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Stage Certification: Earthworks: Contractor
Stage Certification: Earthworks: Contractor
We certify that we have supervised and/or carried out the construction and completion of the earthworks and that to the best of our knowledge and belief such works are in accordance with the Approved Earthwork Plans Ref. No.: .. and that we accept full responsibility for the same. Name (Individual) (a) Contractor ________________ #Registration No. _____________
(Construction Industry Development Board)
Signature ___________
(Date: )
_____________
(Board of Engineers Malaysia)
____________
(Date: )
_____________________________________________________________________
UNIFORM BUILDING BY-LAWS 1984 FORM G 2 STAGE CERTIFICATION : SETTING OUT [by-law 25 or 27] Project Title: ... *1. We certify that we have supervised and/or carried out the setting out of the building and that to the best of our knowledge and belief such works are in accordance with the approved plans Ref. No. : .. and that we accept full responsibility for the same.
Signature __________
(Date: )
_____________
(Land Surveyors Board) Malaysia)
___________
(Date: )
_____________
(*Board of Architects Malaysia /Board of Engineers Malaysia)
__________
(Date: )
_____________________________________________________________________
UNIFORM BUILDING BY-LAWS 1984 FORM G 3 STAGE CERTIFICATION : FOUNDATIONS [by-law 25 or 27] Project Title: ... *1. We certify that we have supervised and/or carried out the erection and completion of the foundation works and that to the best of our knowledge and belief such works are in accordance with the Deposited Plans Ref. No. : .. and that we accept full responsibility for the same.
Signature ___________
(Date: )
________________
_____________
(Board of Engineers Malaysia)
___________
(Date: )
_____________________________________________________________________
UNIFORM BUILDING BY-LAWS 1984 FORM G 4 STAGE CERTIFICATION : STRUCTURAL [by-law 25 or 27] Project Title: ... *1. We certify that we have supervised and/or carried out the erection and completion of the structural works and that to the best of our knowledge and belief such works are in accordance with the Deposited Structural Plans Ref. No.: .. and that we accept full responsibility for the same.
Signature ___________
(Date: )
_____________
(Board of Engineers Malaysia)
____________
(Date: )
# I.C. No., if there is no relevant body in respect of registration * Delete whichever is not applicable.
_____________________________________________________________________
UNIFORM BUILDING BY-LAWS 1984 FORM G 5 STAGE CERTIFICATION : INTERNAL WATER PLUMBING [by-law 25 or 27] Project Title: ... *1. We certify that we have supervised and/or carried out the erection and completion of the internal water plumbing works and that to the best of our knowledge and belief such works are in accordance with the *approved plans/Deposited Plans Ref. No. : .. and that we accept full responsibility for the same.
Signature ___________
(Date: )
(Licensed plumber)
________________
_____________
(*Board of Architects Malaysia/ Board of Engineers Malaysia)
___________
(Date: )
UNIFORM BUILDING BY-LAWS 1984 FORM G 6 STAGE CERTIFICATION : INTERNAL SANITARY PLUMBING [by-law 25 or 27] Project Title: ... *1. We certify that we have supervised and/or carried out the erection and completion of the internal sanitary plumbing works and that to the best of our knowledge and belief such works are in accordance with the *approved plans/Deposited Plans Ref. No. : .. and that we accept full responsibility for the same.
Signature ____________
(Date: )
_____________
(*Board of Architects Malaysia/ Board of Engineers Malaysia)
____________
(Date: )
+ Relevant regulatory body # I.C. No., if there is no relevant body in respect of registration * Delete whichever is not applicable.
_____________________________________________________________________
UNIFORM BUILDING BY-LAWS 1984 FORM G 7 STAGE CERTIFICATION : INTERNAL ELECTRICAL [by-law 25 or 27] Project Title: ... *1. We certify that we have supervised and/or carried out the erection and completion of the internal electrical works and that to the best of our knowledge and belief such works are in accordance with the submitting persons Endorsed Plans and that we accept full responsibility for the same.
Signature _____________
(Date: )
_____________
(Board of Engineers Malaysia)
_____________
(Date: )
_____________________________________________________________________
UNIFORM BUILDING BY-LAWS 1984 FORM G 8 STAGE CERTIFICATION : FIRE-FIGHTING (PASSIVE) [by-law 25 or 27] Project Title: ... *1. We certify that we have supervised and/or carried out the erection and completion of the fire-fighting (passive) works and that to the best of our knowledge and belief such works are in accordance with the *approved plans/Deposited Plans Ref. No. : .. and that we accept full responsibility for the same.
Signature ____________
(Date: )
________________
_____________
(*Board of Architects Malaysia/ Board of Engineers Malaysia)
_____________
(Date: )
# I.C. No., if there is no relevant body in respect of registration ** Letter of Clearance from the Fire Department Malaysia (except for residential buildings not exceeding 18 metres height) shall be attached * Delete whichever is not applicable.
__________________________________________________________________
UNIFORM BUILDING BY-LAWS 1984 FORM G 9 STAGE CERTIFICATION : FIRE-FIGHTING (ACTIVE) [by-law 25 or 27] Project Title: ... *1. We certify that we have supervised and/or carried out the erection and completion of the fire-fighting (active) works and that to the best of our knowledge and belief such works are in accordance with the *approved plans/Deposited Plans Ref. No. : .. and that we accept full responsibility for the same. Name (Individual) (a) Trade contractor ________________ #Registration No. _____________
+( )
Signature _____________
(Date: )
(b)** Submitting ________________ person OR *2. I certify that this form is not applicable.
_______________
(Board of Engineers Malaysia)
_____________
(Date: )
__________________________________________________________________
UNIFORM BUILDING BY-LAWS 1984 FORM G 10 STAGE CERTIFICATION : MECHANICAL VENTILATION [by-law 25 or 27] Project Title: ... *1. We certify that we have supervised and/or carried out the erection and completion of the mechanical ventilation works and that to the best of our knowledge and belief such works are in accordance with the submitting persons Endorsed Plans and that we accept full responsibility for the same.
Signature ____________
(Date: )
________________
_____________
(Board of Engineers Malaysia)
___________
(Date: )
_____________________________________________________________________
10
UNIFORM BUILDING BY-LAWS 1984 FORM G 11 STAGE CERTIFICATION : LIFT/ESCALATOR INSTALLATION [by-law 25 or 27] Project Title: ... *1. We certify that we have supervised and/or carried out the erection and completion of the lift/escalator installation works and that to the best of our knowledge and belief such works are in accordance with the submitting persons Endorsed Plans and that we accept full responsibility for the same.
Signature ____________
(Date: )
(b) **Submitting ________________ Person OR *2. I certify that this form is not applicable.
_____________
(Board of Engineers Malaysia)
____________
(Date: )
_____________________________________________________________________
11
UNIFORM BUILDING BY-LAWS 1984 FORM G 12 STAGE CERTIFICATION : BUILDING [by-law 25 or 27] Project Title: ...
*1. We certify that we have supervised and/or carried out the erection and completion of the building works and that to the best of our knowledge and belief such works are in accordance with the approved plans Ref. No. : .. and that we accept full responsibility for the same.
Signature _________
(Date: )
_____________
(*Board of Architects Malaysia/ Board of Engineers Malaysia)
___________
(Date: )
__________________________________________________________________
12
UNIFORM BUILDING BY-LAWS 1984 FORM G 13 STAGE CERTIFICATION : EXTERNAL WATER SUPPLY SYSTEM [by-law 25 or 27] Project Title: ... *1. We certify that we have supervised and/or carried out the erection and completion of the external water supply system and that to the best of our knowledge and belief such works are in accordance with the approved plans Ref. No. : .. and that we accept full responsibility for the same. Name (Individual) (a) Trade contractor ________________ #Registration No. _____________
+( )
Signature _________
(Date: )
(b) **Submitting ________________ person OR *2. I certify that this form is not applicable.
_____________
(Board of Engineers Malaysia)
__________
(Date: )
__________________________________________________________________
13
UNIFORM BUILDING BY-LAWS 1984 FORM G 14 STAGE CERTIFICATION : SEWERAGE RETICULATION [by-law 25 or 27] Project Title: ... *1. We certify that we have supervised and/or carried out the erection and completion of the sewerage reticulation works and that to the best of our knowledge and belief such works are in accordance with the approved plans Ref. No. : .. and that we accept full responsibility for the same. Name (Individual) (a) Trade contractor (b) **Submitting person OR *2. I certify that this form is not applicable. ________________
+(
Signature __________
(Date: )
________________
_____________
(Board of Engineers Malaysia)
_________
(Date: )
________________________________________________________________
14
UNIFORM BUILDING BY-LAWS 1984 FORM G 15 STAGE CERTIFICATION : SEWERAGE TREATMENT PLANT [by-law 25 or 27] Project Title: ... *1. We certify that we have supervised and/or carried out the erection and completion of the sewerage treatment plant works and that to the best of our knowledge and belief such works are in accordance with the approved plans Ref. No. : .. and that we accept full responsibility for the same.
Name (Individual) (a) Trade ________________ contractor (b)**Submitting ________________ person OR *2. I certify that this form is not applicable.
Signature ________
(Date: )
_____________
(Board of Engineers Malaysia)
_________
(Date: )
____________________________________________________________________
15
UNIFORM BUILDING BY-LAWS 1984 FORM G 16 STAGE CERTIFICATION : EXTERNAL ELECTRICAL SUPPLY SYSTEM [by-law 25 or 27] Project Title: ... *1. We certify that we have supervised and/or carried out the erection and completion of the external electrical supply system and that to the best of our knowledge and belief such works are in accordance with the approved plans Ref. No. : .. and that we accept full responsibility for the same.
Signature ___________
(Date: )
________________
(b) **Submitting ________________ person OR *2. I certify that this form is not applicable.
_____________
(Board of Engineers Malaysia)
____________
(Date: )
_____________________________________________________________________
16
UNIFORM BUILDING BY-LAWS 1984 FORM G 17 STAGE CERTIFICATION : ROAD AND DRAIN [by-law 25 or 27] Project Title: ...
*1. We certify that we have supervised and/or carried out the erection and completion of the road and drain works and that to the best of our knowledge and belief such works are in accordance with the *approved plans/Deposited Plans Ref. No. : .. and that we accept full responsibility for the same. Name (Individual) (a) Contractor ________________ #Registration No. _____________
(Construction Industry Development Board)
Signature __________
(Date: )
________________
_____________
(Board of Engineers Malaysia)
__________
(Date: )
____________________________________________________________________
17
UNIFORM BUILDING BY-LAWS 1984 FORM G 18 STAGE CERTIFICATION : STREET LIGHTING [by-law 25 or 27] Project Title: ... *1. We certify that we have supervised and/or carried out the erection and completion of the street lighting works and that to the best of our knowledge and belief such works are in accordance with the *approved plans/Deposited Plans Ref. No. : .. and that we accept full responsibility for the same.
Signature _______
(Date: )
________________
________________
_____________
(Board of Engineers Malaysia)
________
(Date: )
_____________________________________________________________________
18
UNIFORM BUILDING BY-LAWS 1984 FORM G 19 STAGE CERTIFICATION : EXTERNAL MAIN DRAIN [by-law 25 or 27] Project Title: ... *1. We certify that we have supervised and/or carried out the erection and completion of the external main drain works and that to the best of our knowledge and belief such works are in accordance with the approved plans Ref. No. : .. and that we accept full responsibility for the same. Name (Individual) (a) Contractor ________________ #Registration No. _____________
(Construction Industry Development Board)
Signature _________
(Date: )
_____________
(Board of Engineers Malaysia)
__________
(Date: )
_____________________________________________________________________
19
UNIFORM BUILDING BY-LAWS 1984 FORM G 20 STAGE CERTIFICATION : TELECOMMUNICATIONS [by-law 25 or 27] Project Title: ... *1. We certify that we have supervised and/or carried out the erection and completion of the telecommunication works and that to the best of our knowledge and belief such works are in accordance with the *approved plans/Deposited Plans Ref. No. : .. and that we accept full responsibility for the same. Name (Individual) (a) Trade contractor ________________ #Registration No. _____________
+( )
Signature __________
(Date: )
________________
(Board of Engineers Malaysia)
__________
(Date: )
_____________________________________________________________________
20
UNIFORM BUILDING BY-LAWS 1984 FORM G 21 STAGE CERTIFICATION : LANDSCAPE [by-law 25 or 27] Project Title: ... *1. We certify that we have supervised and/or carried out the construction and completion of the landscape works and that to the best of our knowledge and belief such works are in accordance with the approved plans Ref. No. : .. and that we accept full responsibility for the same. Name (Individual) (a) Trade contractor (b) *Architect/ Landscape Architect OR *2. I certify that this form is not applicable. ________________ #Registration No. _____________
+( )
Signature _________
(Date: )
________________
+(
_____________
)
_________
(Date: )
___________________________________________________________________.
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