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Form BCA-BE-Permit
JOINT APPLICATION FOR PERMIT TO CARRY OUT STRUCTURAL WORKS
[Section 6 of The Building Control Act]

Commissioner of Building Control Please tick the appropriate box if the re-application of permit is made for the change of
Building and Construction Authority any of the following project party:
5 Maxwell Road #02-00 Developer
Tower Block, MND Complex
Singapore 069110 QP for supervision of structural works
Builder
QP for architectural works
We hereby apply for a permit to commence the following works and undertake to comply with The Building Control Act and its Building Regulations
Demolition Works
(i) Building Type (for mixed developments, more than 1 box maybe ticked):
Residential (Landed) Residential (Non-landed) Commercial Industrial Institutional and others
(ii) Description of Demolition Work:___________________________________________________________________________________________
(e.g. 1 unit of 2-storey semi-detached dwelling house)
(iii) Details of Demolition Work:
No. of blocks/buildings: __________ Demolition Waste Quantity (in tonnes):
No. of Storeys per blk: ___________ Quantity of concrete waste: ___________________
Total Floor Area to be demolished (m2): ___________ Quantity of brick waste: _____________________
Quantity of other waste (eg. metals, timber, glass, steel re-bars, etc): __________________
Total Demolition Waste Collected: __________________

(iv) When was the building first built (based on TOP date) before 1990 after 1990
(v) Is asbestos-containing material present in the building Yes No

Under the Factories (Asbestos) Regulations, you shall notify the Ministry of Manpower prior to commencement of work involving asbestos.
If you are uncertain whether asbestos is present, you may take a sample of the suspected material for analysis or assume that it contains asbestos
Structural Works (include Site Formation, Piling, Earth Retaining Structural Works and Geotechnical Building Works)
A. PROJECT DETAILS
Project Ref. No.: A1482-00003-2013-ST01& 02
Project Title: PROPOSED INTERIM BUS DEPOT WITH SINGLE STOREY WORKSHOP AND TWO STOREY ANCILLARY
FACILITIES

TS / MK: Road 31 Lot / Plot: 04150M PT & 04238V PT


Name:
House No.: Road: LOYANG AVENUE
Total Project Cost: Expected Date of Commencement: Duration of works:
Type of Development: Design & Build project Developer cum Builder project (where developer has Others
financial interest in builders company)
B. DECLARATION BY DEVELOPER
I confirm that I have appointed the following:
(i) Er. ____Cheng Kim Hua_________________________________________ of PE Registration No.: __2568_________________ as the Qualified Person
for supervision of structural works under Section 8(1)(b) of the Building Control Act.

(ii) Er. _____________________________________________ of PE Registration No.: ___________________ as the Qualified Person for supervision of
geotechnical works under Section 8(1)(d)(ii) of the Building Control Act.
(iii) _____________________________________________ of UEN ___________ as the Builder under Section 8(1)(c) of the Building Control Act.

Signature of Authorised Signatory

Name & Address Name & Designation ( if applicant is a company)


UEN: __________ Tel No.:___________ Fax No.:___________ NRIC No.:__________________ Date__________________

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C. DECLARATION BY THE QUALIFIED PERSON FOR SUPERVISION OF STRUCTURAL WORKS
I confirm that
(i) I have been appointed as the Qualified Person for supervision of structural works under Section 8(1)(b) or 11(1)(d)(ii) of the Building Control Act in respect of
the works described above by

(ii) I am not a partner, officer or employee of the builder or any associate of the builder (only applicable to project that requires an Accredited Checker).
(iii) I have appointed ___________ (state total no.) of Resident Engineer(s) and ___________ (state total no.) of Resident Technical Officer(s) to undertake:
Immediate supervision of critical structural works as required in Section 7(1)(c) of the Building Control Act
Full-time supervision of structural works as required in Section 7(1)(b) of the Building Control Act
(iv) the particulars of the site supervisors are as shown in section (E).

Address of Qualified Person Stamp & Signature of Qualified Person


UEN: _____________ Tel no.: _______________ Fax no.: _______________ Date: ____________
H/P no. : ____________
D. DECLARATION BY THE QUALIFIED PERSON FOR SUPERVISION (GEOTECHNICAL)
I confirm that
(i) I have been appointed as the Qualified Person for Supervision of geotechnical aspect of geotechnical building works under section 8(1)(d)(ii) or 11(1)(d)(iii)
(B) of the Building Control Act in respect of the works described above by _______________________________
(ii) I am not a partner, officer or employee of the builder or any associate of the builder (only applicable to project that requires an Accredited Checker)
(iii) I have appointed ___________ (state total no.) of Resident Engineer(s) and ___________ (state total no.) of Resident Technical Officer(s) to undertake
Full-time supervision of structural works as required in Section 7(2)(b) of the Building Control Act
(iv) the particulars of the site supervisors are as shown in section (E).

Address of Qualified Person Stamp & Signature of Qualified Person


UEN: _____________ Tel no.: _______________ Fax no.: _______________ Date: ____________
H/P no. : ____________

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E. DECLARATION BY SITE SUPERVISORS(S) OF STRUCTURAL WORKS
*I / We confirm that *I am / we are
(i) the appointed site supervisor under Section 10 of the Building Control Act by the *Qualified Person of supervision of structural works / Qualified Person of
supervision of geotechnical works.
(ii) not a partner, officer or employee of the builder/developer or any associate of the builder/developer (only applicable to project that requires an Accredited
Checker).
(iii) not supervising any other projects on a full-time basis.
(iv) currently supervising _____ [site supervisor (1)], _____[site supervisor (2)],_____ [site supervisor (3)], _____[site supervisor (4)], _____[site supervisor (5)],
_____[site supervisor (6)] , _____[site supervisor (7)] projects which do not require full-time supervision.

(1) Name & Address of Site Supervisor:

Signature of Site Supervisor


*Resident Technical Officer / Resident Engineer
H/P no.: ____________ NRIC no. / Passport no. : ____________

(2) Name & Address of Site Supervisor:

Signature of Site Supervisor


* Resident Technical Officer / Resident Engineer
H/P no.: ____________ NRIC no. / Passport no. : ____________

(3) Name & Address of Site Supervisor:

Signature of Site Supervisor


*Resident Technical Officer / Resident Engineer
H/P no.: ____________ NRIC no. / Passport no. : ____________

(4) Name & Address of Site Supervisor:

Signature of Site Supervisor


* Resident Technical Officer / Resident Engineer
H/P no.: ____________ NRIC no. / Passport no. : ____________

(5) Name & Address of Site Supervisor:

Signature of Site Supervisor


*Resident Technical Officer / Resident Engineer
H/P no.: ____________ NRIC no. / Passport no. : ____________

(6) Name & Address of Site Supervisor:

Signature of Site Supervisor


*Resident Technical Officer / Resident Engineer
H/P no.: ____________ NRIC no. / Passport no. : ____________

(7) Name & Address of Site Supervisor:

Signature of Site Supervisor


*Resident Technical Officer / Resident Engineer
H/P no.: ____________ NRIC no. / Passport no. : ____________
* Delete accordingly

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F. DECLARATION BY BUILDER
I confirm that I am appointed as the Builder under Section 8(1)(c) of the Building Control Act in respect of the works described above.
#
I confirm that I have appointed the following:
(i) Er. _____________________________________________ of PE Registration No.: ___________________ as the Qualified Person for supervision of
structural works under Section 8(1)(b) of the Building Control Act.

(ii) Er. _____________________________________________ of PE Registration No.: ___________________ as the Qualified Person for supervision of
geotechnical works under Section 8(1)(d)(ii) of the Building Control Act.

Under the Building Control (Buildability) Regulations, submission of constructability score is:

1
Applicable Constructability Score has been submitted.
Constructability Score e-Submission No. : ___________________________
Constructability Score: _________ points
Will be submitted within 3 months from the date of issuance of permit to
carry out structural works.
Will be submitted within 6 months from the date of issuance of permit to
carry out structural works (for Design & Build projects only).
2
The expected start date of the superstructure works is on ___________________

1
Not Applicable GFA < 5000m2
Planning permission applied before 15 July 2011
Waiver is obtained
Exempted

+
GFA: ___________________ Square metres
+
The planning permission was first applied on : _______________

______________________________________________ _____________________________________________________

______________________________________________ Signature of Technical Controller

Name & Address of Company ____________________________________________________

Name of Technical Controller


UEN: ________________ Tel No.: _______________
Fax No.: ______________ H/P no.: _______________
NRIC No.:_____________________ Date __________________

G. DECLARATION OF QUALIFIED PERSON FOR SUPERVISION OF ARCHITECTURAL WORKS

I confirm that I am appointed as the Qualified Person for architectural works under section 8(1)(b) or 11(1)(d)(ii) in respect of the works described above.

Address of Qualified Person Name & Signature of Qualified Person


UEN: _____________ Tel no.: _______________ Fax no.: Date: ____________
_______________
H/P no. : ____________
#
For D&B projects, appointment of QPs can also be made by the Builder.
1
Please tick either one of the boxes
2
Mandatory field if constructability score is Applicable
+
Mandatory field

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