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Forms 47 Wyuna Dve Noosaville · OPW17/0015
Attached to the e-mail Operational Works Application OPW17/0015.
Version 3 a March 2013
Form 15—Compliance Certificate for building Design or Specification
NOTE
This is to be used for the purposes of section 10 of the Building Act 1975 andlor 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 BCA or a provision of the QDC. A building certifier (Class B) can
not give a certificate regarding QDC boundary clearance and site cover provisions.
1, Property description
This section need only be completed if
details of street address and property
description are applicable.
EG. in the case of (standard/generic)
pool design/shell manufacture and/or
patio and carport systems this section
may not be applicable.
The description must identify alt land the
‘subject of the application.
The lot & plan details {eg. SP / RP) are
shown on title documents or a rates notice.
lf the plan Is not registered by title, provide
previous fot and plan details.
2. Description of componentis certified
Clearly describe the extent of work covered by
this certificate, e.g, all structural aspects of the
steel roof beams.
Street address (include no., street suburb / locality & postcode}
41 WYUNA ORWE
NOOSAVILLE
Lot & plan details (attach list if necessary)
Postcode
In which local government area is the land situated?
EXISTING RESIDENCE
NEW PONTOON AND GANG WAY
3. Basis of certification
Detall the basis for giving the certificate and the
extent to which tests, specifications, rules,
standards, codes of practice and other
publications, were relied upon.
STRUCT
DESIGN
L. ENGI
AILS
EERIN
ND SPECIFICAT!
S kuc IN
LN
4, Reference documentation
Clearly identify any relevant documentation,
€.g. numbered structural engineering plans.
STRUCTURAL ENGINEERING
DESIGN DRAWINGS NUMBERED *
APSI50 —— SHEETS Of To O04
LOCAL GOVERNMENT USE ONLY
Cot ad
The Building Act 1975 is administered by the
Department of Housing and Public Works
Queensland
Government
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