Final Certificate 112006.1518.1

  J. Hari, Ut GCRtnUdnurl                                                                                                      --          --                                                      -
                                                                 I
  Detail the basis for giving the cerc"cate and the                                                                            ^N[                   ^]
  extern to which tests, specifications, ru'.es,
                                                                                                                                                                   ^7
  standards, codes of practice and otter
  publications, were relied upon.
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 6. Reference documentation                                                                                                                                 -
 Clearly identify any refevan: documentation,
 e.g numbered structural engineering pans.                               - -•---                   -        -         -             - - ----- ------- -- --                         -


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 7. Building certifier reference number                          Buildin certifier reference number                           Development approval number
    and development approval number I                                                                       -^


8. Building Certifier, competent person                          Name in fu/
   or QESA licensee details
A competent person must be assessed as
 co mpetent before carrying out the inspection.                  Compan name if applicable                                         Contact person
The uilder for the tlon . cannot give a stage                          \ to
cer tificate o f in s pect i on .                                     ^W                           -c     ^^L         _ J          L            t E- yw^

 A competent person is assessed by the                           Phone no. business hours               Mobile no.                                  Fax no.
 practice certifier for thework
                           the as competent to
 practice s an as pect of the
specification design. because of the individuals                 Email address
skill. experience and qualification. The         (               +̀
                                                                  - --                                        -           -
competent person must be registered or                                    e,1e C^--
                                                                                 1! C-.1
                                                                                                                                           / -
                                                                                                                                           WYY-
l i censed under a :aw app:yinq in the State to              Postal address
practice the aspect.                                         (-                                                   -
                                                                                             C^
ff no re.evant law requires tt e individual to be                                                                     ^___....------------ --. •- ----- ..-_.._
Creased or registered, the certifier must assess                                                                                               Postcode
the individual as having appropria t e
experience, qualfications or skills to be able to            Licence class                         _                      Licence number _
give the help.                                           i   f
If the direr executive Issues any erica rtes for
assessing a competent person, the building                   Date appoval to inspect received from building certifief
certifier must use the guidelines when
assessing the person.                                                                - r--                                    _
9. Signature of building certifier,
   competent person or QBSA licensee
N ote: A bui ld ing cert ifi er must sign the form for       Signature                                                                     Date
temporary swimming pool fencing under
sect`.on 239(2)(b) of the Bu/dbrgAct 1975.
                                                                                                                                       l                  { 2-       z O_1
                                                                                                                                           15 ic




      The Building Act 1975 is administered by the
      Department of Infrastructure and Planning