7882 - Form 15 - 19 The Peninsula_211113 · MCU22/0017

Page 2

 

4, Reference documentation Black & More structural engineering drawings 7882-S001 to S007 (Rev C1)

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

 

 

5. Building certifier reference Building certifier reference number
number and building development
application number senna e een n nee cee e nnn e eee e anne ence ene n eee ee een n nena sean nnn e seen anne nee eeenn nn nesseneennnseeceennneeseenenes

 

 

6.Appointed competent person Name (in full)
details Szymon Sobczyk

Under Part 6 of the Building Company name (if applicable) Contact person

Regulation a person must be
assessed as a competent forthe type | Black & More Szymon Sobezyk
of work (design-specification) by the

7 Business phone number Mobile number
relevant building certifier.

5447 4444

Email address
[email protected]

Postal address

406/90 Goodchap Street

 

 

 

7. Signature of appointed competent | Signature Date
person pages Geb

This certificate must be signed by the | -:+:es:sssessesee lene eeeeeeeee etter eee teeereseeetsesteeeeeseesttn En ET cere ieeeseecresrenees :
individual assessed and appointed by
the building certifier as competent to
give design-specification help.

 

 

LOCAL GOVERNMENT USE ONLY

 

Date received Reference number/s

 

 

 

 

 

 

Building Regulation 2021 © Section 73 and 77 ¢ Form 15 ¢ Version 1 * September 2021 Page 2 of 3

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Appendix — explanatory information

IMPORTANT NOTE: it is an offence for a competent person to give a building certifier a document, including this form, that the person
knows or reasonably suspects, is false or misleading.

Who can complete this certificate? (sections 10 of the Building Act 1975 (Building Act) and 73 of Building Regulation 2021 (BR 2021))

A building certifier can accept from a competent person (design — specifications) a certificate stating that the competent person has
assessed the building design or specification for the aspect of building work, and it will, if installed or carried out under the certificate,
comply with the building assessment provisions, including any relevant standards and codes.

Schedule 10 of the BR 2021 defines building design or specification as any material, system, method of building or other thing related to
the design of or specifications for building work.

For a competent person to meet the regulation requirements (section 77 of the BR 2021) they must substantially complete all sections
of this form, including information, such as the design of a particular material, system, method of building or that a building element
complies with the Building Code of Australia or a provision of the Queensland Development Code. It is also important that the details of
the relevant reference documents are included, for example, the applicable Australian Standards or other technical provisions that may
be applicable to the subject work.

What is the purpose of this form? (section 10 of the Building Act 1975)
The information in this form informs the building certifier’s decision making when they are assessing a building development
application and issuing the building development approval for the building work the subject of the certificate (form).

When is this form not required?
The assessment of some building applications will be entirely within the expertise of the relevant building certifier and therefore they
may not seek the help of a competent person. In these instances, this form is not required.

Is a manufacturer or supplier required under the BR 2021 to complete and sign this Form 15, if requested?

No. A manufacturer or supplier of building materials is not required to complete and give this form or any aspect and inspection
certificates if requested by a construction contractor, builder, appointed competent person, or a building certifier.

However, a manufacturer or supplier may give the construction contractor, builder, competent person or the building certifier evidence
of suitability such as a manufacturers statement for an aspect or material that it is compliant with the relevant reference documents in
the BCA i.e. the applicable Australian Standard/s.

What if there is not enough space for all the supporting material/documents?
Items 2, 3 and 4 requires the competent person to clearly identify the extent of the assessment that was undertaken for aspect/s of work
identified in this form.

For instance, there is provision for material such as specifications, standards, codes or other relevant publications to be referenced in
the form. However, if the space in the form is not sufficient to accommodate all of this material, you can create and refer to additional
material in an addendum or attachment to the form.

The form is also available in a Microsoft Word version, that you can download and edit to include additional material in the relevant
parts of the form. Note that editing the form in the Microsoft Word version may cause the relevant boxes to expand and increase the
length of the document. This is acceptable and does not change the approved form, provided the section text (description on the left-
hand side of the page) is not altered.

Appointed competent person (design or specification) — (sections 34 and 36 of the BR 2021)

A building certifier must assess and decide to appoint an individual as a competent person before they can, as a competent person,
give design-specification help. The building certifier is required to keep detailed records about what was considered when appointing a
competent person.

A building certifier must be satisfied that an individual is competent to give the type of inspection help having regard to the individual’s
experience, qualifications and skills and if required by law to hold a licence or registration, that the individual is appropriately registered
or licensed.

An individual is appointed as competent to give design-specification help on or from a particular day. The building certifier can also
decide an individual is a competent person (design-specification) and a competent person (inspection) at the same time or for the same
systems or components of the work.

For further information about assessment of someone as a competent person refer to the Guideline for the assessment of competent persons.

PRIVACY NOTICE

The Department of Energy and Public Works is collecting personal information as required under the Building Act 1975. This information
may be stored by the Department, and will be used for administration, compliance, statistical research and evaluation of building laws.
Your personal information will be disclosed to other government agencies, local government authorities and third parties for purposes
relating to administering and monitoring compliance with the Building Act 1975. Personal information will otherwise only be disclosed to
third parties with your consent or unless authorised or required by law.

Building Regulation 2021 © Section 73 and 77 ¢ Form 15 ¢ Version 1 * September 2021 Page 3 of 3