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10/0662 - Additional information for new application [As Published] · 142010.662
Compliance Certificate for building Design or Specification 45
NOTE
This is to be used for the purposes of section'10 of the Building Act 1975 andlor section 46 of the
Building Regulation 2006.
RESTRICTION: A building certifier (class B) can only give a compliance certificate about whether
bullding work complies with the BCA or a provision of the QDC. A building certifier (Class 8) can
not give a certificate regarding QDC boundary clearance and site cover provisions.
1. Property description
This section neéd only be completed if
details of street address and property
description are applicable.
£G; {n the case of (standard/generic)
pool design/shell manufacture andior
patio and carport systems this section
may not be applicable.
‘The description must identify all land the
siibject of the application.
‘The lot & plan dolallg (eg. SP / RP) are
shawn on title documents or a rates notice.
If the ptan is not, registered by fitte, provide
previous fol and plan details.
2. Description of components certified
Clearly describe the éxtent of work cavered by
this certificdta, ¢.9. all structural aspects of the
steel'roof beams:
Street address include no., street, suburb / locality & pastcode)
Grant Street
Noosa Heads. Postcode: 4567
Lot & plan details (aitach list if necessary)
Lot 13
In which local government area is the land situated?”
Sunshine Coast Regional Council
Steel beams design only
3. Basis of certification
Detall thé basis for giving the certificate and the
extent to which tests, specifications, tules,
Standards, codes of préctica and other
publiéations, were relied upon.
AS 1170.0, AS 1170.1, AS 1170.2, AS 1684, AS 1720, AS 3700, AS4100
Wind rating N2 by others
4, Reference documentation
Clearly Msentify any relevant documentation,
e.g. numbered structural engineering plans,
Burleigh Design Architects drawing job No. 08-3781 sheets 1-9 received on
20:04:10. &
STA Job No. CE-98868- G sheet 1to4.
5. Building certifier reference number
Building certifier reference number
NIA
6. Competent person details Name (in full)
competent person for building work, means a Fi
person wha is'assesseéd by the bultdng certifier [ Keith Moores
for the work as competent {6 practise in an Sa mn TH onehin os
Aspect of the building and specification design, Comtipany fame (if Sapp a) Contact person
of fie budding work bécause of thé Individua's STA Consulting Enginéers ‘| | Grant Rasbrook
skill, experience and quallfications In the ‘i bil
aspiéct, The ‘competent person must also be Phone no, business hours Mobile no. Fax no.
régisléred Or fleafiéed under a law applying In 5522 1995 | 5522 1776 _ |
the Stale to practic’ thé dSpéct Email address l
if no retevant law requires the Individual to be "
lleensed of registered to be able to give the | [email protected]
help, the cerlifier must assess the individual as :
favig appropriate experencd, uaifcations or) Postal address —_____
akils to be able tb give the help. Unit 1/486 Scottsdale Drive, Varsity Lakes
Ifthe chief executive issues any guidelines for 4
assesstig a competent person, the building QLD Postcode 4227
edie an guidelines when Licence or registration number (if applicable)
Assessing the .
RPEQ 7776
7. Signature of competent person Signature Atti Date
‘This cerlficate must be signed by the individual F
assessed by the building certifer as competent. U4. kh Llp 7 WA, OS. : LI O
LOCAL GOVERNMENT USE ONLY
Date rexaived
Reference turborls |
The Bullding Act 1975 is administered by the
Department of infrastructure and Planning
Approved form 1 |
Vortion 2 02t6$ j
SY Queensland Government
LPN department of Infrastructure and Planning
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