Sammamish, WA · King County
Historic Resources Affidavit
Applicants use this affidavit to disclose whether a Sammamish project site is identified as or adjacent to a historic resource.
What this form is
The affidavit helps the City determine whether a development proposal may affect a historic resource. Applicants review King County Tax Assessor records, WISAARD, and the City of Sammamish Property Tool, then report the site's historic-resource status and provide project and signer details. The city’s instructions say to complete and save the form before uploading it with the rest of the required submittal documents.
Who needs it
Applicants, their representatives, or property owners submitting a development proposal in Sammamish use this affidavit to report the site's historic-resource status.
How to submit it
Complete and save the form, then upload it to MyBuildingPermit.com in the “File Upload” section with the rest of the required submittal documents.
About notarization
No notary is required; the signer signs and dates the affidavit, which includes a declaration under penalty of perjury.
How to submit this form
- 1
Download the Affidavit
Download the Historic Resources Affidavit PDF.
- 2
Complete the Form
Review the listed property resources, report the site's historic-resource status, and fill in the project and signer information.
- 3
Gather Required Documents
Prepare the rest of the required submittal documents to upload with the affidavit.
- 4
Upload to the City
Save the completed form and upload it to MyBuildingPermit.com in the “File Upload” section.
Frequently asked questions
- What does the Historic Resources Affidavit disclose?
- It reports whether a development proposal site is not on or adjacent to a City historic resource, has received a preliminary determination notice, or is on or adjacent to one.
- Do I need a notary for the Historic Resources Affidavit?
- No. The form states that no notary is required. The signer signs and dates it and makes a declaration under penalty of perjury.
- How do I submit the Historic Resources Affidavit?
- Complete and save the form, then upload it to MyBuildingPermit.com in the “File Upload” section with the rest of the required submittal documents.
Need something notarized?
This Historic Resources Affidavit doesn’t need a notary — but if you have another Sammamish form that does, a commissioned online notary can help.
