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Appendix D - RPEQ Form 15 - Engineering Design Certificate · EXE23/0035

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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 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.
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     24 Attunga Heights

                                                                     Suburb/locality   Noosa Heads

 State              QLD                                              Postcode          4567

 Lot and plan details (attach list if necessary)

 Lot 15 RP89506

 Local government area the land is situated in

 Noosa Council


2. Description of aspect/s certified
Clearly describe the extent of work covered by this certificate, eg. all structural aspects of the steel roof beams.

 Residential Structure
 Reinforced concrete footings supporting SHS posts, masonry reinforcement to existing walls. Steel Floor and Roof beams,
 Timber deck framing, and tiedowns.
 (Existing Rafters, glazing, new sheet roofing not included)



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.


 Structural engineering design principals and industry best practice.
 AS1170.0 STRUCTURAL DESIGN ACTIONS – GENERAL PRINCIPLES – 2002
 AS1170.1 STRUCTURAL DESIGN ACTIONS – PERMANENT, IMPOSED AND OTHER ACTIONS – 2002
 AS1170.2 STRUCTURAL DESIGN ACTIONS – WIND ACTIONS – 2011
 AS2870 RESIDENTIAL SLABS AND FOOTINGS - 2011
 AS3600 CONCRETE STRUCTURES – 2018
 AS3700 MASONRY STRUCTURES - 2018
 AS4100 STEEL STRUCTURES – 2020
 AS1684.2 2010 RESIDENTIAL TIMBER FRAMED CONSTRUCTION




Building Regulation 2021 • Section 73 and 77 • Form 15 • Version 1 • September 2021                                         Page 1 of 4
Full text of the other 3 pages

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4. Reference documentation
Clearly identify any relevant documentation, e.g. numbered structural engineering plans.

                         Covey Engineer Structural Documentation – Drg 223315 – issue 1
                    223315-S0.01                   Project Notes Sheet 1
                    223315-S0.02                        Project Notes Sheet 2
                    223315-S1.01                        Foundation and Framing Plan
                    223315-S1.02                        Foundation and Framing Details
                    223315-S2.01                        Upper Floor Framing Plan
                    223315-S2.02                        Upper Floor Framing Details
                    223315-S3.01                        Roof Framing Plan
                    223315-S3.02                        Roof Framing Details




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 a person must be assessed as a competent for the type of work (design-specification)
by the relevant building certifier.

 Name (in full)                         Mark Cumming

 Company name (if applicable)           Covey Associates Pty Ltd

 Contact person

 Business phone number                  (07) 5443 7777                                Mobile

 Email address                          [email protected]

 Postal address                         PO Box 16




Building Regulation 2021 • Section 73 and 77 • Form 15 • Version 1 • September 2021                                 Page 2 of 4

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                                                                             Suburb/locality    Maroochydore

 State                                  QLD                                  Postcode           4558

 Licence class or registration
 type (if applicable)

 Licence or registration number
                                        Registered Professional Engineer of Queensland – RPEQ 5805
 (if applicable)




9. 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.

 Signature                                                                                      Date    7/02/2023


LOCAL GOVERNMENT USE ONLY

 Date received                      Click or tap to enter a date.     Reference number/s




                                                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? (sections 10 of the Building Act 1975 (Building Act) and 73 of Building Regulation 2021
(BR 2021))

A building certifier can accept from a competent person (design – specifications) 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.

For a competent person to meet the regulation requirements (section 77 of the BR 2021) they must substantially complete all
sections of this form, including information, such as the design of a particular material, system, method of building or that a
building element complies with the Building Code of Australia or a provision of the Queensland Development Code. It is also
important that the details of the relevant reference documents are included, for example, the applicable Australian Standards or
other technical provisions that may be applicable to the subject work.

What is the purpose of this form? (section 10 of the Building Act 1975)

The information in this form informs the building certifier’s decision making when they are assessing a building development
application and issuing the building development approval for the building work the subject of the certificate (form).

When is this form not required?

The assessment of some building applications will be entirely within the expertise of the relevant building certifier and therefore
they may not seek the help of a competent person. In these instances, this form is not required.

Is a manufacturer or supplier required under the BR 2021 to complete and sign this Form 15, if requested?

No. A manufacturer or supplier of building materials is not required to complete and give this form or any aspect and inspection
certificates if requested by a construction contractor, builder, appointed competent person, or a building certifier.

However, a manufacturer or supplier may give the construction contractor, builder, competent person or the building certifier
evidence of suitability such as a manufacturers statement for an aspect or material that it is compliant with the relevant
reference documents in the BCA i.e. the applicable Australian Standard/s.




Building Regulation 2021 • Section 73 and 77 • Form 15 • Version 1 • September 2021                                        Page 3 of 4

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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 also available in a Microsoft Word version, that you can download and edit 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.

Appointed competent person (design or 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 inspection 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. The building certifier can
also decide an individual is a competent person (design-specification) and a competent person (inspection) at the same time or
for the same systems or components of the work.

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 1 • September 2021                                           Page 4 of 4

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