AF3.9 Page 1 of 1 Last Updated: 10/01/2018
Revision 2:
All sections of this form must be completed
TO BE COMPLETED BY THE PERSON APPLYING THE INTUMESCENT COATING
Applicator’s name:
Building consent
N
o
:
Company:
Author N
o
if
applicable:
NZBC performance
requirements:
Clause C6
Legal description:
Site address:
I have sighted the above building consent and confirm (please select box to confirm) that:
Intumescent coatings to structural steel have been applied in accordance with the manufacturer’s specifications and
requirements. The products supplied have been tested in accordance with:-
AS1530 Methods for fire tests on building materials and structures (Part 4); or
NZBS/BS476 Fire tests on building materials and structures (Parts 21-22)
Intumescent coatings are compatible with the undercoat
Copy attached of suppliers material schedule listing products used and thicknesses applied (mandatory)
Floor plan identifying location of intumescent coatings (mandatory)
I understand that Queenstown Lakes District Council will rely upon this producer statement, for the purposes of establishing
compliance with the above building consent.
Producer statements are accepted solely at Queenstown Lakes District Council discretion
Applicator’s
signature:
Date:
Address:
Business: Fax:
Mobile: Email
Producer Statement Construction (PS3)
Intumescent Coatings to Structural Steel
click to sign
signature
click to edit
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