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ABOUT PRELIMINARY APPROVAL FOR SHORT SUBDIVISIONS 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-PSHP Page 1 of 2
SHORT SUBDIVISION – APPLICATION
FOR PRELIMINARY APPROVAL
ABOUT PRELIMINARY APPROVAL FOR SHORT SUBDIVISIONS
Code Reference
Subdivisions
Chapter 19A.12 SMC
Resources
King County iMap
Sammamish Property Tool
Can I Subdivide? Guide
Questions?
Submit Project Guidance
Visit the Permit Center
City of Sammamish
801 228th Ave SE
Sammamish, WA 98075
www.sammamish.us
A preliminary short subdivision, also known as a preliminary short plat, is
for the division of land into nine or fewer lots.
Preliminary approval is the first step in the short subdivision process and is
followed by approval, issuance of a site development permit, and final plat
approval.
APPLICATION REVIEW PROCESS
Preliminary Approval of a Short Subdivision is a Type 2 decision made by
the Director.
FEES
Applicants are responsible for providing an initial review deposit (as well as
additional deposits as needed) to cover all application review costs.
FEES APPLICABLE TO THIS PROJECT
Counter Service Intake, Type 2
Preliminary Review Deposit
Legal Notice – Publication & Mailing Deposit
Environmental Consultant Services (if applicable)
Environmental Checklist Review (if applicable)
Fire Review
See current fee schedule
2020-01-PSHP Page 2 of 3
SHORT SUBDIVISION – APPLICATION FOR
PRELIMINARY APPROVAL
OWNER INFORMATION
☐
Owner is organized as an LLC*
Name:
Company:
(if applicable)
Address:
Phone:
APPLICANT/REPRESENTATIVE INFORMATION
☐
Applicant is organized as an LLC*
Name:
Company:
(if applicable)
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-PSHP Page 3 of 4
SHORT SUBDIVISION – APPLICATION FOR
PRELIMINARY APPROVAL
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
Are you willing to allow native plant salvage of existing native vegetation located within clearing limits that
will be impacted by construction prior to the start of construction?
☐
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
☐
03. Preapplication Conference Letter
☐
04. Acceptance of Financial Responsibility - Affidavit of Applicant Status
☐
05. Density Calculations
☐
06. Historic Resources Affidavit
☐
07. Water & Sewer District Approval
☐
08. Preliminary Septic Approval (if required)
☐
09. Future Sewer Connection Agreement (only for projects with approval from King County Public
Health for on-site or community sewage system and/or group b water systems or private wells)
☐
10. Eastside Fire & Rescue Plan Review Sheet
☐
11. Neighborhood Meeting – Proof of Completion
☐
12. Title Report (<30 days old)
− Must be less than 30 days old
− Must be for the parcel(s) related to this application
☐
13. Legal Description
− Must be for parcel(s) related to this application
− Must be a title verified description by a Washington State licensed surveyor
Submittal Checklist continued next page
2020-01-PSHP Page 4 of 5
SHORT SUBDIVISION – APPLICATION FOR
PRELIMINARY APPROVAL
SUBMITTAL CHECKLIST CONTINUED
☐
14. 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
☐
15. SEPA Checklist
☐
16. Critical Area Affidavit
☐
17. Critical Area Study (if applicable)
☐
18. Geotechnical Report
☐
19. Arborist Report
☐
20. Criteria Compliance Narrative
− Can be a matrix and/or narrative format
− Details how the application meets all applicable local and state regulations
☐
21. Survey – Boundary and Topographic
☐
22. Traffic Concurrency Certificate
☐
23. Traffic Impact Analysis Report
− For proposals generating 10 or more new vehicle trips during AM or PM peak hour
− May also be required for projects not generating 10 AM or PM peak hour vehicle trips (see the
Public Works Standards for requirements)
☐
24. Storm Drainage Analysis (Technical Information Report)
☐
25. PW Standards Deviation (if proposed)
☐
26. Plan Set
Must be prepared by a licensed land surveyor or engineer and include:
− The name and seal of surveyor or engineer
− Space for the file number of short subdivision to be added after the application is accepted
− The location by section, township and range, scale, legal descriptions
− The date and north arrow
− A delineated boundary of plat and plat meander lines or reference lines along bodies of water
Plan Set continued on next page
Submittal Checklist continued next page
2020-01-PSHP Page 5 of 5
SHORT SUBDIVISION – APPLICATION FOR
PRELIMINARY APPROVAL
1
4
3
2
SUBMITTAL CHECKLIST CONTINUED
24. Plan Set (Continued)
− The true courses and distances to nearest established street lines, municipal, township, city or
section lines tied to the lines of short-subdivision by distance and course, radii, internal angles
and points of curvature, tangent bearings and lengths of all area
− The dimension, square footage and labeling shown on all public and private streets and
adjoining streets (i.e., private roads, alleys, driveways, access points), on-site recreational, open
space and play areas, land below ordinary high-water mark
− Critical areas and buffers per SMC 21A.50, public rights-of-way, ground detention facilities, lots,
lot numbers and tract letters
− The location and labeling of all property lines, easements, dedications, existing structures,
zoning setbacks, fire hydrants (existing or proposed within 1,000 ft. of short plat), transit stops
and monuments, sidewalks & planning features assuring safe walking conditions for school age
children
− Septic system, including tanks, water supply, distribution system and sewage disposal methods
including drain fields and reserve areas (if applicable)
− Reference to recording number of completed survey (if boundaries were previously surveyed)
− Signature blocks for city and county officials and property owners
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:
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
Short Plat - Preliminary
Complete & save this form before uploading it in the “File Upload” section along with the required
submittal documents.
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ABOUT PRELIMINARY APPROVAL FOR SHORT SUBDIVISIONS Code Reference (City of Sammamish)

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Completed 24 January 2021

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