4. Reference documentation

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

EBIS SITE CLASSIFICATION & FOOTING/SLAB DESIGN REPORT 220221-SI/FD
DRAWINGS BY EBIS NOS: A3-220221-FD1 TO FD4

DRAWINGS BY EBIS NOS; A3-220221-S1 TO $3

DRAWINGS BY EBIS NOS: A3-220221-1 TO 6

 

 

5. Building certifier reference
number and building development
application number

Building certifier reference number

 

Building development application number (if available)

 

 

 

 

6.Appointed competent person
details

Under Part 6 of the Building
Regulation a person must be
assessed as a competent for the type
of work (design-specification) by the
relevant building certifier.

Name (in full)
DONALD ROBERT STANFIELD

Company name (if applicable)
ENGINEERING & BUILDING INVESTIGATION SE

Contact person
DON STANF

 

 

Business phone number
(07) 5436 9199

Email address
[email protected]

Mobile number

 

Postal address
PO Box 973

BUDDINA

 

Licence class or registration type (if applicable)

Licence or registration number (if applicable)

RPEQ 4177

 

 

7. Signature of appointed competent
person

This certificate must be signed by the

individual assessed and appointed by
the building certifier as competent to

give design-specification help.

 

Signature Date

  

 

LOCAL GOVERNMENT USE ONLY

 

Date received

 

 

Reference number/s

 

 

 

Building Regulation 2021 © Section 73 and 77 © Form 15 ® Version 1* September 2021

 

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