AC1124 Residential Processing Checklist

Residential processing checklist

Address: Consent No:

Processed by: Date:

Description of work:

Exposure zone Choose an item. Wind zone Choose an item.

Project Processors complexity Choose an item. competency Choose an item.

Risk group Application: ☐Building consent ☐Amends

LBP No: (Eng) LBP No: (Design)

The property address has been accessed in the computer system and the site file viewer ☐ ☐ checked to see if there are any issues that may affect the current application Yes No

PIM / PIC (list any non-standard issues raised in the PIM that affect this application to show they have been considered)

Means of Compliance

☐ NZS3604:2011 ☐ SED ☐ NASH ☐ NZS4229 ☐ Other

☐ BRANZ / BEAL appraisal No: ☐ Codemark Certificate No:

SED elements included in this application

☐ Foundations (pile) ☐ Floor (timber subfloor) ☐ Verandah beams ☐ Swimming pool

☐ Foundations (strip) ☐ Floor (timber mid-floor) ☐ Barriers ☐ Solar water heating

☐ Masonry walls ☐ Wall framing ☐ Bracing ☐ Wastewater ☐ Lift / Cable car

☐ Columns ☐ Beams ☐ Floor (slab) ☐ Stormwater ☐ Conservatory ☐ Lintels

☐ Retaining walls ☐ Roof framing / bracing ☐ Solid fuel heater ☐ Other (list below)

B2 Durability

Concrete strength (Mpa) Timber treatment Flashings and fixings

☐ 17.5 ☐ 20 ☐ 25 ☐ 30 ☐ H1.2 ☐ H3.2 ☐ H5 ☐ Type ☐ Compatibility ☐ Fixings ☐ Other

of 17 May 2017 AC1124 (v.11) Additional checklists attached N/A ☐ ☐ SFH ☐ Solar ☐ Ancillary buildings ☐ Pool ☐ Re-clad ☐ On-site wastewater ☐ Other (list)

of 17 May 2017 AC1124 (v.11) Decision General Reasons for decision / comments N/A ☐ Yes RFI N/A CoW provided for all RBW ☐ ☐ ☐ ☐ Designer ☐ Engineer Project complexity level confirmed and noted in ☐ ☐ ☐ computer Revised plans and amendments show changes ☐ ☐ ☐ (clouded); version number and date

of 17 May 2017 AC1124 (v.11) Decision Geotechnical issues Reasons for decision / comments N/A ☐ Yes RFI N/A Full geotechnical appraisal report required if any of: 1. Hazards on AC GIS [Regulatory > Development Restrictions] and [Environment > Land Cover]. 2. Development on virgin land with slope >1:3 ☐ ☐ ☐ 3. Land classified as subject to hazard in PAUP Part 2 Chapter C Section 5.12 Policy 1. ☐ Professional Opinion (NZS4404:2010 Sch. 2A) Check engineering subdivision completion reports (Geotechnical Completion Report) as defined in Earthworks and Geotechnical CoP ☐ ☐ ☐ ☐ Professional Opinion (NZS4404:2010 Sch. 2A) Geotechnical reports have clearly defined scope and purpose, and meet requirements of Earthworks ☐ ☐ ☐ and Geotechnical CoP. Geotechnical Investigation Report identifies stage of investigation. Scope of investigation is appropriate ☐ ☐ ☐ (see Earthworks and Geotechnical CoP) Geotechnical Design Report records design inputs ☐ ☐ ☐ and construction monitoring requirements. If hazards exist attach AC1107a Natural Hazards ☐ ☐ ☐ processing checklist

of 17 May 2017 AC1124 (v.11) Decision Site plan (items must be shown on plans) Reasons for decision / comments N/A ☐ Yes RFI N/A

Siting dimensions 3 minimum shown on site plan ☐ ☐ ☐

Minimum (floor and finished ground) levels shown ☐ ☐ ☐ on site plan

Datum / contours ☐ ☐ ☐

☐ Garage ☐ Deck ☐ Pool All building works shown on site plan ☐ ☐ ☐ ☐ Outbuildings ☐ Ret walls

Main access to building shown on site plan ☐ ☐ ☐

Public & private drainage shown on site plan ☐ ☐ ☐ Location, connections, cess pits

Erosion and sediment control plan provided ☐ ☐ ☐

B1 Structure Decision Reasons for decision / comments N/A ☐ Landscape retaining walls Yes RFI N/A Construction details ☐ ☐ ☐ Footings, wall construction, height Drainage ☐ ☐ ☐ Clear of public drains, cess pit (size, cover)

Drainage medium, protection, tanking ☐ ☐ ☐

Surcharge ☐ ☐ ☐

Masonry type: A, B or C ☐ ☐ ☐

Barrier (safety from falling) ☐ ☐ ☐

Excavations within 1.0m of boundary or affecting ☐ ☐ ☐ neighbouring properties (Check GIS maps)

B1 Structure Decision Reasons for decision / comments N/A ☐ Strip footings Yes RFI N/A Footings ☐ ☐ ☐ Depth, size Horizontal reinforcing ☐ ☐ ☐ Size, c/s Vertical reinforcing / starters ☐ ☐ ☐ Size, c/s

Steps in foundations (due to ground slope) ☐ ☐ ☐

B1 Structure Decision Reasons for decision / comments N/A ☐ Piles, pads and posts Yes RFI N/A Pile foundation plan ☐ ☐ ☐ Depth, size, c/s, point loads Column and posts foundations / pads ☐ ☐ ☐ Depth, size Pile height ☐ ☐ ☐ 150 mm minimum 3.0m maximum Anchor / braced piles ☐ ☐ ☐ Footing size, pile height, connections Driven piles ☐ ☐ ☐ SED, NZS3604, consent condition

of 17 May 2017 AC1124 (v.11) B1 Structure Decision Reasons for decision / comments N/A ☐ Masonry , concrete and retaining walls (fdn) Yes RFI N/A Wall height ☐ ☐ ☐ Minimum, maximum Vertical reinforcing (starters) ☐ ☐ ☐ Size c/s Horizontal reinforcing (bond beam) ☐ ☐ ☐ Size, c/s, block size Masonry type – A, B or C ☐ ☐ ☐ Surcharge Split level ☐ ☐ ☐ Drainage, tanking, strapped, lined

B1 Structure Decision Reasons for decision / comments N/A ☐ Slab Yes RFI N/A Type: SED (PS1) (PS2) NZS3604 ☐ ☐ ☐ Slab-on-grade, raft, suspended floor

Edge beam, ribs, starters ☐ ☐ ☐

Base preparation / hard-fill ☐ ☐ ☐ 75mm min, 600mm max, sand

Slab (thickness) ☐ ☐ ☐

Membrane (type) ☐ ☐ ☐ Plumbing pipes not running through point load pas ☐ ☐ ☐ or slab thickenings (X-check truss plan) Shrinkage control, free joints ☐ ☐ ☐ Internal corners; max. length of slab

Mesh (type) 500E ☐ ☐ ☐

Point loads pads / slab thickenings ☐ ☐ ☐

Additions ☐ ☐ ☐ Connection to existing slab

B1 Structure Decision Reasons for decision / comments N/A ☐ Subfloor framing and bracing Yes RFI N/A Subfloor bracing calculations ☐ ☐ ☐ Zone, demand, capacity Subfloor bracing plan indicating type, location, ☐ ☐ ☐ length 5.0m c/s, 4 min, evenly distributed

2-storey (height vs. width) ☐ ☐ ☐

Diaphragms ☐ ☐ ☐ > 100 BUs, location, limitations Bearers Size, c/s, span, point loads, C/L, loading, fixing to ☐ ☐ ☐ foundation walls Joists Size, c/s, span, point loads, C/L, loading, ☐ ☐ ☐ penetrations Cantilever joist ☐ ☐ ☐ 2.4m max. height, support for L/B walls Lateral support ☐ ☐ ☐ Mid-span, blocking, bracing lines Flooring ☐ ☐ ☐ Thickness, clearances, type Base cladding Type, support, access, ventilation, crawlspace, ☐ ☐ ☐ vermin proofing, obstructions, large area, ltd x-flow

of 17 May 2017 AC1124 (v.11) B1 Structure Decision Reasons for decision / comments N/A ☐ Subfloor framing and bracing Yes RFI N/A

Provision for surface water runoff sloping sites ☐ ☐ ☐

B1 Structure Decision Reasons for decision / comments N/A ☐ Mid-floor Yes RFI N/A Structure/load path Beams/posts, SED, timber, steel, flitch, engineered ☐ ☐ ☐ timber, suspended concrete Joists C/L, floor load, penetrations, size, C/s, span, point ☐ ☐ ☐ loads Flooring ☐ ☐ ☐ Type, diaphragm

B1 Structure deck construction (ground floor or Decision Reasons for decision / comments N/A ☐ external decks above ground floor) Yes RFI N/A Piles ☐ ☐ ☐ Size, depth, c/s, height Bearer ☐ ☐ ☐ 2.0 kPa, size, span, c/s, cantilever Joists ☐ ☐ ☐ 2.0 kPa, size, span, C/s, cantilever, saddle flashings Decking material ☐ ☐ ☐ Slip resistance, type, fixings, FFL Stringer ☐ ☐ ☐ Size, span, fixings, air-gap

Subfloor deck bracing if >2.0m in width ☐ ☐ ☐

Slab / patio ☐ ☐ ☐ Connection to slab, FFL Stairs and landings Type, tread, riser, pitch, openings, sip resistance, ☐ ☐ ☐ handrail

Decision B1 Structure barrier design Reasons for decision / comments N/A ☐ Yes RFI N/A

AS1170; NZS4223; (other) ☐ ☐ ☐

Barrier construction ☐ ☐ ☐ SED, materials, fixings, openings, height Loadings ☐ ☐ ☐ Indoors / outdoors / common areas Glazing (PS1 covers all aspects of design and ☐ ☐ ☐ fixings)

Consequences of failure (B1.3.4) ☐ ☐ ☐

B1 Structure Decision Reasons for decision / comments N/A ☐ Framing – lower of two Yes RFI N/A Bottom plate ☐ ☐ ☐ Size, fixings Top plate ☐ ☐ ☐ Size, point loads Studs and trimmers ☐ ☐ ☐ Size, height, C/s, point loads

Gable end framed for cladding ☐ ☐ ☐

of 17 May 2017 AC1124 (v.11) B1 Structure Decision Reasons for decision / comments N/A ☐ Framing – lower of two Yes RFI N/A

Uplift fixings detailed for studs ☐ ☐ ☐

Lintels / beams ☐ ☐ ☐ Point loads, fixing details, size, span, uplift, C/L

B1 Structure Decision Reasons for decision / comments N/A ☐ Framing – ground or upper floor Yes RFI N/A Bottom plate ☐ ☐ ☐ Size, fixings Top plate ☐ ☐ ☐ Size, point loads Studs and trimmers ☐ ☐ ☐ Size, height, C/s, point loads

Gable end framed for cladding ☐ ☐ ☐

Uplift fixings detailed for studs ☐ ☐ ☐

Lintels / beams ☐ ☐ ☐ Point loads, fixing details, size, span, uplift, C/L

B1 Structure Decision Reasons for decision / comments N/A ☐ Wall bracing (all floors) Yes RFI N/A Wall bracing calculations ☐ ☐ ☐ Zone, demand, capacity Wall bracing plan indicating ☐ ☐ ☐ Type, location, length Bracing capacity external walls ☐ ☐ ☐ >100 BU, 50% demand, 15 BUs / m Bracing capacity internal walls ☐ ☐ ☐ > 100 Bus, 50% total demand Location of bracing elements 6.0m c/s, evenly distributed, wings, blocks, wet ☐ ☐ ☐ areas, split or discontinuous levels Dragon ties to extend brace lines to 7.5m ☐ ☐ ☐ > 100 Bus, location Ceiling diaphragm ☐ ☐ ☐ > 100 Bus, location, limitations

B1 Structure Decision Reasons for decision / comments N/A ☐ Roof and ceiling framing Yes RFI N/A Roof type (pitch) ☐ ☐ ☐ Pitched, trussed Trusses ☐ ☐ ☐ Design statement, software statement, truss layout

Roof bracing ☐ ☐ ☐

Rafter / ridge beam ☐ ☐ ☐ Size, span, support, fixings Skillion roof ☐ ☐ ☐ Type, thickness, fixing

Purlin, tile batten, size, span, C/s, fixings ☐ ☐ ☐

Membrane roof framing (joists) ☐ ☐ ☐ Size, span, C/s, fixings, fall Ceiling battens ☐ ☐ ☐ Size, span, C/s, fixings, ceiling lining

of 17 May 2017 AC1124 (v.11) Decision C1 Fire protection Reasons for decision / comments N/A ☐ Yes RFI N/A Means of compliance with Clauses C1 – C6 ☐ ☐ ☐ ☐ C/AS1-C/AS7 Relevant or notional boundary distance (distance measured from cladding not foundation) ☐ External wall <1.0 to boundary ☐ ☐ ☐ ☐ Eaves <650mm to boundary ☐ 2.0m between any two buildings on site

Escape height ☐ Under 10m ☐ ☐ ☐

Escape paths ☐ Open ☐ Dead end ☐ ☐ ☐

FRR construction ☐ ☐ ☐ ☐ Details on plans ☐ No foamed plastics Non-combustible surfaces ☐ ☐ ☐ ☐ Appliances ☐ Chimney Inter-tenancy walls ☐ ☐ ☐ ☐ Junctions ☐ Neighbours approval

Scope of risk group (Table 1.1) (Para. 1.1.1) ☐ ☐ ☐

Part 2: Fire safety system (Para. 2.2) ☐ ☐ ☐

Part 3: Means of escape (DEOP, TOP) (Table 3.2) ☐ ☐ ☐

Part 4: Fire separations (Para. 4.1) ☐ ☐ ☐

Structural stability to resist 0.5kPa fire load ☐ ☐ ☐

Roof projection (Para. 5.2) ☐ ☐ ☐

Exterior surface finish (Para. 5.4) (Table 5.1) ☐ ☐ ☐

Fire properties of external wall cladding system determined in accordance with ☐ C/AS1 App. C7.1 and limits of Table 5 ☐ ☐ ☐ ☐ AS1530.1 non-combustible materials  refer C/AS1 App. C and C7.1.4 Testing in accordance with C/AS1 App. C and C7.1.2: ☐ Heat flux 50kW/m2 ☐ Test duration 15 minutes ☐ ☐ ☐ ☐ Total heat release measured from start of test ☐ Total heat release measured from sample orientation horizontal ☐ Ignition initiated by external spark igniter Timber external wall cladding system tested in accordance with C/AS1 App. C, C7.1 and must be subjected to accelerated weathering described by ☐ ☐ ☐ ASTM D 2898 Method B with water flow rate from Method A before testing to C7.1 Claddings incorporating a metal facing with a melting point of <7500 covering a combustible core ☐ ☐ ☐ or insulant tested in accordance with App. C7.1 without the metal facing present

Solid fuel appliances (C/VM1) (AS/NZS 2918) ☐ ☐ ☐

Gas burner (NZS5261) - Para. 7.2 ☐ ☐ ☐

of 17 May 2017 AC1124 (v.11) Decision C1 Fire protection Reasons for decision / comments N/A ☐ Yes RFI N/A

Oil fire (AS1691) - Para. 7.3 ☐ ☐ ☐

Open fire - Para. 7.5 ☐ ☐ ☐

Down lights (Para. 7.4) ☐ ☐ ☐

Referred to fire engineer ☐ ☐ ☐

Decision D1 Access (internal and external) Reasons for decision / comments N/A ☐ Yes RFI N/A Stairs / slip resistance ☐ ☐ ☐ Internal, external, type, tread, pitch, riser Landings top and bottom of all stairs and ramps ☐ ☐ ☐ Handrails provided to stairs > 3 risers Stairwell ☐ ☐ ☐ Width, height

Decision D2 Lifts or cable cars Reasons for decision / comments N/A ☐ Yes RFI N/A Design calculations and specifications ☐ ☐ ☐ D2/AS1, EN/81, PS2

Decision E1 Surface water Reasons for decision / comments N/A ☐ Yes RFI N/A

Sediment and erosion control plans provided ☐ ☐ ☐

Overflow path / runoff to other land ☐ ☐ ☐ Flood report Downpipes and external gutters ☐ ☐ ☐ No, size, distribution, spreaders Stormwater run-off (paved areas >10 m²) ☐ ☐ ☐ Cesspit size, cut-off drain garage / basement Stormwater drainage Public, Soak hole, detention tank, rainwater tank/ ☐ ☐ ☐ dual purpose tank Stormwater drainage detention tank, rainwater tank, dual purpose tank ☐ ☐ ☐ inlet leaf strainer/ first flush/ drain Public drains affected / approval ☐ ☐ ☐ Approval, easements

Decision E2 External moisture Reasons for decision / comments N/A ☐ Yes RFI N/A Building subject to re-clad; E2 risk >12 ☐ ☐ ☐ ☐ Send to re-clad team for review

E2 risk matrix (confirm and note score) ☐ ☐ ☐ Wall cladding (type) E2/AS1, alt. solution, maintenance and installation ☐ ☐ ☐ details Wall cladding clearances ☐ ☐ ☐ Ground, deck, wall, roof Building wrap ☐ ☐ ☐ Type, compatibility, strapping Air barrier ☐ ☐ ☐ Rigid, non-rigid Cavity battens ☐ ☐ ☐ Size, type, fixing, vermin proof Page 10 of 17 May 2017 AC1124 (v.11) Decision E2 External moisture Reasons for decision / comments N/A ☐ Yes RFI N/A Window details ☐ ☐ ☐ E2/AS1, alt. solution Wall junction details ☐ ☐ ☐ E2/AS1, SED, alt. solution Barge, fascia, spouting to wall junction details ☐ ☐ ☐ E2/AS1, SED, alt. solution Internal gutters and roof penetrations Slope, size, scupper, overflow, flashing details for ☐ ☐ ☐ roof penetrations

Control joints / junctions ☐ ☐ ☐

Flashing details E2/AS1, alt. solution, roof, wall, pergola, chimney, ☐ ☐ ☐ apron, pipes, joinery, meter box Parapets / enclosed barriers ☐ ☐ ☐ Framing, cap, drainage, junctions, slope

Internal decks Joists, slope, junctions, drainage, FFL, air-gap, ☐ ☐ ☐ fixings, saddle, 2nd floor limitations NB - no direct fixed tiles permitted

Roof cladding / underlay (type) E2/AS1, alt. solution, maintenance and installation ☐ ☐ ☐ details Membrane substrate (type) E2/AS1, alt. solution, thickness, fixing, venting, ☐ ☐ ☐ control joints Split level ☐ ☐ ☐ Drainage, tanking, strapped, lined

Decision E3 Internal moisture Reasons for decision / comments N/A ☐ Yes RFI N/A

Waterproofing (type) ☐ ☐ ☐

Ventilation / condensation control ☐ ☐ ☐

Showers, urinals, baths – impervious surfaces walls ☐ ☐ ☐ and floors Wall junction to fixtures ☐ ☐ ☐ Bath, basin, sink , tub, urinal, kitchens Thermal resistance walls / ceiling; thermal break for ☐ ☐ ☐ steel framing

Overflow provision (other property) ☐ ☐ ☐

Decision F1 Hazardous agents on site Reasons for decision / comments N/A ☐ Yes RFI N/A

Contamination checked on PIR (HSNO) ☐ ☐ ☐

Decision F2 Hazardous building materials Reasons for decision / comments N/A ☐ Yes RFI N/A

F2/AS1, NZS4223.3 ☐ ☐ ☐

Asbestos products especially in adds / alts pre 1990 ☐ ☐ ☐ ☐ Advice note required Glazing, human impact (thickness, safety glass) ☐ ☐ ☐ Shower, skylights, windows, stair, foyers

of 17 May 2017 AC1124 (v.11) Decision F2 Hazardous building materials Reasons for decision / comments N/A ☐ Yes RFI N/A Barrier NZS4223.3:2016 ☐ ☐ ☐ Glass type, height, system, fixings

Decision F4 Safety from falling Reasons for decision / comments N/A ☐ Yes RFI N/A Fixed window seat ☐ ☐ ☐ ☐ lower edge of opening measured from seat WC or any other fixed feature within 500mm horizontal of a window ☐ ☐ ☐ ☐ lower edge of opening measured vertically from the pan or feature Windows with opening width <1.0m and lower edge of opening within 760mm of floor ☐ ☐ ☐ ☐ Restrictor (100mm); or ☐ 760mm high barrier Windows with opening width >1.0m and lower edge of opening within 1.0m of floor ☐ ☐ ☐ ☐ Requires barrier (refer Table 1) Barrier construction details (stairs) ☐ ☐ ☐ Height, SED, balusters, palings, openings Any additions / alterations affecting existing pool ☐ ☐ ☐ barrier – refer to F9

Decision F7 Warning systems Reasons for decision / comments N/A ☐ Yes RFI N/A Smoke alarms shown on plan ☐ ☐ ☐ Type, location

Decision G1 Personal hygiene Reasons for decision / comments N/A ☐ Yes RFI N/A

Suitable facilities ☐ ☐ ☐

Basins provided within or adjacent to WC ☐ ☐ ☐

Minimum room size (WC) ☐ ☐ ☐

Decision G2 Laundering Reasons for decision / comments N/A ☐ Yes RFI N/A

Laundering facilities provided to Table 1 ☐ ☐ ☐

Working space ☐ ☐ ☐

Impervious surfaces ☐ ☐ ☐

G3 Food preparation and prevention of Decision Reasons for decision / comments N/A ☐ contamination Yes RFI N/A Cooker, oven, fridge, food storage space provided ☐ ☐ ☐ Work space Prep bench and sink provided ☐ ☐ ☐ Size, capacity, surface finishes

Decision G4 Ventilation Reasons for decision / comments N/A ☐ Yes RFI N/A

Natural ventilation 5% of floor area ☐ ☐ ☐

Laundry / WC – natural or mechanical ☐ ☐ ☐

of 17 May 2017 AC1124 (v.11) Decision G4 Ventilation Reasons for decision / comments N/A ☐ Yes RFI N/A

Ensuite / Bathroom – natural or mechanical ☐ ☐ ☐

Fumes and odours collection / disposal ☐ ☐ ☐

Ventilation for gas appliances ☐ ☐ ☐ Hob, bayonet, HWC to AS/NZS 5601.1.

Decision G6 Airborne and impact sound Reasons for decision / comments N/A ☐ Yes RFI N/A STC 55 between household units ☐ ☐ ☐ Type, system, construction details

Decision G7 Natural light Reasons for decision / comments N/A ☐ Yes RFI N/A Windows ☐ ☐ ☐ 10% of floor area, 50% clear to habitable area Restricted light ☐ ☐ ☐ Daylight angle, reflectance finishes

Awareness of outdoor environment ☐ ☐ ☐

of 17 May 2017 AC1124 (v.11) Decision G9 Electricity Reasons for decision / comments N/A ☐ Yes RFI N/A

Energy works certificate ☐ ☐ ☐

Electrical structures (pylons, transformers, poles ☐ ☐ ☐ and stays) check GIS

G10 – G11 Piped services & gas as an energy Decision Reasons for decision / comments N/A ☐ source Yes RFI N/A

Specifications ☐ ☐ ☐

Ventilation of appliances ☐ ☐ ☐ Heating, cooking, hot water – refer AS/NZS 5601.1 Location and size of gas cylinders ☐ ☐ ☐ Windows, drains, size

Decision G12 Water supplies Reasons for decision / comments N/A ☐ Yes RFI N/A Water supply (potable) cold water ☐ ☐ ☐ ☐ AS/NZS 3500.1 ☐ G12 AS1 Water supply (potable) ☐ ☐ ☐ Town, rainwater, bore, other Water supply (potable) hot water ☐ ☐ ☐ ☐ AS/NZS 3500.4 ☐ G12 AS1 HWC type ☐ ☐ ☐ Mains, low, solar (attach checklist), gas HWC location ☐ ☐ ☐ Internal, external HWC / header tank in roof space ☐ ☐ ☐ Access, support, overflow ☐ Retention tank ☐ Rainwater tank ☐ ☐ ☐ ☐ Dual purpose tank Inlet leaf strainer / first flush / drain / backflow Operating devices and valves ☐ ☐ ☐ Backflow, other Non-potable supply ☐ ☐ ☐ Separate system, schematic plan, outside tap, WC

Lilac pipes, warning signs, non-return valve ☐ ☐ ☐

Wetback pipework, tempering valve; low pressure - ☐ ☐ ☐ open vented

Decision G13 Sanitary plumbing and drainage Reasons for decision / comments N/A ☐ Yes RFI N/A Plumbing ☐ AS/NZS 3500.2.2015 ☐ G13/AS1 ☐ ☐ ☐ ☐ Other (specify) If AS/ NZS 3500.2 specify system ☐ Fully vented ☐ Fully vented modified ☐ Single stack ☐ ☐ ☐ ☐ Single stack modified ☐ Drainage principles ☐ Plumbing schematic supplied

Stacks, vents, systems, size, fall, material ☐ ☐ ☐

Discharge pipes ☐ ☐ ☐ Material, falls, size

of 17 May 2017 AC1124 (v.11) Decision G13 Sanitary plumbing and drainage Reasons for decision / comments N/A ☐ Yes RFI N/A Drainage ☐ AS/NZS 3500.2.2015 ☐ G13/AS2 ☐ ☐ ☐ Drainage schematic supplied Overflow relief gully / gully trap ☐ ☐ ☐ Gully trap, ORG Combined waste / storm water systems ☐ ☐ ☐ Separated Drainage connections ☐ ☐ ☐ Invert level, reflux valve Angle of influence ☐ ☐ ☐ Depth and proximity of drain to building Sewer under or within 2.0m of building ☐ ☐ ☐ Drainage engineering approval Drains entering other properties ☐ ☐ ☐ Neighbour’s approval / easements Onsite effluent system (type) ☐ ☐ ☐ Attach checklist

Decision G15 Solid waste Reasons for decision / comments N/A ☐ Yes RFI N/A Space and access at ground level for refuse; ☐ ☐ ☐ screening in place

80l capacity per dwelling / max carry distance 30m ☐ ☐ ☐

Floors graded 1:50; waste and tap ☐ ☐ ☐

Chutes – access; size; surfaces; sprinkler ☐ ☐ ☐ (compliance schedule); ventilation

Decision H1 Energy efficiency Reasons for decision / comments N/A ☐ Yes RFI N/A Means of compliance ☐ ☐ ☐ H1/AS1, NZS4218, NZS4214 Method ☐ ☐ ☐ Schedule, calculation, modelling Insulation type and R values detailed on plans ☐ ☐ ☐ Sub floor, walls, ceiling Insulation ☐ ☐ ☐ 25mm clearance from underside of roofing Glazing requirements ☐ ☐ ☐ Single, double

Thermal break to metal framing ☐ ☐ ☐

Hot water system insulated ☐ ☐ ☐ H1/AS1 NZS4305 s.5 Garages included / excluded ☐ ☐ ☐ Included min. R-value 1.5 (E3/AS1)

Decision Producer statements / certificates required Reasons for decision / comments N/A ☐ Yes RFI N/A

Risk level (AC2303) Low, Medium ☐ ☐ ☐

PS author working within scope of approval and ☐ ☐ ☐ insurance has not lapsed ☐ Geotechnical ☐ Structural ☐ ☐ ☐ ☐ Fire ☐ Acoustic ☐ Glazing Other (list) ☐ ☐ ☐

of 17 May 2017 AC1124 (v.11) Decision Producer statements / certificates required Reasons for decision / comments N/A ☐ Yes RFI N/A Construction monitoring – info provided about ☐ ☐ ☐ inspections to be performed by engineer

Decision Requests for further information N/A ☐ Date requested Date resolved Signed Yes N/A

Information requested ☐ ☐

Decision Building Act matters Reasons for decision / comments N/A ☐ Yes RFI N/A

S.14G M/F or suppliers product technical statement ☐ ☐ ☐

S.67 Waivers and modifications ☐ ☐ ☐

S.84 Restricted building work ☐ ☐ ☐

S.72 Hazards (stability / flooding) ☐ ☐ ☐ Condition, registration on title, attach checklist S.75 Building on 2 or more allotments ☐ ☐ ☐ Condition, registration on title S.112 Alterations to ex. Buildings complies to same ☐ ☐ ☐ extent as before alts, escape paths

Decision Decision Final check / sign off Final check / sign off Yes N/A Yes N/A

Agreement to provide PS 3 & 4 ☐ ☐ Development contribution (Form 3) ☐ ☐

Document sets collated and stamped ☐ ☐ S.72 lodged with LINZ ☐ ☐

Superseded plans separated / retained ☐ ☐ S.75 lodged with LINZ ☐ ☐

Other checklists attached ☐ ☐ Modification / Waiver (to Mgr. Durability) ☐ ☐

Plans signed by engineer ☐ ☐ Inspection requirements identified ☐ ☐

LBP; NZRAB (NZIA); CPEng registers Structural / geotechnical engineering ☐ ☐ ☐ ☐ checked

Public drainage / approvals ☐ ☐ Conditions completed ☐ ☐

PIM issues resolved ☐ ☐ Computer tasks completed ☐ ☐

RMA issues (Form 4) ☐ ☐ File handed onto admin / invoicing ☐ ☐

Final sign off (signature) Yes No

I am satisfied on reasonable grounds that compliance has been established with the Building Code and the building ☐ ☐ consent / amendment is approved and ready for granting

Name: Date:

Supervision (signature) ☐ N/A

Supervisor: Date:

If supervised, supervision form must be completed and forwarded to [email protected]

of 17 May 2017 AC1124 (v.11) Comments:

of 17 May 2017 AC1124 (v.11)