Form 16 - Inspection Certificate/aspect Certificate/qbcc Licensee Aspect Certificate - Queensland Department Of Housing And Public Works

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Department of Housing and Public Works
Form 16—Inspection
Certificate/Aspect Certificate/QBCC
Licensee Aspect Certificate
Version 5 – July 2017
This form is to be used for the purposes of section 10(c) and 239 of the Building Act 1975 and/or sections
NOTE:
32, 35B, 43, 44 and 47 of the Building Regulation 2006.
1. Indicate the type of
Inspection Certificate for
certificat
e
The stages of assessable building
work are listed in section 24 of the
Stage of building work
(for single detached class 1a or class 10 building or
Building Regulation 2006 or as
structure)
conditioned by the building certifier.
An aspect of building work is part of
(indicate the stage)
a stage (e.g. waterproofing).
________________________________________
Aspect of building work
(indicate the aspect)
________________________________________
QBCC Licensee Aspect Certificate
Scope of the work
Scope of the work covered by the licence class under the Queensland Building and Construction
Commission Regulation 2003 for the aspect being certified, e.g. scope of work for a
waterproofing licence is “installing waterproofing materials or systems for preventing moisture
penetration”. An aspect being certified may include “wet area sealing to showers”.
2. Property description
Street address
(include no., street, suburb/locality and postcode)
The description must identify all
land the subject of the application.
Postcode
The lot and plan details (e.g.
SP/RP) are shown on title
Lot and plan details
(attach list if necessary)
documents or a rates notice.
If the plan is not registered by title,
provide previous lot and plan details
.
In which local government area is the land situated?
Building/structure description
Class of building/structure
3. Building/structure
description
LOCAL GOVERNMENT USE ONLY
DATE RECEIVED
REFERENCE NUMBER/S

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