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Operational Works Application OPW17/0039
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Version 3 - March 2013
Form 15-Compliance Certificate for building Design or Specification
NOTE This is to be used forthe purposes of section 10 of the Building Ac/797S and/or section 46 of the
Building Regulation 2006.
RESTRICTION:A building certifier (class B) can only give a compliance certificate 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. Properlydescription Streetaddress (nc/ude no.• slreel. suburb / focafitv & noslcode)
Thissectionneedonlybecompletedil
detailsof streetaddressandproperly 14-16 Hasti,,!-g~StLNoosa ._-
descriptionareapplicable. PostcodeOLD 4567
EG.Inthecaseof (standard/generic)
pooldesign/shellmanufactureand/or Lot & plandetails (attaChlisl if necessary)
patio and carport systems this section
maynolbeapplicable. I I
Inwhichlocalgovernmentareais the landsituated?
The description must identify all land the
subject of the application. I I
The101 & ~andetails(eg.SP I RP) are
shown on title dOOJments or a rates notice.
If the plan is nd. registered by title, provide
orevious lot and DIan details.
2, Description of componentls certified
Clearly describe the extent of work covered by _(?ofi!~t-!oosC!--'!Ja!L Mou n!ecL~9!lL ._----------_._---
this certificate, e.g. all structural aspects of the
sleel roof beams. -----_ .._-------------------_._----------_._-------- ._----_ .._-
------_._---_._----------_. ._----- __ . -------
._._------------_. __ ._._--_.----_ ..__ ._-_._----------- .. ._------_._- __
-----_._-- - ._-_._---------_ .. ..- _-_
.._------_. __
._--------_._._--- - ------
3. Basis of certification
Detail the basis for giving the certificate and the _f3S:~_~.9.1?:
_ Building,
CQde_ of Au~t.!'~!@.....____ ..._..__________ ._. ___
extent to which tests, specifteations. rules.
AS/NZS 1170 - 2002: Structural Design Actions
standards, codes of practice and other .:..:...._------------------ .._---------------------
publications, were relied upon. AS/NZS 1554 - 2014: Structural Steel Welding
AS--3600:-206g.:.Concrete.Slructures- ..---- ...-.------.---------.-
---
AS 4100 - 1998:Steei'Structures
-- _._-_._-_._._---_ ... ------
AS/NZS 4600 - 2005: Cold Formed Steel Structures
~--------------------_._------------_ .._-_._-
4. Reference documentation
Clearly identify any relevant documentation, 1_I.Q1.?.1_SCF_4 77 A _~_ SC?fi.tel..~90sa _Sign 1 RO '!'JM_____ ..____
e.g. numbered structural ellQineering plans.
170121 SCF4~7~.JL Sof!!~!1!SJOsa Sign 2_i3_Q)'YM.. __.______ .___
~----_.- ----
1------------------_ .._-_..-------_ ..__._--------------
--------_ . ----
.._---_._----_._---_ .._----------_ .._--------_._---_ ..-
LOCAL GOVERNMENT USE_O_NL_Y ]
1 C'E"rece;..~d 1 ""'_,o_"_,,,,_e_"""'_brk _
The Building Act 1975 is administered by the • Queensland
Department of Housing and Public Works
~ Government
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