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Final Certificate 112006.1518.1
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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