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DEPARTMENT OF PUBLIC WORKS
PROJECT DECLARATION FORM INSTRUCTIONS
A) Building Permit Contractors:
(The Project Declaration is required PRIOR to Building Permit Issuance.)
1) Complete Page 1 of the Project Declaration Form.
2) TMK
3) Project Location
4) Declare Plumbing and Electrical Work if applicable.
5) Provide Plumbing and Electrical valuation of work(Your contract amount).
6) Complete Building Contractor information(Responsible Managing Employee(RME),signature).
7) Owner-Builder—as applicable,owner,and signature.
8) Electrical and Plumbing subcontractors to fill in Page 2 of the Project Declaration Form
a. Each designated block represents a separate subcontractor performing work under the Building
Permit.
b. Complete all required contractor information in the designated blocks including RME information and
signature.
c. Fill in Electrical and Plumbing contractors'phases of work to be performed in the"Phase(s)section."
(Reference list attached).
d. If additional contractors are part of the project use additional Page 2 forms as needed.
B) Electrical or Plumbing only applications:
(The Project Declaration is required at the time of application.)
1)Electrical and Plumbing contractor to complete Page 1 of the Project Declaration Form.
2) TMK
3) Project Location
4) Declare Electrical or Plumbing Work.
5) Provide Electrical or Plumbing valuation of work(Your contract amount).
6) Complete Contractor information(Responsible Managing Employee (RME), signature).
7) Electrical or Plumbing contractor to fill in Part 2 of the Project Declaration Form.
a. Each designated block represents each electrical and plumbing subcontractors performing work
under the Permit.
b. Complete all required contractor information in the designated blocks including RME information and
signature.
c. Fill in Electrical and Plumbing contractors'phases of work to be performed in the"Phase(s)section."
(Reference list attached).
d. If additional contractors are part of the project use additional Page 2 forms as needed.
C) When complete:
1) Verify all information is complete.
2) Verify all valuations.
3) Verify all phases of work.
4) Verify all required signatures are complete.
5) Scan and save your declaration,
6) Verify you are logged into your EPIC system account.
7) Upload and attach to attachments into the EPIC system.
Rev. 9.3.2021 Hawai'i County is an equal opportunity provider and employer