Sammamish, WA · King County
Residential Fixture Count Form
Homeowners and applicants use this form to report new or relocated residential fixtures for Sammamish addition and remodel permit submissions.
What this form is
Sammamish requires this form for all addition and remodel permits. It asks for owner or applicant contact information and counts of new or relocated mechanical and plumbing fixtures, including certain replacement equipment; enter zero for fixture count totals if the project has no plumbing or mechanical work.
Who needs it
Applicants submitting a Sammamish addition or remodel permit need this form, including those with no plumbing or mechanical work.
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 submittal documents.
About notarization
This form is signed without a notary; it identifies no notarized or sworn attachment, so the signer just signs and dates it.
How to submit this form
- 1
Download The Form
Download the Residential Fixture Count Form PDF.
- 2
Complete The Form
Enter owner or applicant information and counts for new or relocated fixtures and specified replacement equipment.
- 3
Enter Zero If Applicable
If the project has no plumbing or mechanical work, enter zero under the fixture count totals.
- 4
Upload Your Form
Save the completed form and upload it to MyBuildingPermit.com in the “File Upload” section with the other submittal documents.
Frequently asked questions
- What is the Residential Fixture Count Form for?
- It records counts of new or relocated mechanical and plumbing fixtures, plus certain replacement equipment, for Sammamish residential addition and remodel permit submissions.
- Do I need a notary for the Residential Fixture Count Form?
- No. This form is completed without a notary, and it identifies no notarized or sworn attachment; the signer just signs and dates it.
- How do I submit the Residential Fixture Count Form?
- Complete and save the form, then upload it to MyBuildingPermit.com in the “File Upload” section with the rest of your submittal documents.
Need something notarized?
This Residential Fixture Count Form doesn’t need a notary — but if you have another Sammamish form that does, a commissioned online notary can help.