Port Orchard, WA · Kitsap County
Model Home Supplemental
This two-page supplement provides property and submittal details for a model home and includes the hold-harmless agreement an applicant submits with a New Residence Building Permit Application.
- licensed online notary
- ~15 min average
- Notarized PDF emailed
What you’ll need
- Government-issued photo ID
- Webcam-enabled device (laptop or phone)
- This form, ready to upload as a PDF
What this form is
Port Orchard requires this supplemental form with a New Residence Building Permit Application for a model home. It collects plat, property, location, and sales-office information and lists additional submission items, including a notarized hold-harmless agreement, site plan, and, when applicable, owner authorization and a recent title report. Electronic submittals are required, and the Building Official may require other documentation.
Who needs it
Applicants seeking a residential building permit for model-home use must submit this form, including applicants who are not the owner of the approved preliminary plat.
Why it needs a notary
The applicant signs the hold-harmless agreement before a notary, who completes the form’s acknowledgment block certifying the applicant acknowledged the signature as a free and voluntary act.
How to get this notarized
- 1
Download the Form
Get the Model Home Supplemental and the attached Hold Harmless Agreement from the City of Port Orchard.
- 2
Complete the Form
Enter the property and plat information, identify the model-home location, and gather applicable supporting documents.
- 3
Book an Online Notary
Arrange a session with a commissioned online notary to notarize the hold-harmless agreement.
- 4
Sign on Video
Sign the agreement during the live video session so the notary can complete its acknowledgment block.
- 5
Submit to the City
Submit the completed materials electronically with your New Residence Building Permit Application, following Permit Center requirements.
Preview the form
The blank PDF straight from Port Orchard. Look it over, then upload your filled copy to start the notary session.
You’ll need ID and a webcam.
A licensed online notary will join you on video, verify your government-issued ID, witness your signature, and apply their seal. You’ll receive the notarized PDF by email when the session ends.
Frequently asked questions
- How do I submit the Model Home Supplemental?
- Complete the form and required materials, including the notarized hold-harmless agreement. The form says electronic submittals are required; contact the Permit Center for formatting and resolution requirements.
- Do I need to notarize the entire supplemental form?
- The form calls for an original notarized Hold Harmless Agreement on page 2. The notary block is part of that agreement; confirm with the city or town if unsure.
- Can I sign the hold-harmless agreement online?
- Washington permits remote online notarization by a commissioned online notary. You sign during a live video session, and the notary completes the acknowledgment.
- What other documents may be required?
- The form lists owner authorization when the applicant is not the preliminary-plat owner, a current title report if the plat is unrecorded, and an overall site plan. The Building Official may require other documentation.