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Application For Renewal Of Building Contractor Registration

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Government of Western Australia<br />

Department of Commerce<br />

<strong>Application</strong> for <strong>Renewal</strong> of<br />

<strong>Building</strong> <strong>Contractor</strong> <strong>Registration</strong><br />

(Partnership or Company)<br />

Due: 1 February 2012<br />

Use a pen and write neatly in BLOCK LETTERS. Tick where appropriate <br />

<br />

<br />

Partnership or Company Details<br />

<br />

Category of <strong>Registration</strong>: Partnership □ Company □<br />

<br />

<strong>Registration</strong> No:<br />

Registered Entity:<br />

Postal Address:<br />

Post Code:<br />

Business Address:<br />

Post Code:<br />

Business Name:<br />

(if applicable)<br />

(Trading As)<br />

Authorised Contact<br />

Person<br />

Telephone Details: Work: Area Code ( )<br />

Fax: Area Code ( )<br />

Mobile:<br />

Email:<br />

<strong>Renewal</strong> 2012 Builder partnership or company registration<br />

V120701


All Director or Partner Details<br />

Name: (in full)<br />

Date of Birth: / /<br />

Name: (in full)<br />

Date of Birth: / /<br />

Name: (in full)<br />

Date of Birth: / /<br />

Name: (in full)<br />

Date of Birth: / /<br />

Name: (in full)<br />

Date of Birth: / /<br />

Name: (in full)<br />

Date of Birth: / /<br />

Nominated Supervisor/s<br />

The applicant must have at least one registered practitioner as the nominated as supervisor. List<br />

all nominated supervisors below<br />

Name<br />

(in full)<br />

Name<br />

(in full)<br />

Name<br />

(in full)<br />

Name<br />

(in full)<br />

Name<br />

(in full)<br />

Name<br />

(in full)<br />

<strong>Registration</strong><br />

Number<br />

<strong>Registration</strong><br />

Number<br />

<strong>Registration</strong><br />

Number<br />

<strong>Registration</strong><br />

Number<br />

<strong>Registration</strong><br />

Number<br />

<strong>Registration</strong><br />

Number<br />

<strong>Renewal</strong> 2012 Builder partnership or company registration<br />

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Eligibility Information<br />

I, ______________________________________________, being the applicant, warrant to the<br />

<strong>Building</strong> Services Board that:<br />

<br />

<br />

having taken appropriate professional advice, the applicant has the capacity to meet its<br />

debts as and when they fall due; and<br />

the applicant has arrangements in place to ensure that building services carried out by it will<br />

be managed and supervised in a proficient manner.<br />

Signature: _________________________________________ Date:<br />

Witness:<br />

_________________________________________ Date:<br />

Name and<br />

Address of Witness:<br />

Important Notice<br />

Section 99 of the <strong>Building</strong> Services (<strong>Registration</strong>) Act 2011 provides for penalties of up to<br />

$25,000 where a person makes a false or misleading statement or provides false or misleading<br />

information or particulars as part of an application for registration or renewal of registration.<br />

<strong>Renewal</strong> 2012 Builder partnership or company registration<br />

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Proposed <strong>Building</strong> Activity<br />

Builder’s Name:<br />

Builder’s <strong>Registration</strong> No: ________________________________________________________<br />

If seeking renewal as a contractor, please complete the following tables. You must indicate your<br />

expected annual turnover in the ranges specified AND identify the categories of building work<br />

you propose to undertake for the period 2012 to 2014. This information will be used to identify<br />

new tiers of registration that may be offered I future.<br />

<strong>For</strong>ecast annual turnover<br />

Under $3 million<br />

2012<br />

(tick relevant box)<br />

$3 Million to under $10 million ☐<br />

Greater than $10 million<br />

☐<br />

☐<br />

Nature of proposed building work<br />

(see definitions in table below)<br />

Unlimited<br />

Medium Rise<br />

Low Rise<br />

2012-2014<br />

(tick all relevant boxes)<br />

☐<br />

☐<br />

☐<br />

<strong>Building</strong> Category<br />

Unlimited<br />

Medium Rise<br />

Definition/<strong>Building</strong><br />

<strong>Building</strong> work on all <strong>Building</strong> Code of Australia classifications of buildings.<br />

Class 1 and 10 buildings, such as single dwellings, restricted residential<br />

accommodation and non-habitable buildings, e.g. sheds or garages.<br />

Class 2 (multi-residential) to a maximum of 3 storeys.<br />

Low Rise<br />

Class 3 to 9 buildings to a max of 3 storeys and floor area under 3500m 2 .<br />

Includes residential buildings other than Class 1 or 2, commercial buildings<br />

and also their residential components, or buildings of a public nature.<br />

Class 1 and 10 buildings, such as single dwellings, restricted residential<br />

accommodation and non-habitable buildings, e.g. sheds or garages.<br />

Class 2 (multi-residential) to a maximum of 2 storeys and floor area under<br />

2000m 2 .<br />

Class 3 to 9 buildings to a max of 2 storeys and floor area under 2000m 2 .<br />

Includes residential buildings other than Class 1 or 2, commercial buildings<br />

and also their residential components or buildings of a public nature.<br />

<strong>Renewal</strong> 2012 Builder partnership or company registration<br />

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Lodging Your <strong>Application</strong><br />

Your renewal application cannot be processed unless all of the relevant information is provided<br />

and appropriate fees are paid. At the time of lodgement, your application should be complete,<br />

signed and witnessed.<br />

<strong>Application</strong>s can be lodged:<br />

By email: BCregistration@commerce.wa.gov.au<br />

In person (at):<br />

By post (addressed to):<br />

<strong>Building</strong> Commission<br />

<strong>Building</strong> Commission<br />

Level 1, 31 Troode Street Locked Bag 12<br />

West Perth WA 6005 West Perth WA 6872<br />

(Mon -Fri 8:30am to 5:00pm)<br />

Once your renewal application is received, you will be notified in writing.<br />

If you do not receive notification within 10 business days, please contact us on 1300 489 099.<br />

Builder Annual <strong>Registration</strong> Fees<br />

Company/Body Corporate $997*<br />

Partnership $436*<br />

* Note:<br />

• GST is not applicable<br />

• No application fee is payable when renewing registration<br />

• Fees effective from 1 July 2012<br />

Payment Methods<br />

Online (credit card) at www.buildingcommission.wa.gov.au<br />

Receipt no. _________________<br />

Post: (cheque or money order) made payable to ‘<strong>Building</strong> Commission’<br />

(credit card) payment slip attached.<br />

In person (cash, eftpos, credit card, cheque, or money order)<br />

<strong>Renewal</strong> 2012 Builder partnership or company registration<br />

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Payment Slip<br />

Applicant name: ________________________________________<br />

Contact telephone number: _______________________________<br />

Amount payable: ___________________<br />

Payment method: visa card master card cheque money order online <br />

<strong>For</strong> credit card transactions<br />

Card holder name: _____________________________________<br />

Card number : ___________________________ Expiry Date (MM/YYYY): ___________<br />

Amount payable: $_________________________________<br />

Card holder’s signature: __________________________________________________<br />

<strong>Renewal</strong> 2012 Builder partnership or company registration<br />

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