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

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Version 4 – March 2013
Form 16— Inspection Certificate / Aspect Certificate / QBCC Licensee Aspect
Certificate
NOTE
This form is to be used for the purposes of section 10(c) and 239 of the Building Act 1975 and/or
sections 32, 35B, 43, 44 and 47 of the Building Regulation 2006.
1. Indicate the type of certificate
Inspection Certificate for
The stages of assessable building work
Stage of building work
(for single detached class 1a or class 10 building or structure)
are listed in section 24 of the Building
Regulation 2006 or as conditioned by the
(indicate the stage)
________________________________________
building certifier.
Aspect of building work
An aspect of building work is part of a
(indicate the aspect)
________________________________________
stage (e.g. waterproofing).
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 & postcode)
The description must identify all land the
subject of the application.
Postcode
The lot & plan details (eg. SP / RP) are
shown on title documents or a rates notice.
Lot & plan details
(Attach list if necessary)
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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