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2020-1056 - 195 Weyba Rd - OPW - Form 15 - Rev 0

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                                                              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
This section need only be
completed if details of street
address and property description
are applicable.                           Street address (include no., street, suburb/locality and postcode)
E.g. in the case of                        195 Weyba Road
(standard/generic) pool design/shell
manufacture and/or patio and               NOOSAVILLE                                                     Postcode 4566
carport systems this section may
not be applicable.                        Lot and plan details (attach list if necessary)
The description must identify all          Lot 2 on RP113358
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 shown on title                  NOOSA REGIONAL COUNCIL
documents or a rates notice.
If the plan is not registered by title,
provide previous lot and plan
details.
2. Description of                          Proposed Building – Class 5 or Class 6 Building
   component/s certified
Clearly describe the extent of work        Operational Works Drawings Set – Sub-set of Project Civil & Structural Drawings
covered by this certificate, e.g. all
structural aspects of the steel roof
beams.




3. Basis of certification
Detail the basis for giving the            AS 1170.1 & AS1170.2 – (2002 & 2011 Resp.) Structural Design Actions
certificate and the extent to which        AS 1684.2 – 2010 Residential Timber-framed construction; Part 2 Non-cyclonic
tests, specifications, rules,
standards, codes of practice and other     AS 2870 – 2011 Residential slabs and footings
publications, were relied upon.
                                           AS 4100 – 1998 Steel structures
                                           AS 3500.1 to AS 3500.5 – 2003 Plumbing and drainage
                                           Queensland Plumbing and Wastewater Code; Version 1 – 2019.
                                           AS/NZS 1260 – 1998 PVC-U pipes and fittings for drain, waste and vent
                                           application
4. Reference documentation                 Blackall Range Consulting Engineer; Drawings 2020-1056 – 08 & 09, 24 & 25
Clearly identify any relevant
documentation, e.g. numbered
                                           Rev 1, 22 & 23 Rev 2
structural engineering plans.




LOCAL GOVERNMENT USE ONLY
 Date received                                                        Reference Number/s
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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             Campbell Foster
the building certifier for the work as       Company name (if applicable)                     Contact person
competent to practice in an aspect of
the building and specification design,        Blackall Range Consulting Engineer               Campbell Foster
of the building work because of the
individual’s skill, experience and           Phone no. (business hours) Mobile no.                     Fax no.
qualifications in the aspect. The             54457354                      0419140465
competent person must also be
registered or licensed under a law           Email address
applying in the State to practice the
aspect.                                       [email protected]
If no relevant law requires the
                                             Postal address
individual to be licensed or registered       74 Post Office Road
to be able to give the help, the certifier
must assess the individual as having          MAPLETON                                                    Postcode 4560
appropriate experience, qualifications
or skills to be able to give the help.       Licence or registration number (if applicable)
If the chief executive issues any             RPEQ 7228 & NEP, MIEAust (Civil) 609713
guidelines for assessing a competent
person, the building certifier must use
the guidelines when assessing the
person.
7. Signature of competent                    Signature                                             Date
   person
This certificate must be signed by the
individual assessed by the building
                                                                                                          3 December 2020
certifier as competent.



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

Page 3

Filename:              2020-1056 - 195 Weyba Rd - OPW - Form 15 - Rev 0
Directory:             C:\Users\cfost\Documents\Projects\Projects
    2020\GG\195 Weyba Rd - Noosaville
Template:
                       C:\Users\cfost\AppData\Roaming\Microsoft\Templates\N
    ormal.dotm
Title:                 Form 15 Compliance certificate for building design or
    specification
Subject:
Author:                meg.macaulay
Keywords:              buliding, codes, queensland, form, builders, 15, compliance,
    design, specification
Comments:
Creation Date:         4/12/2020 11:00:00 AM
Change Number:         2
Last Saved On:         4/12/2020 11:00:00 AM
Last Saved By:         Campbell Foster
Total Editing Time: 0 Minutes
Last Printed On:       4/12/2020 11:00:00 AM
As of Last Complete Printing
    Number of Pages:          2
    Number of Words:          603 (approx.)
    Number of Characters: 3,441 (approx.)

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