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20180106 - RPEQ Design Certifcate F15 · 131999.982846.2

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                                                                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                  18 Arakoon Crescent
completed if details of street
address and property description           SUNSHINE BEACH                                                        Postcode 4567
are applicable.
E.g. in the case of                       Lot and plan details (attach list if necessary)
(standard/generic) pool design/shell       Lot 791 RP 48111
manufacture and/or patio and
carport systems this section may          In which local government area is the land situated?
not be applicable.                         Noosa 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                          Retaining Wall
   component/s certified
Clearly describe the extent of work
covered by this certificate, e.g. all
structural aspects of the steel roof
beams.




3. Basis of certification                  AS/NZS 1170.0 & 1 - 2002 Structural Design Actions - Part 0: General Principles, - Part 1:
Detail the basis for giving the
certificate and the extent to which        Permanent, Imposed and Other Actions, - Part 2-2011: Wind Actions
tests, specifications, rules,              AS2870.1-2011 Residential Slabs and Footings - Construction
standards, codes of practice and other
publications, were relied upon.            AS3600-2009 Concrete Structures
                                           AS3700-2007 Masonry Structures
                                           AS4678-2002 Earth Retaining Structures




4. Reference documentation                 Neil McKenzie & Associates Pty Ltd Drawings Q17—304-01, -02, -03
Clearly identify any relevant
documentation, e.g. numbered
structural engineering plans.




LOCAL GOVERNMENT USE ONLY
 Date received                                                           Reference Number/s
Full text of the other 1 page

Page 2

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             James Neil McKenzie{B.E.(Civil),M.I.E Aust}
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,        Neil McKenzie & Associates Pty. Ltd.                 Neil McKenzie
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) 3862 1886                   0411 746 878                     (07) 3862 1397
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       14/699A Sandgate Road
to be able to give the help, the certifier
must assess the individual as having          Clayfield                                                         Postcode 4011
appropriate experience, qualifications
or skills to be able to give the help.       Licence class                                    Licence number
                                              R.P.E.Q                                           2097
If the chief executive issues any
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                                   Digitally signed by
individual assessed by the building
certifier as competent.                                                  James Neil McKenzie                       August 30, 2017
                                                                         Date: 2017.08.30
                                                                         14:35:30 +10'00'




The Building Act 1975 is administered by the Department of Housing and Public Works

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