HomeMy WebLinkAboutBuilding Permit Worksheet (Fillable) COUNTY OF HAWAI`I DEPARTMENT OF PU BLIC WORKS – BUILDING DIVISION
BUILDING PERMIT WORKSHEET FOR CHAPT ER 5, PERTAINING TO BUILDING
NOTE: THIS WORKSHEET SHALL ACCOMPANY CONSTRUCTION DRAWI NGS. APPLICANT IS RESPONSIBLE TO APPLY IN PERSON. WE DO NOT ACCEPT WORKSHEET / PL ANS ELECTRONICALLY OR BY MAIL Section 5-22. Expiration . (a) Every permit issued by the building official under the prov isions of this code shall expi re by limitation and become nul l and void (i) three (3) years after the date of issuance, or (ii) 180 da ys from the date of issuance if the building or work author ized by the permit is not commenced by such date. A permit shall expire if the building or work authorized by the permit is suspended or abandoned for a period of 180 days or more at any time after the work has commenced. In the event of strikes or other causes beyond the control of the builder, the building official may extend the af orementioned three (3) year or 180-day periods . The extension of time granted shall be a reasonable length of time but in no case exceed six (6) months. Requests for an extension must be made in writing to the build ing official. No exceptions will be allowed for building permits issued prior to the adoption of this code. (b) Upon expiration of a permit, all work shall cease and shall no t be recommenced until a new permit is obtained. The building official may waive the requirements for submittal of plans and specifications in connection with a permit renewal if the work previously permitted remains the same, no amendments have been made to the building code affecting the work , and previously approved plans are still on file. When the b uilding official determines that plans need not be submitted, the original plans, stamped and appr oved by the building official, shall be the renewed permit plans. (c) An owner-builder permit shall expire by limitation and become null and void five (5) years after the date of issuance. If the building or work authorized by the permit is suspended or aban doned any time after the work has commenced, the building official, upon request, may suspend the permit expiration unt il such a time that the owner-builder is ready to re-comm ence building or work authorized by approved permit. (Section 5-22) 3) refunds for permits shall be made in accordance with section 2-12 of the Hawai‘i county code. (Section 5-32); 4) separate permits are required for electrical, plumbing, gas, signs, driveways, and grading; 5) data provided herein is public information. This must be com pleted before processing by building division commences APPLICANT TO FILL IN AREA BELOW - PLEASE PR INT WITH BLACK BALLPOINT OR TYPE Legal Owner: Mailing Address: Lessee, Tenant: Mailing Address: Plans by: Qualification: AR SE ME CE OTHER Builder: Mailing Address: Scope of Work: New Alteration Move Reconstruction Electrical
Addition
Package Home Repair Demolition Emergency Plumbing For New Residential Applications: Is this dwelling located in a wind borne debris region? Yes. Protection provided by: Protective glaz ing Plywood or shutters Residential safe room No. Description of Work: Estimated Valuation For All Work To Be Performed: $ Project Address: Flood Zone: Engineering (initial): Date: DECLARATI ON (SEC 444 - HRS) CHECK (X) ONE CONTRACTOR DECLARATION I declare that I am licensed under the provisions of Chapter 444, HRS, of the Department of Commerce & Consumer Affairs, State of Hawai‘i. My license no. is in full force and in effect. NOTE: RME (Responsible Managing Employee) only to sign. Notarized authorizati on from RME required for des ignated agents. OWNER-BUILDER DECLARATION I declare an exemption under Sec. 444-2(7) for the following reasons : 1) this exemption allows me, as the owner or lessee of t he property, to act as my own general contractor without possessing a license; 2) to supervise the construction myself; 3) to hire licensed subcontractors; 4) the building is for my personal use and not for the use or occupancy by the general public; 5) building will not be built for sale or lease wit hin one (1) year after construction is complete. Section 5-4 Definition “Owner-builde r” means owners or lessees of pr operty who build or improve stru ctures on their property for their own use, or for use by their immediate family. This definition shall not preempt owner-builder by exemption as defined by section 444-2.5, Hawai‘i Revised Statues. OWNER’S PHONE NO.
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CONTRACTOR’S PHONE NO. (3)
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