All sections of this form must be completed
TO BE COMPLETED BY THE PERSON RESPONSIBLE FOR THE INSTALLATION OF THE APPLIANCE
Author name:
Building consent
No:
Author
company:
Author
Registration No:
Description of
building work:
(
Delete as applicable)
Legal
description:
Site address:
NZBC clauses:
B1 B2 C1 E2 F7 G12 H1
(select code clauses as
applicable)
Heating
appliance:
(Model)
I have sighted the above building consent and read the attached conditions of consent, and confirm that the solar water
heating / heat pump water heater has been selected and constructed to comply with the consented plans.
I confirm that smoke alarms have been installed in accordance with the consented plans and are operational.
I understand that Council will rely upon this producer statement, for the purposes of establishing compliance with the above
building consent.
Signature: Date:
Address:
Postcode:
Business: Fax:
Mobile: Email
COUNCIL USE ONLY
Central
Henderson
Manukau
Orewa
Papakura
Pukekohe
Takapuna
Received by:
Register
checked:
YES NO
Signature:
Registration
current:
YES NO
Producer statement accepted as establishing compliance with the consented plans: YES NO
Producer statement construction (PS3)
Solar or heat pump water heating
Auckland Council Building Control | Private Bag 92300, Auckland 1142 | www.aucklandcouncil.govt.nz | Ph 09 301 0101
Page 1 of 1 August 2011 AC2328 (v.1)
Solar water heating
Heat pump water heater
click to sign
signature
click to edit
click to sign
signature
click to edit