Burnie City Council - Final Plumbing Inspection

• Document No.

• Conducted on

  Date

• Property Address

• Type of Work

  Permit

  Notifiable Work

  337 Request

• Pressure Limiting Valve (Max Pressure 500 kpa) Fitted

  Yes

  No

  N/A

• Vacuum Breakers Fitted To All External Taps

  Yes

  No

  N/A

• Overflow Gully Compliant

  Yes

  No

  N/A

• Inspection Shaft

  Yes

  No

  N/A

• Down pipe Installation

  Pass

  Not Pass

  N/A

• Sanitary Vent Compliant with AS/NZS3500 and BAL Assessment

  Pass

  Not Pass

  N/A

• Stormwater Pit Outlet Sealed?

  Yes

  No

  N/A

• Internal Fixtures Securely Fitted

  Yes

  No

  N/A

• Internal Sanitary Drainage

  Pass

  Not Pass

  N/A

• Internal Sanitary Plumbing E.g. Hot left, Cold Right - Mini stops - Pipe Extensions - Traps - Plug & Waste

  Pass

  Not Pass

  N/A

• Fixture WaterMark?

  Yes

  No

  N/A

• Hot Water Cylinder Installation,Safety Tray, Overflow and Relief Valve

  Pass

  Fail

  N/A

• Solar Hot Water Installation (if applicable) Compliant?

  Yes

  No

  N/A

• Tempering/Thermostatic Mixing Valve

  Yes

  No

  N/A

• Tempered Water Below 50 deg C

  Yes

  No

  N/A

• Onsite Wastewater Management System

  Pass

  Fail

  N/A

• Plumber / Owner Present

• Plumbing Installation Fit For Occupancy?

  Yes

  No

  N/A

• Final Plumbing Inspection Passed

  Yes

  No

• Non-Compliant File Notes

• Non-Compliant Photos

  Media

• Inspection File Notes

Permit Authority Section

• Complete

  Not Complete

• Certificate of Sewerage and Water Compliance Received

  Yes

  No

  N/A

• As Constructed Drainage Plan Supplied

  Yes

  No

  N/A

• Form 71B Standard of Works Certificate - Roof Plumbing Received

  Yes

  No

  N/A

• Form 71B Standard of Works Certificate - Plumbing Received

  Yes

  No

  N/A