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W6107 de f15.pdf - form 15 frame design · OPW16/0220
Attached to the e-mail Operational works application OPW16/0220.
5. Building certifier reference number Building certifier reference number
6. Competent person details Name (in full)
A competent person for building work, means a
person who is assessed by the building certifier
for the work as competent to practise in an
Ray Williams.
aspect of the building and specification design, Company name (if applicable) Contact person
of the building work because of the individual’s
skill, experience and qualifications in the Sunrise Design Qld Pty Ltd. Ray
aspect. The competent person must also be
registered or licensed under a law applying in Phone no. business hours Mobile no. Fax no.
the State to practice the aspect. 5442 5930 5442 5934
If no relevant law requires the individual to be Email address
licensed or registered to be able to give the
help, the certifier must assess the individual as
having appropriate experience, qualifications or
skills to be able to give the help. Postal address
If the chief executive issues any guidelines for PO Box 621, Cooroy.
assessing a competent person, the building
certifier must use the guidelines when Postcode Q 4563
assessing the person.
Licence or registration number (if applicable)
RPEQ 2166
7. Signature of competent person Signature Date
This certificate must be signed by the individual September 27, 2016
assessed by the building certifier as competent.
The Building Act 1975 is administered by the
Department of Infrastructure and Planning
Department of Infrastructure and Planning
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