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

 5. Basis of certification                      National Construction Code, Volume 1.
                                                Guidelines for inspection of class 2 to 9 buildings and structures.
   Detail the basis for giving the
                                                Coastline Building Certification Group Development Permit for Building Works –
   certificate and the extent to which
                                                QB1910553
   tests, specifications, rules, standards,
                                                Form 15 and 16’s as applicable
   codes of practice and other
                                                Council approvals as applicable
   publications were relied upon by the
                                                Visual inspection carried out by Andrew Duggan on 20/09/2021
   inspecting person.



 7. Building certifier reference number          Building development approval number               Building certifier reference number
    and building development approval
                                                PC21/0093                                           QB1910553
    number

 8. Building certifier or appointed            Name (in full)
   competent person
                                                Andrew Duggan
   Under Part 6 of the Building
   Regulation a person must be                 Company name (if applicable)                          Contact person
   assessed, by the relevant building
   certifier as competent to give               Coastline Building Certification Group Pty           Andrew Duggan
   inspection help for the stage work.          Ltd (QLD)

                                               Business phone number                                 Mobile number
                                                (07) 5527 4777                                       0421 087 866

                                               Email address
                                                [email protected]

                                               Postal address
                                                PO Box 2676
                                                Nerang BC                                     State QLD                 Postcode 4211


                                               Licence class or registration type (if applicable)
                                               Building Certifier


                                               Licence or registration number (if applicable)
                                                A710189

 9. Signature of building certifier or         Signature                                                         Date
   appointed competent person
   Note: a building certifier must sign                                                                           26/11/2021
   this form for temporary swimming
   pool fencing under section 4 of
   Schedule 1 of the QDC MP 3.4.
LOCAL GOVERNMENT USE ONLY

 Date received                                                             Reference number/s




Building Regulation 2021 • Section 53 • Form 16 • Version 1 • September 2021                                                          Page 2 of 2