify that all information submitted, including any
supplemental information, is true and complete to the best of my knowledge. I acknowledge that willful
misrepresentation of information will terminate this permit application. I understand that my submittal will be
reviewed for completeness and, if found to be complete, will be processed pursuant to Title 19A SMC and
Chapter 20.05 SMC.
Owner Signature:
Date:
Applicant/Representative Signature (if applicable):
Date:
click to sign
signature
click to edit
click to sign
signature
click to edit
2020-01-FSUB/FSHP Page 5 of 5
FINAL PLAT/FINAL SHORT PLAT APPLICATION
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ONLINE SUBMITTAL INSTRUCTIONS
Create an account on MyBuildingPermit.com.
Se
lect “Apply For Permit” and then select “Sammamish” as the jurisdiction.
Select the following:
Application Type
Land Use
Project Type
Any Project Type
Activity Type
Land Division
Scope of Work
Plat Final or
Short Plat - Final
C
omplete & save this form before uploading it in the “File Upload” section along with the required
submittal documents.