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SCG 26159 F15.revA
Attached to the e-mail Operational Works Application OPW16/0189.
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
not give a certificate regarding QDC boundary clearance and site cover provisions.
1. Property description Street address (include no., street, suburb / locality & postcode)
This section need only be completed if T Boat Hire, Gympie Terrace
details of street address and property
description are applicable. Noosaville Postcode 4566
EG. In the case of (standard/generic)
Lot & plan details (attach list if necessary)
pool design/shell manufacture and/or
patio and carport systems this section
may not be applicable. In which local government area is the land situated?
The description must identify all land the Noosa Council
subject of the application.
The lot & plan details (eg. SP / RP) are
shown on title documents or a rates notice.
If the plan is not registered by title, provide
previous lot and plan details.
2. Description of component/s
certified Proposed jetty consisting of hardwood timber piles, bearers, joists and decking.
Clearly describe the extent of work covered by
this certificate, e.g. all structural aspects of the
steel roof beams.
Items not certified: Balustrading or Gates
3. Basis of certification
AS 1170.1 Dead and Live Loads and load Combinations
Detail the basis for giving the certificate and
the extent to which tests, specifications, rules, AS 1720 Timber Structures
standards, codes of practice and other AS 2159 Piling – Design and Installation.
publications, were relied upon.
Loading Criteria:
Jetty Live Loads: 2.0kPa
Moored Vessel (Max.) Length: 5.0m, Weight: 1500kg, Berthing Velocity: 0.5m/sec
4. Reference documentation
Clearly identify any relevant documentation,
Drawing number:- SCG Consulting Engineers – 26159-S1.A
e.g. numbered structural engineering plans.
LOCAL GOVERNMENT USE ONLY
Date received Reference Number/s
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5. Building certifier reference number Building certifier reference number
6. Competent person details Name (in full)
A competent person for building work, means a
person who is assessed by the building certifier Sean Richardson
for the work as competent to practise in an
Company name (if applicable) Contact person
aspect of the building and specification design,
of the building work because of the individual’s SCG Consulting Engineers Sean Richardson
skill, experience and qualifications in the
aspect. The competent person must also be Phone no. business hours Mobile no. Fax no.
registered or licensed under a law applying in 07 5455 5604 07 5455 5696
the State to practice the aspect.
Email address
If no relevant law requires the individual to be
licensed or registered to be able to give the [email protected]
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 1661
If the chief executive issues any guidelines for Noosa Heads Postcode 4567
assessing a competent person, the building
certifier must use the guidelines when Licence or registration number (if applicable)
assessing the person.
RPEQ 5835
7. Signature of competent person Signature Date
This certificate must be signed by the individual 12/07/2016
assessed by the building certifier as competent.