Compliance Certificate - Form 15 Issue B

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


 HR Design Job No.: 22-0626 Issue B
    a) Foundations & Structural Framing (drawings S01-S03)




5. Building certifier reference number and building development approval number

                                                                      Building development
 Building certifier reference
                                                                      application number (if
 number
                                                                      available)



6. Appointed competent person details
Under Part 6 of the Building Regulation a person must be assessed as a competent for the type of work (design-specification)
by the relevant building certifier.

 Name (in full)                         Barry R. Cromar BEng(Civil) MIEAust CPEng RPEQ NER APEC Engineer Int PE(Aus)

                                        HR Design
 Company name (if applicable)
                                        Cromar Winning Consulting Engineers Pty Ltd T/A

 Contact person

 Business phone number                  (07) 5444 5578                                  Mobile

 Email address                          [email protected]

 Postal address                         PO Box 7117

                                                                             Suburb/locality     Sippy Downs

 State                                  QLD                                  Postcode            4556

 Licence class or registration
                                        RPEQ
 type (if applicable)

 Licence or registration number
                                        RPEQ #10233
 (if applicable)



9. Signature of appointed competent person
This certificate must be signed by the individual assessed and appointed by the building certifier as competent to give design-
specification help.

 Signature                                                                                       Date   10/10/2022


LOCAL GOVERNMENT USE ONLY

 Date received                      Click or tap to enter a date.     Reference number/s

                                                Appendix – explanatory information

IMPORTANT NOTE: it is an offence for a competent person to give a building certifier a document, including this form, that the
person knows or reasonably suspects, is false or misleading.

Who can complete this certificate? (sections 10 of the Building Act 1975 (Building Act) and 73 of Building Regulation 2021
(BR 2021))




Building Regulation 2021 • Section 73 and 77 • Form 15 • Version 1 • September 2021                                    Page 2 of 3