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BUILDING DIVISION – DPW
COUNTY OF HAWAI'I – 101 Pauahi Street, Suite 7 – Hilo, Hawai‘i 96720
Hilo Office (808) 961-8331 Fax (808) 961-8410 Kona Office (808) 323-4720 Fax (808) 327-3509
THIS CERTIFICATION MUST BE
TO: OWNER OR ENGINEER/ARCHITECT
SUBMITTED WITH THE BUILDING
PERMIT APPLICATION
FROM: BUILDING DIVISION
SUBJECT: BUILDING ACCESSIBILITY FOR PERSONS WITH DISABILITIES
BUILDING OWNER/
TENANT:____________________________________________
LOCATION:__________________________________________
TAX MAP KEY:_______________________________________
Buildings or portions of buildings shall be accessible to persons with
disabilities in accordance with the following regulations that are applicable
to the subject building:
1) Federal Fair Housing Amendment Act applicable to multiple
family projects (4 units or more)
2) Federal Architectural Barriers Act applicable to Federal
financed projects
3) Federal American with Disabilities Act applicable to places of
public accommodation
4) HRS 103-50 applicable to State or County financed projects
Before issuance of the building permit, the owner or the engineer/architect
must certify to the foregoing.
CERTIFICATION
I certify that the subject project shall conform with the applicable
accessibility requirements.
_________________________________ _______________
Owner or Engineer/Architect Telephone No.
_________________________________ _______________
Signature Date
The County of Hawai‘i is an Equal Opportunity Employer and Provider