1
Construction statement
Waterproofing
All sections of this form must be completed
TO BE COMPLETED BY THE APPLICATOR WHO CARRIED OUT THE WATERPROOFING WORK
Name
Building consent
number
Company
Registration
number
Site address
Legal description
Product used
Location
(e.g. balcony)
Date tanking
completed
0I have sighted the above building consent and read the attached conditions of consent together with the waterproofing
details contained therein, and confirm that:
the substrate is suitable for the application of the above waterproof membrane
the waterproof membrane has been applied in accordance with the manufacturer’s specifications and technical
requirements
all work has been carried out in accordance with the building consent and complies with the following clauses of the
Building Code
(tick as applicable)
B2 Durability
E2 External moisture all external moisture membranes (roofs, gutters, decks, balconies, etc) have been flood tested or
electronically tested (mandatory)
E3 Internal moisture – all internal moisture membranes
Test method
electronic
flood
I attach copies of the following documents
Product warranty
Workmanship warranty
LBP record of work (if RBW external W/P only)
I understand that Council will rely upon this construction statement, for the purposes of establishing compliance with the
above building consent.
Signature Date
Applicator’s contact details
Address Postcode
Company Fax
Email Mobile
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