Producer Statement Construction

(PS3)
Version: 2
Date: May 2022
Code: PS-185

NB: ALL sections of this PS3 must be completed

Author Name:
Author Company & Address (optional):

Author Registration Number:

Member of (register type e.g. SBCG):
Phone:
Email:
Building Owners Name: Health South Canterbury Limited
Project Site Address: 14-16 Queen Street Parkside Timaru 7910

Work category:
Identify Category of work:
 Building  Emergency Lighting  Cladding  Escalator

 Waterproof
 Drainlayer  Fire Alarm  Lift
Membranes
 Mechanical (HVAC)  Solar Heating  Other (Specify):
Description of specific work covered by this statement includes:

Identify all Systems/Products used:

Doc#1491054 Page 1 of 2 Sheet PS-185

 Identify all NZBC clauses being verified by this statement: (tick all applicable)

NZ Building Code clauses:

 B1  B2  C  C  C  C  C  C  D  D  D  D
1 2 3 4 5 6 1 2 3 4
 E1  E2  E  F  F  F  F  F  F6  F7  F8  G
3 1 2 3 4 5 1
 G  G  G  G  G  G  G  G  G  G  G  G
2 3 4 5 6 7 8 9 10 11 12 13
 G  G  H
14 15 1
Confirmation Statement

I (constructor) ________________________ , have been engaged by (state - owner, applicant, designer,

main contractor, etc) __________________________,

Farrell Commercial Construction To construct  all (or)  part as
specified in the particulars of the approved Building Consent Number: _____________________
2.2021.980.1

and its applicable conditions.

I am satisfied on reasonable grounds that the building work specified within this statement has been
completed to the extent required by that Building Consent and complies with the New Zealand Building Code.

I understand that this Producer Statement, if accepted, may be relied on by the Council, for the purpose of
establishing compliance with the Building Consent or the New Zealand Building Code.

Author Name: ___________________________________

Author Signature:_________________________________ Date:_____________

Doc#1491054 Page 2 of 2 Sheet PS-185