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Attached to the e-mail MCU15/0058 Application forms.
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IDAS form 1—Application details
(Sustainable Planning Act 2009 version 4.1 effective 4 July 2014)
This form must be used for ALL development applications.
You MUST complete ALL questions that are stated to be a mandatory requirement unless otherwise identified on this
form.
For all development applications, you must:
* complete this form (/DAS form 1—Application details)
e complete any other forms relevant to your application
. provide any mandatory supporting information identified on the forms as being required to accompany your
application.
Attach extra pages if there is insufficient space on this form.
All terms used on this form have the meaning given in the Sustainable Planning Act 2009 (SPA) or the Sustainable
Planning Regulation 2009.
This form and any other IDAS form relevant to your application must be used for development applications relating to
strategic port land and Brisbane core port land under the Transport Infrastructure Act 1994 and airport land under the
Airport Assets (Restructuring and Disposal) Act 2008. Whenever a planning scheme is mentioned, take it to mean land
use plan for the strategic port land, Brisbane core port land or airport land.
PLEASE NOTE: This form is not required to accompany requests for compliance assessment.
This form can also be completed online using MyDAS at www.dsdip.qid.gov.au/MyDAS
Mandatory requirements
Applicant details (Note: the applicant is the person responsible for making the application and need not be the owner
of the land. The applicant is responsible for ensuring the information provided on all IDAS application forms is correct.
Any development permit or preliminary approval that may be issued as a consequence of this application will be issued
to the applicant.)
Name?/s (individual or company name in full) Men’s Shed Pomona
(Auspiced by Pomona & District Community HGouse Inc.)
Contact : Brian Lawson
For companies, contact name
Postal address + Memorial Ave
Suburb Pomona
State Qld Postcode 4568
Country Australia
IDAS form 1—Application details
Version 4.1-—4 July 2014
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Page 2
Contact phone number 07 54852865
Fax number (non-mandatory requirement)
Email address (non-mandatory requirement)
Mobile number (non-mandatory requirement) 0400456849
Applicant's reference number (non-mandatory
requirement)
What is the nature of the development proposed and what type of approval is being sought?
Table A—Aspect 1 of the application (if there are additional aspects to the application please list in Table B—Aspect 2.)
a) Whatis the nature of the development? (Please only tick one box.)
Material change of use Cl Reconfiguring a lot Cl Building work Ol Operational work
b) Whatis the approval type? (Please only tick one box.)
Cl Preliminary approval | Preliminary approval Cl Development permit
under $241 of SPA under s241 and s242
of SPA
c) Provide a brief description of the proposal, including use definition and number of buildings or structures where
applicable (e.g. six unit apartment building defined as a multi-unit dwelling, 30 lot residential subdivision etc.)
Extension to disused Qld Parks & Wildlife old store for use as a Men's Shed. The existing building is a
40.5mx8m timber framed shed and the proposed extension will be a new 42mx8m Colorbond building. A
total combined floor area of 180m2
d) Whatis the level of assessment? (Please only tick one box.)
Bd Impact assessment Cl Code assessment
Table B—Aspect 2 of the application (If there are ad
Additional aspects of the application.)
ditional aspects to the application please list in Table C—
What is the nature of development? (Please only tick one box.)
Material change of use Oo Reconfiguring a lot oO Building work C Operational work
b) Whatis the approval type? (Please only tick one box.)
oO Preliminary approval Oo Preliminary approval Development
under $241 of SPA under $241 and s242 permit
of SPA
c) Provide a brief description of the proposal, including use definition and number of buildings or structures where
applicable (e.g. six unit apartment building defined as a multi-unit dwelling, 30 lot residential subdivision etc.)
Extension to disused Qld Parks & Wildlife old store for use as a Men’s Shed. The existing building is a
40.5mx8m timber framed shed and the proposed extension will be a new 42mx8m Colorbond building. A
total combined floor area of 180m2
Whatis the level of assessment?
IDAS form 1-Application details
Version 4.1—4 July 2014
Page 3
Oo Impact assessment O Code assessment
Table C—Additional aspects of the application (If there are additional aspects to the application please list in a
separate table on an extra page and attach to this form.)
| Refer attached schedule C] Not required
2. Location of the premises (Complete Table D and/or Table E as applicable. Identify each lot in a separate row.)
Table D—Street address and lot on plan for the premises or street address and lot on plan for the land adjoining or
adjacent to the premises (Note: this table is to be used for applications involving taking or interfering with water).
(Attach a separate schedule if there is insufficient space in this table.)
| Street address and lot on plan {All lots must be listed.)
| Street address and lot on plan for the land adjoining or adjacent to the premises (Appropriate for
development in water but adjoining or adjacent to land, e.g. jetty, pontoon. All lots must be listed.)
Street address Lot on plan Local government area
description (e.g. Logan, Cairns)
Lot Unit Street Street name and official Post- Lot no. Plan type
no. no. —_—|_ suburb/ locality name code and plan no.
i) School St, Pomona 4568 41 AP19201 Noosa
if)
iti)
Planning scheme details (If the premises involves multiple zones, clearly identify the relevant zone/s for each lot in a
separate row in the below table. Non-mandatory)
Lot Applicable zone / precinct Applicable local plan / precinct Applicable overlay/s
i)
ii)
ili)
Table E—Premises coordinates (Appropriate for development in remote areas, over part of a lot or in water not
adjoining or adjacent to land e.g. channel dredging in Moreton Bay.) (Attach a separate schedule if there is insufficient
space in this table.)
Coordinates Zone Datum Local government
(Note: place each set of coordinates in a separate row) reference area (if applicable)
Easting Northing Latitude Longitude
-26.368062 152.853428 [} Gpag4 | Noosa
[|] wese4
C] other
3. Total area of the premises on.which the development is. proposed (indicate square metres)
180m2
4. Current use/s of the premises (e.g. vacant land, house, apartment building; cane'farm etc.)
Previously disused store for Qld Parks & Wildlife leased to Men’s Shed Pomona, a not-for-profit organisation, for use
for Men’s Shed activities.
IDAS form 1-—-Application details
Version 4.1—4 July 2014
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5. Are there any current approvals (e.g. a preliminary approval) associated with this application? (Non- mandatory requirement) [_] No [_] Yes—provide details below List of approval reference/s Date approved (dd/mm/yy) Date approval lapses (dd/mm/yy) 6. Is owner’s consent required for this application? (Refer to notes at the end of this form for more information.) No CL] Yes—complete either Table F, Table G or Table H as applicable Table F Name of owner/s of the land IWe, the above-mentioned owner/s of the land, consent to the making of this application. Signature of owner/s of the land Date Table G Name of owner/s of the land The owner's written consent is attached or will be provided separately to the assessment manager. Table H Name of owner/s of the land By making this application, |, the applicant, declare that the owner has given written consent to the making of the application. 7. Identify if any of the following apply to the premises (Tick applicable box/es.) Adjacent to a water body, watercourse or aquifer (e.g. creek, river, lake, canal)}—complete Table | On strategic port land under the Transport Infrastructure Act 1994—complete Table J On Brisbane core port land under the Transport Infrastructure Act 1994 (No table requires completion.) On airport land under the Airport Assets (Restructuring and Disposal) Act 2008 (no table requires completion) a O ‘ CI In a tidal water area—complete Table K = O O Listed on either the Contaminated Land Register (CLR) or the Environmental Management Register (EMR) under the Environmental Protection Act 1994 (no table requires completion) Table | Name of water body, watercourse or aquifer IDAS form 1—Application details Version 4.1—4 July 2014
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Table J Lot on plan description for strategic port land Port authority for the Jot Table K Name of local government for the tidal area (if applicable) Port authority for the tidal area (if applicable) 8. Are there any existing easements on the premises? (e.g. for vehicular access, electricity, overland flow, water etc) No L] Yes—ensure the type, location and dimension of each easement is included in the plans submitted Does the proposal include new building work or operational work on the premises? (Including any services) O No Yes—ensure the nature, location and dimension of proposed works are included in plans submitted 10... Is the payment of a portable long service leave levy applicable to this application? (Refer to notes at the end of this form for more information.) ><] No—go to question 12 [] Yes 11. Has the portable long service leave levy been paid? (Refer to notes at the end. of this form for more information.) : O O No Yes—complete Table L and submit with this application the yellow local government/private certifier’s copy of the receipted QLeave form Table L Amount paid Date paid QLeave project number (6 digit number (dd/mmi/yy) _ | Starting with A, B, E, L or P) 12. Has the local government agreed to apply a superseded planning scheme to this application under section 96 of the Sustainable Planning Act 2009? O O No Yes—please provide details below Name of local government Date of written notice given | Reference number of written notice given by local government by local government (if applicable) (dd/mm/yy) IDAS form 1—Application details Version 4.1—4 July 2014
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43. List below all of the forms and supporting information that accompany this application (Include all IDAS forms, checklists, mandatory supporting information etc. that will be submitted as part of this application. Note: this question does not apply for applications made online using MyDAS) Description of attachment or title of attachment Method of lodgement to assessment manager 14. Applicant’s declaration X By making this application, | declare that all information in this application is true and correct (Note: itis unlawful to provide false or misleading information) Notes for completing this form Section 261 of the Sustainable Planning Act 2009 prescribes when an application is a properly-made application. Note, the assessment manager has discretion to accept an application as properly made despite any non- compliance with the requirement to provide mandatory supporting information under section 260(1)(c) of the Sustainable Planning Act 2009 Applicant details Where the applicant is not a natural person, ensure the applicant entity is a real legal entity. Question 1 Schedule 3 of the Sustainable Planning Regulation 2009 identifies assessable development and the type of assessment. Where schedule 3 identifies assessable development as “various aspects of development” the applicant must identify each aspect of the development on Tables A, B and C respectively and as required. Question 6 Section 263 of the Sustainable Planning Act 2009 sets out when the consent of the owner of the land is required for an application. Section 260(1)(e) of the Sustainable Planning Act 2009 provides that if the owner's consent is required under section 263, then an application must contain, or be accompanied by, the written consent of the owner, or include a declaration by the applicant that the owner has given written consent to the making of the application. If a development application relates to a state resource, the application is not required to be supported by evidence of an allocation or entitlement to a state resource. However, where the state is the owner of the subject land, the written consent of the state, as landowner, may be required. Allocation or entitlement to the state t resource is a separate process and will need to be obtained before development commences. Question 7 if the premises is listed on either the Contaminated Land Register (CLR) or the Environmental Management Register (EMR) under the Environmental Protection Act 1994 it may be necessary to seek compliance assessment. Schedule 18 of the Sustainable Planning Regulation 2009 identifies where compliance assessment is required. Question 11 The Building and Construction Industry (Portable Long Service Leave) Act 1991 prescribes when the portable long service leave levy is payable. The portable long service leave levy amount and other prescribed percentages and rates for calculating the levy are prescribed in the Building and Construction Industry (Portable Long Service Leave) Regulation 2002. IDAS form 1—Application details Version 4.1—4 July 2014
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SET Question 12 ¢ The portable long service leave levy need not be paid when the application is made, but the Building and Construction Industry (Portable Long Service Leave) Act 1991 requires the levy to be paid before a development permit is issued. ¢ Building and construction industry notification and payment forms are available from any Queensland post office or agency, on request from QLeave, or can be completed on the QLeave website at www.qleave.qid.gov.au. For further information contact QLeave on 1800 803 481 or visit www.qleave.qld.gov.au. Privacy—The information collected in this form wili be used by the Department of State Development, Infrastructure and Planning (DSDIP), assessment manager, referral agency and/or building certifier in accordance with the processing and assessment of your application. Your personal details should not be disclosed for a purpose outside of the IDAS process or the provisions about public access to planning and development information in the Sustainable Planning Act 2009, except where required by legislation (including the Right to Information Act 2009) or as required by Parliament. This information may be stored in relevant databases. The information collected will be retained as required by the Public Records Act 2002. OFFICE USE ONLY Date received Reference numbers NOTIFICATION OF ENGAGEMENT OF A PRIVATE CERTIFIER To Council. | have been engaged as the private certifier for the building work referred to in this application BSA Certification license Building Date of engagement | Name number classification/s QLEAVE NOTIFICATION AND PAYMENT (For completion by assessment manager or private certifier if applicable.) Date receipted form sighted by assessment manager Name of officer who sighted the form QLeave project Amount paid Description of the work number ) Date paid The Sustainable Planning Act 2009 is administered by the Department of State Development, Infrastructure and Planning. This form and ail other required application materials should be sent to your assessment manager and any referral agency. Department of State Development, Infrastructure and Planning PO Box 15009 City East Qld 4002 tel 13 QGOV (13 74 68) [email protected] IDAS form 1—Application details Version 4.1—4 July 2014 www.dsdip.qid.gov.au
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IDAS form 5—Material change of use assessable
against a planning scheme
{Sustainable Planning Act 2009 version 3.0 effective 1 July 2013)
This form must be used for development applications for a material change of use assessable against a planning
scheme.
You MUST complete ALL questions that are stated to be a mandatory requirement unless otherwise identified on this
form.
For all development applications, you must:
¢ complete DAS form 1—Application details
¢ complete any other forms relevant to your application
* provide any mandatory supporting information identified on the forms as being required to accompany your
application.
Attach extra pages if there is insufficient space on this form.
All terms used on this form have the meaning given in the Sustainable Planning Act 2009 (SPA) or the Sustainable
Planning Regulation 2009.
This form must also be used for material change of use on strategic port land and Brisbane core port land under the
Transport Infrastructure Act 1994 and airport land under the Airport Assets (Restructuring and Disposal) Act 2008 that
requires assessment against the land use plan for that land. Whenever a planning scheme is mentioned, take it to
mean land use plan for the strategic port land, Brisbane core port land or airport land.
This form can also be completed online using MyDAS at www.dsdip.qld.gov.au/MyDAS
Mandatory requirements
1. Describe the proposed use. (Note: this is to provide additional detail to the information provided in question 1
of IDAS form 1—Application details. Attach a separate schedule if there is insufficient space in this table.)
General explanation of the Planning scheme No. of dwelling units | Days and No. of
proposed use definition (include each (if applicable) or hours of employees
definition in a new row) gross floor area (if operation (if applicable)
(non-mandatory) applicable) (if applicable)
Not for profit use for Men’s Shed 180m2 combined 4
activities with existing plus
extension
2. Are there any current approvals associated with the proposed material change of use?
(e.g. a preliminary approval.) ’
[] No Yes—provide details below
List of approval reference/s Date approved (dd/mm/yy) Date approval lapses (dd/mm/yy)
IDAS form 5—Material change of use assessable
against a planning scheme
Version 3.0—1 July 2013
Page 10
3. Does the proposed use involve the following? (Tick all applicable boxes.) The reuse of existing buildings on the premises C] No Xx] Yes New building work on the premises [] No Yes The reuse of existing operational work on the premises L] No C] Yes New operational work on the premises [] No Yes Mandatory supporting information 4. Confirm that the following mandatory supporting information accompanies this application Mandatory supporting information Confirmation of lodgement Method of lodgement All applications Asite plan drawn to an appropriate scale (1:100, 1:200 or 1:500 are recommended scales) which shows the following: the location and site area of the land to which the application relates (relevant land) the north point the boundaries of the relevant land any road frontages of the relevant land, including the name of the road the location and use of any existing or proposed buildings or structures on the relevant land (note: where extensive demolition or new buildings are proposed, two separate plans [an existing site plan and proposed site plan] may be appropriate) any existing or proposed easements on the relevant land and their function the location and use of buildings on land adjoining the relevant land all vehicle access points and any existing or proposed car parking areas on the relevant land. Car parking spaces for persons with disabilities and any service vehicle access and parking should be clearly marked for any new building on the relevant land, the location of refuse storage the location of any proposed retaining walls on the relevant land and their height the location of any proposed landscaping on the relevant land the location of any stormwater detention on the relevant land. Confirmed A statement about how the proposed development addresses the local L] Confirmed government's planning scheme and any other planning instruments or documents relevant to the application. A statement about the intensity and scale of the proposed use (e.g. number Confirmed of visitors, number of seats, capacity of storage area etc.). Information that states: (| Confirmed the existing or proposed floor area, site cover, maximum number of storeys and maximum height above natural ground level for existing or new buildings (e.g. information regarding existing buildings but not being reused) the existing or proposed number of on-site car parking bays, type of vehicle cross-over (for non-residential uses) and vehicular servicing arrangement (for non-residential uses). LC Not applicable IDAS form 5—WMaterial change of use assessable against a planning scheme Version 3.0—1 July 2013
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SETS EUS Astatement addressing the relevant part(s) of the State Development Assessment Provisions (SDAP). CL] Confirmed L] Not applicable When the application involves the reuse of existing buildings Plans showing the size, location, existing floor area, existing site cover, existing maximum number of storeys and existing maximum height above natural ground level of the buildings to be reused. Confirmed Cl] Not applicable When the application involves new building work (including extensions) recommended scales) which show plans of all building elevations and facades, clearly labelled to identify orientation (e.g. north elevation) Floor plans drawn to an appropriate scale (1:50, 1:100 or 1:200 are Xx] Confirmed recommended scales) which show the following: the north point the intended use of each area on the floor plan (for commercial, industrial or mixed use developments only) e the room layout (for residential development only) with all rooms clearly labelled the existing and the proposed built form (for extensions only) the gross floor area of each proposed floor area. Elevations drawn to an appropriate scale (1:100, 1:200 or 1:500 are xX Confirmed Plans showing the size, location, proposed site cover, proposed maximum number of storeys, and proposed maximum height above natural ground level of the proposed new building work. Confirmed L] Not applicable When the application involves reuse of other existing work Plans showing the nature, location, number of on-site car parking bays, existing area of landscaping, existing type of vehicular cross-over (non- residential uses), and existing type of vehicular servicing arrangement (non- residential uses) of the work to be reused. O Confirmed LC Not applicable When the application involves new operational work Plans showing the nature, location, number of new on-site car parking bays, proposed area of new landscaping, proposed type of new vehicle cross-over (non-residential uses), proposed maximum new vehicular servicing arrangement (non-residential uses) of the proposed new operational work. C) Confirmed [_] Not applicable Privacy—Please refer to your assessment manager, referral agency and/or building certifier for further details on the use of information recorded in this form. OFFICE USE ONLY Date received Reference numbers The Sustainable Planning Act 2009 is administered by the Department of State Development, Infrastructure and Planning. This form and all other required application materials should be sent to your assessment manager and any referral agency. IDAS form &—Material change of use assessable against a planning scheme Version 3.0—tJuly 2013 Department of State Development, Infrastructure and Planning PO Box 15009 City East Qld 4002 fe Or Balt OO) ersmnay SERRANO eee
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PO BOX 590, ROBINA, QLD 4226. PH: 07 5578 8088 FAX: 07 5578 9429 CM! & Structure Engicneers 07 May, 2015 To whom it may concern The actual usage of the building is not able to be finalised by the engineer. This certification is done in accordance with the purchaser of the building's advice of the building's Importance Level. Any approving authority should confirm that the Importance Level nominated is appropriate for the building's usage. The structural design of the steel building (as detailed in drawing WSS151082, see index below) for Mens Shed Pomona to be built at the geographic coordinates of -26.36804 and 152.85349. The address of the site has been given as School Street POMONA QLD Australia 4568 has been carried out by me using the Multiframe Structural Engineering Analysis Program. The design has been done in accordance with the NCC:2015, AS/NZS 4600:2005, AS/NZS 1170.1:2002, AS/NZS 1170.2:2011, AS 4055:2006, AS 4100:1998, AS 2870:2011 and AS 3600:2009. Design Criteria: Max Design Wind Speed of 45 m/s. Refer to Design Information Sheet for the 8 cardinal directions breakdown. Drawing Number Date Description WSS151082 - 2 07/05/2015 General Notes WSS151082 - 3 07/05/2015 Layout WSS151082 - 4 07/05/2015 Specification Sheet WSS151082 - 5 07/05/2015 Bracing WSS151082 - 6 07/05/2015 Concrete Piers WSS151082 -7 07/05/2015 Slab Dimensions WSS151082 -8 07/05/2015 Connection Details WSS151082 - 9 07/05/2015 Flashing Fixing Details Some drawings have multiple pages, eg. "1 of 3". Signed R. J. Showers for and on behalf of SHOWERS ENGINEERING PTY LTD (ACN 075 007 144) Member Institution of Engineers (Aust.), CPEng (NPER Structural & Civil) Regn, No. 321787 Registered Professional Engineer (Structural & Civil) - Queensland: Regn. No, 1547 Registered Professionat Engineer (Structural & Civil) - Victoria; Regn. No. EC24162 Registered Building Designer & Professional Engineer (Structural & Civil) - Tasmania: Regn. No. CC4600H
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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 certificate about whether certifier (Class B) can section 46 of the Building Regulation 2006. RESTRICTION: A building certifier (class B) can only give a compliance building work complies with the BCA or a provision of the QDC. A building 4. Property descript This section need only be completed if details of street address and property Postcode description are applicable Lot & plan (attach list if necessary) EG. In the case of | (standard/generic) pool designishell 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 ora 2. Description of components Clearly describe the extent of work covered by this certificate, e.g. all structural aspects of the steel roof beams, Steel framed building and foundations as described in drawings referenced 3. Basis of certification Detail the basis for giving the certificate and the extent to which tests, specifications, tules, standards, codes of practice and LOCAL GOVERNMENT USE ONLY The Building Act 1975 is administered by the Department of Housing and Public Works Queensland Government
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4, Reference documentation Clearly identify any relevant documentation, e.g. numbered structural engineering plans. Covering letter of certification. WSS151082 - 6 WSS151082 - 7 §. Building certifier reference nu Building certifier reference number NIA 6. Competent person details A competent person for building work, means a person who Is assessed by the building Name_(in full) Robert James Showers, Director stiffer for th K Company name __(if applicable) Contact person. certs ‘et att ® ett as Showers Engineering Pty Ltd competent to prac tise in an (ACN 075007144) Robert Showers aspect of the building and specification design, of the Phone no, business hours Mobile no. Fax No. building work because of the 07 55788088 0407 147 253 07 55789429 individual's skill, experience and qualifications in the aspect. The Email address competent person must also be registered or licensed under a [email protected] Taw applying in the State to practice the aspect. Postal address PO BOX 590, Robina D.C, QLD. Ifnorelevantlawrequiresthe PUTT TTT naeweeceennowcwenneacawonaenccccusescrcsrerscsceccersercrcccmernarsreececces| individual to be licensed or Postcode 4226 registered to be able to give the help, the certifier must assess Licence or registration number (if applicable) the individual as having RPEQ 1547 appropriate experience, 7. Signature of competent perso This certificate must be signed . f by the individual assessed by Signature | Date the building certifier as C4 7-5-2015 oe The Building Act 1975 is administered by the Department of Housing and Public Works Queensland Government
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Design Information Sheet Building Details Item Design Value Building Description Portal Design Steel Frame and Steel Clad Building Job Reference # WSS151082 Site Address School Street POMONA QLD 4568 Building Classification Class 10 Effective Design Height 3.43 m Main Building Left Leanto Right Leanto Length 12m NA NA Bay Size 3 evenly spaced. NA NA Span 8m NA NA Roof Pitch 12 degrees NA NA Pressure Coefficients Item Design Value Reference Internal Pressure coefficient CPI 0, -0.3 AS/NZS 1170.2 Clause 5.3 ‘Windward Wall (External Across) } 0.7 AS/NZS 1170.2 Table 5,2 (A) Windward Rafter (External Across) | -0.76, -0.31 AS/NZS 1170.2 Table 5.3 (B) Leeward Rafter (Extemal Across) | -0.47 AS/NZS 1170.2 Table 5.3 (C) Leeward Wall (External Across) -0.3 AS/NZS 1170.2 Table 5.2 (B) Side Wall (External Along) -0.65 AS/NZS 1170.2 Table 5.2 (C) Rafters (Extermal Along) -0.9, -0.4 AS/NZS 1170.2 Table 5.3 (A) Local Pressures Applied Yes AS/NZS 1170.2 Table 5.6 Site Classification Item N | NE| E | SE| S | SW] W/ NW Wind Region B Importance level 2 Terrain Category 3 3 3 3 3 3 3 3 Shielding Multiplier (Ms) 09 109 J 1 1 1 1 0.95 | 0.9 Topographic Multiplier (Mit) 1 1 1 1 1 1 1 1 . Wind Direction Multiplier (Md) | 0.95 | 0.95 | 0.95 | 0.95 | 0.95 | 0.95 | 0.95 | 0.95 Design Wind Speed 45 ms Snowload Factor OkPa ' Seismic Factor (Z) NA \