Building Control and City Rebuild Group

Producer statement construction

(PS3)
All sections of this PS3 must be completed
Tick applicable Contractor for:
Building

Emergency Lighting

Cladding

Escalator

Waterproof Membranes

Drainlayer

Fire Alarm

Lift

Mechanical (HVAC)

Solar Heating

Other (specify):

Author name:

Author company:

Site address:

Description of building work:

Engaged by:

(owners name)

Scope of work covered by statement:

System/Product used (if applicable):

I (constructor):

have been engaged by

part
all
(building consent applicant) to construct:

As specified in the attached particulars of Building Consent Number:

and its attached conditions
and am satisfied on reasonable grounds that the building work specified above has been completed to the extent required by that
Building Consent and complies with the Building Consent.
NZBC clauses:
[select as applicable]

B1
E3
G4
H1

B2
F1
G5

C1
F2
G6

C2
F3
G7

C3
F4
G8

C4
F5
G9

C5
F6
G10

C6
F7
G11

D1
F8
G12

D2
G1
G13

E1
G2
G14

E2
G3
G15

I understand that this Producer Statement, if accepted, may be relied on by the Council for the purpose of establishing compliance
with the Building Consent.

LU: 22.05.14, LR: 22.05.14, v3

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LU: 22.05.14, LR: 22.05.14, v3

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Registration No:

Or

N/A

Qualifications/Experience:

Address:

Postcode:

Phone:

Fax:

Mobile:

Email:

Signature:

Date:

LU: 22.05.14, LR: 22.05.14, v3

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B-085