Approved Plans - RAL23 0021 & OPW23 0177

                                                                                            FIRE MANAGEMENT REPORT FM 5601-2




Form 15—Compliance certificate for building design or specification
This form is to be used by an appointed competent person for the purposes of section 10 of the Building Act 1975 and sections 73 and
77 of the Building Regulation 2012(Design-specification certificate) stating that an aspect of building work or specification will, if
installed or carried out a stated in this form, comply with the building assessment provisions.

Additional explanatory information is included in the Appendix at the end of this form.


1. Property description                   Street address (include no., street, suburb/locality and postcode)
This section need only be                  11C Church Street Pomona
completed if details of street
address and property description                                                                          Postcode
are applicable.
E.g. in the case of                       Lot and plan details (attach list if necessary)
(standard/generic) pool design/shell       Lot 4 on SP301620
manufacture and/or patio and
carport systems this section may          In which local government area is the land situated?
not be applicable.                         Noosa Shire Council
The description must identify all
land the subject of the application.
The lot and plan details (e.g.
SP/RP) are shown on title
documents or a rates notice.
If the plan is not registered by title,
provide previous lot and plan
details.
2. Description of                          Work as required for bushfire mitigation purposes as set out in the Bushfire
   component/s certified                   Management Report prepared by Eldon Bottcher Architect Pty Ltd including
Clearly describe the extent of work
covered by this certificate, e.g. all
                                           assessment of Construction Levels assessed under AS 3959.
structural aspects of the steel roof
beams.




3. Basis of certification
                                           Compliance with the Bushfire Management Report prepared by Eldon Bottcher
Detail the basis for giving the
certificate and the extent to which        Architect Pty Ltd
tests, specifications, rules,              No certification of components covered by The Building Act 1975, The
standards, codes of practice and other     building Code of Australia or AS 3959.
publications, were relied upon.
                                           Noosa Shire Council Town Plan Bushfire Management Constraint code.


4. Reference documentation                 Bushfire Management Report FM 5601-2
Clearly identify any relevant
documentation, e.g. numbered
structural engineering plans.




                               ELDON BOTTCHER ARCHITECT PTY LTD                   ©            18/10/23                          14