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•'•.'.'� �. BUILD! <br /> NTY G DIVISION - DPW <br /> f <br /> HAWN <br /> i 1..!'- '! 101 Pauahi 'erect, Suite 7 <br /> 14 . ;'•"• ;•r Hilo, Hawai '96720 a• <br /> ! Ph: Hilo OW a(808) 961-8331 Kona Office(8081323-4720 DECLARATION# ACCEPTANCE DATE <br /> 1DECLARATION OF COMPLIANCE <br /> HRS SECTION 46.88 RELATING TO AGRICULTURAL STRUCTURES <br /> PROJECT/PROPERTY INFORMATION 1 <br /> PROIECT NAME f.0 fro <br /> c s� . at 1 l wr i i eu <br /> ck. <br /> SIAIE LAPIDUS(DEStiNATION . ' For c000ffirmalion cfStale Land Use esignation,contact the Departmental-Planning et(808}961.8288. <br /> ADDRESSll*t)3 <br /> .t..144/...4 2 'AI/ r V/' !�If! ` 4 <br /> • .0 / / .�Il + <br /> TAXMAP KEY PROPERIVAREA <br /> ;13. <br /> czq (ortes) <br /> STRUCTURE INFORMATION <br /> ^USEOf STRUCTURE s <br /> . i/ / 0,4///1 <br /> EXEMPTION NO(see itston follow.ng sheets , ra LK f / z STRUCTURAL SPAN(COR EXENIPTION5:7&12 ONLY) fit))(must be less than 25k) <br /> am DISTANCE FROM NEAREST STRUCTURE '^7 r•� (�(h..I(mes.ISSiit) TOTAL FLOOR AREA (sq.&.) <br /> DIMENSIONS OF STRUCTURE Length 50 /fit)x LsWiIt r (ii,) <br /> D <br /> AGGREGATE FLOOR AREA OFALL fXEMPTEDSTRUCTURES ttnimtUNDER HRS 46-82 NI ft,) <br /> Provide minimum 8.tiro 1 eke plan showingapprosr nate twat on of strutting.pro petty lines.othersuct tur mu dusts co ether suustures,dererialons of structure.and any other pertinent inhumation. <br /> Much extra sheets.if necessary. <br /> COMMENTS(for depanmanr oat cosy)acce#Lr 6-1)e-g- /1/14.66' �Y.1 <br /> (Obrainapproval signatures prior tosubrrnicalolDeclar4uantopublic Works) <br /> ENGINEERING DIVISION APPROVAL Flood Zone X <br /> EngisirvingOivision B.H. 1 Date 12-3U22022 <br /> OWNERS CERTIFICATION/DECLARATION <br /> I declare this project to be exempt From applicable ba idlrrg permh/code requirements under dee pruvisions of HRS Section 46-00.1 have read and full),understand HRS 46.88 and certify <br /> that the project is in compliance. <br /> 1. I understand that this exemption only a lies to certain building pee uth/codc requirements.I shall obtain ail other required permits and approvals and shall comply with all <br /> applicable codes and laws associated wit this development.which may Include and not he limited to Special Management Area.flood Hauard.electrical.plumbing.grading, <br /> dnveivay,wwk in County/State right of ys,fire.wastewater,and Depannsenr of Health requirements. <br /> 2. I understand that the issuance of a declar lion number by the County should not he taken to mean that compliance with HRS 46.88 has been confirmed,and that it is my sole <br /> responsibility co confirm comelance.The rate or County shall not he Gable for any claims arising horn construction of buildings,sttuctures,cc appurtenances thereto exempt <br /> from the building code and peihtkting pr ass as described in MRS 46.88. <br /> Property Owner. a ka,..,,,,,a, `Address: 43._ ... " ; - i /, /�,a .,, ./ T <br /> L.: FnYrc� Al fD Sa <br /> Phone No: a; ' at. '' _-► Email: s Pi 1!/ A L I ,rl 1s._:. . ,/i. <br /> Sij;natyre: 411 r l Printed NameWM <br /> - <br /> /1i <br /> w POST CONSTRUCTION A FINAL AS-0 sir. •0 r TIE1N FORM must be submitted upon completion of cons trucuon.Failure to su m,- wen will cause this <br /> REQUIREMENTS DECLARATION 0•COMPLIANCE co be declared INVALID and shall VOID the building permit and/or code exemption.A ink Final As•8u,lt <br /> Notification Form use be submitted in compliance setts both of the following deadlines; <br /> 1. Submit .ren within 1 year of Declaration of Compliance acceptance date. <br /> 2. Submit •int within 10days of completion,occupancy,or use of structure. <br /> Ha all County is an Equal Opportunity Provider and Employer Rev.3/22 <br /> ipe,in <br /> -. • ROA DOCUMENT 1 PAGE 007 <br />