08/2087 - Preliminary Building Work Assessable Against the Planning Scheme [As Published] · 172008.2087

INTEGRATED PLANNING ACT 1997 Part A, Version 3.1, 3 March 2008
Attachments and supporting information (Complete Table ! - Use a separate row for each type of attachment or information, including information required under
this Parl) Please ensure all documentation submitted #8 form, including other Parts of Form 1, or owner's consent, eic, are securely attached {0 this Part of the Form.

   

 

 

Description of attachment or information i - 7 .

Table! i Title (if applicable) Method of delivery to

(2g. Pad CofFom 1 cwmers consent efenca ot rsowe® | (ag, Grea Adnan, James Set Trae Repo) Date assessment manager

1. WTE PAN (11.068- of) FEB 208 | APAND DEL VERE
Fool DECK DeTineS(If- ose-@) Nouzeg o
EN6INEERS REPORT OCF. 200%

 

 

 

 

 

 

 

oe cme sae sae

cL paneer animate nig: meANeNIO -* estapeaietee i vin ak
‘Portable Long Service Leave (PLSL) levy (Applicable for cartain building and construction work valued over, $80,000 only) ,
40. The Portable Long Service Leave Levy (PLSL) is not applicable to this application if any of the following apply: (~“box if applicable)
Ci the application seeks a preliminary approval only;

ithe 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);

Hall costs, that relate to the work both directly and indirectly, are less than $80,000, inclusive of GST; or

(i 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-buider permit number stated). The receipted form must be sighted by the
assessment manager before a development permit can be given.

14. |s payment of a PLSL levy applicable to this application? (Refer to Q10 and the Advice below for more information)
(CINo - End of Part A (Yes - Answer Q12 below

12, Has the PLSL levy been paid?

oO 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.)

Wes — Complete Table L and submit, with the application, the ‘yellow (Local Government's (Council) / Private Cerlifier's) copy of the receipted QLeave Form,

:, QLeave Project Number
TableL =|. Amount paid Date paid (6 digits, starting with A, BE, L or P}

 

 

 

 

 

 

 

 

 

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

 

. Receiving Reference
Fee (8) Date received Officer's name numbers

 

 

 

 

 

 

 

 

 

NOTIFICATION OF ENGAGEMENT OF PRIVATE CERTIFIER

 

 

 

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

 

 

Date of engagement . . Name : 2 :} BSA Certification ficense number Building classifications

 

 

 

 

 

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

 

‘Amount pald Date receipted form :
Description of the work QLeave Project Number 9) pa 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 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 Pariament. 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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