W6107fd f15.pdf - form 15 footing & slab design · OPW16/0220

5. Building certifier reference number              Building certifier reference number



6. Competent person details                         Name (in full)
A competent person for building work, means a
person who is assessed by the building certifier
for the work as competent to practise in an
                                                     Ray Williams.
aspect of the building and specification design,    Company name (if applicable)                          Contact person
of the building work because of the individual’s
skill, experience and qualifications in the          Sunrise Design Qld Pty Ltd.                           Ray
aspect. The competent person must also be
registered or licensed under a law applying in      Phone no. business hours              Mobile no.                    Fax no.
the State to practice the aspect.                    5442 5930                                                           5442 5934
If no relevant law requires the individual to be    Email address
licensed or registered to be able to give the
help, the certifier must assess the individual as
having appropriate experience, qualifications or
skills to be able to give the help.                 Postal address
If the chief executive issues any guidelines for     PO Box 621, Cooroy.
assessing a competent person, the building
certifier must use the guidelines when                                                                                   Postcode Q 4563
assessing the person.
                                                    Licence or registration number (if applicable)
                                                     RPEQ 2166
7. Signature of competent person                    Signature                                                    Date
This certificate must be signed by the individual                                                                  September 27, 2016
assessed by the building certifier as competent.




                   The Building Act 1975 is administered by the
                   Department of Infrastructure and Planning
                                                                                                       Department of Infrastructure and Planning