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DA Form 1

- Development application detailsApprovedform (version 1.2 effective 7 February2020)made undersection 282 of the Planning Act 2016.

This form must be used to make a development appilcation involving code assessment or impact assessment,exceptwhen applying for developmentinvolving only building work.For a development application involving buildingworkonly, use DA Form 2 - Buildingwork details.

For a development application involving building workassociatedwith any other type of assessabie development(i.e. material changeof use, operational work or reconfiguringa lot), use this form (DA Form 1)and parts 4;to 6 ofDA Form 2 - Building work detalis.

Unless stated otherwise,ali parts of this form must be completed in full and all required supporting information mustaccompany the development application.

One or more additionalpages may be attachedas.a schedule to this development application if there.is insufficientspace on the form to includeall the necessary information.

This form and any other forrn relevant to the development application must be used to make a developmentsapplicationrelatirïg to strategic port land and Brisbanecore port.land under the TransportinfrastructureAct 1994,and airport land under the AirportAssets (Restructuringand Disposal)Act 2008. For the purposeof assessingadevelopment applicationrelating to strategic port land and Brisbanecore pont land, any reference to a planningscheme is taken to mean a land use plan for the strategic port land, Brisbaneport land use:plai fu

part land, or a iand use plan for airport land.

Note: Ali termsused.inthis formhave the meaninggiven underthe PlanningAct 2016, the Planning Regulation2017, c Ü%I5i|IØ&@|G?0 C

AssessmentRules (DARules).18 ME 2020

Dec IDPART 1

- APPLICANT DETAILSBox No: R

pplicantname(s)(individuator companytulineme) Titan Enterprises

Contact name (onlyapplicable for companies) Monica

Postal addreSs (P.O.Box or streetaddress) PO Box 1112

,SuburbBrowns Plains

State Old

Postcode 4118

Country Australia

Contact number . 07 38036077Email address (non-mandatory) [email protected] (non-mandatory)

Fax number (non-mandatory) 38036971

Applicant'sreference number(s)(ifappitcable)

Yes - the written consentof the owner(s) is attached to this developmentapplication

C No- proceed to 3)

PCS ENTERED

QueenslandGovernment

PART 2- LOCATION DETAILS

StreetaddressANDIòtonplan(alliotsmustbelisted),orStreet address AND lot on plan for an adjoiningòr adjacentproperty of the premises (appropriatefor developmentinwater but adjoiningor adjacentto land e.g. jetty, pontoon. All lotsmust be listed).

Unit No. Street No. Street Name and Type Suburb

48 Gutteridge Rd Coominyaa) Postcode Lot No. Plan Type and Nutnber (e.g.RP, SP) Local Government.Area(s)

4311 37 RP141742 Somerset


b)Pòstcode Lot No. Plan Type and Number (e.g.RP, SP) Local GovernmentArea(s)

O Coófdinates of premisesbylongitude and latitude

Longitude(s) Latitude(s) Datum Local GovernmentArea(s) (ifapplicable)

WGS84GDA94

Other:

Coordinatesof premises by eastingand north|ngEasting(s) Northing(s) Zone Ref. Datum Local GovernmentArea(s) (it applicable)

54 OWGS8455 DGDA94

O 56 D Other:

Additionalpremisesare relevant to this developmentapplicationand the details of these premises have beenattached in a schedule tó this development applicationNot required

O In or adjacent to a water body or watercourseor in or above an aquiferName of water body, watercourse or aquifer:

On strategicport land under the TransportInfrastructureAct 1994

Lot on plan description of strategicpórt land:

Name of part authority for the lot:

In a tidal areaName ói local governmentfor the tidal area (trapplicable):

Name of port authorityfor tidal area (ifapplicable):

On airport land under the AirportAssets (Restructuringand Disposal)Act 2008

Name óf airport:

DA Form 1- Developmentapplicationdetails

Version 1.2- 7 February2020

O Listed on the EnvironmentalManagement Register(EMPs)under the Environmenta/ Protection Act f994

EMR site identification:

Listed on the ContaminatedLand Register(OLR)under the Erwironmehta/ProtectionAct 1994

CLR site identification:

3) Are theteanPè?istipg eajemein ov/ertheßi:éfn]ses?SoleiEasement4.jsgs;4arythroug§ou"tOûeenslärgtagarào$ejdenIifiegcóïrectly:anâ;accürätelymFoMfürlhëHiòföfm.ajiopotipasémebtkandhointhejmaytaffect,the prop.6seddeveÎop.meptpseeeDAFormsGuide.

G Yes All easement locations, types and dimensions are included in plans submittedwith this developmentapplication

O No

PART 3- DEVELOPMENT DETAILS

Section 1- Aspects of development

a) What is the type of development?(t/ckonlyone box)

O Material change of use O Reconfiguring a lot O Operationalwork ÈBuildingwork

b)What is the approval type? (t/ckonly one box)

Developmentpermit O Preliminary approval O Preliminaryapproval that includes a variationapproval

c)What is the level of assessment?

O Code assessment O Impactassessment(requirespublicnotification)

d) Provide a briefdescription of the proposa\ (e.g.6 unitapartmentbuilding dennedas multi-unitdwetting, reconfigurationof 1 lot into 3

tots):

e) Relevant plansNote; Relevantplansare requiredto be submittedfor ali aspectsofthis developmentapplication.For further information, see DA FormsGuide-

Relevantplans.

Relevantplans of the proposeddevelopment are attachedto the development application

a)What is the type of development? (t/ckonly one box)

Material changeof use O Reconfiguringa lot O Operational work O Buildingwork

b)What is the approval type? (tickonlyone box)

Developmentpermit O Preliminaryapproval O Preliminaryapproval that includesa variation approval

c) What is the level of assessment?

O Code assessment C Impact assessment (requirespublicnotification)

à) Provide a brief descriptionof the proposai(e.g.6 unit apartmentbuilding definedas multi-unitdwetting, reconfigurationof 1 tot into 3lots)

e) Relevant plansNote: Relevantplans are requiredto be submittedfora[[ aspectsof this developmentapplication. For further information,see DA Forms Guide:

Relevantolans.

Relevant plans of the proposeddevelopment are attached to the developmentapplication

O Additionalaspectsof developrnentare relevant toábis development applibationand the detailsfor thesevaspeòts

that would be required under Part 3 Section 1 of this form have been attached to this developmentapplication

D Not required

DA Fom11- Developmentapplicationdetails

Version 1.2-- 7 February2020

Section 2- Further development details

Material changeof use Q Yes- completedivision 1 if assessableagainst a local planning instrument

Reconfiguringa lot . C Yes- completedivision 2

Operational work C Yes - complete division 3

Building work D Yes - complete DA Form 2 - Building work details

Division 1- Material change of use

Note: This division is only requiredto be completedifanypartof the developmentapplication involves a materialchange of use assessable againstalocalolanninginstrument,

Providea general descriptionof the Provide the planning scheme definition Numberof dwelling Gross floorproposeduse (includeeach definition in a new row) units (ifappäcablej area (m2)

(ifapplicable)

Yes

G No

Division 2- Reconfiguring a lot

Note: This divisionis only required to be completedifany oart of the develoomentaoolication involves reconfiguring a lot.

Subdivision (complete10)) D Dividing land into parts by agreement(complete11))

O Boundaryrealignment(complete12)) O Creatingor changing an easement giving access to a lotfrom a constructedroad (complete13))

Intended use of lots created Residential Commerciai Industrial Other, please specify:

Numberof lots created

O Yes - provideadditionaldetails belowNo

How many stageswill the works include?

What stage(s)will this devel pment.applicationapplyto?

DA Form 1

- DevelopmentapplicationdetailsVersion 1.2- 7 February 2020

1i) Div[dingland iríto parts by agreemenf-how many parts are being created and what is the intend'ed use of theparts?

Intended use of parts created Residential Commercial Industrial Other, please specify:

Numberof parts created

Current lot Proposed lot

Lot oñ plan description Area (m2) Lot on plan description Area (m2)

Existing or Width (m) Length (m) Purposeof the easement? (e.g. Identify the land/lot(s)proposed? pedestrian access) benefitted by the easement

Division 3- Operationai work

Note:This divisionis only required to be comoletedifany oartof the develoomentaoolicationinvolves operational work.

°Road work °Stormwater Water infrastructure

°Drainagework Earthworks Sewage infrastructure

° Landscaping Signage Clearing vegetation

°Other - pleasespecify

Ù Yes- specify numberof new lots:

PART 4 - ASSESSMENT MANAGER DETAILS

Ú Yes - a copy of the decision notice is attached to this development applicationO The local government.istaken to have agreed to the supersededplanningschemerequest- relevantdocuments

attachedO No

DA Form 1- Developmentapplicationdetails

Version 1.2- 7 February 2020

PART 5- REFERRALDETAILS

No, there are no referral requirements relevant to any development aspects identified in this developmentapplication - proceed to Part 6

Matters requiring referral to the Chief Executiveof the PlanningAct 2016:

O Clearing native vegetationO Contaminatedland (unexplodedordnance)

Environmentallytelevantactivities(ERA)(onlyiftheERAhasnotbeendevolvedtoalocalgovernment)O Fisheries - aquaculture

Fisheries - declared fish habitatareaFisheries - marine plantsFisheries- waterway barrierworksHazardous chemicalfacilities

O Heritage places - Queensland heritage place (on or near a Queenslandhentageplace)Infrastructure-relatedreferrals- designated premisesInfrastructure-relatedreferrals - state transport infrastructureInfrastructure-relatedreferrals- State transportcorridor and future State transport corridor

O Infrastructure-relatedreferrals- State-controlledtransport tunnels and future state-controlledtransport tunnelsInfrastructure-relatedreferrals - near a state-controlled road intersectionKoala habitat in SEQ region 7 interfering with koala habitat in koala habitat areas oupide koala priorityareasKoala habitat_in SEQ region- key resource areasPorts - Brisbane core port land - near a State transport corridor or future State transportcorridorPorts - Brisbane core port land

- environmentallyrelevantactivity (ERA)Ports - Brisbanecore port land - tidal works or work in a coastal managementdistrictPorts - Brisbanecore port land - hazardous chemical facilityPorts - Brisbanecore port land - taking or interferingwith waterPorts - Brisbane core port land -- referabledamsPorts- Brisbane core port land - fisheriesPorts - Land within Port of Brisbane'sport limits (belowhigh-watermark)

O SEQ developmentarea

C SEQ regional landscape and rural production area or SEQ rural living area - tourist activity or sport andrecreationactivity

O SEO regional landscape and rural productionarea or SEQ rural living area - communityactivitySEQ regional landscapeand rural production area or SEQ rural living area - indoor recreation

O SEQ regional landscape and rural productionarea or SEQ rural living area - urban activitySEQ regional landscape and rural productionarea or SEQ rural living area - combined useTidal works or works in a coastal managementdistrictReconfiguringa lot in a coastal managementdistrict or for a canal

O Erosion prone area in a coastal managementdistrictUrban design

O Water-relateddevelopment- taking or interferingwith waterWater-related development- removing quarry material (from a watercourse or lake)

O Water-related development ~ referable dams

Water-re\ated development ~levees (category 3 leveesonty)

O Wetland protection area

Matters requiring referral to the local government:

C Airport land

O Environmentally relevant activities (ERA) (onty ifthe ERA has beendevolvedto local govemment)

DA Form 1

- DevelopmentapplicationdetailsVersion 1.2- 7 February2020

°Heritageplaces - Local heritage placesMatters requiring referral to the Chief Executive of the distribution entity or transmissionentity:

Infrastructure-relatedreferrals - Electricity infrastructure

Matters requiring referral to:

? The Chief Executive of the holderof the licence, if not an individual

? The holder of the licence, if the holder of the licence is an individual

° Infrastructure-related referrals - Oil and gas infrastructure

Matters requiring referral to the Brisbane City Council:Ports

- Brisbane core port land

Matters requiring referral to the Ministerresponsiblefor administeringthe Transport infrastructureAct 1994:Ports - Brisbane core port land (whereinconsistentwith the Bnsbaneport LUPfortransportreasons)

°Ports- Strategic port land

Matters requiring referral to the relevant port operator, if applicant is not port operator:

°Ports - Land visithin Port of Brisbane's port limits (belowhigh-watermark)

Matters requiring referral to the Chief Executive of the relevant port authority:Ports - Land within limits of anotherpart (belowhigh-watermark)

Matters requiring referral to the Gold Coast Waterways Authority:

°Tidal works or work in a coastal managementdistrict (inGoldCoastwaters)

Matters requiring referral to the Queensland Fire and EmergencyService:Tidal works or work in a coastal management distnct (involvinga marina (morethan six vesselberths))

Yes - referral response(s)r-eceivediand listed bèlow are åttached to this development äpplicationNo

Referra requrement Referra åÿenòÿ Dàte ó¼efetràresponse

Idár?tjfýand desòribe any changes made'to the proNseddevelopmentappliöàtion that vvas theábje t of thereferrai responseånd this developmentapplication , or include détails in a scheduie to this developrríetif applicatiort(ifapplicable).

PART 6- INFORMATIONREQUEST

I agree to receive an information request if determinednecessaryfor this developmentapplicationI do not agree to accept an informationrequestfor this developmentapplication

Note: By not agreeing to accept an informationrequest I, the applicant, acknowledge:? that this developmentapplicationwillbe assessedanddecided basedon the informationprovided when making this development

applicationand the assessment managerand any referral agencies relevantto the developmentapplicationare not obligated under the DARules to accept any additional informationprovidedby the applicantfor the developmentapplicationunlessagreed to by the relevantparties

? Part 3 of the DA Rules will still apply if the application is an application listed under section 11.3 of the DA Rules.Further advice about informationrequests is containedin the DA Forms Gukle.

DA Form 1


PART 7- FURTHER DETAILS

O Yes - provide details below or include details in a schedule to this developmentapplicationNo

List of approval/developmert Reference number Date Assessmentapplicationreferences managerO Approval

°Developmentapplication

°Approval


Yes - a copy of the receiptedQLeave form is attached tò this development application

°No -1,the applicantwill provide evidencethat the portable long service leave levy has been paid before the

assessmentmanager decides the development application. I acknowledge that the assessment managermaygive a developmentapprovalonly if I provideevidencethat the portable long service leave levy has been paid

Q Not applicable (e.g.building and constructionwork is less than $150,000 excludingGST)

Amount paid Date paid (dd/mm/yy) QLeave levy number (A, B òr E)

22) Is this developmentappli'cation in response to á ähowcaüse notice or:required'as a result of an enforóementnotice«?

Yes- show cause or enforcementnotice is attachedNo

D Yes - the required attachment(form ESR/2015/1791)for an application for an environmentalauthorityaccompaniesthis development application,and details are provided in the table below

°NoNote:Application for an environmentalauthóritycan be foundby searching"ESR/2015/1791"as a search term at www.ald.cov.au.An ERArequires an environmentalauthoritýìo opetate. See.www.businessigid.cov.aufor furtherinformationc

Proposed ERA number: Proposed ERA threshold:

Proposed ERA name:

O Multiple ERAs are applicableto this developmentapplicationand the details have been attached in a schedule tothis developmentapplication.

D Yès - Form 69: Notîfication ofa facilityexceeding10% ofschedule 15 threshold is attached to this development

application

°NoNote:See www.business.qld.qov.aufor further informationabouthazardouschemicalnotifications.

Page sDA Form 1

- DevelopmentapplicationdetailsVersion 1.2-7 February2020

Yes -- this development application ncludes written conf rmation from the chief executive of the VegetationManagementAct 1999 (s22A determination)No

Note: 1. Whcre a developmentopphcahon for operattonal work or materialchange of use requires a s22A determinationand this is not included,tho development application is prohibiteddovelopment.

2. Soo Mios !Ávwwc|d aav auienwronmentstand½¤ctahoniaccMnafor furtherinformation on how to obtain a s22A determination.

Yes -[ acknowledge that an environmentaloffset must be provided for any prescribed activity assessed as

having a significant residual impact on a prescribed environmentalmatterNo

Note: The environmental offset sectionofthe Queensland Government's webs to can be accessedat www aid cov au for further information onenvironmentaloffsels.

Yes - the development appHcation involves premEsos in the koala habitat area in the koa:a priority area.Yes - the development appHcation invoives premises 1n the koala habitat area outside the koara priority areaNo

Note: If a koulu habitat arca determination has beenobtained for this premises and is current over the land, it shouldbe providedas part of thisdeveloprnentapp!!cation See koala habitat aroa guidance motorialsat ww das d aov au for furtherinformation.

Yes - the relevant template is completed and attached to this development apphcationand 1acknowledge that a

relevant authonsation or ||cence under the Water Act 2000 may be requ·red pnar to comrnencing deve|opmentNo

Note Contact the Dopartmentof NaturalResources.Mines arrd Frergyat www dnrma aid aav æ for furtherinformationDA templates are availabic from httas Unianrina dsömmakt aav au! If the developmontapp!:ca!ion invoivos? Taking or interfcringwith underground water through an actostan or subartostan bore compictoDA Form 1 Tempíale 1

? Taking or interfenng with water in a watercourso,take or spang complete DA Form1 Template 2

o Takmg overfandflow water complete DA Form 1 Template3

Yes - the relevant template is completedand attached to this developmentappucationNo

DA tomplates aro available from h!ædclannma dsdm>oaid qov au! For a devulopment opphcation invc!wng waterwaybarrierworks, completeDA Form 1 Template 4.

Yes - an associated resource allocation authonty is attached to this development apphcation, if required underthe Fisherles Act 1994

NoNote Sco guidance motorials at www dat old Cat au for further informat1on.

DA Form 1 Developmentapplicatiorrdetails

Version1.2-- 7 February 2020

Yes -I acknowledgethat a quarry material allocation notice must be obtainedprior to commencing development

NoNote: Contactthe Departmentof Natural Resources.Mines and Energyat www.dnrme.ald.aov.auand wwwbusiness aid.cov.au for furtherinformation.

Yes -I acknowledge that a quarry material allocation notice must be obtainedprior to commencingdevelopment

C No

Note: Contact the Departmentof EnvironmentandScienceat wwwdes qid aov.au for furtherinformation.

Yes - the 'Notice Acceptinga Failure impactAssessment'from the chief executive administeririg the WaterSupplyAct is attached to this developmentapplicationNo

Note: See guidance materiaisat www.dntmeaid.cov au for further information.

Yes - the following is included.with this development application;Evidence the proposal meets the code for assessabledevelopmefitthat is prescribëd tidal wórk (onlyrequredif application involvesprescribed tidal work)

A certificate of titleNo

Note: See guidance materialsat www.des oldgov.au for furtherinformation.

Q Yes- details of th°e heritage placeare provided in the table belowNo

Note: See guidance materialsat www.des.ald.aov.aufor informationrequirementsregardingdevelopmentof Queenslandheritage places.

Name of the heritage place: ,Place ID:

Y s - this developmentâpplicationdemonstrate how the proposal meets the óode for a developmentaþplication for a brothel under Schedule3 of the ProstitutionRegulation2014

Ýès lthis application úlllbetaken to be an applicationfor a decision under section62 of the,Transportinfrastructure Act 1994{s b]ect to the conditions in section 75 of the Transport infrastructure Act 1994 being

satisfied)No

DA Form 1- Developmentapplicationdetans

Version 1.2-7 February2020

PART 8- CHECKLISTAND APPLICANT DECLARATION

I have identified the assessment manager in question 15 and all relevant referralrequirement(s) in question 17 O YesNoto:See the PlanningRegulation 2017 for referralrequirements

If building work is associated with the proposeddevelopment,Parts~4 to 6 of DA Form 2 - O YesBuildino work details have been completedand attached to this development application O Not applicableSupporting informationaddressingany applicableassessment benchmarks is with thedevelopmentapplicationNote: This is a mandatoryrequirementand includos any relevanttemplatesunder question23 a planning report Yesand any technicalreportsrequiredby the relevant categorisinginstruments (e.g. localgovemmentplanningschemes, State PlanningPolicy, State DevelopmentAssessmentProvisions).For furtherinformation,see DAForms Guide: Plannina Reoort Temolate.

Relevantplans of the developmentare attached to this developmentapplicationNote:Relevantplans are required to be submittedforall aspects of this developmentapplication.For further Yesinformation,see DA Forms Guide:Relevantplans.

The portable long service leave levy for QLeave has been paid, or will be paid before a O Yesdevelopmentpermit is issued (see 21) O Not applicable

I

|

By making this developmentapplication, I declare that all information in this developmentapplicationis true andcorrect

O Where an email address is provided in Part 1 of this form, I consent to receivefuture electroniccommunicationsfrom the assessment managerand any referral agency for the developmentapplicationwhere written informationis required or permitted pursuant to sections 11 and 12 of the Electronic TransactionsAct 2001

Note: It is unlawfulto intentionallyprovide falseormisleadinginformation.

Privacy - Personal informationcollected in this form will be used by the assessment manager and/or chosenassessment manager, any relevant referral agencyand/or building.certifier (includingany professionaladviserswhich may be engaged by those entities)while processing, assessing and deciding the developmentapplication.All informationrelating to this development applicationmay be availablefor inspection and purchase, and/orpublished on the assessment manager'sand/or referral agency'swebsite.Personal informationwill not be disclosed for a purposeunrelated to the PlanningAct 2016, PlanningRegulation 2017 and the DA Rules except where:? such disclosure is in accordancewith the provisionsabout public access to documentscontained in the Planning

Act 2016 and the Planning Regulation2017, and the access rules made under the Planning Act 2016 andPlanningRegulation 2017; or

? required by other legislation (including the Right to /nformationAct 2009); or? otherwise required by law.This informationmay be stored in relevant databases.The informationcollected will be retained as required by.thePublic RecordsAct 2002.

DA Form 1

- DevelopmentapplicatlandetailsVersion 1.2- 7 February2020

PART 9- FOR COMPLETIONOF THE ASSESSMENT MANAGER- FOR OFFICE

USE ONLY

Date received: Reference number(s):

Prescribed assessment managerName of chosen assessment managerDate chosen assessment managerengagedContact numberof chosenassessmentmanagerRelevant licence number(s)of chosen assessmentmanager

Description of the workQLeave projectnumberAmount paid ($) Date paid (dd/mm/yy)

Date receipted form sightediby assessment managerNameiof officerwho sighted thë form

DA Form 1


RECEIVEDSomersetRegionalCouncil

DA Form 2- Building work details

Approvedform (version 1.2 effective7 February2020)made under Section 282 o the ian ÀÀtÜÚÅ.

Doc ID

This form must be used to make a developmentapplication involving building work. BoxNo R

For a developmentapplication involving building work only, use this form (DA Form 2) only. The DA FormsGuideprovides advice about how to complete this form,

For a development application involvingbuilding work associated and any other type of assessabledevelopment(i.e. material change of use, operational work or reconfiguring a lot), use DA Form 1.- Developmentapplication detailsand parts 4 to 6 of this form (DA Form 2).

Unless stated otherwise, all parts of this form must be completed in full and all required supporting informationmustaccompanythe development application.

One or more additional pages may be attached as a schedule to this developmentapplication if there is insufficientspace on the form to include all the necessary information.

This.form and any other form relevantto the development application must be used to make a developmentapplication relating to strategicport land and Brisbanecore port land under the TransportinfrastructureAct 1994,and airport land under the AirportAssets (Restructuringand Disposal)Act 2008. For the purposeof assessingadevelopmentapplication relating to strategic part land and Brisbane core port land, any reference to a planningscheme is taken to mean a land use plan for the strategic port land, Brisbanepart land use plan for Brisbane corepart land, or a land use plan for airport land.

Note: All terms used in this form have the meaninggiven under the PlanningAct 2016 the PlanningRegulation 2017, or the DevelopmentAssessmentRules (DARules).

PART 1- APPLICANT DETAILS

App iÕantnåme(5)(Individual companyfullname) a te¶?esan ly applØa mèÑIes) . .

PostãÍ adress (Rosoxo s dress) í112

$Übu Browns Riáins

State QLD

Postòode 411

Coüniry ra

òÓ%number Ô$6ÒÝ

Efnäiladdfésä non mar / óÍåti í åra í 0

MöbleMumber(nonmåndatör .

Fax¼ümber(non-mandatory) 36971

App icant's reference nurnber(s)(itapplicable)

PART 2- LOCATION DETAILS

2) Locat on of the premises (complete2.1 and 2.211applicable)Note: Provide details belowand attacha site plan for any or allpremises part of the developmentapplication.For furtherinformation,see DA

Street address AND lot on plan (autotsmustbe listed), orStreet addressAND lot on plan for an adjoining or adjacent propertyof the premises (appropriatefor developnientinwaterbut adjoiningor adiacentto land o.g. Jotty.pontoon. All lots mustbe listed).

QueenslandGovemment


8 uÏtËÏdieÜ Niinya

Postcode Lot No. Plan Type and Number (e.g.RP, SP) Local GovernmentArea(s)43 37 RPÑËd2 ome~rse$2.2) Additionalpremises

°Addjtjonalpremisesare relevant to this development application and the details of these premiseshave beenattached in a schedule to this developmentapplicationNot required

3) Are there any existing easementsover the prerhises?NoteyEasementuses vary througþoutQueenslandand are lo be identiñedcorrectlyand accufately,Forfürlberinformation on easements:andhow théymaÿ affectthe proposeddevelopment, see:the DA Forms Guide.

°Yes - All easement locations, types and dimensionsare included in plans submittedwith this developmentapplication .. .

No

PART 3- FURTHER DETAILS

È Yes - proceed to 8)

C No

5) Identify the assessment(nanager(?)who will beyassëssing this developmentapplication

Yes - a copy of the decision ñotice is attached to this development applicationThe local governmenfis taken to have agreed to the superseded planning scheme request- relevant documentsattachedNo

I agree to receivean informationrequest if determinednecessaryfor this development applicationI do not agree to acceptan information request for this development application

Note: By not agreèingto accept an informationrequest i, the applicant, acknowledge:? îhal this developmentapplication will be assessedand;decidedbased on the informationprovidedwhen making this developmeñt

application and the assessmentmanaget and any referral agencies relevant to the developmentappilcationare not obligatedunder the DARules to accept any addiUonaiinformationprovided by the applicant for the developmentapplicaUonunless agreed to by the relevantparties.

? Part 3 of the DA Rules will still apply if the application is an appilcation listedundersection 11.3of the DA Rules.Further advice about information requests is containedIn the DA Forms Guide.

°;Yes - provide details below or include details iin a schedule to this development application

§ No

List of approval/development Reference Date Assessmentmanagerapplication

°Approval


°:Approval

C Deve opment app cation

Page 2DA Form 2

- Buildingwork detalisVersion 1.2-. 7 February 2020

Yes- a copy of the receiptedQLeave form is attachedto this development applicationNo -

1,the applicantwill provideevidencethat the portable long service leave levy has been paid before theassessment managerdecides the development application. I acknowledgethat the assessment managermaygive a development approval only if I provide evidence that the portable long service leave levy has been paidNot applicable (e.g.building and constructionwork is less than $150,000 excludingGST)

Amount paid Date paid (dd/mm/yy) QLeave levy number (A, B or E)

10) Is this developmentapplication in response:töa show cause notice or required as a result of an enforcementnotice?

Yes - showcause or enforcementnotice is attachedNo

The proposed development is on a place entered in the Queensland Heritage Register or in a localgovernment'sLocal Heritage Register. See the guidanceprovided at www.des.ald.aov.auabout therequirementsin relationto the developmentof a Queensland heritage place

Name of the heritage place: Place ID:

PART 4- REFERRAL DETAILS

C Yes - the Referral checkfist for building work is attached to this development applicationB No - proceed to Part 5

DYes - referral response(s)received and listed below are attached to this developmentapplicationBNoReferral requirement Referral agency Date referral response

Identify and describe any changes made to the proposed developmert application that was the subject of thereferral response and this developmentappIlcation, or include details in a schedule to this developrnentapplication(ifapplicable)

PART 5 - BUILDING WORK DETAILS

ÔÍick if the applicant is also the owner and proceed to 15). Otherwise, provide the following infórmation.

Name(s)(individualorcompanyfutiname) Helen Ennis

Contactname (applicablefor companies)

Postål åddress (P.O.Sóx or.streetaddress) 48 GutteridgeRd

Suburb Coominya

Page 3DA Form 2 - BuHdingwork details

Version1.2-7 February 2020

State Old

Postcode 4311

Country Australia

Contact nurnber 0422883051

Ernail address (non-mandatory) [email protected] number(non-mandatory)

Fax number (non-mandatory)

°|Tick if a builder has not yet been engaged to undertakethe work and proceed to 16). Otherwise provide thefollowing information.

Name(s) (îndividualorcompanyfutiname) Titan Enterprises

Contact name (applicablefor companies) Monica

QBCC licence or owner- builder number 77920

Postal address(P.O.Box or street address) PO Box 1112

Suburb Browns Plèns

State QLD

Postcode 411.8

Contact number 07 38036077

Email address (non-mandaloty) council@titangaragescornauMobile number (non-mandatory)

ax number (non-mandatory)

What type of approval is being sought?Developmentpermit

O Preliminaryapprovalb) What is the level of assessment?

Code assessmentImpact assessment(requirespublic notification)

c) Nature of the proposed building work (tick all applicable boxes)

New building or structure O Repairs, alterationsor additions

O Changeof building classification (involvingbuildingwork) °Swimmingpool and/or pool fence

Demolition O Relocationor removaíd) Provide a description of the work belowor in an attachedschedule.New Gable Carport and Skillion Carpot

e) Proposedconstruction materialsO Doubie brick 2 Steel O Curtain glass

External walls °Brick veneer O Timber O Aluminium

°Stone/concrete D Fibre cement °Other

°Timber RSteel O AluminiumFrame

O Other

Floor E Concrete °Timber O Other

Slate/concrete O Tiles ° Fibre cementRoof covering O Aluminium 2 Steel D Other

f) Existing building use/classification? (itapplicable)

Page 4DA Form 2

- Building work detailsVersion 1.2- 7 February2020

g)hl i buildÍngüse classÑcat on1 ifahp/tcát?ë)classÄ0a

h)?RejëvantplanNote;ÈeIëvanËplansare reifuireëtoße¼ubmlilëdfor all aspect½öÚhisdeveloßmenappt/ aÜor For furtherinfortriátion see A FormsÒulde

RRelevant p ar s óf the proposed works are attached to the development application

17)Wilat is the rneneta y value of the probosedbbi hmworl

Yes pr v de detalls be ow

Amount aid Date aid dd/mm Refërencenumber

PART 6- CHECKLIST AND APPLICANT DECLARATION

The rèlèvant parts of Form 2-Buildingwork details have been completed 8 Yes

This developmentapplicationinc[udes a material changeof use, reconfiguringa lot or Mes. operationalwork and is accornpaniedby a completedForm 1

- Development .

applicationdetails ® Not applicab\e

.Relevantplans of the development are attached to this developmentapplicationNote: Relevantplansare requiredto be submilted forallaspects of this developmentappilcatiorkFor further esinformation,see DA Forms Guldeckelevantplans

The portableJong service leave levy for QLeave hak been paid or wi be paid before Yesa developrnent permit is issued (see9 Not applicable

By making this developmeritapplication, I declare that all information in thjs developrnent applicàtion!istrue andcorrectWhere an email address is provided in Part 1 of this form, I consent to receivefuture electroniccommunicationsfrom the assessment managerand åny referfal agencyfor the development applicationwhere writteninforniation is required or permittedpursuant to sections 11 and 12 of the ElectronicTransactionsAct 2001

Note: it is unlawfulto lntenÜonallypro\ïidefalse or misleadinginformation,

Privacy- Personal iriformationcollected in this form will be used by the assessment managerand/orchosenassessment manager, any referral agencyand/or bulding certifler (includingany professionaladviserswhich may

. he engáged by those enüties)while processing assessingand deciding the developmentapplicationAll informationrelating to this developmer t applicationmay be availablefor inspection and purchase,and/orpúblishedon the assessmentmanager'sand/or referral agency'swebsite .

Personal informationwill inot be disclosed for a purposeunrelatedto the PlanningAct?Of6 PlanningRegulation2017 är d the DA Rules exceptwhere:

such disclosure is in accordance with the provisionsabout public access to documentscontained in the PlanningAct 2016 and the Plannir Regulation 2017k and the access rules rnade under the PlanningAct 2016andPlanningRegulatiòn2017; or

? required by other legislation (includingtheRight to informåtion Act 2009) or

otherwise requiredby law.This informationmay be stored in relevantdatabases; The informationcollectedwill be retained as required by thePublic RecordsAct 2002.

Page 5

DA Form 2 - Building work detaHsVersion 1.2- 7 Februay2020

PART 7- FOR COMPLETIONBY THE ASSESSMENT MANAGER- FOR OFFICE

USE ONLY

Date received: Reference nunibers:

Ölésslf ät oriN of appfo d bu d ng wo

Name QBCC Certification Licence QBCC Insurancereceiptnumber number

Prescribed assessmentmanagerName of chosen assessment managerDate chosen assessment managerengaged

Contact numberof chosen assessmentmanagerRelevant licence number(s) of chosen assessmentmanager

Confirm proposed constructionmaterials:

O Double brick TSteel ?° Curtain glassExternal walls Brick veneer O Timber D Aluminium

Stone/concrete D Fibre cement C Other

FrameTimber !x'Steel D AluminiumOther

Floor x Concrete O Timber C Other

Roof coveringO Slate/concrete O Tiles O Fibre cement

'Aluminium x Steel O Other

Description of the workQLeave project numberAmount paid ($) Date paid (dd/rárü/yy)

Date receipted form sighted by assessment managerName of officerwho sighted the form

Existing building use/classification?(ifapplicable)

New building use/classification? 10A

Site area (m9 20280m2 Floor area (n 115.8m2

Page 6DA Form 2 - Buildlng workdetaHs

Version 1.2- 7 February2020

ca a a n. o

c?e

(O ô

Lá-cæ

LnDO

urtoDD

Pitch

SITE PLAN

Building Size 00 L x [1 W x SQD H

I 600 Site Area 10 ATO Scale : Eng. Plan No. (4 69 63

Owner kw nni4 Contract No.Mí%ev. Postal Arlrlress . e

Site Address a4 <Áde...TITAN ENTERPISES PTY LTD

Lot No. }\Por Þ -1S5 -159 MAGNESlUMDRIVE

Site Plan Version 1.3. CRESTMEADQLD 4132

.QLD BSA LICENCE #77920

Elev. (.f° Pitch

O Elev.

SITE PLAN

Building Size c dût> L x /c? daa W x '(da H

Site Area 10 120 Scale I : fdo Eng. Plan No. [4· 6

Owner Ñ412v1 Énnùí ContractNo.Ûd0PostalAddress iÝ ÚoÉdrlde_ Ê.A Óetwám,Site Address <M ahwe_

TITAN ENTERPISESPTY LTD

Lot No. RP or 2, 155 -159 MAGNESIUM DRIVE

Site Plan Version 1.3. CRESTMEADQLD4132QLD BSA LICENCE #77920

SomersetREGIONAL COUN.CIL

12 May 2020

Titan EnterprisesPtý LtdPO Box 1112BROWNS PLA1NS QLD 4118

Email: [email protected]

DearSir/Madam,

InformationRequest for Building Application- Two.NewCarports48 Guttetidge Road, Coominya- Helen EnnisCouncil Ref: DA No: 19369; Assess No: 00286-00000-000;Lot 37 RP141742

Thank you for your DevelopmentApplication (No. 19369 in the Council register) forbuildingworksassociatedwith two newcarports,on Lot37 RP171742at 48 GutteridgeRoad, for Helen Enniss

This application has been assessed and it has been determiried that a furtherapplication is required to be madé under the Somerset Region·Planning Scheme(BWAPS)because the proposed skillion carport is located within,15.0 metres of theside boundary in the Rural zone. The fee for this planning application is $312.00 andapplication is to be made on DA Forms 1 and 2. Alternatively, you may provide anamended site plan indicatinga minimum side boundary setback of 15.0 rnetres.

The period for the applicant to respond to an information request is three,monthsfromthe date the informationrequest was made (s13.1of DevelopmentAssessmentRules).

We will be able to continue processing your application when you forward thisinformation to Council, if you have any inquiries, pleasecontactone of the officers fromthe building section on (07)5424 4000.

Yours faithfully

Andrew JohnsonChiefExecutive Officer

Let 19430 infoRequestPADA19369 Ennis.doo

ABN 50 138 958 249CouricilChambers-2 RedbankStreet,EskQLD 4312

AddressaHcorrespondenceto - ChlefExecutiveOfficer, SomersetRegionalcouncil,PO Box 117, EskQLD 4312P 0754244000 F 0754244099 E [email protected] W www.somerset.qld.gov.au

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