Form15 · MCU18/0006.01

                                                              Department of Housing and Public Works

                                                              Form 15—Compliance certificate
                                                              for building design or
                                                                                     Version 4 – July 2017
                                                              specification
NOTE: This is to be used for the purposes of section 10 of the Building Act 1975 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 BCA or a provision of the Queensland Development Code (QDC). A building certifier (Class B)
can not give a certificate regarding QDC boundary clearance and site cover provisions.
1. Property description                   Street address (include no., street, suburb/locality and postcode)
This section need only be                  Lot 497 (No.10) Hill St
completed if details of street
address and property description           Sunshine Beach                                                 Postcode 4567
are applicable.
E.g. in the case of                       Lot and plan details (attach list if necessary)
(standard/generic) pool design/shell       Lot 497 on R.P.48112
manufacture and/or patio and
carport systems this section may          In which local government area is the land situated?
not be applicable.                         Sunshine Coast Council
The description must identify all
land the subject of the application.
The lot and plan details (e.g.
SP/RP) are shown on title
documents or a rates notice.
If the plan is not registered by title,
provide previous lot and plan
details.
2. Description of                          Building design, Bracing, Timber frame & Tie down
   component/s certified
Clearly describe the extent of work
covered by this certificate, e.g. all
structural aspects of the steel roof
beams.




3. Basis of certification
                                           Design Criteria
Detail the basis for giving the
certificate and the extent to which        N.C.C – National Construction Code
tests, specifications, rules,
standards, codes of practice and other     QDC
publications, were relied upon.
                                           Residential timber famed construction
                                           A.S.1684.2-2010




4. Reference documentation                 William H Wilson & Associates
Clearly identify any relevant
documentation, e.g. numbered               Drawing No. W14291
structural engineering plans.
                                           Sheets: 14




LOCAL GOVERNMENT USE ONLY
 Date received                                                        Reference Number/s