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Operational Works Application OPW17/0039

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                                                                                                                                                       Version 3 - Man::h 2013

     Form 15-Compliance Certificate for building Design or Specification
NOTE                                                   This is to be used forthe purposes of section 10 of the Building Act 1975and/orsection 46 of the
                                                       Building Regulation 2006.
                                                       RESTRICTION;A building certifier (class B) can only give a compliancecertificate about whether
                                                       building work complies with the BCAor a provision of the QDC.A building certifier (ClassB) can
                                                       not give a certificate regarding QDCboundary clearanceand site cover provisions.
1. Propertydescription                                 Streetaddress 'nclude no .• street suburb flocalitv & DDs/code)
Thissectionneedonlybecompletedif
                                                           14-16 Hastings -_.-
                                                           ------_.-        St, Noosa
detailsof streetaddressandproperty                                                                                                   ----
descriptionareapplicable.                                                                                                                      PostcodeQLD 4567
EG.lnthecaseof (standardlgeneric)
                                                       Lot & plandetails(attach lis/ if necessary)
pooldesign/shellmanufactureandlor
patio and carport systems this section
maynotbeapplicable.                                    IInwhichlocalgovernmentareais the landsituated?                                                                                 I
The description must identify all land the
subject of the application.
                                                       I                                                                                                                               I
The lot & plan details (eg. SP I RP) are
shown on title documents or a rates notice.
If the plan is not r91istered by ijUe, provide
orevious lot and Dian details.
2. Description of componenUs certified
Clearly describe the extent of work covered by
this certificate, e.g. all structural aspects of the
                                                           -.fuill!~.LNoosC!.yva!!..Mg,u nted .~9.0~ _______                              .._.._.                       _ _._.-
                                                                                                                                                                       ..    ..


steel roof beams.                                          ------------_ .._-----------_._--_.-------_._-_._---_.----------
                                                       ------_ .._ .._----_.                         __
                                                                                                ._._----_._---_ .._----_ .
                                                       .-._._._-_._--_._--_._._. __ ._.__ ._--_ .._-------_.--_.- ..      ._--_ .._---                     __
                                                       r-----                          .-..._ .                            ------
                                                        .._--_._----------_.--_._.-




3. Basis of certification
Detail the basis for giving the certificate and the        I?CA_~.916:. Building,         Code ..QfAustr91i~                     ______                     ._____
extent to which tests, specificatioos. rules,
standards, codes of practice and other                     A.~_f\JZSJJ.70 ..:_?0.Q.2.c...Stru~ural.~esi(ln _Actions _ ..________
publicaijons, were relied upon.                            AS/NZS 1554 - 2014: Structural           Steel Welding
                                                           AS-3600 -::-2009: -Concreite.Structures--.-          ..-.-------  ...--------
                                                           As''4T65-:T99!E'Steiel             Str'iietures           ..-----.-                 ..- ...--                ..-----
                                                           --_._-------_._--------------                                                                                          --
                                                                           .._.__ .__ .._._-_.-----_._._-_._-_._._--_
                                                           AS/NZS 4600 __
                                                           --_._------_. - 2005:     Cold Formed Steel Structures                                                  __ ._--
                                                                                                                                                                 ...




4. Reference documentation
Clearly idenbfy any relevant documentaijCtl,               _!?QJ..?1 S_CF 477 ~_9.~9.fi.tel_!'l~osa                     _Si9i1_.1B.Q..YY.t'1______________                         .._
e.g. numbered structural engineering plans.
                                                       f-170121       SCF4771>.~.~()_fite!l!.()osa                        ~19n 2 RO I/'{M ________                                 ._
                                                       1--                                           ---                                            -----------
                                                                                                                          _ _--_._._-_.
                                                                                                                        .. ..                               .._._.-




                                                                    -----_.                          --------------_._-_.

    LOCAL GOVERNMENT               USE ONLY

I            t'oeht r6(:c:I~lld        1==========================                                   R"_.'_.,~_,.._""",_._"_''' __   ~                       .                             _




        The Building Act 1975 is administered by the                                                                                      ••               Queensland
        Department of Housing and Public Works                                                                                            ~                Government
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