Form 33 Cert of Plumbing Compliance - Devonport City Council

CERTIFICATE OF PLUMBING COMPLIANCE Section 113To: Devonport City CouncilPO Box 604Permit Authority/AdministratorAddressDevonport Tas 7310Suburb/postcodeForm 33Note: This certificate is also approved by the Administrator of Occupational Licensing as being in the approved form forcertifying plumbing work carried out under a rectification order issued under Section 57 of the Occupational Licensing Act2005.Details of plumbing contractor:Business name:Nominated Managername:Business address:Suburb/postcode:Email address:ContractorLicence No.:Phone No.:Mobile No.:Fax No.:Details of plumber certifying the work:Plumber – Certifier’sName:Business address:Suburb/postcode:Email address:(State ‘as above’ if same for contractor details)Details of completed plumbing work or stage:Address:Suburb/postcode:CertifierLicence No.:Phone No.:Mobile No.:Fax No.:Permit No.:Order No.:Description of the work that is being certified:Scope or limitation:NOTES: Insert detailed description of the plumbing work, carried out under a plumbing permit or special plumbing permit orRectification Order, which is being certified. Attach additional sheets if insufficient space. If the work or stage of work isincomplete this certificate may be used to record when a contract has been ended and no further work will be carried out bythe contractor.Director of Building Control – approved 24 May 2013 Building Act 2000 - Approved Form No 33

Certificate details:The following documents are provided with this certificate (see Schedule 3 Director’s Specified List) –Document description:Prepared by:PART 1 –I certify that:Building Act 2000 Section 113(3)(ii) Certificate(a) the plumbing work described on this certificate (and attachments if applicable) complies withthe Building Act 2000; and(b) the work has been installed in accordance with the above documents, the Plumbing Permit(and the Special Plumbing Permit if applicable) and the Plumbing Regulations 2004; and(c) I have attached as-constructed drawing(s) of the work carried out; and(d) I have provided a copy of this certificate and the as-constructed drawings to the owner.PART 2 –I certify that:Occupational Licensing (Plumbing Work) Regulations, Reg. 7 Rectification ofdefective plumbing work(a) the plumbing work specified in this certificate complies with Rectification Order No.…………………issued under Section 57 of the Occupational Licensing Act 2005; and(b) I have attached an as-constructed drawing(s) of the work carried out; and(c) I have provided a copy of this certificate and as-constructed drawings to the relevant permitauthority and the owner.(Delete ‘Part’ not applicable)I understand that this plumbing work may be the subject of an audit by an Authorised Person. AnAuthorised Person may enter the above land to perform their functions, and exercise their powers, under:Section 258 of the Building Act 2000 and the Plumbing Regulations 2004; or under Section 19 of the OccupationalLicensing Act 2005.PlumberCertifier:Signed: Date: Certificate No.NominatedManager:Signed: Date: Certificate No.(State ‘as above’ if same for certifier)Director of Building Control – approved 24 May 2013 Building Act 2000 - Approved Form No 33