Fillable ABOUT PLAT & SHORT PLAT ALTERATION Code Reference (City of Sammamish)

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ABOUT PLAT & SHORT PLAT ALTERATION Code Reference (City of Sammamish)

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801 228
th
Ave NE
Sammamish, WA 98019
425-295-0500 | www.sammamish.us
2020-01-PLA Page 1 of 5
PLAT AND SHORT PLAT
ALTERATION APPLICATION
ABOUT PLAT & SHORT PLAT ALTERATION
Code Reference
Alterations of Final Plats
SMC 19A.16.070
Alterations of Final Short Plats
SMC 19A.16.080
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
Short plat alterations and plat alterations are required when an applicant
requests a change to a recorded subdivision. These changes may include:
• Creation of additional lots
• Changes in open space requirements
• Recognition of an existing non-buildable lot
• Changes in the Hearing Examiner’s conditions of approval
APPLICATION APPROVAL
A Short Plat Alteration is a Type 2 decision made by the Director.
A Plat Alteration is a Type 3 decision subject to a hearing and decision by
the Hearing Examiner based on the recommendation of the Director.
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 Plat Alteration)
Counter Service Intake, Type 3 (Plat Alteration)
Preliminary Review Deposit
Environmental Consultant Services (if applicable)
Environmental Checklist Review (if applicable)
See current fee schedule
2020-01-PLA Page 2 of 5
PLAT AND SHORT PLAT ALTERATION 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
Do you control the property where the work is being proposed (lease, easement, or fee-ownership)?
☐
Yes
☐
No
Property Information continued on next page
2020-01-PLA Page 3 of 5
PLAT AND SHORT PLAT ALTERATION APPLICATION
PROPERTY INFORMATION CONTINUED
Is the proposed project located on a parcel that abuts the King County Trail Corridor?
☐
Yes
☐
No
Does the proposal require the use of or crossing the King County East Lake Sammamish Regional Trail for
access to the project site?
☐
Yes
☐
No
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. Preapplication Conference Letter
☐
04. Acceptance of Financial Responsibility - Affidavit of Applicant Status
☐
05. Water Availability Certificate
☐
06. Sewer Availability Certificate
☐
07. Preliminary Septic Approval (if required)
☐
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. Mailing List, Map, and Labels
− Include all property owners within 1,000 feet of the site (2,000 feet for properties within the
Erosion Hazard Near Sensitive Water Bodies overlay)
− Utilize the Excel template provided and upload a PDF version, with the map, under “Mailing List,
Map, and Labels” in MyBuildingPermit.com
− After submittal, the City will request the Excel version of the template via email
☐
12. SEPA Checklist
Submittal Checklist continued on next page
2020-01-PLA Page 4 of 5
PLAT AND SHORT PLAT ALTERATION APPLICATION
SUBMITTAL CHECKLIST CONTINUED
☐ 13. Critical Area Affidavit
☐ 14. Criteria Compliance Narrative (if required)
D
etail how the application meets each of the criteria listed in SMC 20.10.220.
− Describe the type of alteration requested
− Describe proposed provisions to improve and maintain the health, safety and general welfare of
the public
− Identify and describe any impacts to the following: open spaces, drainage ways, streets or
roads/alleys or other public ways, portable water supplies, sanitary wastes, parks/recreation,
playgrounds, schools/ school grounds, and safe walking conditions for students
− Describe how the public use and interest will be served by the alteration
☐ 15. Calculations, Lot Closures, Lot Summary
☐ 16. Traffic Concurrency Certificate (if applicable)
☐ 17. Storm Drainage Analysis (Technical Information Report) (if applicable)
☐ 18. PW Standards Deviation (if proposed)
☐ 19. Plan Set
☐ 20. Agreement about Restrictive Covenant
The C
ity recommends this agreement be created by an attorney and be formatted as a petition-style
document with process description and project scope at the top and area for signatures below. The
agreement should include:
‒ A description of the process, following SMC 19A.16.070 or SMC 19A.16.080 and other relevant
code sections
‒ The project scope
‒ The full name, parcel number of the owned property, mailing address, signature and date of each
person having interest in lots, tracts, parcels or divisions in the subject subdivision to be altered
(or portion to be altered)
‒ Upload a PDF of the signed Agreement under “Other” in MyBuildingPermit.com
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 Chapter 20.05 SMC.
Owner Signature:
Date:
Applicant/Representative Signature (if applicable):
Date:
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2020-01-PLA Page 5 of 5
PLAT AND SHORT PLAT ALTERATION APPLICATION
1
4
3
2
ONLINE SUBMITTAL INSTRUCTIONS
Create an account on MyBuildingPermit.com.
Select “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 Alteration
Complete & save this form before uploading it in the “File Upload” section along with the required
submittal documents.
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ABOUT PLAT & SHORT PLAT ALTERATION Code Reference (City of Sammamish)

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Completed 24 January 2021

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