QB1910553 - STG 1 19 Ind Units - Lot 13 (#64) - QB1910553 - MISC - Form 11 Final & Supporting Certificates - 26.11.2021 KW

 

4. Description of component/s
certified

Clearly describe the extent of work
covered by this certificate, e.g. all
structural aspects of the steel roof
beams,

INSTALLATION OF
19 x POWDER FIRE EXTINGUISHERS

 

 

5. Basis of certification

Deiail the basis for giving the
certificate and the extent to which
tests, specifications, rules, standards,
codes of practice and other
publications, were relied upon.

 

INSTALLATION TO AUSTRALIAN STANDARD 2444-200 1

 

BUILDING ACT 1975 INCLUSIVE OF THE NATIONAL CONSTRUCTION CODE

 

2016 VOL | PARTEI.6

 

 

 

 

 

 

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

AS PER APPROVED PLANS

 

 

7. Building certifier reference

Building certifier reference number

Development approval number

 

 

 

details

 

mb: id development
aoa ne [08 1910553 [ 132007.738.04 |
8. Building certifier, competent Name (in full)
i
eet pet Sere Ciicentos [ JEFFREY WAYNE HALLIDAY |

A competent person must be
assessed as competent before
carrying out the inspection.

The builder for the work cannot give a
stage certificate of inspection.

A competent person is assessed by
the building certifier for the work as
competent to practice in an aspect of
the building and specification design,
because of the individual's skill,
experience and qualifications, The
competent person must be registered
or licensed under a law applying in the
State to practice the aspect.

If no relevant law requires the
individual to be licensed or registered,
the certifier must assess the individual
as having appropriate experience,
qualifications or skills to be able to give’
the help.

if the chief executive issues any
guidelines for assessing a competent
person, the building certifier must use
the guidelines when assessing the
person.

 

Company name if applicable

Contact person

 

R & A MAYNE PTY LTD T/A NORTH COAST
FIRE PROTECTION

 

[ (07) 5485 3385

[ infoen th

JEFFREY WAYNE HALLIDAY

 

 

 

 

Phone no. (business hours) Mobile no.
[ 0439954077
Email address

1coastfireprotection.com.au

 

 

Fax no.

_| [ya |

 

Postal address

 

18/5 TAYLOR COURT

 

COOROY

Postcode 4563

 

Licence class

Licence number

 

FIRE PROTECTION — PORTABLES
STREAM OCCUPATIONAL — CERTIFY
& FIRE PROTECTION - PORTABLES
STREAM OCCUPATIONAL = INSTALL
AND MAINTAIN (FIRE
OCCUPATIONAL LICENCE GRADE}

 

OBCC 15015951

 

 

Date approval to inspect received from building certifier

 

 

 

9. Signature of building certifier,
competent person or QBCC
licensee

Note: A building certifier must sign this

form for temporary swimming pool

fencing under section 4 of Schedule 1

of QDC MP 3.4.

Signature

Date

 

 

J#

15/10/2021

 

 

 

 

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