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Hutchison-Mckenzie-05093_ENG CERT
Form 15 Compliance certificate for building design or specification
This form is the approved form that must be used in accordance with section 10 of the Building Act 1975 and sections 73 and 77
of the Building Regulation 2021 (Design-specification certificate) stating that an aspect of building work or specification will, if
installed or carried out as 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
This section need only be completed if details of street address and property description are applicable.
E.g. in the case of (standard/generic) pool design/shell manufacture and/or patio and carport systems this section may not be
applicable.
Where applicable, 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.
Street address Lot 2 (40) The Ancorage
Suburb/locality Noosaville
State QLD Postcode 4566
Lot and plan details (attach list if necessary)
Local government area the land is situated in
Noosa Shire Council
2. Description of aspect/s certified
Clearly describe the extent of work covered by this certificate, e.g. all structural aspects of the steel roof beams.
The extent of work covered by this certificate is the structural elements detailed on the referenced documentation, including:
• Decking system including piles
3. Basis of certification
Detail the basis for giving the certificate and the extent to which tests, specifications, rules, standards, codes of practice and
other publications were relied upon.
The structural elements have been designed in accordance with the National Construction Code (NCC), and
relevant Australian Standards as below:
• AS/NZS1170.0-2002, 1170.1-2002, 1170.2-2021 Structural Design Actions
• AS 2159:2009 Piling – design and installation
• AS3600-2018 Concrete Structures
• AS3962-2020 Marina design
• AS4997-2005 Guidelines for the design of maritime structures
• AS/NZS1664.1 Aluminium Structures
Building Regulation 2021 • Section 73 and 77 • Form 15 • Version 2 • March 2023 Page 1 of 5
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Projex Partners Pty Ltd Project Number – 502-036.069
4. Reference documentation
Clearly identify any relevant documentation, e.g. numbered structural engineering plans.
Projex Partners Job number: 502-036.069
Projex partners approved Marine Structures drawings: MS-05093- 01, 02- Rev C, 03, 04, 06 –Rev B, 05 – Rev A
5. Building certifier reference number and building development approval number
Building development
Building certifier reference
application number (if
number
available)
6. Appointed competent person details
Under Part 6 of the Building Regulation 2021 a person must be assessed as a competent for the type of work (design-
specification) by the relevant building certifier.
Name (in full) Lavan Sundararajah
Company name (if applicable) Projex Partners Pty Ltd
Contact person Lavan Sundararajah
Business phone number 07 5451 1416 Mobile
Email address [email protected]
Postal address Level 3, 135 Horton Parade
Suburb/locality Maroochydore
State QLD Postcode 4558
Licence class or registration
RPEQ
type (if applicable)
Licence or registration number
31746
(if applicable)
7. Signature of appointed competent person
This certificate must be signed by the individual assessed and appointed by the building certifier as competent to give design-
specification help.
Digitally signed by Lavan Sundararajah
Signature Date: 2025.05.29 14:31:17+10'00' Date 29/05/2025
LOCAL GOVERNMENT USE ONLY
Date received Click or tap to enter a date. Reference number/s
Building Regulation 2021 • Section 73 and 77 • Form 15 • Version 2 • March 2023 Page 2 of 5
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Projex Partners Pty Ltd Project Number – 502-036.069
Appendix – explanatory information
IMPORTANT NOTE: It is an offence for a competent person to give a building certifier a document, including this form, that the
person knows or reasonably suspects, is false or misleading.
Who can complete this certificate? (section 10 of the Building Act 1975 (Building Act) and 73 and 77 of the Building
Regulation 2021 (BR 2021).
A building certifier can accept from a competent person (design-specification) a certificate stating that the competent person has
assessed the building design or specification for the aspect of building work, and it will, if installed or carried out under the
certificate, comply with the building assessment provisions, including any relevant standards and codes.
Schedule 10 of the BR 2021 defines building design or specification as any material, system, method of building or other thing
related to the design of or specifications for building work.
When completing the certificate, a competent person is required under section 77 of the BR 2021 to include the basis for giving
the certificate and state the extent to which the competent person has relied on tests, specifications, rules, standards, codes of
practice or other publications.
What is the purpose of this form? (section 10 of the Building Act and sections 73 and 77 of the BR2 2021)
The information in this form informs the building certifier’s decision making when they are assessing a building development
application, issuing the building development approval for the building work the subject of the certificate (form) and when
amending the building development approval due to the receipt of updated aspect information such as glazing or truss
specifications or revised excavation drawings.
Can a manufacturer or supplier give this Form 15?
A building certifier can accept this form from a manufacturer or supplier who the certifier has decided is a competent person
(design-specification).
A manufacturer or supplier of building materials can give this form if they have undertaken the design component for the
product. For example a window manufacturer who designs, constructs and supplies the windows to industry could give this
form.
Competent person (section 10 of the Building Act 1975 and Part 6 of the BR 2021)
A building certifier must assess and decide to appoint an individual as a competent person before they can accept design-
specification help.
When deciding whether a person can be a competent person, the building certifier must assess the person having regard to
their experience, qualifications and skills and ensure the person holds a licence or registration if required.
The building certifier is required to keep detailed records about what was considered when appointing a competent person.
For further information about assessment of someone as a competent person refer to the Guideline for the assessment of
competent persons.
What is required if a manufacturer or supplier did not do the design work for the product?
A manufacturer or supplier who is not part of the design process may give the construction contractor, builder, competent
person or the building certifier evidence of suitability such as a product technical statement under Part A5 of the Building Code
of Australia (BCA), for an aspect or material stating that it is compliant with the relevant reference documents in the BCA i.e. the
applicable Australian Standard/s.
What if there is not enough space for all the supporting material/documents?
Items 2, 3 and 4 requires the competent person to clearly identify the extent of the assessment that was undertaken for aspect/s
of work identified in this form.
For instance, there is provision for material such as specifications, standards, codes or other relevant publications to be
referenced in the form. However, if the space in the form is not sufficient to accommodate all of this material, you can create and
refer to additional material in an addendum or attachment to the form.
The form is the Microsoft Word version, that you can download and edited to include additional material in the relevant parts of
the form. Note: that editing the form in the Microsoft Word version may cause the relevant boxes to expand and increase the
length of the document. This is acceptable and does not change the approved form, provided the section text (description on the
left-hand side of the page) is not altered.
Building Regulation 2021 • Section 73 and 77 • Form 15 • Version 2 • March 2023 Page 3 of 5
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Projex Partners Pty Ltd Project Number – 502-036.069 Appointed competent person (design-specification) – (sections 34 and 36 of the BR 2021) A building certifier must assess and decide to appoint an individual as a competent person before they can, as a competent person, give design-specification help. The building certifier is required to keep detailed records about what was considered when appointing a competent person. A building certifier must be satisfied that an individual is competent to give the type of help having regard to the individual’s experience, qualifications and skills and if required by law to hold a licence or registration, that the individual is appropriately registered or licensed. An individual is appointed as competent to give design-specification help on or from a particular day. For further information about assessment of someone as a competent person refer to the Guideline for the assessment of competent persons. PRIVACY NOTICE The Department of Energy and Public Works is collecting personal information as required under the Building Act 1975. This information may be stored by the Department, and will be used for administration, compliance, statistical research and evaluation of building laws. Your personal information will be disclosed to other government agencies, local government authorities and third parties for purposes relating to administering and monitoring compliance with the Building Act 1975. Personal information will otherwise only be disclosed to third parties with your consent or unless authorised or required by law. Building Regulation 2021 • Section 73 and 77 • Form 15 • Version 2 • March 2023 Page 4 of 5
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Projex Partners Pty Ltd Project Number – 502-036.069
SAFETY IN DESIGN
This list is intended to highlight non-standard residual risks specific to this project.
It has been assumed that:
• the works will be undertaken by experienced, trained staff familiar with similar projects and work
• specific risk assessments will be undertaken by construction and maintenance personnel prior to commencing
works
Items to consider (tick if applicable)
☐ Collapse of deep excavation
☐ Work within confined spaces
☒ Formwork/falsework risks
☒ Temporary stability during erection
☐ Pinch or crush injury
☐ Falls from heights
☐ Release of stored energy (post-tensioning or high pressure)
☐ Unusual risk during demolition
☐ Additional competencies required If yes, please specify:
Building Regulation 2021 • Section 73 and 77 • Form 15 • Version 2 • March 2023 Page 5 of 5