801 228
th
Ave NE
Sammamish, WA 98019
425-295-0500 | www.sammamish.us
2020-01-PSUB Page 1 of 5
SUBDIVISION – PRELIMINARY
APPROVAL
ABOUT PRELIMINARY APPROVAL FOR 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 subdivision, also known as a preliminary plat, is for the
division of land into ten or more lots.
Preliminary approval is the first step in the subdivision process and is
followed by approval, issuance of a site development permit, a pre-final
review, and final plat approval.
APPLICATION APPROVAL
A Preliminary Subdivision Approval 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 3
Preliminary Review Deposit
Legal Notice Publication & Mailing Deposit
Environmental Consultant Services (if applicable)
Environmental Checklist Review (if applicable)
Fire Review
Per Lot Fee, Planning & Engineering
See current fee schedule
2020-01-PSUB Page 2 of 5
SUBDIVISION PRELIMINARY APPROVAL
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-PSUB Page 3 of 5
SUBDIVISION 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
Prior to the start of construction, are you willing to allow native plant salvage of existing native vegetation
located within clearing limits that will be impacted by 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
Provide brief description of the site and the project
Include all names associated with this subdivision
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. F
uture 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-PSUB Page 4 of 5
SUBDIVISION 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 Labelsin 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
M
ust 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 subdivision to be added after the application is accepted
The location description based on legal description
Compass, scale, and date
A delineated boundary of project site and ordinary high water mark (if applicable)
P
lan Set continued on next page
Submittal Checklist Continued on next page
2020-01-PSUB Page 5 of 5
SUBDIVISION PRELIMINARY APPROVAL
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4
3
2
SUBMITTAL CHECKLIST CONTINUED
26. Plan Set (Continued)
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
The dimension, square footage and labeling shown on all critical areas and buffers per SMC
21A.50, public rights-of-way, ground detention facilities, lots, lot numbers and tract letters
Location and numbering of all trees, and identification of trees being removed and trees being
retained (please use the Tree Removal & Retention Table to help create your tree removal and
retention planning)
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
Plat - Preliminary
C
omplete & save this form before uploading it in the “File Upload” section along with the required
submittal documents.
click to sign
signature
click to edit
click to sign
signature
click to edit