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2020-1056 - 195 Weyba Rd - OPW - Form 15 - Rev 0
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
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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
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Number of Pages: 2
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