CE173527-B Form 15 · MCU18/0006.02

                                                                       Department of Housing and Public Works

                                                                       Form 15—Compliance certificate for
                                                                       building design or specification
                                                                                                                             Version 4 – July 2017
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 completed if
details of street address and property
                                                    Hill Street
description are applicable.
                                                    Sunshine Beach                                                    Postcode: 4567
E.g. in the case of (standard/generic)
pool design/shell manufacture and/or               Lot and plan details (attach list if necessary)
patio and carport systems this section
may not be applicable.                              Lot 497
The description must identify all land the
subject of the application.                        In which local government area is the land situated?
The lot and plan details (e.g. SP/RP) are           Sunshine Coast Regional Council
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 component/s                       Pool Design
   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
Detail the basis for giving the certificate and
                                                    AS1170.0, AS 1170.1, AS 1170.2, AS 4100, AS 2783, AS 3735.
the extent to which tests, specifications,
rules,
standards, codes of practice and other
publications, were relied upon.


4. Reference documentation                          William H Wilson drawings Job No.W14291 sheets 1-14
Clearly identify any relevant documentation,
e.g. numbered structural engineering plans.         STA Job No. CE173527-B DWGs. No. S01-S03



5. Building certifier reference                    Building certifier reference number
   number


6. Competent person details                        Name (in full)
A competent person for building work,
means a person who is assessed by the               Nigel Wilson
building certifier for the work as competent
to practice in an aspect of the building and       Company name (if applicable)                           Contact person
specification design, of the building work
because of the individual’s skill, experience
                                                    STA Consulting Engineers                               Ben McDonald
and qualifications in the aspect. The
competent person must also be registered or        Phone no. (business hours) Mobile no.                          Fax no.
licensed under a law applying in the State to       07 3071 7444                                                   07 3876 2763
practice the aspect.

If no relevant law requires the individual to      Email address
be licensed or registered to be able to give        [email protected]
the help, the certifier must assess the
individual as having appropriate experience,       Postal address
qualifications or skills to be able to give the
help.                                               18/2728 Logan Road
If the chief executive issues any guidelines        Eight Mile Plains, QLD                                            Postcode: 4113
for assessing a competent person, the
building certifier must use the guidelines
when assessing the person.                         Licence or registration number (if applicable)
                                                    RPEQ 4488

7. Signature of competent person                   Signature                                                   Date           Digitally signed by Structural Department
                                                                                                                              DN: c=AU, st=QUEENSLAND, l=Milton,
This certificate must be signed by the                                                                                        o=STA Consulting Engineers, cn=Structural
individual assessed by the building certifier                                                                                 Department,
                                                                                                                              [email protected]
as competent.                                                                                                                 u
                                                                                                                              Date: 2019.09.12 16:02:13 +10'00'




The Building Act 1975 is administered by the Department of Housing and Public Works