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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 Building and Construction Authority 5 Maxwell Road #02-00 Tower Block, MND Complex Singapore 069110
Please tick the appropriate box if the re-application of permit is made for the change of any of the following project party: Developer 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: __________ No. of Storeys per blk: ___________ Total Floor Area to be demolished (m2): ___________ Demolition Waste Quantity (in tonnes): Quantity of concrete waste: ___________________ Quantity of brick waste: _____________________ Quantity of other waste (eg. metals, timber, glass, steel re-bars, etc): __________________ Total Demolition Waste Collected: __________________ Structural Works (include Site Formation, Piling, Earth Retaining Structural Works and Underground Building Works) A. PROJECT DETAILS Project Ref. No.: Project Title:

PROPOSED RECONSTRUCTION TO THE EXISTING 2-STOREY INTERMEDIATE TERRACE DWELLING HOUSE TO 3-STOREY INTERMEDIATE TERRACE DWELLING HOUSE WITH AN ATTIC ON LOT 97774M TS 17 AT 11 STURDEE ROAD SINGAPORE 207840. 17 11
Design & Build project Lot / Plot: Road:

TS / MK: House No.: Total Project Cost: Type of Development: B.

97774M STURDEE ROAD
Duration of works: Others

Expected Date of Commencement: Developer cum Builder project (where developer has financial interest in builder’s company)

DECLARATION BY DEVELOPER

I confirm that I have appointed the following: (i) Er. __KEE KAM OON_________________________ of PE Registration No.: __E3126____________ as the Qualified Person for supervision of structural works under Section 8(1)(b) of the Building Control Act. 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.

(ii)

(iii) _____________________________________________ of UEN ___________ as the Builder under Section 8(1)(c) of the Building Control Act.

Signature of Authorised Signatory

Name & Address UEN: __________ Tel No.:___________ Fax No.:___________

Name & Designation ( if applicant is a company) NRIC No.:__________________ Date__________________

BEV B1_Jul 2011

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