Use this checklist for stand-alone classroom applications only (under 300 square meters)
Address: / Consent No:Processed by: / Date:
Description of work:
Corrosion zone / CDE / Wind zone / LMHVHEHSED
Project complexity / Res 1Res 2Res 3Com 1Com 2Com 3 / Processors competency / Res 1Res 2Res 3Com 1Com 2Com 3
Purpose group / Application: / Building consent / Amends
LBP No: (Eng) / N/A / LBP No: (Design) / N/A
PIM / PIC (list any non-standard issues raised in the PIM that affect this application to show they have been considered)
Means of Compliance
NZS3604:2011 / SED / PS1 / PS2
B2 Durability
Concrete strength (Mpa) / Timber treatment / Flashings and fixings
17.5 20 25 / H1.2 H3.2 H5 / Type Compatibility
Site plan (items must be shown on plans) / Decision / Reasons for decision/ comments
Yes / RFI / N/A
Siting dimensions (3 minimum)
Finished / cut ground levels
Datum / contours
All existing buildings shown
Public drainage
Location Depth Approval
Piles, pads and posts / Decision / Reasons for decision/ comments / N/A
Yes / RFI / N/A
Pile layout / location plan
Pile foundations
Depth Size C/s Point loads
Column and posts foundations / pads
Depth Size
Height
150 mm minimum 3.0m maximum
Anchor / braced piles
Size Height Connections
Driven piles
SED NZS3604 Condition
B1 Structure
Subfloor framing and bracing / Decision / Reasons for decision / comments / N/A
Yes / RFI / N/A
Subfloor bracing calculations
Zone Demand Capacity
Subfloor bracing plan indicating
Type Location Length
5.0m c/s 4 min Evenly distributed
Diaphragms
> 100 Bus Location Limitations
Bearers
Size C/s Span Point loads
C/L Load Fixing to foundation walls / NB note limitations for floor load
Joists
Size C/s Span Point loads
C/L Load Penetrations
Cantilever joist
2.4m max. height Support for L/B walls
Lateral support
Mid-span Blocking Bracing lines
Flooring
Thickness Clearances Type
Base cladding
Type Support Access Ventilation Crawlspace Vermin proofing
Obstructions Large area Ltd x-flow
Provision for surface water runoff sloping sites
Deck construction (ground floor) / Decision / Reasons for decision / comments / N/A
Yes / RFI / N/A
Piles
Size Depth C/s Height
Bearer 2.0 kPa
Size Span C/s C/L
Joists 2.0 kPa
Size Span C/s C/L
Saddle flashings
Decking material
Slip resistance Type Fixings FFL
Stringer
Size Span Fixings Air-gap
Subfloor deck bracing if >2.0m in width
Slab / patio
Connection to slab FFL
Barrier construction SED
Materials Fixings Openings Height
Stairs and landings
Type Tread Riser Pitch
Openings Sip resistance Handrail
Framing / Decision / Reasons for decision/ comments / N/A
Yes / RFI / N/A
Bottom plate
Size Fixings
Top plate
Size Point loads
Studs and trimmers
Size Height C/s Point loads
Gable end framed for cladding
Uplift fixings detailed for studs
Lintels / beams
Size Span Uplift C/L
Point loads Fixing details
Building wrap
Type Compatibility Strapping
Wall bracing / Decision / Reasons for decision/ comments / N/A
Yes / RFI / N/A
Wall bracing calculations
Zone Demand Capacity
Wall bracing plan indicating
Type Location Length
Bracing capacity external walls
>100 BU 50% demand 15 BUs / m
Bracing capacity internal walls
> 100 Bus 50% total demand
Location of bracing elements
6.0m c/s Evenly distributed
Wings Blocks Wet areas
Split or discontinuous levels
Dragon ties to extend brace lines to 7.5m
> 100 Bus Location
Ceiling diaphragm
> 100 Bus Location Limitations
Roof and ceiling framing / Decision / Reasons for decision/ comments / N/A
Yes / RFI / N/A
Design statement Software statement
Truss layout
Pitched Trussed
Pitch
Bracing
Rafter / ridge beam
Size Span Support Fixings
Skillion roof
Type Thickness Fixing
Purlin / tile batten
Size Span C/s Fixings
Ceiling battens (type)
Size Span C/s Fixings
Fire Engineering Brief (FEB) / Decision
Yes / N/A
C/VM2 Specific design
Comments:
Building consent to be sent to NZFS fire engineering unit (refer to AC1110) / Decision
Yes / N/A
Criteria 1Building type(refer AC1110) a b c d e f g h
Criteria 2Designs / building work type (refer AC1110) a b c
Criteria 1andCriteria 2are both met send application to NZFS (Fire Engineering Unit) for comment.
Please ensure you record the reasons for your decision if you decide not to send an application to the NZFS engineering Unit.
Existing building (Means of Escape assessment) / Decision / Reasons for decision / comments / N/A
Yes / RFI / N/A
Low-risk (1-11) statement of change
Medium-risk (12-19) gap analysis
High-risk (20+) full assessment
Design philosophy summary:
Part 1: General / Decision / Reasons for decision / comments / N/A
Yes / RFI / N/A
Scope of risk group (Table 1.1)
Occupant densities and occupant load (Table 1.2)
Primary risk group (If more than one)
Part 2: Firecells, fire safety systems and fire resistance ratings / Decision / Reasons for decision / comments / N/A
Yes / RFI / N/A
Fire cell limit
Fire safety systems (Para. 2.2) (escape height)
Requirements of firecell (Para. 2.2.4 to 2.2.10)
Fire resistance rating (life rating, property rating)
(Para. 2.3)
Type 9 system required (clause 4.18)
Part 3: Means of escape / Decision / Reasons for decision / comments / N/A
Yes / RFI / N/A
Number of escape routes (Para. 3.2)
Height and width of escape route (Para. 3.3)
Length of escape route (Para. 3.4 and Table 3.2)
Special cases of open paths (Para. 3.6 and 3.7)
Exit ways (Para. 3.9 and 3.10)
Doors subdividing escape routes (door features and fixings) (Para. 3.15)
Smoke lobby
External escape routes
Safe place defined
Part 4: Control of internal fire and smoke spread / Decision / Reasons for decision / comments / N/A
Yes / RFI / N/A
Structural stability during fire (Para. 4.3)
Fire stopping in firecell construction (Para. 4.4 and 4.5)
Special requirements for sleeping areas (Para. 4.6)
Exit ways (Para.4.9)
Intermittent activities (Para. 4.10)
Floors: intermediate; subfloor and concealed spaces (Para. 4.12 to 4.15)
Fire door / smoke door (Para. 4.16)
Interior surface finishes; group number / critical radiant flux
Surface finish and flooring standard tests (Para. 4.17) NB importance level 4, table 4.1 column 1 applies
Part 5: Control of external fire spread / Decision / Reasons for decision / comments / N/A
Yes / RFI / N/A
Relative boundary distance
Fire separation (property rating for unit title)
Horizontal fire spread (Table 5.1 to 5.3)
Vertical fire spread (Para. 5.7)
Fire spread from an adjacent lower roof (Para. 5.7.6 to 5.7.9)
External fire spread between different level of the same building (Para. 5.7.10 to 5.7.15)
Part 6: Fire fighting / Decision / Reasons for decision / comments / N/A
Yes / RFI / N/A
Vehicular access (Para. 6.1)
Location of control panel (Para. 6.2)
Hydrant system (Para. 6.4, NZS 4510)
Comments re Protection from fire
D1 Access / Decision / Reasons for decision / comments / N/A
Yes / RFI / N/A
Main access to building shown
Stairs
Slip resistance
Tread Pitch Riser
Ramps
Slip resistance
Pitch
Landings top and bottom of all stairs and ramps
Handrails provided to stairs > 3 risers
Width Height
Barrier constructed to appropriate loading
Type
Barrier construction
Timber SED Top rail Bottom rail
Baluster Connection type
E1 Surface water / Decision / Reasons for decision / comments / N/A
Yes / RFI / N/A
Sediment and erosion control
Internal gutters and roof penetrations
Slope Size Scupper Overflow
Flashing details for roof penetrations
Overflow path / runoff to other land
Flood report
Downpipes and external gutters
Number Size Distribution
Stormwater run-off
Cesspits paved areas >10 m²
Cesspit size
Cut-off or channel drain into garage, basement or retained areas
Stormwater drainage
Public Detention tank Rainwater tank
Public drains affected/approval
Approval Easements
Sediment and erosion control provided
E2 External moisture / Decision / Reasons for decision / comments / N/A
Yes / RFI / N/A
Building subject to re-clad policy
Must be processed by Re-clad Team
E2 risk matrix (confirm and note score)
Wall cladding (type) E2/AS1 Alt. Solution
Maintenance and installation details
Wall cladding clearances
Ground Deck Wall Roof
Building wrap
Type Compatibility Strapping
Air barrier
Rigid Non-rigid
Cavity battens
Size Type Fixing Vermin proof
Window details
E2/AS1 WANZ WIS Alt. Solution
Wall junction details
E2/AS1 SED Alt. Solution
Barge, fascia, spouting to wall junction details
E2/AS1 SED Alt. Solution
Internal gutters and roof penetrations
Slope Size Scupper Overflow
Flashing details for roof penetrations
Control joints / junctions
Flashing details E2/AS1 Alt. Solution
Roof Wall Pergola
Apron Pipes Joinery Meter box
Parapets / enclosed barriers Framing
Cap Drainage Junctions Slope
Roof cladding / underlay (type)
E2/AS1 Alt. Solution
Maintenance and installation details
E3 Internal moisture / Decision / Reasons for decision / comments / N/A
Yes / RFI / N/A
Waterproofing
Product register checked PS3
Ventilation / condensation control
Impervious surfaces - showers, urinals, baths , cleaners cupboard, kitchenette
Walls Floors
Wall junction to fixtures
Bath Basin Sink WC
F1 Hazardous agents on site / Decision / Reasons for decision / comments / N/A
Yes / RFI / N/A
Site contamination
F2 Hazardous building materials / Decision / Reasons for decision / comments / N/A
Yes / RFI / N/A
Means of compliance / F2/AS1 NZS4223.3
Glazing
Visible Type
Safety glass
Skylights Barriers Windows
F5 Construction and Demolition hazards / Decision / Reasons for decision / comments / N/A
Yes / RFI / N/A
Safety barriers (hoarding, fence)
F4 Safety from falling / Decision / Reasons for decision / comments / N/A
Yes / RFI / N/A
Fixed window seat
lower edge of opening measured from seat
WC or any other fixed feature within 500mm horizontal of a window
lower edge of opening measured vertically from the pan or feature
Barrier construction details (stairs / ramps) Fig 4
Height, pitch, SED, balusters, palings, openings
Barrier located in housing and other buildings likely to be frequented by children under 6 years of age
Windows with opening width <1.0m and lower edge of opening within 760mm of floor
Restrictor (100mm); or
760mm high barrier
Windows with opening width >1.0m and lower edge of opening within 1.0m of floor
Requires barrier (refer Table 1)
Barrier located in housing and other buildings notlikely to be frequented by children under 6 years of age
Windows with opening width <1.0m and lower edge of opening within 1.1m of floor
Restrictor (460mm); or
760mm high barrier
Windows with opening width >1.0m and lower edge of opening within 760mm of floor
Restrictor (460mm); or
1.1m high barrier
Swimming pools – please complete and attach swimming pool checklist if applicable
F6 Visibility in escape routes / Decision / Reasons for decision / comments / N/A
Yes / RFI / N/A
Emergency lighting detailed on plans and documents
Escape routes
Change of level
Open path <20m
Occupancy >50
Illumination and duration
F7 Warning systems / Decision / Reasons for decision / comments / N/A
Yes / RFI / N/A
Manual and automatic fire alarm systems / Type
Location (hold open device, smoke extract)
Interface with ancillary control systems / Type
Direct connection between the alarm system and NZFS
F8 Signs / Decision / Reasons for decision / comments / N/A
Yes / RFI / N/A
Signage detailed on plans and documents
Signage for escape routes directional locations
Exits Exit ways
Signage for accessible route and facilities
Car parks Entrance WC
G1 Personal hygiene / Decision / Reasons for decision / comments / N/A
Yes / RFI / N/A
Number of WCs / basins
Accessible shower (size and layout)
Accessible WC (size and layout)
Accessible taps, lights, hardware
G4 Ventilation / Decision / Reasons for decision / comments / N/A
Yes / RFI / N/A
Natural ventilation 5% of floor area
Natural, passive, active
WC Bathroom
Fumes and odours collection / disposal
G6 Airborne and impact sound / Decision / Reasons for decision / comments / N/A
Yes / RFI / N/A
Internal temperature in habitable spaces
Type System Construction details
G7 Natural light / Decision / Reasons for decision / comments / N/A
Yes / RFI / N/A
Light % of floor area
10% floor area
50% clear to habitable room
Restricted light
Daylight angle Reflectance finishes
Awareness of outdoor environment
G9 Electricity / Decision / Reasons for decision / comments / N/A
Yes / RFI / N/A
Energy works certificate
G10 – G11 Piped services & gas as an energy source / Decision / Reasons for decision / comments / N/A
Yes / RFI / N/A
Energy works certificate
Specifications
Ventilation of appliances
Heating Cooking Hot water
Location and size of gas cylinders
Windows Drains Size
Laboratory fume cupboards
G12 Water supplies / Decision / Reasons for decision / comments / N/A
Yes / RFI / N/A
Water supply (potable)
Town Rainwater Bore Other
HWC type
Mains Low Solar (attach checklist) Gas
HWC location
Internal External
HWC / header tank in roof space
Access Support Overflow
Operating devices and valves (drinking fountains)
Backflow Other
G13 Foul water / Decision / Reasons for decision / comments / N/A
Yes / RFI / N/A
Drainage layout and / or schematic
G13/AS1 G13/AS2 G13/AS3
Overflow relief gully / gully trap
Gully trap ORG
Stacks and vents
Systems Size Fall Material
Discharge pipes
Material Falls Size
Combined waste / storm water systems
Separated
Drainage connections
Invert level Reflux valve
Angle of influence
Depth and proximity of drain to building
Drains under or within 2.0m of building
Drainage engineering approval
Drains entering other properties
Neighbour’s approval / easements
Onsite effluent system (type)
attach checklist
H1 Energy efficiency / Decision / Reasons for decision / comments / N/A
Yes / RFI / N/A
Means of compliance
H1/AS1 NZS4218 NZS4214
Method
Schedule Calculation Modelling
Insulation type and R values detailed on plans
Sub floor Walls Ceiling
Insulation
25mm clearance from underside of roofing
Glazing requirements
Single Double
Thermal break to metal framing
Hot water system insulated
H1/AS1 Section 5 NZS4305
Mechanical ventilation
Producer statements / certificates required / Decision / Reasons for decision / comments / N/A
Yes / RFI / N/A
Risk level (AC2303) Low Medium
Geotechnical / structural
Other (list)
Requests for further information / N/A / Decision / Date requested / Date resolved / Signed
Yes / N/A
Information requested
Information requested
Building Act matters / Decision / Reasons for decision / comments / N/A
Yes / RFI / N/A
S.67 Waivers and modifications
S.72 Hazards (stability / flooding)
Condition Registration on title / Attach checklist
S.75 Building on 2 or more allotments
Condition Registration on title
S.84 Restricted building work
S.112 Alterations to existing buildings
Complies to same extent as before alts
Escape paths
S.113 Specified intended life
S.115 Change of use
S.116A Subdivisions
Final check / sign off / Decision / Final check / sign off / Decision
Yes / N/A / Yes / N/A
Agreement to provide PS 3 & 4 / S.72 lodged with LINZ
Document sets collated and stamped / S.75 lodged with LINZ
Superseded plans separated / retained / Modification / Waiver (to Mgr. Durability)
Other checklists attached / Inspection requirements identified
Plans signed by engineer / Compliance schedule items identified
Structural / geotechnical engineering / LBP register checked
Public drainage / approvals / Conditions completed
PIM issues resolved / Computer tasks completed
RMA issues (Form 4) / File handed onto admin / invoicing
Development contribution (Form 3)
Final sign off (signature) / Yes / No
I am satisfied on reasonable grounds that compliance has been established with the Building Code and the building consent / amendment is approved and ready for granting
Name: / Date:
Supervision (signature) / N/A
Supervisor: / Date:
If supervised, supervision form must be completed and forwarded to
Page 1 of 12May 2017AC1157 (v.4)