Fmp 11C Church Street Pomona -1

                                                                                    FIRE MANAGEMENT REPORT FM 5601



5. Building certifier reference                Building certifier reference number
   number and building
   development application
   number                                      Building development application number (if available)
                                               Not Available

6. Appointed Competent                         Name (in full)
 person details                                 Eldon John Bottcher
Under Part 6 of the Building Regulation a
person must be assessed as competent           Company name (if applicable)                   Contact person
for the type of work (design -specification)
by the relevant building certifier.             Eldon Bottcher Architect Pty Ltd               Eldon Bottcher
                                               Phone no. (business hours) Mobile no.                   Fax no.
                                                07 55920082               0412434134
                                               Email address
                                                [email protected]
                                               Postal address
                                                P.O.Box 3606
                                                Robina Town Centre                                       Postcode   4230
                                               Licence Class or registration type (if applicable)

                                               ………………………………………………………………………………………………..
                                               Licence or registration number (if applicable)
                                                Reg Architect Qld 1325
                                                FPA Australia BPAD Level 3 practitioner 16935
7. Signature of appointed                      Signature                                            Date
   competent person                                                                                  15 June 22
This certificate must be signed by the
individual assessed by the building
                                                E J Bottcher
certifier as competent to give design-
specification help.

LOCAL GOVERNMENT USE ONLY
 Date received                                                           Reference Number/s




                  ELDON BOTTCHER ARCHITECT PTY LTD                        ©           15/06/22                       15