08/1041 - Op Works - Landscaping, Drainage, Stormwater & Earthworks [As Published] · 142008.1041

INTEGRATED PLANNING ACT 1997 Part A, Version 3.1, 3 March 2008

Attachments and supporting information (Comptete Table !- Use a separate row ior each lype of attachment or information, inctuding mformatron required under
this Pac) Please ensure aif documentation submitted with this form, inckxding other Parts of Farm 1, or owner's consent, efc, are securely attached to this Part of the Form.

 

Table} Description of attachment or information Title (if applicable) Method of delivery to
(eg. Past Cf For 1 omer’ consent, evens of esource fag. Genered Authority, ‘Street Traffic Re Date sment manager

 

1 |Pegge tm fereeowRP

Portable Long Service Leave (PLSL) levy (Appficahie for canain building and consiruction work valued aver $80,000 only)

 

 

 

 

 

 

 

10. The Portable Long Service Leave Levy (PLSL) is not applicable to this application if any of the fallowing apply: (“box # appiicabie)
L the application seeks a preliminary approval only;
(J the application is not for building and construction work under the Building and Construction Industry (Portable Long Service Leave)
Act 1991, section 3AA (e.g. the application is only for a change of use, or for the following types of work carried out solely for farming purposes:

land clearing, site preparation, earthworks, fences, fodder harvesting, clearing of encroaching vegetation, clearing of regrowth, thinning vegetation or
controlling weeds or pests),

LC all costs, that relate to the work both directly and indirectly, are less than $80,000, inclusive of GST; or
Ci the work is being carried out under an owner-builder permit issued under the Queensland Building Services Authority Act 1991 -
Complete and submit a OLeave Noliicalion and Payment Form (no payment required f owner-buider permit number stated). The receipted form must be sighted by the
assessmen| manager before a develcoment pérmd can be gven, .
11. Is payment of a PLSL levy shape this application? (Refer to Q10 and the Advice befow for more information)
(DI No End of Part A Yes ~ Answer Q12 below

12 rayon levy been paid?
No - (NOTE: An application can be lodged prior to payment of the applicable PLSL levy. However, the levy must be paid and the receipted form sighted by the
Assessment Manager before a development permit may be given for this application. To pay the levy you will need to complete and submit a Notification
and Payment Form to Qleave,)

oO Yas - Compiete Table Land submit. with the application. the “yellow’ (Local Government's (Council) / Private Certiher's) copy of the receipled QLeave Form.

QLeave Project Number
Table L Amount paid Date paid (6 digs, starting with A, B, EL or P)

 

 

 

 

 

 

 

 

 

OFFICE USE ONLY (For use by the Assessment Manager / Private Certifier) (Optional)

: - . Recelvi Reference ,
Fee($)} DiperS — [Datoreceived| (alto (oF — |oticers name| P\ fone ec | numbers OFS frou
NOTIFICATION OF ENGAGEMENT OF PRIVATE CERTIFIER

 

 

 

 

 

 

 

 

 

 

 

 

To: Council. | have been engaged as the private certifier for the building work referred to in this application.

 

 

 

 

ate of engagement Name BSA Certification license number Building classification’s

 

 

 

 

 

QLEAVE NOTIFICATION AND PAYMENT (for completion by assessment manager or private certifier if applicable)

 

nt paid Date receipted form
Description of the work QLeave Project Number (8) Pp Date paid sighted by Name of officer who sighted the form
assessment manager

 

 

 

 

 

 

 

 

 

Privacy Statement

The information collected on Form 1 will be used by the Department of Infrastructure and Planning (DIP) in accordance with the processing and assessment of your Application.
Your personal details will not be discfosed for @ purpose outside of the DAS process, except where required by legislation (including the Freedom of information Act 1992) or
as required by Parliament. This information may be stored in a DIP database. The information collected will be retained as required by the Public Records Act 2002.

 

 

 

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