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204260 031 Form15 QLD gov compliane cert
Department of Housing and Public Works
Form 15—Compliance certificate
for building design or
Version 4 – July 2017
specification
NOTE: This is to be used for the purposes of section 10 of the Building Act 1975 and/or section 46 of the
Building Regulation 2006.
RESTRICTION: A building certifier (class B) can only give a compliance certificate about whether building work
complies with the BCA or a provision of the Queensland Development Code (QDC). A building certifier (Class B)
can not give a certificate regarding QDC boundary clearance and site cover provisions.
1. Property description Street address (include no., street, suburb/locality and postcode)
This section need only be 56 Reserve Road
completed if details of street
address and property description Pomona Qld Postcode 4568
are applicable.
E.g. in the case of Lot and plan details (attach list if necessary)
(standard/generic) pool design/shell
manufacture and/or patio and
carport systems this section may In which local government area is the land situated?
not be applicable. Noosa Shire
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 Proposed Dwelling
component/s certified
Clearly describe the extent of work Structural aspects of the elements of the above Project as designed, detailed and documented
covered by this certificate, e.g. all on the structural drawings prepared by this firm as listed in section 4 of this form
structural aspects of the steel roof Excluding -:
beams.
• Windows, Cladding Materials
• Roof Trusses, their bracing and the connection to the structure
• Handrails (other than those specifically detailed in our documents)
• Proprietary Pre-Fabricated Building Structure
Structural aspects not documented by this firm and performance specified items are excluded
from this certificate.
3. Basis of certification Design has been carried out in accordance with the deemed to comply provisions of the BCA
Detail the basis for giving the and its referenced SAA Codes:
certificate and the extent to which
tests, specifications, rules, AS 1170.1, AS 1170.2, AS 1170.4,
standards, codes of practice and other AS 1684, AS 2870
publications, were relied upon. AS 1720,
AS 3600, AS 3700
AS 4100, AS 4600
Where proprietary products have been incorporated, these have been designed using the
manufacturer’s supplied information.
Geotechnical Report No 21/239 by Ground Drilling Pty Ltd Dated 17/05/2021
Works are to be constructed in compliance with the specification. The design certification is
based on the structural aspects of the works being carried out by and supervised by
appropriately qualified and licensed contractors.
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4. Reference documentation Cardno (Qld) Pty. Ltd. Drawings 204260-031 S000 Rev 1, S001 Rev 1, S002 Rev 1, S005 Rev 1,
Clearly identify any relevant S006 Rev 1, S007 Rev 1, S008 Rev 1, S010 Rev 1, S011 Rev 1, S015 Rev 1, and S016 Rev 1.
documentation, e.g. numbered
structural engineering plans.
LOCAL GOVERNMENT USE ONLY
Date received Reference Number/s
5. Building certifier reference Building certifier reference number
number
6. Competent person details Name (in full)
A competent person for building work,
means a person who is assessed by Andreas Reckentin
the building certifier for the work as Company name (if applicable) Contact person
competent to practice in an aspect of
the building and specification design, Cardno (Qld) Pty Ltd
of the building work because of the
individual’s skill, experience and Phone no. (business hours) Mobile no. Fax no.
qualifications in the aspect. The 07 5443 2555 07 5443 5642
competent person must also be
registered or licensed under a law Email address
applying in the State to practice the [email protected]
aspect.
If no relevant law requires the
Postal address
individual to be licensed or registered PO Box 152
to be able to give the help, the certifier
must assess the individual as having MAROOCHYDORE QLD Postcode 4558
appropriate experience, qualifications
or skills to be able to give the help. Licence or registration number (if applicable)
If the chief executive issues any RPEQ No. 4902 NPER No. 101397
guidelines for assessing a competent
person, the building certifier must use
the guidelines when assessing the
person.
7. Signature of competent Signature Date
person
This certificate must be signed by the
individual assessed by the building 2nd August 2021
certifier as competent.
The Building Act 1975 is administered by the Department of Housing and Public Works