DA Form 2 – Building work details

Approved form (version 1.1 effective 22 JUNE 2018) made under Section 282 of the Planning Act 2016.

This form must be used to make a development application involving building work.

For a development application involving building work only, use this form (DA Form 2) only. The DA Forms Guide provides advice about how to complete this form.

For a development application involving building work associated and any other type of assessable development, use DA Form 1 – Development application details and 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 information must accompany the development application.

This form and any other form relevant to the development application must be used to make a development application relating to strategic port land and Brisbane core port land under the Transport Infrastructure Act 1994, and airport land under the Airport Assets (Restructuring and Disposal) Act 2008. For the purpose of assessing a development application relating to strategic port land and Brisbane core port land, any reference to a planning scheme is taken to mean a land use plan for the strategic port land, Brisbane port land use plan for Brisbane core port land, or a land use plan for airport land. One or more additional pages may be attached as a schedule to this development application if there is insufficient space on the form to include all the necessary information.

Note:	All terms used in this form have the meaning given under the Planning Act 2016, the Planning Regulation 2017, or the Development Assessment Rules (DA Rules).

PART 1 – Applicant details

1) Applicant details
Applicant name(s) (individual or company full name)
Contact name (only applicable for companies)
Postal address (PO Box or street address)
Suburb
State
Postcode
Country
Contact number
Email address (non-mandatory)
Mobile number (non-mandatory)
Fax number (non-mandatory)
Applicant’s reference number(s) (if applicable)

PART 2 – Location details

2) Location of the premises (complete 2.1 and/or 2.2 if applicable) Note: Provide details below and attach a site plan for any or all premises part of the development application. For further information, see DA Forms Guide: Relevant plans.
2.1) Street address and lot on plan
Street address AND lot on plan (all lots must be listed), or Street address AND lot on plan for an adjoining or adjacent property of the premises (appropriate for development in water but adjoining or adjacent to land e.g. jetty, pontoon. All lots must be listed).
Unit No.	Street No.	Street Name and Type	Suburb
Postcode	Lot No.	Plan Type and Number (e.g. RP, SP)	Local Government Area(s)
2.2) Additional premises
Additional premises are relevant to this development application and the details of these premises have been attached in a schedule to this development application

3) Are there any existing easements over the premises? Note: Easement uses vary throughout Queensland and are to be identified correctly and accurately. For further information on easements and how they may affect the proposed development, see the DA Forms Guide
Yes – All easement locations, types and dimensions are included in plans submitted with this development application No

PART 3 – FURTHER details

4) Is the application only for building work assessable against the building assessment provisions?
Yes – proceed to 8) No

5) Identify the assessment manager(s) who will be assessing this development application

6) Has the local government agreed to apply a superseded planning scheme for this development application?
Yes – a copy of the decision notice is attached to this development application The local government is taken to have agreed to the superseded planning scheme request – relevant documents attached No

7) Information request under Part 3 of the DA Rules
I agree to receive an information request if determined necessary for this development application I do not agree to accept an information request for this development application Note: By not agreeing to accept an information request I, the applicant, acknowledge: that this development application will be assessed and decided based on the information provided when making this development application and the assessment manager and any referral agencies relevant to the development application are not obligated under the DA Rules to accept any additional information provided by the applicant for the development application unless agreed to by the relevant parties. 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 information requests is contained in the DA Forms Guide.

8) Are there any associated development applications or current approvals?
Yes – provide details below or include details in a schedule to this development application No
List of approval/development application	Reference	Date	Assessment manager
Approval Development application
Approval Development application

9) Has the portable long service leave levy been paid?
Yes – the yellow local government/private certifier’s copy of the receipted QLeave form is attached to this development application No – I, the applicant will provide evidence that the portable long service leave levy has been paid before the assessment manager decides the development application. I acknowledge that the assessment manager may give a development approval only if I provide evidence that the portable long service leave levy has been paid Not applicable
Amount paid	Date paid (dd/mm/yy)	QLeave levy number (A, B or E)
$

10) Is this development application in response to a show cause notice or required as a result of an enforcement notice?
Yes – show cause or enforcement notice is attached No

11) Identify any of the following further legislative requirements that apply to any aspect of this development application
The proposed development is on a place entered in the Queensland Heritage Register or in a local government’s Local Heritage Register. See the guidance provided at www.des.qld.gov.au about the requirements in relation to the development of a Queensland heritage place
Name of the heritage place:	Place ID:

PART 4 – Referral details

12) Does this development application include any building work aspects that have any referral requirements?
Yes – the Referral checklist for building work is attached to this development application No – proceed to Part 5

13) Has any referral agency provided a referral response for this development application?
Yes – referral response(s) received and listed below are attached to this development application No
Referral requirement	Referral agency	Date referral response
Identify and describe any changes made to the proposed development application that was the subject of the referral response and the development application the subject of this form, or include details in a schedule to this development application (if applicable)

PART 5 – Building work details

14) Owner’s details
Tick if the applicant is also the owner and proceed to 15). Otherwise, provide the following information.
Name(s) (individual or company full name)
Contact name (applicable for companies)
Postal address (P.O. Box or street address)
Suburb
State
Postcode
Contact number
Email address (non-mandatory)
Mobile number (non-mandatory)
Fax number (non-mandatory)

15) Builder’s details
Tick if a builder has not yet been engaged to undertake the work and proceed to 16). Otherwise provide the following information.
Name(s) (individual or company full name)
Contact name (applicable for companies)
QBCC licence or owner – builder number
Postal address (P.O. Box or street address)
Suburb
State
Postcode
Contact number
Email address (non-mandatory)
Mobile number (non-mandatory)
Fax number (non-mandatory)

16) Provide details about the proposed building work
What type of approval is being sought? Development permit Preliminary approval
b) What is the level of assessment?
Code assessment Impact assessment (requires public notification)
c) Nature of the proposed building work (tick all applicable boxes) New building or structure	Repairs, alterations or additions
Change of building classification (involving building work)	Swimming pool and/or pool fence
Demolition	Relocation or removal
d) Provide a description of the work below or in an attached schedule.
e) Proposed construction materials
External walls	Double brick Brick veneer Stone/concrete	Steel Timber Fibre cement	Curtain glass Aluminium Other
Frame	Timber Other	Steel	Aluminium
Floor	Concrete	Timber	Other
Roof covering	Slate/concrete Aluminium	Tiles Steel	Fibre cement Other
f) Existing building use/classification? (if applicable)
g) New building use/classification? (if applicable)
h) Relevant plans Note: Relevant plans are required to be submitted for all aspects of this development application. For further information, see DA Forms Guide: Relevant plans. Relevant plans of the proposed works are attached to the development application

17) What is the monetary value of the proposed building work?	$

18) Has Queensland Home Warranty Scheme Insurance been paid?
Yes – provide details below
No
Amount paid	Date paid (dd/mm/yy)	Reference number
$

PART 6 – checklist and applicant declaration

19) Development application checklist
The relevant parts of Form 2 – Building work details have been completed	Yes
This development application includes a material change of use, reconfiguring a lot or operational work and is accompanied by a completed Form 1 – Development application details	Yes Not applicable
Relevant plans of the development are attached to this development application Note: Relevant plans are required to be submitted for all aspects of this development application. For further information, see DA Forms Guide: Relevant plans.	Yes
The portable long service leave levy for QLeave has been paid, or will be paid before a development permit is issued	Yes Not applicable
20) Applicant declaration
By making this development application, I declare that all information in this development application is true and correct Where an email address is provided in Part 1 of this form, I consent to receive future electronic communications from the assessment manager and any referral agency for the development application where written information is required or permitted pursuant to sections 11 and 12 of the Electronic Transactions Act 2001 Note: It is unlawful to intentionally provide false or misleading information.
Privacy –pPersonal information collected in this form will be used by the assessment manager and/or chosen assessment manager, any referral agency and/or building certifier (including any professional advisers which may be engaged by those entities) while processing, assessing and deciding the development application. All information relating to this development application may be available for inspection and purchase, and/or published on the assessment manager’s and/or referral agency’s website. Personal information will not be disclosed for a purpose unrelated to the Planning Act 2016, Planning Regulation 2017 and the DA Rules except where: such disclosure is in accordance with the provisions about public access to documents contained in the Planning Act 2016 and the Planning Regulation 2017, and the access rules made under the Planning Act 2016 and Planning Regulation 2017; or required by other legislation (including the Right to Information Act 2009); or otherwise required by law. This information may be stored in relevant databases. The information collected will be retained as required by the Public Records Act 2002.

PART 7 –FOR completion by the assessment manager – FOR OFFICE USE ONLY

Date received:	Reference numbers:

For completion by the building certifier
Classification(s) of approved building work
Name	QBCC Certification Licence number	QBCC Insurance receipt number

Notification of engagement of alternate chosen assessment manager
Prescribed assessment manager
Name of chosen assessment manager
Date chosen assessment manager engaged
Contact number of chosen assessment manager
Relevant licence number(s) of chosen assessment manager

Additional information required by the local government
Confirm proposed construction materials:
External walls	Double brick Brick veneer Stone/concrete	Steel Timber Fibre cement	Curtain glass Aluminium Other
Frame	Timber Other	Steel	Aluminium
Floor	Concrete	Timber	Other
Roof covering	Slate/concrete Aluminium	Tiles Steel	Fibre cement Other

Additional building details required for the Australian Bureau of Statistics
Existing building use/classification? (if applicable)
New building use/classification?
Site area (m2)	Floor area (m2)