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    1F applicationForComplianceAssessment

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    anon-685693
    This document appears to be an application form for compliance assessment under the Plumbing and Drainage Act 2002 in Queensland, Australia. It requests information such as the type of application for a compliance permit or certificate, any related development approvals, property details, applicant details, owner details, details of the responsible licensed plumber or drainer, and for on-site sewerage work, any relevant changes made to the property since a previous compliance permit. The form collects contact information and asks the applicant to certify the accuracy of the information provided.

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    Attribution Non-Commercial (BY-NC)
    Download as PDF, TXT or read online from Scribd

    1F applicationForComplianceAssessment

    Uploaded by

    anon-685693
    30 views2 pages
    This document appears to be an application form for compliance assessment under the Plumbing and Drainage Act 2002 in Queensland, Australia. It requests information such as the type of application for a compliance permit or certificate, any related development approvals, property details, applicant details, owner details, details of the responsible licensed plumber or drainer, and for on-site sewerage work, any relevant changes made to the property since a previous compliance permit. The form collects contact information and asks the applicant to certify the accuracy of the information provided.

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    This document appears to be an application form for compliance assessment under the Plumbing and Drainage Act 2002 in Queensland, Australia. It requests information such as the type of application for a compliance permit or certificate, any related development approvals, property details, applicant details, owner details, details of the responsible licensed plumber or drainer, and for on-site sewerage work, any relevant changes made to the property since a previous compliance permit. The form collects contact information and asks the applicant to certify the accuracy of the information provided.

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    30 views2 pages

    1F applicationForComplianceAssessment

    Uploaded by

    anon-685693
    This document appears to be an application form for compliance assessment under the Plumbing and Drainage Act 2002 in Queensland, Australia. It requests information such as the type of application for a compliance permit or certificate, any related development approvals, property details, applicant details, owner details, details of the responsible licensed plumber or drainer, and for on-site sewerage work, any relevant changes made to the property since a previous compliance permit. The form collects contact information and asks the applicant to certify the accuracy of the information provided.

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    of 2

    1 March 2006, Version 2

    Plumbing and Drainage Act 2002 (ss. 85 & 86)

    Application
    Plumbing and for
    Drainage Act 2002
    Compliance Assessment 1
    1. Type of application
    To apply for a compliance permit or for a Compliance permit (go to Q2.)
    compliance certificate where no permit has - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -- - - - - - - - - - - - - - - - - - - - -

    been issued, complete Form 2 also. Compliance certificate. Has a compliance permit been issued? No Yes

    Compliance Permit No. (If applicable) Date the work is proposed to commence

    Is the application for compliance assessment of on-site sewerage work? No Yes

    A relevant change is any change to the If Yes and a compliance permit has been granted - Has there been any relevant changes to the premises
    premises (eg building work) which has since the granting of the compliance permit? No Yes (complete Q 7)
    occurred since the compliance permit was
    issued and that would change the information
    included on the original application.
    2. Related approvals Development Application No. Other
    Provide the application number of other
    approvals related to the work that is the subject
    of this application.
    3. Description of land Street address (Include no., street, suburb/locality & postcode)
    The description must identify all land the
    subject of the application.
    The lot & plan details (eg. SP / RP) are
    Postcode
    shown on title documents or a rates notice. Lot & plan details (Attach list if necessary)
    If the plan is not registered by title, provide
    previous lot and plan details.
    Shop / Tenancy No. (If applicable) Storey / Level (If applicable) Local Government Area

    4. Applicant details Name (In full)


    Clearly identify who is making the
    application. The applicant need not be the
    owner of the land. Signature Date
    In signing and lodging this application, the
    applicant is responsible for ensuring the
    information provided is true. The local Contact person Phone No.
    government will rely on this information
    when assessing the application.
    If the applicant is a company, a contact Mobile No. Fax No. Email address
    person must be shown.
    All correspondence will be mailed to this
    address. Postal address

    Postcode

    5. Owner of the premises Name (In full) (Attach list if necessary)


    The local government must give the owner of
    the premises a copy of any compliance permit
    or compliance certificate issued.
    Postal address

    Postcode

    OFFICE USE ONLY


    DATE RECEIVING REFERENCE
    FEE ($)
    RECEIVED OFFICER’S NAME/S NUMBER/S
    6. Responsible person Name (In full)
    The responsible person for regulated work is
    a person who is licensed to perform the work
    and either performs or directs the Plumbers Licence No. Drainers Licence No.
    performance of the work.

    The responsible person for on-site sewerage


    work is a person who either performs or QBSA Licence No. (if applicable) Other Licence/Registration No.
    directs the performance of the work.

    If the responsible person for the work is not


    known, the local government must be advised Phone No. Mobile No. Fax No.
    who is the responsible person when
    requesting an inspection.
    Postal address

    Postcode
    7. Relevant changes-On-Site Sewerage Details of relevant changes section 18 (3) Standard Plumbing and Drainage Regulation 2003
    A relevant change is any change to the
    premises (eg building work) which has
    occurred since the compliance permit was
    issued and that would change the information
    included on the original application.

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