Transcript
Page 1: Statement to support your application in Domestic Building ... Sample.pdf · o AS 3740 Waterproofing of domestic wet areas o AS 3959 Construction of buildings in bushfire-prone areas

1

PRACTITIONERFORM

©StateofVictoria,VictorianBuildingAuthority2016

ThedocumentislicensedunderCreativeCommonsAttribution4.0.Youarefreetore-usetheworkunderthatlicence,ontheconditionthatyoucredittheVictorianBuildingAuthorityastheauthor,indicateifchangesweremadetothedocumentandcomplywiththeotherlicenceterms.Thelicencedoesnotapplytoanybranding,logoorimagesusedinthispublication.AuthorisedbytheVictorianBuildingAuthority733BourkeStreetDocklands,Victoria3008

PartL:StatementtosupportyourapplicationforregistrationintheclassofDomesticBuilder(Unlimited)

Howtofilloutthisstatement

STEP1Readabouttheskills,knowledgeandexperiencethatyouneedtodemonstratetotheBuildingPractitionersBoard(BPB)ifyouareapplyingforregistrationintheclassofDomesticBuilder(Unlimited).

STEP2Fillouttables1and2:

Intable1,tellusaboutyourgeneralexperienceindomesticbuildingwork.

Intable2,tellusaboutspecificprojectsthatdemonstrateyourexperienceinmanagingdomesticbuildingprojects,andincarryingout,managingandarrangingthecarryingoutofdomesticbuildingwork.

STEP3Readtable3.Itexplainsthetypesofevidencethatyoucanusetodemonstratetheexperiencethatyounoteintable2.YouwillneedtopresentyourevidenceportfoliototheBPBwhenyoulodgeyourapplication.

Remember

• Pleaseincludeasmuchdetailaspossible,becausetheBPBwillusethisstatementtoworkoutwhetheryouhaveenoughexperienceforregistration.

• Inyourapplication,youwillneedtoprovidereferencestoconfirmyouhavecompletedthiswork.

• Itisanoffenceundersection246oftheBuildingAct1993togiveanyfalseormisleadingstatementorinformationinyourapplication.

• Tomeettheexperiencerequirementsforregistration,youdon’tneedtohavedonealltheworkitemslistedincolumn1oftable1.Butyoudoneedexperienceinmostofthem.

• Wewillreturnyourapplicationifthisstatementisincompleteordoesn’thaveenoughdetail,andaskyouformoreinformation.

Page 2: Statement to support your application in Domestic Building ... Sample.pdf · o AS 3740 Waterproofing of domestic wet areas o AS 3959 Construction of buildings in bushfire-prone areas

2

PRACTITIONERFORM

©StateofVictoria,VictorianBuildingAuthority2016

ThedocumentislicensedunderCreativeCommonsAttribution4.0.Youarefreetore-usetheworkunderthatlicence,ontheconditionthatyoucredittheVictorianBuildingAuthorityastheauthor,indicateifchangesweremadetothedocumentandcomplywiththeotherlicenceterms.Thelicencedoesnotapplytoanybranding,logoorimagesusedinthispublication.AuthorisedbytheVictorianBuildingAuthority733BourkeStreetDocklands,Victoria3008

STEP1.Learnaboutskills,knowledgeandexperiencethatyouneed

QualificationsIfyouhavesuccessfullycompletedoneofthefollowingqualifications,youwillsatisfytheknowledgerequiredforregistrationintheclassofDomesticBuilder(Unlimited):

• CPC50210DiplomaofBuildingandConstruction(Building)

• adegreeinbuilding.

Ifyouhavenotcompletedthisdiplomaoradegreeinbuilding,theBPBwillassessyourknowledgeagainstthecompetenciesincludedinthediploma.

Ifyouhavesuccessfullycompletedoneofthefollowingqualifications,youwillsatisfysomeofthetechnicalknowledgerequiredforregistrationintheclassofDomesticBuilder(Unlimited):

• CPC40110CertificateIVinBuildingandConstruction(Building)

• CPC50308DiplomaofBuildingandConstruction(Management)

• CPC60212AdvancedDiplomaofBuildingandConstruction(Management).

Ifyouhavecompletedoneofthesequalifications,theBPBwillconsiderthiswhenassessingyourknowledgeagainstthecompetenciesincludedintheCPC50210DiplomaofBuildingandConstruction(Building).

ExperienceApplicantsmustdemonstratetheyhaveatleastthreeyearsofrelevantexperiencerelatedtocarryingout,managingandarrangingthecarryingoutofallstagesoftheconstructionofhomes(class1,2,and4buildings)andassociatedclass10buildings(asdefinedintheBuildingCodeofAustralia).

SotheBPBcanassesswhetheryouhavetherequiredexperienceindomesticbuildingwork,youshouldprovideaportfolio(tables1,2and3)ofevidencethatdemonstratesyourexperience.Thisevidencemustshowyoucancarryout,andarrangeandmanagethecarryingoutofalltheactivitiesassociatedwithallcomponentsofdomesticbuildingworkinacompetentmannerandtoaprofessionalstandard.

Yourportfolioshouldincludeevidenceof:

• yourexperienceintheareasthatyoutickintable1• fourseparateexamplesofyourparticipationinallstagesofthe

constructionofclass1and2buildingsincluding:o projectmanagingdomesticbuildingworko applyingbusinessandfinancialmanagementskillsrelevantto

domesticbuildingworko applyingforabuildingpermitfordomesticbuildingworko enteringintoandadministeringappropriatecontractso producingcostestimatesfordomesticbuildingworko planningforandprovidingonsitesupervisiono engagingandsupervisingrelevanttradeso ensuringdomesticbuildingworksareplannedandconductedsafely

• yourparticipationinspecificcomponentsofdomesticbuildingworkthatdemonstratesyourcapacitytocarryout,manageandarrangethecarryingoutofallofthecomponentsofdomesticbuildingwork.Youmustdemonstrateyourinvolvementinthefollowingcomponentsofdomesticbuildingwork:o earthworksandexcavationworko footingsandslabsworko carpentry(includingframing)work

Page 3: Statement to support your application in Domestic Building ... Sample.pdf · o AS 3740 Waterproofing of domestic wet areas o AS 3959 Construction of buildings in bushfire-prone areas

3

PRACTITIONERFORM

©StateofVictoria,VictorianBuildingAuthority2016

ThedocumentislicensedunderCreativeCommonsAttribution4.0.Youarefreetore-usetheworkunderthatlicence,ontheconditionthatyoucredittheVictorianBuildingAuthorityastheauthor,indicateifchangesweremadetothedocumentandcomplywiththeotherlicenceterms.Thelicencedoesnotapplytoanybranding,logoorimagesusedinthispublication.AuthorisedbytheVictorianBuildingAuthority733BourkeStreetDocklands,Victoria3008

o bricklayingandblocklayingworko waterproofingworko constructionofswimmingpoolsandspaswork(Table2providesmoreinformationonhowmanyexamplestoincludeinyourportfolioofevidence.)

• yourknowledgeandapplicationofthefollowingAustralianStandards,guidesandregulations:o AS/NZS1170series,Minimumdesignloadsonstructureso AS/NZS1170.2WindActionso AS1288Glassinbuildings:selectionandinstallationo AS1397Steelsheetandstrip:hot-dippedzinccoatedor

aluminium/zinccoatedo AS1684Residentialtimber-framedconstructiono AS1926Swimmingpoolsafetyo AS2047Windowsandexternalglazeddoorsinbuildingso AS2601Thedemolitionofstructureso AS2870Residentialslabsandfootingso AS3660Termitemanagemento AS3700MasonryStructureso AS3740Waterproofingofdomesticwetareaso AS3959Constructionofbuildingsinbushfire-proneareaso AS4055Windloadsforhousingo AS4440Installationofnailplatedtimberroofedtrusseso AS/NZS4505Garagedoorsandotherlargeaccessdoors

o AS/NZS4600Cold-formedsteelstructureso AS4678Earth-retainingstructureso AS/NZS4455MasonryUnits,PaversandFlagso AS4654Waterproofingmembranesforexternalabovegrounduseo AS4773Masonryinsmallbuildingso GuidetoStandardsandTolerances(VictorianBuildingAuthority)o BuildingCodeofAustralia.

Page 4: Statement to support your application in Domestic Building ... Sample.pdf · o AS 3740 Waterproofing of domestic wet areas o AS 3959 Construction of buildings in bushfire-prone areas

4

PRACTITIONERFORM

©StateofVictoria,VictorianBuildingAuthority2016

ThedocumentislicensedunderCreativeCommonsAttribution4.0.Youarefreetore-usetheworkunderthatlicence,ontheconditionthatyoucredittheVictorianBuildingAuthorityastheauthor,indicateifchangesweremadetothedocumentandcomplywiththeotherlicenceterms.Thelicencedoesnotapplytoanybranding,logoorimagesusedinthispublication.AuthorisedbytheVictorianBuildingAuthority733BourkeStreetDocklands,Victoria3008

STEP2.Completetables1and2

Table1.Filloutthistabletodescribealldomesticbuildingworkthatyouhavedone

Whattypeofworkhaveyoudone?Tickthebox.

Howmanytimeshaveyoudonethistypeofwork?Tickthebox. Whatwereyourexactresponsibilities?Listinpointform.

Projectmanageddomesticbuildingwork

☐ 1–5

☐ 6–10

☐ 11–20

☐ 20+.

Appliedbusinessandfinancialmanagementskillsrelevanttodomesticbuilding

☐ 1–5

☐ 6–10

☐ 11–20

☐ 20+.

Page 5: Statement to support your application in Domestic Building ... Sample.pdf · o AS 3740 Waterproofing of domestic wet areas o AS 3959 Construction of buildings in bushfire-prone areas

5

PRACTITIONERFORM

©StateofVictoria,VictorianBuildingAuthority2016

ThedocumentislicensedunderCreativeCommonsAttribution4.0.Youarefreetore-usetheworkunderthatlicence,ontheconditionthatyoucredittheVictorianBuildingAuthorityastheauthor,indicateifchangesweremadetothedocumentandcomplywiththeotherlicenceterms.Thelicencedoesnotapplytoanybranding,logoorimagesusedinthispublication.AuthorisedbytheVictorianBuildingAuthority733BourkeStreetDocklands,Victoria3008

Establishedtherequirementforabuildingpermitforproposedwork

Compliedwiththebuildingpermitsforthework

☐ 1–5

☐ 6–10

☐ 11–20

☐ 20+.

Enteredintoandadministeredappropriatecontracts

☐ 1–5

☐ 6–10

☐ 11–20

☐ 20+.

Producedcostestimatesandquotesforproposedwork

☐ 1–5

☐ 6–10

☐ 11–20

☐ 20+.

☐ 1–5

☐ 6–10

☐ 11–20

☐ 20+.

Page 6: Statement to support your application in Domestic Building ... Sample.pdf · o AS 3740 Waterproofing of domestic wet areas o AS 3959 Construction of buildings in bushfire-prone areas

6

PRACTITIONERFORM

©StateofVictoria,VictorianBuildingAuthority2016

ThedocumentislicensedunderCreativeCommonsAttribution4.0.Youarefreetore-usetheworkunderthatlicence,ontheconditionthatyoucredittheVictorianBuildingAuthorityastheauthor,indicateifchangesweremadetothedocumentandcomplywiththeotherlicenceterms.Thelicencedoesnotapplytoanybranding,logoorimagesusedinthispublication.AuthorisedbytheVictorianBuildingAuthority733BourkeStreetDocklands,Victoria3008

Plannedforandprovidedonsitesupervision

☐ 1–5

☐ 6–10

☐ 11–20

☐ 20+.

Interpretedplans,drawingsandspecifications

☐ 1–5

☐ 6–10

☐ 11–20

☐ 20+.

Identifiedsiteandtaskrelatedhazardsanddevelopedriskcontrolstrategies

☐ 1–5

☐ 6–10

☐ 11–20

☐ 20+.

DevelopedandinterpretedtheSafeWorkMethodsStatements(SWMSs)orJobSafetyAnalysisworksheets(JSAs)

☐ 1–5

☐ 6–10

☐ 11–20

☐ 20+.

Page 7: Statement to support your application in Domestic Building ... Sample.pdf · o AS 3740 Waterproofing of domestic wet areas o AS 3959 Construction of buildings in bushfire-prone areas

7

PRACTITIONERFORM

©StateofVictoria,VictorianBuildingAuthority2016

ThedocumentislicensedunderCreativeCommonsAttribution4.0.Youarefreetore-usetheworkunderthatlicence,ontheconditionthatyoucredittheVictorianBuildingAuthorityastheauthor,indicateifchangesweremadetothedocumentandcomplywiththeotherlicenceterms.Thelicencedoesnotapplytoanybranding,logoorimagesusedinthispublication.AuthorisedbytheVictorianBuildingAuthority733BourkeStreetDocklands,Victoria3008

Supervisedsubcontractorsandothertradestoensureworkisconductedsafelyandtorequiredstandards

☐ 1–5

☐ 6–10

☐ 11–20

☐ 20+.

EarthworkandExcavationwork

Protectedpublicassetssuchasfootpaths,drivewaysandservices

☐ 1–5

☐ 6–10

☐ 11–20

☐ 20+.

Organisedabolishmentofservices

☐ 1–5

☐ 6–10

☐ 11–20

☐ 20+.

Page 8: Statement to support your application in Domestic Building ... Sample.pdf · o AS 3740 Waterproofing of domestic wet areas o AS 3959 Construction of buildings in bushfire-prone areas

8

PRACTITIONERFORM

©StateofVictoria,VictorianBuildingAuthority2016

ThedocumentislicensedunderCreativeCommonsAttribution4.0.Youarefreetore-usetheworkunderthatlicence,ontheconditionthatyoucredittheVictorianBuildingAuthorityastheauthor,indicateifchangesweremadetothedocumentandcomplywiththeotherlicenceterms.Thelicencedoesnotapplytoanybranding,logoorimagesusedinthispublication.AuthorisedbytheVictorianBuildingAuthority733BourkeStreetDocklands,Victoria3008

Markedoutservicesandsetoutpoints,includingsitelevelsandexcavationlimits

☐ 1–5

☐ 6–10

☐ 11–20

☐ 20+.

Establishedsitedrainagerequirementsanddrainagesystems

☐ 1–5

☐ 6–10

☐ 11–20

☐ 20+.

Setoutsub-gradetoplan ☐ 1–5

☐ 6–10

☐ 11–20

☐ 20+.

Informedplantoperatorsofjobrequirements

☐ 1–5

☐ 6–10

☐ 11–20

☐ 20+.

Page 9: Statement to support your application in Domestic Building ... Sample.pdf · o AS 3740 Waterproofing of domestic wet areas o AS 3959 Construction of buildings in bushfire-prone areas

9

PRACTITIONERFORM

©StateofVictoria,VictorianBuildingAuthority2016

ThedocumentislicensedunderCreativeCommonsAttribution4.0.Youarefreetore-usetheworkunderthatlicence,ontheconditionthatyoucredittheVictorianBuildingAuthorityastheauthor,indicateifchangesweremadetothedocumentandcomplywiththeotherlicenceterms.Thelicencedoesnotapplytoanybranding,logoorimagesusedinthispublication.AuthorisedbytheVictorianBuildingAuthority733BourkeStreetDocklands,Victoria3008

Monitoredthicknessandmoisturecontent

☐ 1–5

☐ 6–10

☐ 11–20

☐ 20+.

Monitoredstabilisationofexistingmaterial

☐ 1–5

☐ 6–10

☐ 11–20

☐ 20+.

Removedsurfaceareaprotrusionsandplacedgeo-syntheticmaterial

☐ 1–5

☐ 6–10

☐ 11–20

☐ 20+.

Placedandcompactedsub-gradereplacementmaterials

☐ 1–5

☐ 6–10

☐ 11–20

☐ 20+.

Page 10: Statement to support your application in Domestic Building ... Sample.pdf · o AS 3740 Waterproofing of domestic wet areas o AS 3959 Construction of buildings in bushfire-prone areas

10

PRACTITIONERFORM

©StateofVictoria,VictorianBuildingAuthority2016

ThedocumentislicensedunderCreativeCommonsAttribution4.0.Youarefreetore-usetheworkunderthatlicence,ontheconditionthatyoucredittheVictorianBuildingAuthorityastheauthor,indicateifchangesweremadetothedocumentandcomplywiththeotherlicenceterms.Thelicencedoesnotapplytoanybranding,logoorimagesusedinthispublication.AuthorisedbytheVictorianBuildingAuthority733BourkeStreetDocklands,Victoria3008

Dugexcavationstoensurecorrectroute,lineanddepthfromsiteplansandinstructions

☐ 1–5

☐ 6–10

☐ 11–20

☐ 20+.

Installedtrench/excavationsupport

☐ 1–5

☐ 6–10

☐ 11–20

☐ 20+.

FootingsandSlabswork

Arrangedprotectionworks ☐ 1–5

☐ 6–10

☐ 11–20

☐ 20+.

Page 11: Statement to support your application in Domestic Building ... Sample.pdf · o AS 3740 Waterproofing of domestic wet areas o AS 3959 Construction of buildings in bushfire-prone areas

11

PRACTITIONERFORM

©StateofVictoria,VictorianBuildingAuthority2016

ThedocumentislicensedunderCreativeCommonsAttribution4.0.Youarefreetore-usetheworkunderthatlicence,ontheconditionthatyoucredittheVictorianBuildingAuthorityastheauthor,indicateifchangesweremadetothedocumentandcomplywiththeotherlicenceterms.Thelicencedoesnotapplytoanybranding,logoorimagesusedinthispublication.AuthorisedbytheVictorianBuildingAuthority733BourkeStreetDocklands,Victoria3008

Assessedsoilreportsandpreparedfoundationsandfootingsaccordingtogeotechnicalandassociateddrawings

☐ 1–5

☐ 6–10

☐ 11–20

☐ 20+.

Establishedsetoutlevelsandfinishedfloorlevels

☐ 1–5

☐ 6–10

☐ 11–20

☐ 20+.

Undertooksiteworksandworkrequiredtogainaccesstothesiteortoremoveanyimpedimentstotheaccessthesite

☐ 1–5

☐ 6–10

☐ 11–20

☐ 20+.

Erectedanddismantledrequiredformworkforfootingsandslabsandforsuspendedslabs

☐ 1–5

☐ 6–10

☐ 11–20

☐ 20+.

Page 12: Statement to support your application in Domestic Building ... Sample.pdf · o AS 3740 Waterproofing of domestic wet areas o AS 3959 Construction of buildings in bushfire-prone areas

12

PRACTITIONERFORM

©StateofVictoria,VictorianBuildingAuthority2016

ThedocumentislicensedunderCreativeCommonsAttribution4.0.Youarefreetore-usetheworkunderthatlicence,ontheconditionthatyoucredittheVictorianBuildingAuthorityastheauthor,indicateifchangesweremadetothedocumentandcomplywiththeotherlicenceterms.Thelicencedoesnotapplytoanybranding,logoorimagesusedinthispublication.AuthorisedbytheVictorianBuildingAuthority733BourkeStreetDocklands,Victoria3008

Constructedfootingslabs,beingconcretefloorssupportedonthegroundwithaseparatepourededgestripfooting

☐ 1–5

☐ 6–10

☐ 11–20

☐ 20+.

Constructedslabs,footings,piersandpilesystemsandrelatedretentionworks

☐ 1–5

☐ 6–10

☐ 11–20

☐ 20+.

Constructedslabsonground,beingconcretefloorssupportedonthegroundandincorporatingintegraledgeandinternalbeams

☐ 1–5

☐ 6–10

☐ 11–20

☐ 20+.

Installedbondedandunbondedtoppingslabstoexistingconcrete

☐ 1–5

☐ 6–10

☐ 11–20

☐ 20+.

Page 13: Statement to support your application in Domestic Building ... Sample.pdf · o AS 3740 Waterproofing of domestic wet areas o AS 3959 Construction of buildings in bushfire-prone areas

13

PRACTITIONERFORM

©StateofVictoria,VictorianBuildingAuthority2016

ThedocumentislicensedunderCreativeCommonsAttribution4.0.Youarefreetore-usetheworkunderthatlicence,ontheconditionthatyoucredittheVictorianBuildingAuthorityastheauthor,indicateifchangesweremadetothedocumentandcomplywiththeotherlicenceterms.Thelicencedoesnotapplytoanybranding,logoorimagesusedinthispublication.AuthorisedbytheVictorianBuildingAuthority733BourkeStreetDocklands,Victoria3008

Installed/appliedmoisturebarriers

☐ 1–5

☐ 6–10

☐ 11–20

☐ 20+.

Undertookadvancedslabsystemsworksuchasposttensionedandpre-tensionedslabs,andsuspendedfloorslabs,includingconstructionrelatingto:• integrationofservicesto

slab• penetrations• thermalpropertiesand

acousticproperties• adheringtofire

provisions• permanentformwork• floorswithpenetration

forlift

☐ 1–5

☐ 6–10

☐ 11–20

☐ 20+.

Page 14: Statement to support your application in Domestic Building ... Sample.pdf · o AS 3740 Waterproofing of domestic wet areas o AS 3959 Construction of buildings in bushfire-prone areas

14

PRACTITIONERFORM

©StateofVictoria,VictorianBuildingAuthority2016

ThedocumentislicensedunderCreativeCommonsAttribution4.0.Youarefreetore-usetheworkunderthatlicence,ontheconditionthatyoucredittheVictorianBuildingAuthorityastheauthor,indicateifchangesweremadetothedocumentandcomplywiththeotherlicenceterms.Thelicencedoesnotapplytoanybranding,logoorimagesusedinthispublication.AuthorisedbytheVictorianBuildingAuthority733BourkeStreetDocklands,Victoria3008

Erected,alteredanddismantledtheformworkforstairsandramps

☐ 1–5

☐ 6–10

☐ 11–20

☐ 20+.

Erected,alteredanddismantledtheformworkforsuspendedslabs,columns,beamsandwalls

☐ 1–5

☐ 6–10

☐ 11–20

☐ 20+.

Framingwork

Connectedandbracedframesaccordingtodesignspecifications

☐ 1–5

☐ 6–10

☐ 11–20

☐ 20+.

Page 15: Statement to support your application in Domestic Building ... Sample.pdf · o AS 3740 Waterproofing of domestic wet areas o AS 3959 Construction of buildings in bushfire-prone areas

15

PRACTITIONERFORM

©StateofVictoria,VictorianBuildingAuthority2016

ThedocumentislicensedunderCreativeCommonsAttribution4.0.Youarefreetore-usetheworkunderthatlicence,ontheconditionthatyoucredittheVictorianBuildingAuthorityastheauthor,indicateifchangesweremadetothedocumentandcomplywiththeotherlicenceterms.Thelicencedoesnotapplytoanybranding,logoorimagesusedinthispublication.AuthorisedbytheVictorianBuildingAuthority733BourkeStreetDocklands,Victoria3008

Fabricatedandinstalledframingsupportworkassociatedwithglazing

☐ 1–5

☐ 6–10

☐ 11–20

☐ 20+.

Constructedanderectedtimberandmetalwallframingandroofstructures

☐ 1–5

☐ 6–10

☐ 11–20

☐ 20+.

Constructedandinstalledsub-floorframing,includingbearers,joistsandstumps

☐ 1–5

☐ 6–10

☐ 11–20

☐ 20+.

Installedwindowanddoorframes

☐ 1–5

☐ 6–10

☐ 11–20

☐ 20+.

Page 16: Statement to support your application in Domestic Building ... Sample.pdf · o AS 3740 Waterproofing of domestic wet areas o AS 3959 Construction of buildings in bushfire-prone areas

16

PRACTITIONERFORM

©StateofVictoria,VictorianBuildingAuthority2016

ThedocumentislicensedunderCreativeCommonsAttribution4.0.Youarefreetore-usetheworkunderthatlicence,ontheconditionthatyoucredittheVictorianBuildingAuthorityastheauthor,indicateifchangesweremadetothedocumentandcomplywiththeotherlicenceterms.Thelicencedoesnotapplytoanybranding,logoorimagesusedinthispublication.AuthorisedbytheVictorianBuildingAuthority733BourkeStreetDocklands,Victoria3008

Erectedceilings ☐ 1–5

☐ 6–10

☐ 11–20

☐ 20+.

Erectedsub-floorframing ☐ 1–5

☐ 6–10

☐ 11–20

☐ 20+.

Installedsheetflooring ☐ 1–5

☐ 6–10

☐ 11–20

☐ 20+.

Placedrooftrusses ☐ 1–5

☐ 6–10

☐ 11–20

☐ 20+.

Page 17: Statement to support your application in Domestic Building ... Sample.pdf · o AS 3740 Waterproofing of domestic wet areas o AS 3959 Construction of buildings in bushfire-prone areas

17

PRACTITIONERFORM

©StateofVictoria,VictorianBuildingAuthority2016

ThedocumentislicensedunderCreativeCommonsAttribution4.0.Youarefreetore-usetheworkunderthatlicence,ontheconditionthatyoucredittheVictorianBuildingAuthorityastheauthor,indicateifchangesweremadetothedocumentandcomplywiththeotherlicenceterms.Thelicencedoesnotapplytoanybranding,logoorimagesusedinthispublication.AuthorisedbytheVictorianBuildingAuthority733BourkeStreetDocklands,Victoria3008

Assembledanderectedpartitionframes

☐ 1–5

☐ 6–10

☐ 11–20

☐ 20+.

Performedexternalwallcladdingwork

☐ 1–5

☐ 6–10

☐ 11–20

☐ 20+.

BricklayingandBlocklayingwork

Interpretedplansandspecificationsindicatinglocation,typesorgradesofbricksandmortarcomposition

☐ 1–5

☐ 6–10

☐ 11–20

☐ 20+.

Page 18: Statement to support your application in Domestic Building ... Sample.pdf · o AS 3740 Waterproofing of domestic wet areas o AS 3959 Construction of buildings in bushfire-prone areas

18

PRACTITIONERFORM

©StateofVictoria,VictorianBuildingAuthority2016

ThedocumentislicensedunderCreativeCommonsAttribution4.0.Youarefreetore-usetheworkunderthatlicence,ontheconditionthatyoucredittheVictorianBuildingAuthorityastheauthor,indicateifchangesweremadetothedocumentandcomplywiththeotherlicenceterms.Thelicencedoesnotapplytoanybranding,logoorimagesusedinthispublication.AuthorisedbytheVictorianBuildingAuthority733BourkeStreetDocklands,Victoria3008

Establishedsetoutlevels ☐ 1–5

☐ 6–10

☐ 11–20

☐ 20+.

Preparedsurfaces ☐ 1–5

☐ 6–10

☐ 11–20

☐ 20+.

Orderedmaterialsrequiredforbricklayingorblocklayingprojects(includingbricksandmortar)

☐ 1–5

☐ 6–10

☐ 11–20

☐ 20+.

Undertookmanualandmechanicalhandlingofbricksforconstruction

☐ 1–5

☐ 6–10

☐ 11–20

☐ 20+.

Page 19: Statement to support your application in Domestic Building ... Sample.pdf · o AS 3740 Waterproofing of domestic wet areas o AS 3959 Construction of buildings in bushfire-prone areas

19

PRACTITIONERFORM

©StateofVictoria,VictorianBuildingAuthority2016

ThedocumentislicensedunderCreativeCommonsAttribution4.0.Youarefreetore-usetheworkunderthatlicence,ontheconditionthatyoucredittheVictorianBuildingAuthorityastheauthor,indicateifchangesweremadetothedocumentandcomplywiththeotherlicenceterms.Thelicencedoesnotapplytoanybranding,logoorimagesusedinthispublication.AuthorisedbytheVictorianBuildingAuthority733BourkeStreetDocklands,Victoria3008

Prepared,mixedandlaidmortar

☐ 1–5

☐ 6–10

☐ 11–20

☐ 20+.

Constructedbatteredmasonrysurfaces

☐ 1–5

☐ 6–10

☐ 11–20

☐ 20+.

Repairedandmaintainedclaybricks,cementblocksorbricksandrelatedstructures

☐ 1–5

☐ 6–10

☐ 11–20

☐ 20+.

Appliedconcretetosimpleforms,includinginstallingformwork,reinforcementandconcreterelatedtobrickwork

☐ 1–5

☐ 6–10

☐ 11–20

☐ 20+.

Page 20: Statement to support your application in Domestic Building ... Sample.pdf · o AS 3740 Waterproofing of domestic wet areas o AS 3959 Construction of buildings in bushfire-prone areas

20

PRACTITIONERFORM

©StateofVictoria,VictorianBuildingAuthority2016

ThedocumentislicensedunderCreativeCommonsAttribution4.0.Youarefreetore-usetheworkunderthatlicence,ontheconditionthatyoucredittheVictorianBuildingAuthorityastheauthor,indicateifchangesweremadetothedocumentandcomplywiththeotherlicenceterms.Thelicencedoesnotapplytoanybranding,logoorimagesusedinthispublication.AuthorisedbytheVictorianBuildingAuthority733BourkeStreetDocklands,Victoria3008

Completedbasebrickwork ☐ 1–5

☐ 6–10

☐ 11–20

☐ 20+.

Establishedopeningsinbrickwork,includingtopinandpropopenings,andplacedendbearinglintels

☐ 1–5

☐ 6–10

☐ 11–20

☐ 20+.

Installedreinforcementforstructuralblockwork

☐ 1–5

☐ 6–10

☐ 11–20

☐ 20+.

Applieddampproofcourses ☐ 1–5

☐ 6–10

☐ 11–20

☐ 20+.

Page 21: Statement to support your application in Domestic Building ... Sample.pdf · o AS 3740 Waterproofing of domestic wet areas o AS 3959 Construction of buildings in bushfire-prone areas

21

PRACTITIONERFORM

©StateofVictoria,VictorianBuildingAuthority2016

ThedocumentislicensedunderCreativeCommonsAttribution4.0.Youarefreetore-usetheworkunderthatlicence,ontheconditionthatyoucredittheVictorianBuildingAuthorityastheauthor,indicateifchangesweremadetothedocumentandcomplywiththeotherlicenceterms.Thelicencedoesnotapplytoanybranding,logoorimagesusedinthispublication.AuthorisedbytheVictorianBuildingAuthority733BourkeStreetDocklands,Victoria3008

Installedcontroljoints ☐ 1–5

☐ 6–10

☐ 11–20

☐ 20+.

Installedflashings ☐ 1–5

☐ 6–10

☐ 11–20

☐ 20+.

Installedwallties ☐ 1–5

☐ 6–10

☐ 11–20

☐ 20+.

Page 22: Statement to support your application in Domestic Building ... Sample.pdf · o AS 3740 Waterproofing of domestic wet areas o AS 3959 Construction of buildings in bushfire-prone areas

22

PRACTITIONERFORM

©StateofVictoria,VictorianBuildingAuthority2016

ThedocumentislicensedunderCreativeCommonsAttribution4.0.Youarefreetore-usetheworkunderthatlicence,ontheconditionthatyoucredittheVictorianBuildingAuthorityastheauthor,indicateifchangesweremadetothedocumentandcomplywiththeotherlicenceterms.Thelicencedoesnotapplytoanybranding,logoorimagesusedinthispublication.AuthorisedbytheVictorianBuildingAuthority733BourkeStreetDocklands,Victoria3008

Waterproofingwork

Preparedarangeofdifferentsurfacesforwaterproofing

☐ 1–5

☐ 6–10

☐ 11–20

☐ 20+.

Reportedorrectifiedfaultsordamageinsurfacesbeforeapplyingawaterproofingsystem

☐ 1–5

☐ 6–10

☐ 11–20

☐ 20+.

Selectedandappliedappropriatewaterproofingsystemtoaboveandbelowgroundexternalwetareas,internalwetareas,accordingtorequiredstandardsandmanufacturerspecifications

☐ 1–5

☐ 6–10

☐ 11–20

☐ 20+.

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23

PRACTITIONERFORM

©StateofVictoria,VictorianBuildingAuthority2016

ThedocumentislicensedunderCreativeCommonsAttribution4.0.Youarefreetore-usetheworkunderthatlicence,ontheconditionthatyoucredittheVictorianBuildingAuthorityastheauthor,indicateifchangesweremadetothedocumentandcomplywiththeotherlicenceterms.Thelicencedoesnotapplytoanybranding,logoorimagesusedinthispublication.AuthorisedbytheVictorianBuildingAuthority733BourkeStreetDocklands,Victoria3008

Undertookremedialwaterproofing

☐ 1–5

☐ 6–10

☐ 11–20

☐ 20+.

CabinetMaking,JoineryandStairMakingwork

Constructedcabinetsandcomponentsonsite

☐ 1–5

☐ 6–10

☐ 11–20

☐ 20+.

Manufacturedandinstalleddoorsandwindowsandjoinerycomponents

☐ 1–5

☐ 6–10

☐ 11–20

☐ 20+.

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24

PRACTITIONERFORM

©StateofVictoria,VictorianBuildingAuthority2016

ThedocumentislicensedunderCreativeCommonsAttribution4.0.Youarefreetore-usetheworkunderthatlicence,ontheconditionthatyoucredittheVictorianBuildingAuthorityastheauthor,indicateifchangesweremadetothedocumentandcomplywiththeotherlicenceterms.Thelicencedoesnotapplytoanybranding,logoorimagesusedinthispublication.AuthorisedbytheVictorianBuildingAuthority733BourkeStreetDocklands,Victoria3008

Manufactured,assembledandinstalledinternalstairs

☐ 1–5

☐ 6–10

☐ 11–20

☐ 20+.

ConstructionofSwimmingPoolsandSpaswork

Installedancillaryplumbingworkandpipeworkassociatedwithaswimmingpool,includinggeneralfiltration,solarheating,basichydraulics,andstructurallandscapingworksassociatedwiththeconstructionofswimmingpoolsandspas

☐ 1–5

☐ 6–10

☐ 11–20

☐ 20+.

Constructedswimmingpoolandspasafetybarriers

☐ 1–5

☐ 6–10

☐ 11–20

☐ 20+.

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25

PRACTITIONERFORM

©StateofVictoria,VictorianBuildingAuthority2016

ThedocumentislicensedunderCreativeCommonsAttribution4.0.Youarefreetore-usetheworkunderthatlicence,ontheconditionthatyoucredittheVictorianBuildingAuthorityastheauthor,indicateifchangesweremadetothedocumentandcomplywiththeotherlicenceterms.Thelicencedoesnotapplytoanybranding,logoorimagesusedinthispublication.AuthorisedbytheVictorianBuildingAuthority733BourkeStreetDocklands,Victoria3008

Installedpaving,tiling,copingandpoolfinishesassociatedwithconstructionofswimmingpoolsandspas

☐ 1–5

☐ 6–10

☐ 11–20

☐ 20+.

Designedandinstalledancillarypoolssystems(includingbutnotlimitedtosolar,filtration,hydraulics)

☐ 1–5

☐ 6–10

☐ 11–20

☐ 20+

Pleasecontinuetonextpage

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26

PRACTITIONERFORM

©StateofVictoria,VictorianBuildingAuthority2016

ThedocumentislicensedunderCreativeCommonsAttribution4.0.Youarefreetore-usetheworkunderthatlicence,ontheconditionthatyoucredittheVictorianBuildingAuthorityastheauthor,indicateifchangesweremadetothedocumentandcomplywiththeotherlicenceterms.Thelicencedoesnotapplytoanybranding,logoorimagesusedinthispublication.AuthorisedbytheVictorianBuildingAuthority733BourkeStreetDocklands,Victoria3008

Table2.Filloutthistabletodescribedomesticbuildingworkyouhavedone.

BriefdescriptionPeriodofwork(mustincludeactualdates)

Workaddress(orwhereworkwasundertaken)

Nameandcontactnumberofyouremployer

Buildingpermitnumber

Fourprojectsthatdemonstrateyourparticipationinallstagesoftheconstructionofclass1and2buildings,includingallthefollowingactivities:

• projectmanagingdomesticbuildingwork• applyingbusinessandfinancialmanagementskillsrelevanttodomesticbuildingwork• applyingforabuildingpermitfordomesticbuildingwork• enteringintoandadministeringappropriatecontracts• producingcostestimatesfordomesticbuildingwork• planningforandprovidingonsitesupervision• engagingandsupervisingrelevanttrades

• ensuringcompliancewithsafetyrequirements

Project1

Startdate:

Enddate:

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27

PRACTITIONERFORM

©StateofVictoria,VictorianBuildingAuthority2016

ThedocumentislicensedunderCreativeCommonsAttribution4.0.Youarefreetore-usetheworkunderthatlicence,ontheconditionthatyoucredittheVictorianBuildingAuthorityastheauthor,indicateifchangesweremadetothedocumentandcomplywiththeotherlicenceterms.Thelicencedoesnotapplytoanybranding,logoorimagesusedinthispublication.AuthorisedbytheVictorianBuildingAuthority733BourkeStreetDocklands,Victoria3008

Project2

Startdate:

Enddate:

Project3

Startdate:

Enddate:

Project4

Startdate:

Enddate:

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28

PRACTITIONERFORM

©StateofVictoria,VictorianBuildingAuthority2016

ThedocumentislicensedunderCreativeCommonsAttribution4.0.Youarefreetore-usetheworkunderthatlicence,ontheconditionthatyoucredittheVictorianBuildingAuthorityastheauthor,indicateifchangesweremadetothedocumentandcomplywiththeotherlicenceterms.Thelicencedoesnotapplytoanybranding,logoorimagesusedinthispublication.AuthorisedbytheVictorianBuildingAuthority733BourkeStreetDocklands,Victoria3008

Threeearthworksandexcavationprojectsthatyouhavedone

Project1

Startdate:

Enddate:

Project2

Startdate:

Enddate:

Project3

Startdate:

Enddate:

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29

PRACTITIONERFORM

©StateofVictoria,VictorianBuildingAuthority2016

ThedocumentislicensedunderCreativeCommonsAttribution4.0.Youarefreetore-usetheworkunderthatlicence,ontheconditionthatyoucredittheVictorianBuildingAuthorityastheauthor,indicateifchangesweremadetothedocumentandcomplywiththeotherlicenceterms.Thelicencedoesnotapplytoanybranding,logoorimagesusedinthispublication.AuthorisedbytheVictorianBuildingAuthority733BourkeStreetDocklands,Victoria3008

Sixexamplesoffootingsandslabsworkthatyouhavedone

Project1

Startdate:

Enddate:

Project2

Startdate:

Enddate:

Project3

Startdate:

Enddate:

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30

PRACTITIONERFORM

©StateofVictoria,VictorianBuildingAuthority2016

ThedocumentislicensedunderCreativeCommonsAttribution4.0.Youarefreetore-usetheworkunderthatlicence,ontheconditionthatyoucredittheVictorianBuildingAuthorityastheauthor,indicateifchangesweremadetothedocumentandcomplywiththeotherlicenceterms.Thelicencedoesnotapplytoanybranding,logoorimagesusedinthispublication.AuthorisedbytheVictorianBuildingAuthority733BourkeStreetDocklands,Victoria3008

Project4

Startdate:

Enddate:

Project5

Startdate:

Enddate:

Project6

Startdate:

Enddate:

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31

PRACTITIONERFORM

©StateofVictoria,VictorianBuildingAuthority2016

ThedocumentislicensedunderCreativeCommonsAttribution4.0.Youarefreetore-usetheworkunderthatlicence,ontheconditionthatyoucredittheVictorianBuildingAuthorityastheauthor,indicateifchangesweremadetothedocumentandcomplywiththeotherlicenceterms.Thelicencedoesnotapplytoanybranding,logoorimagesusedinthispublication.AuthorisedbytheVictorianBuildingAuthority733BourkeStreetDocklands,Victoria3008

Threeexamplesoftheconstructionandinstallationofframingforhomesthatyouhavedone

Project1

Startdate:

Enddate:

Project2

Startdate:

Enddate:

Project3

Startdate:

Enddate:

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32

PRACTITIONERFORM

©StateofVictoria,VictorianBuildingAuthority2016

ThedocumentislicensedunderCreativeCommonsAttribution4.0.Youarefreetore-usetheworkunderthatlicence,ontheconditionthatyoucredittheVictorianBuildingAuthorityastheauthor,indicateifchangesweremadetothedocumentandcomplywiththeotherlicenceterms.Thelicencedoesnotapplytoanybranding,logoorimagesusedinthispublication.AuthorisedbytheVictorianBuildingAuthority733BourkeStreetDocklands,Victoria3008

Fourexamplesofbricklayingandblocklayingworkforresidentialprojectsthatyouhavedone

Project1

Startdate:

Enddate:

Project2

Startdate:

Enddate:

Project3

Startdate:

Enddate:

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33

PRACTITIONERFORM

©StateofVictoria,VictorianBuildingAuthority2016

ThedocumentislicensedunderCreativeCommonsAttribution4.0.Youarefreetore-usetheworkunderthatlicence,ontheconditionthatyoucredittheVictorianBuildingAuthorityastheauthor,indicateifchangesweremadetothedocumentandcomplywiththeotherlicenceterms.Thelicencedoesnotapplytoanybranding,logoorimagesusedinthispublication.AuthorisedbytheVictorianBuildingAuthority733BourkeStreetDocklands,Victoria3008

Project4

Startdate:

Enddate:

Threeexamplesoftheconstructionandinstallationofkitchen,bathroomorlaundrycabinetsthatyouhavedone

Project1

Startdate:

Enddate:

Project2

Startdate:

Enddate:

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34

PRACTITIONERFORM

©StateofVictoria,VictorianBuildingAuthority2016

ThedocumentislicensedunderCreativeCommonsAttribution4.0.Youarefreetore-usetheworkunderthatlicence,ontheconditionthatyoucredittheVictorianBuildingAuthorityastheauthor,indicateifchangesweremadetothedocumentandcomplywiththeotherlicenceterms.Thelicencedoesnotapplytoanybranding,logoorimagesusedinthispublication.AuthorisedbytheVictorianBuildingAuthority733BourkeStreetDocklands,Victoria3008

Project3

Startdate:

Enddate:

Threeexamplesoftheselectionandapplicationofwaterproofingthatyouhavedone

Project1

Startdate:

Enddate:

Project2

Startdate:

Enddate:

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35

PRACTITIONERFORM

©StateofVictoria,VictorianBuildingAuthority2016

ThedocumentislicensedunderCreativeCommonsAttribution4.0.Youarefreetore-usetheworkunderthatlicence,ontheconditionthatyoucredittheVictorianBuildingAuthorityastheauthor,indicateifchangesweremadetothedocumentandcomplywiththeotherlicenceterms.Thelicencedoesnotapplytoanybranding,logoorimagesusedinthispublication.AuthorisedbytheVictorianBuildingAuthority733BourkeStreetDocklands,Victoria3008

Project3

Startdate:

Enddate:

Threeexamplesoftheconstructionofresidentialswimmingpoolsandspasworkthatyouhavedone

Project1

Startdate:

Enddate:

Project2

Startdate:

Enddate:

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36

PRACTITIONERFORM

©StateofVictoria,VictorianBuildingAuthority2016

ThedocumentislicensedunderCreativeCommonsAttribution4.0.Youarefreetore-usetheworkunderthatlicence,ontheconditionthatyoucredittheVictorianBuildingAuthorityastheauthor,indicateifchangesweremadetothedocumentandcomplywiththeotherlicenceterms.Thelicencedoesnotapplytoanybranding,logoorimagesusedinthispublication.AuthorisedbytheVictorianBuildingAuthority733BourkeStreetDocklands,Victoria3008

Project3

Startdate:

Enddate:

Pleasecontinuetonextpage

Page 37: Statement to support your application in Domestic Building ... Sample.pdf · o AS 3740 Waterproofing of domestic wet areas o AS 3959 Construction of buildings in bushfire-prone areas

37

PRACTITIONERFORM

©StateofVictoria,VictorianBuildingAuthority2016

ThedocumentislicensedunderCreativeCommonsAttribution4.0.Youarefreetore-usetheworkunderthatlicence,ontheconditionthatyoucredittheVictorianBuildingAuthorityastheauthor,indicateifchangesweremadetothedocumentandcomplywiththeotherlicenceterms.Thelicencedoesnotapplytoanybranding,logoorimagesusedinthispublication.AuthorisedbytheVictorianBuildingAuthority733BourkeStreetDocklands,Victoria3008

STEP3.Usetable3tocreateyourevidenceportfolio

Table3.Usethistabletocreateanevidenceportfoliothatsupportsyourexperienceintable2

Areaofexperience Suggestedevidenceordocumentation

Projectmanagedomesticbuildingwork Siteplans,constructiondrawingsandspecificationsforeachconstructionproject

Tendersorquotationsthatyoudevelopedorcontributedto,withassociatedquantitiesandestimatingworksheets

Ascheduleofworksthatyoupreparedforeachproject

Projectmanagementchartsdetailingworkstobeundertaken,timelinesandmilestones

Minutesofmeetingsthatyouattendedorfacilitatedbetweenpartiestotheconstructionprojects,demonstratingyourcontributiontopolicies,proceduresorworkprograms

Copiesofrelevantbuildingpermitsforeachproject

Detailsofbuildingnoticesreceivedfortheprojectsandevidenceoftheactionsthatyoutooktorespond

Detailsofprotectionworksundertakenandevidenceofyourinvolvementinarrangingtheworks

Copiesofcompliancecertificatesforworksundertakenoneachproject

Applybusinessandfinancialmanagementskillsrelevanttodomesticbuildingwork

Profitandlossstatementforeachprojectorcomponentofeachproject

Cashflowstatementforeachproject

Applyforabuildingpermitforthework Detailedplans,drawingsandspecificationsforasampleofprojects

Copiesofdocumentsthatyoupreparedinsupportofanapplicationforabuildingpermit

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38

PRACTITIONERFORM

©StateofVictoria,VictorianBuildingAuthority2016

ThedocumentislicensedunderCreativeCommonsAttribution4.0.Youarefreetore-usetheworkunderthatlicence,ontheconditionthatyoucredittheVictorianBuildingAuthorityastheauthor,indicateifchangesweremadetothedocumentandcomplywiththeotherlicenceterms.Thelicencedoesnotapplytoanybranding,logoorimagesusedinthispublication.AuthorisedbytheVictorianBuildingAuthority733BourkeStreetDocklands,Victoria3008

Enterintoandadministerappropriatecontracts Copiesofcontractsbetweenyouandtheclientoranotherparty

Documentationthatdemonstratesyourcapacitytocorrectlycompleteadomesticbuildingcontract

Evidenceyousuccessfullycompletedtraininginthefollowingunitsofcompetency:

• Selectandprepareaconstructioncontract• Administeraconstructioncontract

Producecostestimatesforrenovationwork Copiesofquotesthatyoupreparedthatrespondtoplansorjobrequirementsandthatdescribeworksandassociatedcosts

Plansandspecificationsassociatedwithcostingsandquotesthatyouprepared

Labourandmaterialsschedulesforeachproject

Copiesofpaidinvoices,indicatingmaterialspurchasedthatrelatedtotheproject

Planandprovideonsitesupervisionandengagerelevanttrades

Copiesofcontracts,lettersorinstructionsrelatedtotheengagementofothercontractors,andtasksrequired

Projectmanagementschedulesorspreadsheetsusedforeachproject,indicatingeachstageofthework,keytradesandlabourinvolved,timelinesandmilestones

Otherdocumentationrelatingtoonsitesupervisionduringthework

Ensureworksareplannedandconductedsafely SafeWorkMethodStatement(SWMS)foreachconstructionsite

JobSafetyAnalysis(JSA)worksheetforeachproject

Ahealthandsafetycoordinationplanforoneproject

Anexampleofdocumentationrelatingtothesiteinductionforoneconstructionsite,includinginductionprogram,checklists,recordsmanagement

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39

PRACTITIONERFORM

©StateofVictoria,VictorianBuildingAuthority2016

ThedocumentislicensedunderCreativeCommonsAttribution4.0.Youarefreetore-usetheworkunderthatlicence,ontheconditionthatyoucredittheVictorianBuildingAuthorityastheauthor,indicateifchangesweremadetothedocumentandcomplywiththeotherlicenceterms.Thelicencedoesnotapplytoanybranding,logoorimagesusedinthispublication.AuthorisedbytheVictorianBuildingAuthority733BourkeStreetDocklands,Victoria3008

Domesticbuildingworkthatyoucarriedout,including:

• threeexamplesofearthworksandexcavationprojects

• sixexamplesoffootingsandslabswork

• threeexamplesoftheconstructionandinstallationofframingforhomes

• fourexamplesofbricklayingandblocklayingwork

• threeexamplesoftheconstructionandinstallationofkitchen,bathroomorlaundrycabinets

• threeexamplesoftheselectionandapplicationofwaterproofing

• threeexamplesoftheconstructionofresidentialswimmingpoolsandspaswork

Plansandspecificationsrelatingtowork

Photographsofworksinprogressandfinalisedworksthatyouwereresponsibleforconstructingandinstallingtospecification,withassociateddrawings

Manufacturerspecificationsandsafetydatasheet(SDS)formaterialssuchaswaterproofingsystemsused

Relevanttechnicalreportsinrelationtomaterialsuse,testing,defectsorrectificationwork

Copiesofcuttinglistsforprojectsyouaresubmittingasevidence,alongwiththeassociatedplans,drawingsandspecifications

Copiesofinspectionreportsundertakenbytherelevantregisteredbuildingsurveyor

Copiesofany‘minorbuildingworks’noticesindicatingrectificationworksrequired,anddemonstrationofhowyouundertooktorectifyfaults

Pleasecontinuetonextpage

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40

PRACTITIONERFORM

©StateofVictoria,VictorianBuildingAuthority2016

ThedocumentislicensedunderCreativeCommonsAttribution4.0.Youarefreetore-usetheworkunderthatlicence,ontheconditionthatyoucredittheVictorianBuildingAuthorityastheauthor,indicateifchangesweremadetothedocumentandcomplywiththeotherlicenceterms.Thelicencedoesnotapplytoanybranding,logoorimagesusedinthispublication.AuthorisedbytheVictorianBuildingAuthority733BourkeStreetDocklands,Victoria3008

Remember:Theinformationprovidedinthisformmustbetrueandcorrect.Itisanoffenceundersection246oftheBuildingAct1993togivefalseormisleadinginformationinrelationtoanapplicationforregistration,andthisoffencecarriesamaximumpenaltyof120penaltyunits.Ideclarethattheinformationcontainedinthisformiscompleteandtruetothebestofmyknowledge.AndIunderstandthattheVBA(ontheBPB’sbehalf)maymakeenquiriestoverifyanyoftheinformationIhavegivenonthisform,andIconsentfortheinformationprovidedinthisformtobesharedwithanyotherthirdpartyforthatpurpose.Applicantname

Applicantsignature

Date


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