Laserfiche WebLink
BUILDIN G DIVISION - DPW <br /> r\•. COUNTY or HAWAII <br /> 101 Pauahf trcet, Suite 7 <br /> r• HiIO, Hawai '96720 _ <br /> {' Ph: H110 Off a (808) 961-833 1 Kona Office(808) 323-4720 DECLARATION 4 ACCEPTANCE DATE <br /> „ •r <br /> wawa:- <br /> DECLARATION OF COMPLIANCE <br /> FFRS SECTION 45-88 RELATING TO AGRICULTURAL STRUCTURES <br /> PROIECT/PROPERTY INFORMATION <br /> PROTECT NAME f _L <br /> STATE LAND USE DESIGNATION •For confirmation of Stale Land Use Designation,contact the Department of Planning et(808)961.8288.. <br /> ""'s13 -4-130II.-I Ckodri 1—Wrei <br /> `� <br /> ci w r,t► @ eI i- Rd. Imo`I tka--f�phol <br /> I'AxMAPKEY I PROI RI�UiEa <br /> 1-3-D oa-DIS ! -nnJJ (acres) <br /> STRUCTURE INFORMATION <br /> USE Of STRUCTURE <br /> EEMPTIONNO.(see linen follow.ngshe gs 11-4 <br /> - g (4) I) 2 STiUCTURAL SPAN(IOP.EXEMPTIONSI 7&12 OMY) <br /> )(must be less than 25 fr.) <br /> DISTANCE FROM NEAREST STRUCTURE (fr.)(msn.TS(t} TOTALFLOORAREA <br /> 3 b a (11.ftl <br /> DIMENSIONS OF STRUCTURE Length 3 gr.).t Width I 2 (fr.) <br /> AGGREGATE FLOOR AREA CFALLExEmPTLOSTRUCT RES CLAMtOUNDER}IRS is- s 3/_n (sqft.) <br /> Provide minimum ire nohhgwng pip lees nly(suu tr pb liner �rju[uet se cks urlw.s r es nv ofsrrucwrc.andanyotherperrittentlnfonnatiea <br /> Attachawrasheeu ifnreessa�, T LJ(1 3 V (�((�[� ea - j— � '�'►` 1q[ ;�,'�",�j <br /> 1 <br /> COMMENTS(for depmment usa maty}; t v it 1 c^v <br /> Obtain <br /> ( appmvalsi;narurtsprlorrosuhrr�ttaialpeclardtionsal'n61EcWarl:t) <br /> ` <br /> ENGINEERING DIVISION APPROVAL <br /> Flood Zone X <br /> Engineering B.H I Qite 12-M-2022OWNERS CERTIFICATION/DECLARATION <br /> • I declare this pro}ec1 to be exempt from applicable bu'ding permit/code requirements under ilia provisions of HRS Section 4688.1 have read and fully understand HRS 46-88 and terrify <br /> that the prof eco is In compliance. <br /> 1. I understand that this exemption only apt,hes to certain building peunit/code requirements.I shall obtain all oilier required permits and approvals and shall comply with all <br /> applicable codes and laws associated with this development.which may include and not be limited co Special Management Area.Flood Hazard,electrical,plumbing.grading. <br /> dnveivay.work in County/State right of says,fire.wastewater.and Department or Health requirements. <br /> 2. I understand that the issuance of a declan than number by the County should nor be taken to mean that compliance with FIRS 46.98 has been confirmed,and that is is my sole <br /> responsibility to confirm compliance.The Slate or County shall not be liable for any claims arising from construction of buildings,structures.of appunenanceS thereto exempt <br /> from the building code and per ruing pr:cess u described In HRS 46.88. <br /> Property Owner: N j Gi,o t e, Ka.h dq rrte�,,,,'' Kai r� <br /> Address 1 -y-I n -'AW( i t C.eI+ I . ,��/!.i 1 ua-Koh H I- qJ? L <br /> l +tea, <br /> Phone No: -3 EI Email: 1 )'DC &s1 ibcit5PTA. .Cbl <br /> _Signature: S,1 Printed Name• ('s 1 r rlfi I,��h <br /> POST CONSTRUCTION A FINAL AS-$UIET T FICATION FORM must be submined upon completion of construction.Failure to submit the form Will cause this <br /> REQUIREMENTSDECLARATION O COMPLIANCE to be declared INVALID and shall VOID the budding permit and/or code exemption A single Final As-Oullt <br /> Notification Form rtst be submitted in compliance with both of the following deadlines, <br /> 1. Submit nn within t year of Declaration of Compliance acceptance date, <br /> 2. Submit rm within 30 days of completion,occupancy,or use of structure. <br /> Hauyai'i County is an Equal Opportunity Provider and Employer Rev.3/22 <br /> 4 • ROA DOCUMENT 1 PAGE 013 <br />