FOR PILING AND EXCAVATION WORKS ( to be submitted together with permit application form) Annex A

To :

Commissioner of Building Control 5 Maxwell Road, #05-00 Tower Block MN Com!lex "inga!ore 0#$%%0 &ax : #'(5 )*+(

,ro-ect Title ,ro-ect Reference No Pre-construction Surve / confirm t0at 1a2

: ....................................... : .......................................

/ will gi3e a co!4 of t0e !re-construction sur3e4 to eac0 owner of neig05ouring !ro!erties w0en it is read4, 5ut 5efore work commences on site6 7ac0 owner will 5e gi3en t0e !ortion of t0e sur3e4 w0ic0 is rele3ant to 0is !ro!ert46 8 com!lete set of t0e sur3e4 will 5e ke!t at site6

152

Noti!ic"tion to #CA o! co$$ence$ent o! %i&in' ( exc"v"tion )or*s / would like to inform t0at !iling 9 exca3ation: works will commence at site on .......6 1 ate2

........................................ Builder 1Tec0nical Controller2 Name ; "ignature

..................... Builder<s Com!an4 "tam!

............... ate cc : =, for structural works : 8ccredited C0ecker : ........................... ...........................

: ,lease delete accordingl46 /f t0ere are exca3ation works followed 54 !iling works, BC8 s0ould also 5e notified on commencement of exca3ation works6

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Annex #+

Impact Assessment Report

Regulation 33, Building Control Regulations

Project Title ______________________________________________________ ______________________________________________________ Project Reference No: _________________________ Name of PE: _________________________ Part I Basic Information 1. List of properties that may e affected during construction is sho!n elo!"
I confirm that pre-construction survey will be carried out before commencement of wor !

#$% " # etc etc

Address

Brief description of the property

&. #ite o ser'ation

I have identified the presence and assessed the stability of retainin$ wall% slope or boundary wall at site! &ite photo$raphs are attached in the report!

Location &lope 'oundary wall ("!) m hi$h Retainin$ wall 3. (ype of e*ca'ation !or+ to e carried out
Please tic *+ the appropriate bo,es

(ype -

)eight

Basement construction Pile caps$,ootings (rench for drain, se!er Pond$s!imming pool
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Part II - Chec+list on Impact Assessment Report

The report shall consist of recommendations on the preventive measures to be ta en in connection with% but not limitin$ to the followin$ types of construction wor : -Please tic *+ the appropriate bo,es.

.*ca'ation !or+ .*cessi'e ground settlement /ea+ening of oundary !all$retaining !all /ea+ening of slope Piling !or+ .*cessi'e 'i ration generated Crac+ing of non-suspended sla , tiles, !alls and structure 0emolition !or+ .*cessi'e 'i ration generated /ater seepage into a utting property

)ac+ing !or+ )ac+ing of common continuous eams !here the structural ade1uacy of the remaining continuous eams is affected 2e.g. reconstruction of a unit of a pair of semi-detached house3 Remo'al of common roof canopy or car porch roof !here the sta ility of the remaining canopy or porch is affected )ac+ing of common footing 2shared y t!o properties3

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Part III 0eclaration

I confirm that I have identified the types of construction wor in Part II% with a view to determinin$ appropriate preventive measures to be ta en so as to prevent any settlement or movement which may impair the stability of or cause dama$e to the whole or part of any premises or buildin$ adjacent or in otherwise close pro,imity to the buildin$ wor s are attached!

&i$nature / stamp of PE:

________________

0ate: ______________

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.R##4Anne* A
0.#I5% C6%#I0.RA(I6%# ,6R .AR() R.(AI%I%5 6R #(ABLI#I%5 #(R7C(7R.# 2.R##3 Pro8ect Ref"44444444444444 Pro8ect %ame"4444444444444444444444444444444444444444444444 -note : this form is to be completed and attached to the desi$n calculations. #.C(I6% I (to be completed by the QP(D) for ERSS) % 9ey design considerations I have desi$ned ER&& in accordance with the buildin$ codes and re$ulations! I confirm that the ER&& desi$n is structurally safe and robust! 1s a minimum% I have ta en into account the followin$ aspects: 1de2uate and appropriate site investi$ation3 Proper evaluation and selection of the soil parameters for desi$n3 Effects due to onerous water pressures and seepa$e forces3 Effects due to onerous soil loadin$ conditions from both drained and undrained conditions of the soils% as well as the effect of time on soil draina$e conditions3 Effects of surchar$e loads -at least "4 Pa.% includin$ incidental loads% construction loads% adjacent slope% load from adjacent e,istin$ structures and usa$e% etc3 5aryin$ load conditions durin$ sta$es of the construction includin$ removal sta$es3 0esi$n robustness and redundancy considerations which shall include one-strut failure% accidental loads etc3 1de2uacy of wall embedment a$ainst toe ic -out and seepa$e control% etc3 1de2uate factor of safety a$ainst overall wall stability and basal heave6hydraulic uplift6pipin$3 &tructural ade2uacy of wall and supportin$ system e!$ walers% struts% anchors etc3 Provision of proper continuous concrete pac in$ between waler and wall% preloadin$ of struts% ade2uate stiffeners and temperature effect3 Provision of restraints in structural members7 connections% ties and bracin$s3 &ensitivity analyses and impact on the performance of ER&&3 Effects due to $round water lowerin$3 Effects of $round deformation on nei$hbourin$ properties! 6ther specific controls on design I have also allowed in my desi$n the followin$: 8onstruction tolerances and material imperfections3 and no allowance for any material overstress 93 :ull water table level or onerous water conditions and seepa$e pressures actin$ on both sides on the wall93 :actor of safety for the desi$n shall not be less than that for permanent wor s 93 ;obili<ation factors of not less than "!# and "!= for effective stress and total stress parameters respectively for limit e2uilibrium calculations3 and >nplanned e,cavation!

_________________________________________ %ame, stamp : signature of ;P203 0ate" __________________ #.C(I6% II< (to be completed by the AC for ERSS) I have independently reviewed and chec ed the desi$n and construction methodolo$y of ER&& to satisfy that the ER&& is structurally safe and robust and the measures are also ade2uate to safe$uard the nei$hbourin$ properties% and is in accordance to the buildin$ codes and re$ulations!

__________________________________________ %ame, stamp : signature of AC< 0ate" _______________

%ote: 9 This shall supersede such provisions as clauses !"!# and !"!$ of CP$%"&&# Code of Practice for 'oundations (hich su))est that for temporary (or*s+ a lo(er factor of safety may be considered or material overstress is allo(ed

?@nly applicable for 18 application!

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C.R(I,ICA(I6%# B= ;Ps and B7IL0.R

Pro8ect Ref"44444444444444

.R##4Anne* B

Pro8ect %ame"44444444444444444444444444444444444444444444

#.C(I6% I (to be completed by the QP(S) for ERSS) " Construction #e1uence a I confirm that the builder7s detailed e,cavation plan is in accordance to approved plan endorsed by AP and 18-where applicable.% and shall instruct the builder to see my approval at every strut6support level before proceedin$ with any e,cavation6 ne,t sta$e of wor s! # Inspection of erected !or+s a I shall chec that ER&& are constructed in accordance with approved plans and assess its performance at every strut6support level before $ivin$ approval to the builder for further e,cavation6 to proceed with the ne,t sta$e of wor s! b I shall carry out site inspections% includin$ but not limited to the followin$: 8hec that the as-constructed embedded piled wall si<es and penetration depths are in accordance to approved plans 8hec that the structural sections% connections% bracin$s and ER&& system are safe3 and they are installed in the se2uence stipulated in the approved plans 8hec that the structural supportin$ elements used on site are in accordance to the drawin$s% free from defects% not dama$ed or deformed% and all are within the tolerances allowed for in the AP plans% codes or specifications! 8hec that the actual soil and water conditions% loads and pressures do not e,ceed AP plans or specifications! B 5round mo'ement monitoring a I shall ensure that the instrumentation and monitorin$ plan is e,ecuted3 and monitorin$ measures are in place on site before the start of ER&&! b I shall closely monitor the site to inspect and ensure that all deformations% loads and pressures do not e,ceed critical limits! I shall ta e necessary preventive% protective and remedial actions on site in consultation with AP and 18 -where applicable.% the builder and the developer% in order to remove dan$er immediately and prevent dama$e to surroundin$ properties! C a b c d >onitoring and Inspections I shall ensure that the monitorin$ readin$s are ta en and assessed in a proper and timely manner! I shall conduct re$ular site inspections and assess the actual performance of ER&& to ensure that safe condition of ER&& is maintained at all times as lon$ as the e,cavation remains! I shall instruct the builder to ta e corrective action immediately and notify '81 if any of the critical limits is reached or if there is dama$e to the nei$hbourin$ properties! I shall ensure that copies of *&ite Inspection / 1pproval Records+ and *Dround ;ovement 1ssessment Records+ are ept on site!

44444444444444444444444444444444444444444444444444 %ame, stamp : signature of ;P2#3 0ate" 444444444444444 #.C(I6% II (to be completed by the builder) " .rection of .R## a I shall comply with the endorsed construction plans and se2uence stipulated by the AP and accordin$ly produce a detailed e,cavation plan! 1ll e,cavation wor s shall be e,ecuted in accordance with the APsE endorsed plans! I shall obtain approval from AP and 18 -where applicable. before proceedin$ with any e,cavation6proceed with the ne,t sta$e of wor s! b I shall implement and maintain the APs7 endorsed instrumentation and monitorin$ plan! c I shall ensure that the monitorin$ readin$s are properly ta en by trained persons and to be overseen by the site supervisor% or the AP! d I shall ensure that all ER&& wor s are e,ecuted within the critical limits! If any of the allowable limits of $round movement is reached or there is dama$e to nei$hbourin$ properties% I shall ta e corrective actions% remove dan$er immediately and notify '81% AP for ER&&% and AP-&.! # Contingency measures a I have prepared a contin$ency plan in consultation with the AP-&. and ensure that ade2uate resources are on standby to implement the plan when needed!

___________________________________________ %ame : signature of uilder 2(echnical Controller3

0ate" 444444444444444

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.R##4Anne* C
&ITE IN&PE8TI@N / 1PPR@51F RE8@R0&
Pro8ect Ref". 4444444444444444 Pro8ect %ame" 44444444444444444444444444444444444444444
(This report is to be promptly updated by the QP(S) for ERSS and builder at every strut level or critical construction sta)es and timely submitted to the QP(S)! The QP(S) must ensure that a copy of each of these completed reports is *ept on site)

Focation6&ection: ____________________________ 8ritical construction sta$e of ER&&?? 0epth measured from $round surface downward N!1 0ates of AP7s site inspections -e!$! wall or strut installation% final e,cavation level. 1reas inspected -Please attach plan. AP7s approval $iven to builder to proceed with e,cavation or strut removal or to ne,t sta$e! -&i$n / 0ate. 8omments

>pon completion of installation of embedded walls% pilin$ or in$post or $round improvement 1t the end of each critical sta$e of cut slope 1t strut6support level no! -. 1t final e,cavation level Removal of strut6support no!- . 6 removal of wall

%otes: ?? ER&& refers to the earth retainin$ or stabilisin$ structures or system includin$ embedded walls% $round improvement % earth berms% slope or open cut slope% struts% walers% connections% in$posts% all structural components and measures which are inte$ral in ensurin$ stability and structural inte$rity! I confirm that the above information is accurate and correct and I am satisfied that ER&& as constructed are fully in accordance with the desi$n calculations and construction plans! I have $iven the approval to the builder to proceed e,cavation or strut6anchor to the ne,t level6sta$e or ne,t construction sta$e!

444444444444444444444444444444 %ame, stamp : signature of ;P2#3 0ate" 444444444444444 I confirm that I have constructed the ER&& accordin$ to the APs7 plans and desi$n calculations3 and upon the completion of each and every strut level% I have obtained the APs7 approval before further e,cavation or strut6anchor to the ne,t level or ne,t construction sta$e!

________________________________________________________ %ame, stamp : signature of uilder 2(echnical Controller3

0ate " 444444444444

Re'ie! y the AC< "I have reviewed the as-installed ey structural elements of the buildin$ wor s and earth retainin$ structures and am satisfied that they do not show any inade2uacy! I a$ree with the APEs approval for the builder to proceed e,cavation or removal of strut6anchor to the ne,t level6sta$e or ne,t construction sta$e!

444444444444444444444444444 %ame, stamp : signature of AC< 0ate" 4444444444444444 ?@nly applicable 18 application

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.R##4Anne* 0
5R67%0 >6?.>.%( A##.##>.%( R.C6R0
Pro8ect Ref". 4444444444444444 Pro8ect %ame" 44444444444444444444444444444444444444444
(This record is to be completed by the QP(S) promptly upon the completion of every strut level or critical construction sta)es and a copy must be *ept on site)

Focation6&ection: ____________________________
1 a Assessment of ground mo'ements" I have assessed the results ta en from the monitorin$ instrumentation and site observations! The ma,imum measured movements are: Gall lateral deflection : ________________ mm Dround settlement readin$ b : ________________ mm

I have inspected the site and its nei$hbourin$ areas% and assessed the performance of ER&& as constructed3 and I am satisfied that ER&& is structurally ade2uate and the wor s can safely proceed to the ne,t e,cavation or construction sta$e!

& a

Actions ta+en 9 I am not satisfied with ER&& as installed and its performance% and its shortcomin$s are as follows:

9 I have ta en the followin$ immediate actions:

44444444444444444444444444444444444444 %ame, stamp : signature of ;P2#3 0ate"

3 a b

(a+ing of monitoring readings" I confirm that the ER&& have been constructed accordin$ to the construction plans and desi$n calculations endorsed by the AP! I confirm that the readin$s of the monitorin$ instruments from __________ to ___________ -dates. are properly ta en by instrumentation specialist! I have ept a record of the dates and times of these events includin$ the construction6e,cavation activities! @ther comments:

________________________________________________________ %ame : signature of #ite #uper'isor2s3 Note: 9 delete if not applicable

0ate" 44444444444

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.R##4Anne* .
>onthly Instrumentation and >onitoring for .*ca'ation /or+s
-This form shall be completed by AP-&. and submitted to 8'86'81 by Hth day of the followin$ month when any wor s shown in approved ER&& plan such as installation of wall or support% $round improvement% e,cavation% removal of support or wall% etc% started6on$oin$ and until the ER&& wor s is fully bac filled to $round level and or completion of removal of temporary retainin$ wall!

:or the month of __________ Iear________ Project Ref! No! Project Title &ite Focation: _________________
Instrumentation >onitoring and 0amage Reporting -fill in this section only if the alert or wor
suspension levels are e,ceeded or dama$ed observed on buildin$6structure% includin$ boundary wall.

5round lateral mo'ement$settlement$other instruments

Instrument Ref. Current reading Alert le'el /or+ #uspension le'el 0ate of Reading Remar+s

Building settlement$monitoring
Instrument Ref. Current reading

This Form /or+ has#uspension to be Alert le'el le'el submitted electronically through CORENET ESS See guideline below

0ate of Reading

Remar+s

Building damage -includin$ boundary wall% structural and non-structural dama$e.

Building name$address 0escription Remar+s

0eclaration 2<delete as appropriate3"

I declare that for the month of ______________ ?a. none of the instrumentation movement readin$s has e,ceeded the alert or wor suspension levels! ?b. monitorin$ readin$s have e,ceeded the alert level as shown above! ;y follow-up action is in the attached report! ?c. monitorin$ readin$s have e,ceeded the wor suspension level and wor at site has been suspended! I have directed the builder to ta e corrective action to ensure safety as shown in the attached report! ?d. none of the adjacent buildin$6structure6boundary wall is affected6dama$ed by the e,cavation wor s! ?e. dama$ed buildin$-s.6boundary wall is hi$hli$hted is the attached report! I have inspected the affected buildin$6boundary wall and there is no structural safety6stability issue! I will ensure that the builder will follow up with the repair to the re2uired standard! ?f. The basement structure or bac fillin$ wor s have been completed! I declare that I have inspected the site and its surroundin$s and confirm that they are stable and there are no safety issues anticipated! This is the last monthly declaration on instrumentation and monitorin$ for e,cavation wor s!

AP-&.: ____________________
PEEs &tamp6&i$nature of AP appointed under &ection )-".-b. or ""-".-d.-ii. of 'uildin$ 8ontrol 1ct Note: ->nder &ection #4 of the 'uildin$ 8ontrol 1ct% any person who ma es or produces any declaration% report% record% document etc which is false in a material particular% shall be $uilty of an offence!.

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Guide on e-Submission of Annex E Form. A. STEPS for QP

1. Download the form and drag to the wor area under a!!lication reference number.

". Right clic the form under wor area and clic #O!en$

%. Fill out the form then sa&e.

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'. Right clic the form again under wor

area and select #Reci!ient$

(. Right clic the folder )*C+,*E,-onthly .nstrumentation and -onitoring/ under 0or +rea then clic submit.

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1. 2ogin to the ser&er. + !o! u! screen below will a!!ear. Clic *egin.

3. Submission in !rogress screen will a!!ear. Once submission number obtained and it is already 1445 clic close.

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