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Plumbing Compliance Certificate Example

Example document for Plumbing Compliance Certificate. Use this as a reference when creating your own.

Professional Review Required

This document involves significant legal, financial, or compliance considerations. You must have a qualified professional review and approve this document before use. Do not rely on this template as legal advice.

Document: Plumbing Compliance Certificate

Example Document

Last updated 7/29/2026

PLUMBING COMPLIANCE CERTIFICATE

  1. CERTIFICATE DETAILS Certificate Number: CC-2023-88942 Date of Issue: 15/10/2023 State or Territory: Victoria

  2. PROPERTY DETAILS Property Address: 42 Smith Street Suburb: Richmond Postcode: 3121 Lot/DP Number: 12 PS567890 Local Government Area: Yarra City Council

  3. PROPERTY OWNER DETAILS Owner Name: Sarah Jenkins Owner Phone: 0412 345 678 Owner Email: sarah.jenkins@email.com

  4. LICENSED PLUMBER DETAILS Plumber Name: David Brown Business Name: Brown Plumbing Solutions Pty Ltd License Number: 12345678A ABN: 12 345 678 901 Contact Phone: 03 9876 5432 Contact Email: admin@brownplumbing.com.au

  5. WORK DESCRIPTION Date Work Commenced: 12/10/2023 Date Work Completed: 14/10/2023

Type of Work (Tick applicable boxes): [X] Sanitary Plumbing [X] Water Supply [ ] Drainage [ ] Roofing (Stormwater) [ ] Gas Fitting (if applicable in state) [ ] Mechanical Services (Type B)

Detailed Description of Work: Installation of a new Rheem Stellar 330L gas hot water system in the laundry. Relocation of cold water supply and tempering valve. Installation of new copper pressure pipe to comply with AS/NZS 3500.4.

Value of Work (Excl GST): $1800.00

  1. COMPLIANCE DECLARATION I, David Brown, certify that: a) I am the holder of License Number 12345678A. b) The plumbing work described above was carried out in accordance with the Plumbing Code of Australia and Victoria legislation. c) The work complies with Australian Standards AS/NZS 3500. d) All required inspections and tests have been completed.

Signature: D. Brown Date: 15/10/2023

  1. PAYMENT RECEIPT Compliance Certificate Fee: $65.50 Total Amount Paid: $1865.50

  2. IMPORTANT INFORMATION FOR OWNER Please keep this certificate with your property records. A copy of this certificate has been lodged with the Victorian Building Authority.

Notes

This example shows a typical installation of a hot water system. The plumber has clearly identified the location and specific work performed. The license number is accurate for a Victorian plumber. The work description references the specific Australian Standard (AS/NZS 3500.4) which covers heated water services, adding weight to the compliance claim. The fee listed is separate from the labor and materials, which is standard practice in Victoria.

About this Example

Part of the Plumbing Compliance Certificate document collection

Document Type

Plumbing Compliance Certificate

A formal declaration by a licensed plumber confirming that plumbing work complies with relevant Australian Standards and the Plumbing Code of Australia.

Complexity

moderate

Risk Level

high