Clean air requirements: Does the heater comply with any applicable Regional
Authority/MFE emission standards?
Authorisation number (If applicable) ___________________
Accept More Info N/A
Flue and liner system:– Manufacturer’s technical information supplied
Skillion Roof: if dwelling has a skillion roof, provide construction detail of flue
If a flue offset is required, provide a dimensioned drawing of the offset & detail
where the offset is located (e.g. in the roof space, in the room)
Roof flashing information provided to comply with NZBC E2 e.g.
Circle number of floors the flue penetrates: 0 1 2 Other: ____
If the flue penetrates 1 or more floors, please provide a construction detail of the
Chimney ventilation information provided.
Heater fitted with Wetback:
Connected to open vented HWC to comply with NZBC G12/AS1
Tempering valve being fitted.
Name of Certifying Plumber. _______________________
Drawing provided of wetback revolve pipe setup.
Has consideration been given to the proximity of window drapes/curtains/
coverings? These are to be restrained to maintain the minimum clearances for heat
NZBC F7 Warning Systems: Smoke alarms shall be located as follows:
a. In multi-storey units, there shall be at least one smoke alarm on each level within
the household unit.
b. On levels containing sleeping spaces, the smoke alarms shall be located either:
i) In every sleeping space, or
ii) Within 3.0m of every sleeping space door. In this case, the smoke alarms must
be audible to sleeping occupants on the other side of the closed doors.
c. In all cases, so the sound pressure level complies with that specified in NZS 4514.
Comment: Smoke alarms also need to be located so that an alarm is given before the escape route from
any bedroom becomes blocked by smoke. This includes those parts of escape routes on other floors.
Although not required by this Acceptable Solution, the interconnection of individual smoke alarms should be
considered if audibility is a problem.
Smoke alarms as per above in the dwelling are shown on floor plan.
SBCG 19SF – V3 – 23/01/15 Page 2 of 3