Form 33 - Certificate Of Plumbing Compliance Page 2

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Certificate details:
The following documents are provided with this certificate (see Schedule 3 Director’s Specified List) –
Document description:
Prepared by:
PART 1 –
Building Act 2000 Section 113(3)(ii) Certificate
I certify that:
(a) the plumbing work described on this certificate (and attachments if applicable) complies
with the 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 –
Occupational Licensing (Plumbing Work) Regulations, Reg. 7 Rectification of
defective plumbing work
I certify that:
(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 permit
authority and the owner.
(Delete ‘Part’ not applicable)
I understand that this plumbing work may be the subject of an audit by an Authorised Person.
An Authorised 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 Occupational Licensing Act 2005.
Signed:
Date:
Certificate No.
Plumber
Certifier:
Signed:
Date:
Certificate No.
Nominated
:
Manager
(State ‘as above’ if same for certifier)
Director of Building Control – approved 24 May 2013
Building Act 2000 - Approved Form No 33

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