Code Compliance Certificate Application (Form 6) - Hurunui District Council Page 3
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2
3RESTRICTED BUILDING WORK
Did the building include any restricted building work
Yes
No
The licensed building practitioner(s) who carried out or supervised the restricted building work is/ are as follows:
Licence class
Name and address
Licenced building practitioner
number(or registration number if
treated as being licensed under
section 291 of the Building Act 2004)
Foundations
Carpentry
Exterior Plasterer
Bricklayer
Blocklayer
Roofer
SPECIFIED SYSTEMS
Are there any specified systems associated with this project:
Yes (as listed below)
No
The following specified systems are contained in the compliance schedule for the building and, in the opinion of the
personnel who installed them, are capable of performing to the performance standards set out in the building consent.
SS1 Automatic systems for fire suppression
SS11 Laboratory fume cupboards
SS2 Emergency warning systems
SS12/1 Audio loops
SS3/1 Automatic door
SS12/2 FM radio and infrared beam transmission systems
SS3/2 Access controlled doors
SS13/1 Mechanical smoke control
SS3/3 Interfaced fire or smoke doors or windows
SS13/2 Natural smoke control
SS4 Emergency lighting systems
SS13/3 Smoke curtains
SS5 Escape route pressurisation systems
SS14/1 Emergency power systems
SS6 Riser Mains
SS14/2 Signs for SS1-13
SS7 Automatic back flow preventers
SS 15/1 Spoken information intended to facilitate evacuation
SS8/1 Passenger carrying lifts
SS15/2 Final exits
SS8/2 Service lifts
SS15/3 Fire separations
SS8/3 Escalator and moving walks
SS15/4Signs for facilitating evacuation
SS9 Mechanical ventilation or air conditioning systems
SS15/5 Smoke separations
SS10 Building maintenance units
SS16 Cable cars
Additional Information to Note
1.
A final inspection must have been completed prior to this application being sought.
2.
The Code Compliance Certificate will be based on the approved building consent documents, so any variations to
the original approved plans are required to be documented and approved prior to the work being carried out.
3.
A Code Compliance Certificate will not be issued until all of the information required on this form that is relevant to
the job is provided to the Council. This includes all names, certificates from personnel who carried out the work,
registration numbers, producer statements, or any other required documents
th
Doc: Quality Manual HDC
Ref: Form 6
Issue: 3
Date: 27
November 2014
PAGE 3 of 3
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