Form 16 Boundry Approval 21.9.20

 

4. Description of components
certified

Clearly describe the extent of work
covered by this certificate, e.g. all
structural aspects of the steel roof
beams.

 

Building grid setout with respect to cadastral boundaries and in accordance with
plans supplied

 

 

 

 

 

 

 

 

 

5, Basis of certification

Detail the basis for giving the
certificate and the extent to which
tests, specifications, rules, standards,
codes of practice and other
publications, were relied upon.

FIELD SURVEY 01/04/2019

 

 

6. Reference documentation
Clearly identify any relevant
documentation, e.g. numbered
structural engineering plans.

 

IDC Design Arch Dwgs and computer file 53 Mary Street Noosaville FLOOR
PLANS.dwg
Attached setout plan

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

7. Building certifier reference Building certifier reference number Development approval number
number and development MCU18/0074.01
approval number | |
8. Building certifier, competent Name (in full)
parser oh Sgn renee [ DAVID HARVEY LAU, cadastral surveyor
A competent person must be Company name if applicable Contact person
assessed as competent before | Noosa Cooloola Land Surveys Pty Ltd | | David Lau |
carrying out the inspection.
The builder for the work cannot give a Phone no. (business hours) Mobile no. Fax no.
stage certificate of inspection. | | [ 0419 782 360
A competent person is assessed by

the building certifier for the work as
competent to practice in an aspect of
the building and specification design,
because of the individual's skill,
experience and qualifications. The
competent person must be registered
or licensed under a law applying in the
State to practice the aspect.

If no relevant law requires the
individual to be licensed or registered,
the certifier must assess the individual
as having appropriate experience,
qualifications or skills to be able to give’
the help.

If the chief executive issues any
guidelines for assessing a competent
person, the building certifier must use
the guidelines when assessing the
person.

Email address
| [email protected]
Postal address

 

 

 

 

 

 

 

 

PO Box 1684

NOOSA HEADS QLD Postcode 4567
Licence class Licence number

Surveyor — cadastral SBQ 2559

endorsement
Date approval to inspect received from building certifier

 

 

 

 

 

9. Signature of building certifier,
competent person or QBCC
licensee

Note: A building certifier must sign this

form for temporary swimming pool

fencing under section 4 of Schedule 1

of QDC MP 3.4.

 

Signature Date

72 A; 19/11/2019

 

 

 

 

 

 

The Building Act 1975 is administered by the Department of Housing and Public Works