EngineeringLetter 151082 5-7-2015 7-32 AM

                                                                                                             Version 3 – March 2013

      Form 15—Compliance Certificate for building Design or Specification
NOTE                                   This is to be used for the purposes of section 10 of the Building Act 1975 and/or
                                       section 46 of the Building Regulation 2006.

                                       RESTRICTION: A building certifier (class B) can only give a compliance
                                       certificate about whether
                                       building work complies with the BCA or a provision of the QDC. A building
                                       certifier (Class B) can


1. Property descript                   Street address(include no., street, suburb / locality & postcode)
This section need only be
                                       School Street POMONA QLD Australia 4568
completed if details of street
address and property                                                                                       Postcode
description are applicable             Lot & plan        (attach list if necessary)
EG. In the case of
                                       details
(standard/generic) pool
design/shell manufacture and/or        In which local government area is the land situated?
The description must identify all
land the
subject of the application.

The lot & plan details (eg. SP / RP)
are
shown on title documents or a

2. Description of component/s
                                        Steel framed building and foundations as described in drawings referenced
certified
Clearly describe the extent of
work covered by this certificate,       Job# 151082
e.g. all structural aspects of the
steel roof beams.




3. Basis of certification
                                        As per attached letter for Brian Lawson at School Street, POMONA, QLD,
Detail the basis for giving the
certificate and the extent to           Australia, 4568 for job number 151082
which tests, specifications,
rules,
standards, codes of practice and




      LOCAL GOVERNMENT USE ONLY

         Date received                                                     Reference Number/s