Compliance Certificate for building Design or Specification 15




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Compliance Certificate for building Design or Specification

15


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 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.

EG. In the case of (standard/generic) pool design/shell manufacture and/or patio and carport systems this section may not be applicable.
The description must identify all land the subject of the application.

The lot & plan details (eg. 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.

Street address (include no., street, suburb / locality & postcode)




Postcode

Lot & plan details (attach list if necessary)




In which local government area is the land situated?







  1. Description of component/s certified

Clearly describe the extent of work covered by this certificate, e.g. all structural aspects of the steel roof beams.

































  1. Basis of certification

Detail the basis for giving the certificate and the extent to which tests, specifications, rules,

standards, codes of practice and other publications, were relied upon.






























  1. Reference documentation

Clearly identify any relevant documentation, e.g. numbered structural engineering plans.































  1. Building certifier reference number




Building certifier reference number







  1. Competent person details

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 aspect of the building and specification design, of the building work because of the individual’s skill, experience and qualifications in the aspect. The competent person must also be registered or licensed under a law applying in the State to practice the aspect.

If no relevant law requires the individual to be 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.

If the chief executive issues any guidelines for assessing a competent person, the building certifier must use the guidelines when assessing the person.

Name (in full)




Company name (if applicable) Contact person










Phone no. business hours Mobile no. Fax no.















Email address



Postal address




Postcode

Licence or registration number (if applicable)







  1. Signature of competent person

This certificate must be signed by the individual assessed by the building certifier as competent.

Signature Date
















LOCAL GOVERNMENT USE ONLY



Date received



Reference Number/s




Approved form 15 Version 2 11/11




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