09/1654 - Preliminary Building Works Assessable Against the Planning Scheme [As Published] · 172009.1654

Form 15 continued

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

Barlow Gregg VOM Drawings BM090768/01.01B to 01.11A

 

 

5. Building certifier reference number

Building certifier reference number

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

6. Competent person details Name (in full)
A compeient person for building work, means a Noel Ward
person who is assessed by the building certifier | oe! War |
for the work as competent to practise in an 5 i
aspect of the building and specication design, Company name (if applicable) Contact person
of the building work because of the individual's | VDM Consulting |
skill, experience and qualifications in the -
aspoet The competent person must also be Phone no. business hours Mobile no. Fax no.
registered or licensed under a law applying in | (07) 5444 0400 | | | (07) 5444 0536
the State to practice the aspect. Email add
ess
If no relevant law requires the individual to be nail add
licensed or registered to be able to give the |
help, the certifier must assess the individual as
having appropriate experience, qualifications or Postal address
skills to be able to give the help. PO Box 200
>

If the chief executive issues any guidelines for MOOLOOLABA QLD Postcode 4557
assessing a competent person, the building
certiier must use the guidelines when Licence or registration number (if applicable)
assessing the person.

[ RPEQ 3850
7, Signature of competent person Date

This certificate must be signed by the individual
assessed by the building certifier as competent.

 

Signature

 

“ it i
L fil GOA

i} SF

 

 

 

 

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

Queensland Government

Department of Infrastructure and Planning