09/1474 - Preliminary Building Works [As Published] · 172009.1474

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INTEGRATED PLANNING ACT 1997 Patt A, Version 3,1, 3 March 2008

      

 

Portable Long Seivice Leave (DEOL | levy (appicene ior cofernbullng and construction

10. The Portable Long Service Leave Levy (PLSL) is not applicable to this application if any of the following apply: ( Tick box if applicable)
(1 the application seeks a preliminary approval only;

{1 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);

LD all costs, that relate to the work both directly and indirectly, are less than $80,000, inclusive of GST; or
(the work is being carried out under an owner-builder permit issued under the Queensland Building Services Authority Act 1991 -
Complete and submit a QLeave Notification and Payment Form (no payment required if owner-builder permit number stated). The receipted form mus! be
sighted by the assessment manager before a development permit can be given.
141. ts payment of a PLSL levy applicable to this application? (Refer to Q10 and the Advice below for more information)?
{No - End of Part A

@ (1 Yes - Answer Q12 below

 

 

 

. Receiving officer's a * Reference 1 :
Fee ($) Thy Date received AY -( ot name ? { umber | 4 (, y

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

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

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

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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 disclosed for a purpose outside of the IDAS 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.

 

 

Advice for completing Part A

General advice

. Part A of IDAS Development Application Form 4 must be completed and accompany alt development applications. The applicant is responsible
for answering all questions fully and correctly, untess following a response there is a statement to go directly to another question. The
Assessment Manger may refuse to receive an application that is not properly made.

* The {DAS Assessment Checklist must also be completed for all development applications, other than those requiring assessment against the
Building Act 1975 only, i.e. those applications requiring the completion of Parts A and B only.

Applicant details

° if the applicant is a company or organisation, a contact person must be nominated. The applicant's signature is not required to be provided
under the IPA.