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Final Certificate 112006.1518.1

of 15

Text shows just the words. Original shows the document exactly as it was published.

                       Fort 16 continued
 J. U0313   VI b61U11IAUUr1

 Detail the basis for giving the ceftale and the
 extent to which tests, specifications, rules.
                                                                     S-              `1 (, t^ ^^QQ

 standards, codes of practice and other
 publications, were relied upon.




 6. R e ference d ocumentat i on
 Clearly identify any relevant documentation,
 e.g. numbered structural engineering plans.




7. Budding certifier reference rnrrriber            Buildin certifier reference number                      Development approval number
   and development approval number


8. Building Certifier or competent                  Name (in hi
   person details
A competent person must be assessed as
competent before carrying out the inspection.       Company name Ya licable                                     Contact person
The builder for the work cannot give a stage
cenifi^te of nsceCion.                               NDce(z _ L             I cjr t/7            t    ^                z v-lR ^` ^^C G-C
A competent person is assessed by the               Phone no. business /At7Y1/s          Mobile no.                               Fax no.
bulling certifier for the work as competent to                                            &                           ,           61,            (^ O
practice in an aspect of the building and
specification design, because of the individual's   Email address
skill, experience and qualifications. The
competent person must be registered or
licensed under a law applying in the State to       Postal address
practice the aspect.
If no relevant law requires the individual to be                           ©      Pk-YeA--6                                ts'-                            ---
licensed or registered, the certifier must assess                                                                                  Postcode       res7 'T
the individual as havin g app ro priate
experience, qualifications or skills k be able to   Licence class                                          Licence number
give the eelp,                                            ^                                                                             /
If the chief executive issues any guidelines for                                                                              qo
                                                                                                                              s^
assessing a competent person, the building          Date approval to inspect received from building certifier
certifier must use the guideSnes when
assessirg the person.

9. Signature of building certifier,                       Inspection Certificate for stage or aspect
                                                    q
   competent person or QBSA licensee


                                                         QBSA Licensee Aspect Certificate
                                                    q


                                                    q A person who                der s43 give a QBSA licensee certificate for the aspect if it complies with the
                                                         requirement for If a          sable building work under the Building Regulation 2006s44.


                                                    Signat                                                                Date




      The Building Act 1975 is administered by the                                                           A Queensland Government
      Department of Infrastructure and Planning
                                                                                                                          Department of ►nbasrrectrre and vt,od,K

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