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City Plan Services P/L ABN 30 075 223 353 COMPLYING DEVELOPMENT CERTIFICATE APPLICATION Made under the Environmental Planning and Assessment Act 1979 Sections 85, 85A Information for the applicant This form may be used to apply for a complying development (a 'CDC') to carry out development classed as "complying development". To minimise delay in receiving a decision about the application, please ensure that all relevant information and documents are provided. It is recommended that applicants should obtain a planning certificate issued under s.149 Environmental Planning and Assessment Act 1979 from the Local Council and provide it to the certifying authority with this application. This may expedite the determination of the application. If the certifying authority issues a CDC, the Applicant (or a subsequent owner of the land on which the development is proposed to be carried out) has permission to carry out the development without the need to obtain further development consent. However, depending on factors such as the type of development, the location of the development and whether there will be external work or activities involved (eg, road opening, use of footpath areas) there may still be a need to obtain other approvals in order for the work involved to be performed. A list of the possible additional approvals that may be required can be obtained from the Department of Planning at www.planning.nsw.gov.au. In order to avoid potential delays in commencing any work, Applicants should ascertain whether other approvals will be needed, and if so, the stage at which they may be required. APPLICANT Name: Company: ABN (if applicable): Address: Suburb or town: Postcod e: Telephone: Mobil e: Email: IDENTIFICATION OF BUILDING Address: Lot No: DP No: Suburb or town: Postcod e: DESCRIPTION OF DEVELOPMENT Detailed Description: BUILDING CODE OF Class(s): Suite 6.02, 120 Sussex St, Sydney NSW 2000 P +61 2 8270 3500 CITYPLAN.COM.AU /home/website/convert/temp/convert_html/5f1fb03fa95916187259a95f/document.docx

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Page 1: About City Plan – City Plan€¦  · Web view2018-12-06 · Application Form. Complying Development Certificate. City Plan Services P/L. ABN 30 075 223 353. Suite 6.02, 120 Sussex

City Plan Services P/LABN 30 075 223 353

COMPLYING DEVELOPMENT CERTIFICATE APPLICATIONMade under the Environmental Planning and Assessment Act 1979 Sections 85, 85A

Information for the applicant This form may be used to apply for a complying development (a 'CDC') to carry out development classed as "complying

development". To minimise delay in receiving a decision about the application, please ensure that all relevant information and documents are

provided. It is recommended that applicants should obtain a planning certificate issued under s.149 Environmental Planning and Assessment

Act 1979 from the Local Council and provide it to the certifying authority with this application. This may expedite the determination of the application.

If the certifying authority issues a CDC, the Applicant (or a subsequent owner of the land on which the development is proposed to be carried out) has permission to carry out the development without the need to obtain further development consent.

However, depending on factors such as the type of development, the location of the development and whether there will be external work or activities involved (eg, road opening, use of footpath areas) there may still be a need to obtain other approvals in order for the work involved to be performed. A list of the possible additional approvals that may be required can be obtained from the Department of Planning at www.planning.nsw.gov.au. In order to avoid potential delays in commencing any work, Applicants should ascertain whether other approvals will be needed, and if so, the stage at which they may be required.

APPLICANT Name:      

Company:      

ABN (if applicable):      

Address:      

Suburb or town:       Postcode:      

Telephone:       Mobile:      

Email:      

IDENTIFICATION OF BUILDING Address:      

Lot No:       DP No:      

Suburb or town:       Postcode:      

DESCRIPTION OF DEVELOPMENTDetailed Description:      

BUILDING CODE OF AUSTRALIA BUILDING CLASSIFICATION Class(s):      

VALUE OF WORKEstimated Cost of Work:(including GST) $      

The contract price, or if there is no contract a genuine and accurate estimate, for all labour and material costs associated with all demolition and construction required for the development, including the cost of construction of any building and the preparation of a building for the purpose for which it is to be used (such as the costs of installing plant, fittings, fixtures and equipment).

Suite 6.02, 120 Sussex St, Sydney NSW 2000P +61 2 8270 3500CITYPLAN.COM.AU/tt/file_convert/5f1fb03fa95916187259a95f/document.docx

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Application FormComplying Development Certificate

ENVIRONMENTAL PLANNING INSTRUMENT Provide the name of the "environmental planning instrument" under which the development is complying development.If the development is specified as complying development by a "development control plan" referred to in an environmental planning instrument, also provide the name of that development control plan.

SEPP (Exempt & Complying Development Codes) 2008

OR

Other environmental planning instrument (EPI)

Name of EPI:      

Name of Development Control Plan:(if applicable)      

Note: The criteria for complying development may vary between environmental planning instruments. You must nominate which instrument this application is to be assessed under.

ASBESTOSThe estimated area (if any), in square metres, of bonded asbestos material or friable asbestos material that will be disturbed, repaired or removed in carrying out the development

Bonded asbestos material       m2

Friable asbestos material       m2

CONTAMINATED LANDIs the land used, or formally used, for a purpose listed in Table 1 to clause 3.2.1 of the document entitled Managing Land Contamination Planning Guidelines, SEPP 55 - Remediation of Land published in 1998 by the Department of Urban Affairs & Planning and the Environment Protection Authority, orIs the land on the list of sites notified under section 60 of the Contaminated Land Management Act 1997?

Yes No

If Yes - provide:A statement issued by a qualified person certifying that:

(a) The land is suitable for the intended purpose of the development having regard to the contamination status of the land, or

(b) The land would be so suitable if the remediation works specified in the statement were carried out.

EASEMENTSIs the development required to be set back from any registered easement?

Yes No

If Yes - provide:

(a) A copy of the certificate of title for the lot on which the development is to be carried out, and

(b) A title diagram for the lot and any adjoining lot that benefits from the easement (if the land is subject to a registered easement)

ADDITIONAL REQUIREMENTS

Schedule 1 must be completed and accompanied by information required to be submitted with the application for a complying development certificate for proposed building works. Prepare and attach a list of all documents provided.

Applications for complying development certificates must be delivered by hand, by post or transmitted electronically to the principal office of the certifying authority. Applications MAY NOT be sent by fax.

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Application FormComplying Development Certificate

Schedule 1 – Attachments relating to the proposed developmentApplicants must provide electronic copies of the documents listed below that are relevant to the type of development that is proposed. Please place a cross in the appropriate box(s) to indicate the type of development involved.

1. FIRE LINK CONVERSION Yes No

Does the application relate ONLY to Fire Link Conversion?

If Yes – Provide:A document that describes the design and construction and mode of operation of the new fire alarm communication link.

2. SUBDIVISION WORK Yes No

Does the development involve Subdivision Work?

If Yes - Provide:Appropriate subdivision work plans and specifications, which include copies of:(a) details of the existing and proposed subdivision pattern (including the number of lots

and the location of roads)(b) details as to which public authorities have been consulted with as to the provision of

utility services to the land concerned(c) detailed engineering plans as to the following matters:

i. earthworksii. roadworksiii. road pavementiv. road furnishingsv. stormwater drainagevi. water supply worksvii. sewerage worksviii. landscaping worksix. erosion control works

3. BUILDINGS Yes No

3.1. Has the required site plan been submitted?

If Yes – provide a site plan indicating the following:(a) The location, boundary dimensions, site area and north point of the land,(b) Existing vegetation and trees on the land,(c) The location and uses of existing buildings on the land,(d) Existing levels of the land in relation to buildings and roads,(e) The location and uses of buildings on sites adjoining the land.

3.2. Has the required sketch of the development been submitted?

Yes No

If Yes – provide a sketch which indicates the following:(a) The location of any proposed buildings or works (including extensions or additions to

existing buildings or works) in relation to the land’s boundaries and adjoining development,

(b) Floor plans of any proposed buildings showing layout, portioning, room sizes and intended uses of each part of the building,

(c) Elevations and sections showing proposed external finishes and heights of any proposed buildings (other than temporary structures),

(d) Elevations and sections showing heights of any proposed temporary structures and the materials of which any structures are proposed to be made (using the abbreviations set out in the Description of Development section.

(e) Proposed finished levels of the land in relation to existing and proposed buildings and roads,

(f) Proposed parking arrangements, entry and exit points for vehicles, and provision for movement of vehicles within the site (including dimensions where appropriate),

(g) Proposed landscaping and treatment of the land (indicating plant types and their height and maturity),

(h) Proposed methods of draining the land,(i) In respect of BASIX affected development, such other matters as any BASIX

certificate(s) requires to be included on the sketch. (See - BASIX NOTES in section

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Application FormComplying Development Certificate

3.11)(j) In respect of BASIX optional development for which a BASIX certificate(s) has been

obtained, such other matters as the BASIX certificate(s) requires to be included on the sketch (See - BASIX NOTES in section 3.11)

3.3. Does the development involve building work (other than work in relation to a dwelling-house or a building or structure that is ancillary to a dwelling or house)?

Yes No

If Yes - provide:(a) A list of any existing fire safety measures provided in relation to the land or any

existing building on the land.(b) A list of the proposed fire safety measures to be provided in relation to the land and

any building on the land as a consequence of the building work.

3.4. Does the development involve building work (including work in relation to a dwelling house or building or structure ancillary to a dwelling house?)

Yes No

If Yes - Provide:1. A detailed description of the development by completing the Description of

Development section.

2. Appropriate building work plans and specifications, which are to include:(a) Detailed plans, drawn to a suitable scale and consisting of a block plan and a

general plan that show:i. A plan of each floor section, andii. A plan for each elevation of the building, andiii. The levels of the lowest floor and of any yard or unbuilt on area belonging to

that floor and the levels of the adjacent ground, andiv. The height, design, construction and provision for fire safety and the fire

resistance (if any),(b) Specifications for the development:

i. That describe the construction and materials of which the building is to be built and the method of drainage, sewerage and water supply, and

ii. That state whether the materials to be used are new or second hand and (in the case of second hand materials) give particulars of the materials to be used,

(c) A statement as to how the performance requirements of the Building Code of Australia are to be complied with (if an alternative solution, to meet the performance requirements, is to be used),

(d) A description of any accredited building product or system sought to be relied on for the purposes of section 85A(4) of the environmental Planning and Assessment Act 1979**,

(e) Copies of any compliance certificate to be relied on,(f) If the development involved building work to alter, expand or rebuild an existing

building, a scaled plan of the existing building,(g) In respect of BASIX affected development, such other matters as the BASIX

certificate(s) requires to be included in the plans and specifications. (See BASIX NOTES in section 3.11)

(h) In respect of BASIX optional development for which BASIX certificate(s) has been obtained, such other matters as the BASIX certificate(s) requires to be included in the plans and specifications. (See BASIX NOTES in section 3.11).

** S.85A(4) EP&A Act provides that a certifying authority must not refuse an Application on the ground that any building product or system does not comply with a requirement of the Building Code of Australia if the building product or system is accredited in respect of that requirement in accordance with the EP&A Regulation 2000.

3.6. Does the building work (see note below*) involve an alternative solution under the Building Code of Australia ("BCA") in respect of a fire safety requirement?

Yes No

If Yes - Provide:Either or both of the following from a "fire safety engineer" (a private accredited certifier holding Category C10 accreditation):(a) A compliance certificate (as referred to in s.109C(1)(a)(v) EP&A Act) that certifies that

the alternative solution complies with the relevant performance requirements of the BCA.

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Application FormComplying Development Certificate

(b) A written report that includes a statement that the alternative solution complies with the relevant requirements of the BCA.

*Note: The above requirement only applies to building work in respect of:(a) a class 9a building that is proposed to have a total floor area of 2000 square metres or

more(b) any building (other than a class 9a building) that is proposed to have:

i. a fire compartment with a total floor area of more than 2000 square metres orii. a total floor area of more than 6000 square metres that involves an alternative solution

under the BCA in respect of the requirements set out in EP1.4, EP2.1, DP4 and DP5 in Volume 1 of the BCA.

3.7. Does the development involve a change of use of a building (other than a dwelling, house or building or structure that is ancillary to a dwelling, house and other than a temporary structure or work that relates only to fir link conversion)?

Yes No

If Yes - Provide:(a) a list of the category 1 fire safety provisions that currently apply to the existing

building,(b) a list of the Category 1 fire safety provisions that are to apply to the building following

its change of use.

3.9. Does the proposed development comprise internal alternations to, or changes of use of, an existing building that is subject to an alternative solution relating to a fire safety requirement under the BCA

Yes No

If Yes - Provide:A written report by another accredited certifier who is accredited for the purpose of issuing a CDC for a building of that kind, which includes a statement that the proposed development is consistent with that alternative solution report (clause 130(2)(E).

3.11. Does the development involve the erection of a temporary structure?

Yes No

If Yes - Provide:(a) documentation that specifies the live and dead loads the temporary structure is

designed to meet,(b) a list of any proposed fire safety measures to be provided in connection with the use

of the temporary structure,(c) in the case of a temporary structure proposed to be used as a place of public

entertainment – a statement as to how the performance requirements of Part B1 and NSW Part H102 of Volume One of the Building Code of Australia are to be complied with (if an alternative solution, to meet the performance requirements, is to be used),

(d) documentation describing any accredited building product or system sought to be relied on for the purposes of section 85A(4) of the Act,

(e) copies of any compliance certificates to be relied on.

3.13. Has the Fire Commissioner granted an exemption under clause 188 EP&A Regulation from compliance with any specified Category 3 fire safety provision?

Yes No

If Yes - Provide:A copy of the exemption together with any conditions imposed.

3.15. Is any long service payment levy payable under s.34 of the Building and Construction Industry Long Service Payments Act 1986?

Yes No

If Yes - Provide:A copy of a receipt for any long service payment levy that has been made (or, where such a levy is payable by instalments, a receipt for the first instalment of the levy).

3.16. Does the application involve walls less than 0.9m from the property boundary?

Yes No

If Yes - Provide:

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Application FormComplying Development Certificate

(a) A report by a professional engineer, outlining the proposed method of supporting the adjoining wall (if the development involves the erection of a wall to a boundary that has a wall less than 0.9m from the boundary), or

(b) A report by a professional engineer, outlining the proposed method of maintaining support for the adjoining wall after the demolition or removal (if the development involves the demolition or removal of a wall to the boundary that is less than 0.9m from the boundary)

3.18. Does the application involve a BASIX affect development or a BASIX optional development in respect of which the applicant has obtained a BASIX certificate?

Yes No

If Yes - Provide:(a) The BASIX certificate(s) for the development (being either the BASIX certificate

issued when the development consent was granted or some other BASIX certificate(s) that have been issued no earlier than three months before the date of the Application being made), and

(b) such other documents as the BASIX certificate(s) for the development requires to accompany the Application.

BASIX (the Building and Sustainability Index) ensures homes are built to be more energy and water efficient. BASIX uses an online program to assess a building’s design and compares it against energy and water reduction targets. The design must meet these targets before a BASIX certificate can be printed. Any changes made to a building’s design after a BASIX certificate has been issued requires another BASIX assessment and new BASIX certificate. “BASIX affected buildings” contain one or more dwellings (but do not include hotels or motels).A BASIX certificate MUST be obtained for every “BASIX affected development”, which are any of the following (other than development that is “BASIX excluded development”):(a) development that involves the erection (but not the relocation) of a BASIX affected building(b) development that involves a change of building use by which a building becomes a BASIX

affected building(c) development that involves the alteration, enlargement or extension of a BASIX affected

building, where the estimated construction cost of the development is $50,000 or more(d) development for the purpose of a swimming pool or spa, or combination of swimming pools

and spas, that services or service only one dwelling and that has a capacity, or combined capacity, of 40,000 litres or more.

“BASIX excluded development” is:(a) development for the purpose of a garage, storeroom, car port, gazebo, verandah or awning(b) alterations, enlargements or extensions to a building listed on the State Heritage Register

under the Heritage Act 1977(c) alterations, enlargements or extensions that result in a space that cannot be fully enclosed

(for example, a veranda that is open or enclosed by screens, mesh or other materials that permit the free and uncontrolled flow of air), other than a space can be fully enclosed but for a vent needed for the safe operation of a gas appliance

(d) alterations, enlargements or extensions that the Director-General has declared, by order published in the Gazette, to be BASIX excluded development.

A BASIX Certificate MAY be obtained for certain developments by an Applicant even though there is no obligation to do so. This is called “BASIX optional development”. “BASIX optional development” means any of the following development that is not BASIX excluded development: (a) development that involves the alteration, enlargement or extension of a BASIX affected

building, where the estimate of the construction cost of the development is less than $50,000

(b) development for the purpose of a swimming pool or spa, or combination of swimming pools and spas, that services or service only one dwelling and that has a capacity, or combined capacity, of less than 40,000 litres.

If the proposed development involves the alteration, enlargement or extension of a BASIX affected building that contains more than one dwelling, a separate BASIX certificate is required for each dwelling concerned.Further information about BASIX and to obtain a BASIX Certificate, go to http://www.basix.nsw.gov.au

3.19. Have the plans subject to the application been approved by

Yes No

If Yes - Provide:

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Application FormComplying Development Certificate

Sydney Water Tap In or the relevant water utility authority or their authorised agent?

A copy of the Building Plan Assessment approval letter.

Note: The approved plans must be submitted to Sydney Water Tap In or other relevant water utility to determine whether the development will affect any wastewater and water mains, stormwater drains and/or easement, and if any requirements need to be met. In the case where Sydney Water is the relevant water utility, the application is required to be made online at Sydney Water Tap In

4. RESTRICTIONS ON TITLES Yes No

Is the proposed work affected by any restrictions on the titles (including covenants, easements & rights of way)?

If Yes - Provide:

5. HOME BUILDING ACT REQUIREMENTS

Yes No

In the case of an application for a complying development certificate for residential building work (within the meaning of the Home Building Act 1989) attach the following:

If Yes - Provide:(a) In the case of work by a licensee under the Act:

i. a statement detailing the licensee’s name and contractor licence number, andii. documentary evidence that the licensee has complied with the applicable

requirements of that Act*; or(b) In the case of work done by any other person:

i. a statement detailing the person’s name and owner builder permit number, orii. a declaration signed by the owner of the land, to the effect that the reasonable

market cost of the labour and materials involved in the work is less than the amount prescribed for the purpose of the definition of owner-builder work in section 29 of that Act.

*A certificate purporting to be issued by an approved insurer under Part 6 of the Home Building Act 1989 to the effect that a person is the holder of an insurance contract issued for the purposes of that Part, is sufficient evidence that the person has complied with the requirements of that Part.

6. ENTERTAINMENT VENUES Yes No

Does the development involve the use of a building as an entertainment venue or a function centre, pub, registered club or restaurant?

If Yes – Complete the relevant portion(s) of the following statement:The maximum number of persons proposed to occupy, at any one time, that part of the building used as: An entertainment venue is       persons. A function centre is       persons. A pub is       persons. A registered club is       persons. A restaurant is       persons.

7. ROADS & MARITIME Yes No(a) Does Part 5A (Commercial &

Industrial (new building & additions) Code of the SEPP (Exempt & Complying Development Codes) 2008 apply to the development, and

(b) Is the total floor area of the new or altered building more than 5000m², and

(c) Does the development site have direct vehicular or pedestrian access to a classified road or a road that connects to a classified road

If Yes – Provide A certificate issued by Roads & Maritime Services certifying that any impacts on the surrounding road network as a result of the development are acceptable or will be acceptable if specified requirements are met

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where access is within 90m of the connection?

8. COPYRIGHT

Upon an application being made for a complying development certificate, the Applicant (not being entitled to copyright) is taken to have indemnified all persons using the application and any accompanying documents in accordance with the Act against any claim or action in respect of breach of copyright (See – Cl.129 EP&A Regulation 2000).

9. OWNERS CONSENT

As the owner(s) of the land on which the work is to be carried out:1. I/we hereby consent to the applicant(s) named on the application to act on my/our behalf as the person with benefit of

the development consent nominated herein.2. I/we hereby consent to the certifying authority, or an accredited certifier nominated by City Plan Services P/L, to enter

the subject property at any reasonable time for the purpose of carrying out an inspection in connection with the assessment of this application. I/we will undertake all necessary steps to make access available to the property to enable the inspection to be carried out.

Signature of all owner(s): Name:       Name:      

Sign: Sign:

Date:       Date:      

A certifying authority must not issue a Complying Developmentt certificate for the development on a site which affects an existing building unless the certifying authority or an accredited certifier nominated by City Plan Services P/L has carried out an inspection of the site of the development.

10. APPLICANT SIGNATURE

As a person eligible to be an applicant for this work:1. I/we hereby submit this Complying Development Certificate Application under the Environmental Planning &

Assessment Act 1979, with City Plan Services Pty Ltd.2. I/we hereby appoint Brendan Bennett / Chris Michaels / Adam DeLooze of City Plan Services Pty Ltd as the

Principal Certifying Authority for the building work identified in this application.3. I/we (if not the owner(s) of the land on which the work is to be carried out), hereby state that I/we are not the

contractor who will carry out the building work or subdivision.4. I/we hereby state that, to the best of my knowledge, the information provided within this application is true and

accurate.5. I/we hereby give permission for City Plan Services to provide my/our contact details to adjoining property owners as

required in accordance with Clause 130AB of the EP&A Regulations 2000.6. I/we hereby give permission for City Plan Services to, on our behalf, issue the "Notice to Neighbour of

Commencement of Building Work" stating our intention to commence building works no earlier than 7 days (or 2 days for residential releases) from the date of the notice in accordance with Clause 136AB of the EP&A Regulation 2000.

Signature of applicant(s)

Sign: Sign:

Date:       Date:      

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Application FormComplying Development Certificate

DETAILED DESCRIPTIONFor each proposed new building, indicate: The number of storeys (including underground storeys) in the

building.      

Gross floor area of existing building (m2)      

The gross site area of the land on which the building is to be erected (m2)      

For each proposed new residential building, indicate:

The number of existing dwellings on the land on which the new building is to be erected.      

The number of existing dwellings that are to be demolished in connection with the erection of the new building      

The number of dwellings to be included in the new building      

Whether the new building is to be attached to any existing building      

Whether the new building is to be attached to any other new building      

Whether the site contain a dual occupancy      

The materials to be used in the construction of the new building by completing the table below      

MATERIALS TO BE USED Walls Code Roof Code

Brick (double) 11 Tiles 10

Brick (veneer) 12 Concrete/Slate 20

Concrete /Stone 20 Fibrous cement 30

Fibrous cement 20 Steel 60

Timber 40 Aluminium 70

Curtain glass 50 Other 80

Steel 60 Not specified 90

Aluminium cladding 70

Timber/weatherboard 40

Other 80

Not specified 90

Floor Code Frame Code

Concrete/Slate 20 Timber 40

Timber 40 Steel 60

Other 80 Aluminium 70

Unknown 90 Other 80

Unknown 90

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Application FormComplying Development Certificate

SCHEDULE 2 – EXISTING ESSENTIAL FIRE SAFETY MEASURES(PART 1 OF 2)

Refer to the attached Annual Fire Safety Statement(must have been completed within 6 months prior to the date of this application)

Prepared by:       Dated:      

If no current Annual Fire Safety Statement is attached, please complete the table below.

Item No

Existing Measure Enter the current standard of performance (eg: ORD 70 Clause 19.2 or BCA Clause E1.5 & AS 2118.1-1999)

1 Access Panels, doors and hoppers to fire resisting shaft

     

2 Automatic fail-safe devices      3 Automatic fire detection and alarm system      4 Automatic fire suppression system (sprinkler)      5 Automatic fire suppression system (others –

specify)     

6 Building occupant warning system      7 Emergency lighting      8 Emergency lifts      9 Exit signs      10 Exit signs (non-illuminated)      11 Fire Alarm Monitoring System      12 Fire Blankets      13 Fire control centres and rooms      14 Fire dampers      15 Fire doors      16 Fire rated lift landing doors      17 Fire hose reel system      18 Fire hydrant systems      19 Fire seals (protecting openings in fire resisting

components of the building)     

20 Fire shutters      21 Fire windows      22 Light weight construction      23 Mechanical air handling systems      24 Perimeter vehicle access for emergency

vehicles     

25 Portable fire extinguishers      26 Pressurising system      27 Smoke and heat alarms      28 Smoke and heat vents      29 Smoke exhaust system      

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Item No

Existing Measure Enter the current standard of performance (eg: ORD 70 Clause 19.2 or BCA Clause E1.5 & AS 2118.1-1999)

30 Smoke dampers      31 Smoke detectors and heat detectors      32 Smoke doors      33 Solid-Core doors      34 Sound systems & intercom systems for

emergency purposes     

35 Wall wetting sprinkler and drencher systems      36 Warning and operational signs      37 Zone smoke control system      38 OTHERS - Specify      

This is an accurate statement of all existing Fire safety measures implemented in the whole building.

Signed:

(Owner / Agent) Name: Date:

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Page 12: About City Plan – City Plan€¦  · Web view2018-12-06 · Application Form. Complying Development Certificate. City Plan Services P/L. ABN 30 075 223 353. Suite 6.02, 120 Sussex

Application FormComplying Development Certificate

SCHEDULE 2 – PROPOSED ESSENTIAL FIRE SAFETY MEASURES(PART 2 OF 2)

Item No

Proposed New Measure Enter the proposed standard of performance (eg: BCA Clause E1.5 & AS2118.1-1999)

Is this measure new or altered?

New Altered1 Access Panels, doors and

hoppers to fire resisting shaftBCA 2016 Admt 1 C3.13 & AS 1905.1-2005, AS1905.2-2015

☐ ☐

2 Automatic fail-safe devices BCA 2016 Admt 1 Clause C3.6 sliding fire doors; Spec C3.4 automatic smoke doors, D2.21 (b)(iv) auto unlock of doors; D2.22 (re-entry from fire stairs)

☐ ☐

3 Automatic fire detection and alarm system

BCA 2016 Admt 1 E2.2, Spec E2.2a Clause 3 (smoke alarm system) or Clause 4 (smoke detection system) or combination of 3 & 4 & AS 1670.1-2015 or AS 3786-2014 Amdt 1

☐ ☐

4 Automatic fire suppression system (sprinkler)

BCA 2016 Admt 1 E1.5, Spec E1.5, AS 2118.1-1999 Amdt 1 or AS2118.1-2017 & AS 2118.6-2012

☐ ☐

5 Automatic fire suppression system (others – specify)

BCA 2016 Admt 1 E1.5, Spec E1.5 & AS2118.4-2012 ☐ ☐

6 Building occupant warning system

BCA 2016 Admt 1 Spec E2.2a (Clause 6) & AS1670.1-2015 (Clause 3.22)

☐ ☐

7 Emergency lighting BCA 2016 Admt 1 Clause E4.2, E4.3, E4.4 & BCA 2016 Clause E1.8, Spec E1.8 Clause 12 (Emergency lighting for fire control room) & AS 2293.1 – 2005 Amdt 1 & 2

☐ ☐

8 Emergency lifts BCA 2016 Admt 1 E3.4 & Spec E3.1 ☐ ☐9 Exit signs BCA 2016 Admt 1 E4.5, E4.6, E4.8 Spec E4.8 & AS

2293.1-2005 Amdt 1 & 2

☐ ☐

10 Exit signs (non-illuminated) BCA 2016 Admt 1 Clause E4.7 ☐ ☐11 Fire Alarm Monitoring System BCA 2016 Admt 1 E2.2, Spec E2.2a (Clause 7) & AS

1670.3-2004☐ ☐

12 Fire Blankets AS 2444-2001 ☐ ☐13 Fire control centres and

roomsBCA 2016 Admt 1 E1.8 & Spec E1.8 ☐ ☐

14 Fire dampers BCA 2016 Admt 1 C3.12, C3.15 & AS/NZS 1668.1-2015, AS 1668.2-2012 Amdt 1, AS 1682.1-2015, AS 1682.2-2015

☐ ☐

15 Fire doors BCA 2016 Admt 1 C2.12 (separation of equipment); C2.13 (electricity supply systems); C3.3 (separation of external walls & associated openings in fire compartments); C3.4, Spec C3.4; C3.5 (doorways & fire walls); Clause C3.6 (sliding fire doors); C3.8 (openings in fire isolated exits), C3.11 (bounding construction), Clause NSW C3.11(d) (Class 3 residential age care); C3.13 (openings in shafts) & AS 1905.1 – 2015

☐ ☐

16 Fire rated lift landing doors BCA 2016 Admt 1 C3.10 & AS 1735.11-1986 ☐ ☐17 Fire hose reel system BCA 2016 Admt 1 E1.4 & AS 2441-2005 Amdt 1 ☐ ☐18 Fire hydrant systems BCA 2016 Admt 1 E1.3 & AS 2419.1-2005 Amdt 1 ☐ ☐19 Fire seals (protecting

openings in fire resisting components of the building)

BCA 2016 Admt 1 C3.12, C3.15 & Spec C3.15, AS 4072.1-2005 Amdt 1, AS 1530.4.-2014

☐ ☐

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Page 13: About City Plan – City Plan€¦  · Web view2018-12-06 · Application Form. Complying Development Certificate. City Plan Services P/L. ABN 30 075 223 353. Suite 6.02, 120 Sussex

Application FormComplying Development Certificate

Item No

Proposed New Measure Enter the proposed standard of performance (eg: BCA Clause E1.5 & AS2118.1-1999)

Is this measure new or altered?

New Altered20 Fire shutters BCA 2016 Admt 1 C3.4, C3.5 & Spec C3.4 ☐ ☐21 Fire windows BCA 2016 Admt 1 C3.4 & Spec C3.4 ☐ ☐22 Light weight construction BCA 2016 Admt 1 C1.8 & Spec C1.8 ☐ ☐23 Mechanical air handling

systemsBCA 2016 Admt 1 E2.2, Table E2.2(a); NSW E2.2(b), Spec E2.2(a) & AS/NZS 1668.1-2015Class 7a (carpark building mechanical ventilation systems) BCA 2016 E2.2, Table E2.2(a) and Clause 5.5 of AS/NZS 1668.1-2015 & AS 1668.2 Amdt 1 Class 9b (automatic shutdown) NSW Table E2.2(a)

☐ ☐

24 Perimeter vehicle access for emergency vehicles

BCA 2016 Admt 1 Clause C2.4(b) ☐ ☐

25 Portable fire extinguishers BCA 2016 Admt 1 E1.6 & AS 2444-2001 ☐ ☐26 Pressurising system BCA 2016 Admt 1 Clause E2.2 & AS/NZS 1668.1-2015 ☐ ☐27 Smoke and heat alarms BCA 2016 Admt 1 E2.2, Spec E2.2a & AS 3786-2014 Amdt 1 ☐ ☐28 Smoke and heat vents BCA 2016 Admt 1 E2.2 & Spec E2.2c ☐ ☐29 Smoke exhaust system BCA 2016 Admt 1 E2.2, Spec E2.2b & AS/NZS 1668.1-

2015☐ ☐

30 Smoke dampers BCA 2016 Admt 1 E2.2, AS 1682.1-2015, AS 1682.2-2015 & Spec C2.5 (class 9a & 9c)

☐ ☐

31 Smoke detectors and heat detectors

BCA 2016 Admt 1 E2.2, Spec E2.2a & AS 1670.1-2015,C3.5 for automatic fire doors in fire walls; C3.7 automatic fire doors in horizontal exits;C3.8 automatic fire doors to fire isolated exits; C3.11 automatic closing doors in bounding construction; Clause NSW C3.11(d) Class 3 residential age care; Spec C3.4 automatic closing smoke doors.

☐ ☐

32 Smoke doors BCA 2016 Admt 1 C2.14, C3.4, Clause 2 Spec C2.5 & Spec C3.4

☐ ☐

33 Solid-Core doors BCA 2016 Admt 1 C3.11 ☐ ☐34 Sound systems & intercom

systems for emergency purposes

BCA 2016 Admt 1 E4.9 & AS 1670.4-2015 ☐ ☐

35 Wall wetting sprinkler and drencher systems

BCA 2016 Admt 1 C3.4 &AS2118.2-2010 ☐ ☐

36 Warning and operational signs

EPA Regulation 2000 (Clause 183), D2.23 (signs on exit doors) E3.3 (lifts), C3.6 sliding doors

☐ ☐

37 Zone smoke control system BCA 2016 Admt 1 E2.2 & AS/NZS 1668.1-2015 ☐ ☐38 OTHERS - Specify       ☐ ☐

☐ ☐☐ ☐

This is an accurate statement of all proposed Fire Safety Measures to be installed / modified in the whole building.

Signed:

(Owner / Agent) Name: Date:

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