BINTAN LAGOON RESORT

RENOVATION

SITE INSTRUCTION
Submission Date : 14 APRIL 2023 Ref. No. : BLR-ACT-WP05-SIN-AR-00-00-016-0
From : PT. ARCHETYPE INDONESIA Name : ZULKARNAIN ILYAS
To : PT. MANDIRI KARYACIPTA KONSTRUKSI Name : KRAMA WIJAYA
Cc : PT. RIDER LEVETT BUCKNALL Name : SUSILOWATI NOEGROHO
Discipline: : Civil ☒ Structure ☐ Architecture ☐ Mechanical ☐ Electrical ☐ Piping ☐
Area concerned: : FOREST ROOM WEST WING AREA Drawing Nb : -

Variation: Yes ☒ No ☐
If No - This instruction does not constitute a variation. If you consider that this constitutes a cost variation and/or extension of time according to the
Conditions of Contract, please notify Archetype Indonesia in writing (form QA-IDN-PCM-Request For Information) and submit, according the Conditions of the
Contract, within the given timeframe from the date of issue of this Instruction, your quotation for approval. Quotations should also describe the SI No. and the
subject to which they relate. None of such variation-related tasks should be implemented until they get information from Archetype Indonesia.

If Yes - This instruction constitute a variation. Please issue a Variation Order Request (form QA-IDN-PCM-Variation Order Request) and submit it to Archetype
for review and client approval. No works linked to this SI can start without Archetype approval (Work Permit).

Subject:
Site Instruction for MKK to do Demolition for tiling at ex Forest room West wing Area & East wing.

Please find Site Instruction to do Demolition for tiling at ex Forest room West & East wing deluxe room area.

See attached drawing.

Reason:

Construction need for preparation work deluxe room

Attachment
1. Specification Comparison Sheet Yes ☐ No ☐ 4. Brochure / Catalogue Yes ☐ No ☐
2. Sample submitted Yes ☐ No ☐ 5. Supplier Distributor Certificate Yes ☐ No ☐
3. Test Report Yes ☐ No ☐ 6. Other supportive Documents Yes ☒ No ☐
Prepared by: Approved by: Received by:
PT. Archetype Indonesia PT. Bintan Lagoon Resort (if needed) PT. Mandiri Karyacipta Konstruksi
Signature: Signature: Signature:

Name: Zulkarnain Ilyas Name: Ardi Raharja Name:

Title: Construction Manager Title:Project Coordinator Title:
Date: 14 April 2023 Date: 14 April 2023 Date:
Filing: Original with Doc Controller (for later client handover) – Copies to all concerned people

Note: This submittal was reviewed and commented by the Engineer based from the available references as per contractor’s submittal and contract documents.
As per General Conditions of the contract, any approval, check, certificate,consent, examination, inspection, instruction notice, proposal, request, test, or similar
act by the Engineer (including absence of approval) shall not relieve the Contractor from any responsibility he has under the contract, including responsibility for
errors, omissions, descrepancies and non compliances.

QA-IDN-PCM-Site Instruction Rev A Page 1/1

ROOM 4010 & 4012 (BLOCK 1 LT.4, WEST WING)

Bongkar
Keramik Existing
Area Bathroom 1

Bongkar
Keramik Existing
Screed 4cm utk 2
level Lt SPC

Bongkar Keramik
Existing
Screed 4cm utk 2
level Lt SPC
DATA LAPANGAN
LOKASI : EX. FOREST SUITE (ROOM 4010&4012, WEST WING)

NO. JENIS PEKERJAAN VOLUME URAIAN PEKERJAAN

1 Bongkar Lantai Keramik - Bongkar Lantai Keramik Existing Area
Existing Area Bathroom Bathroom

Bathroom

Room 4012

- Bongkar Lantai Keramik Existing Area

Bathroom

Bathroom

Room 4010

2 Bongkar Lantai Keramik - Bongkar Lantai Keramik Existing Area

Existing Area Bedroom Bedroom

Bedroom

Room 4010

- Bongkar Lantai Keramik Existing Area

Bedroom

Bedroom

Room 4012
ROOM 4022 & 4024 (BLOCK 1 LT 4, WEST WING)

Bongkar
Keramik Existing
Area Bathroom 1

Bongkar
Keramik Existing
Screed 4cm utk 2
level Lt SPC

Bongkar Keramik
Existing
Screed 4cm utk 2
level Lt SPC
DATA LAPANGAN
LOKASI : EX. FOREST SUITE (ROOM 4022&4024, WEST WING)

NO. JENIS PEKERJAAN VOLUME URAIAN PEKERJAAN

1 Bongkar Lantai Keramik - Bongkar Lantai Keramik Existing Area
Existing Area Area Bathroom Bathroom

Bathroom

Room 4024

- Bongkar Lantai Keramik Existing Area

Bathroom

Bathroom

Room 4022

2 Bongkar Lantai Keramik - Bongkar Lantai Keramik Existing Area

Existing Area Bedroom Bedroom

Bedroom

Room 4022

- Bongkar Lantai Keramik Existing Area

Bedroom

Bedroom

Room 4024
 PROYEK

25
INTAN AGOON
R SORT

BINTAN LAGOON BEACH AND GOLF RESORT

ON PARCEL A12, BBIR
PULAU BINTAN , INDONESIA

KONSULTAN ARSITEK

26
ARCHITECTURE CONSULTANT

SINDHU HADIPRANA
Design Consultant

4111

27
KONSULTAN STRUKTUR
KKA
ENGINEERING CONSULTANTS

4109
28
KONSULTAN M.E
KKI
PT. POLICIPTA MULTIDESAIN
MECHANIKAL & ELECTRICAL ENGINEERING SERVICES

4107
KKA KONSULTAN INTERIOR
29

ARCHITECTURE CONSULTANT

SINDHU HADIPRANA
Design Consultant

4105
KKI MANAJEMEN KONSTRUKSI

TKI
KONTRAKTOR INTERIOR
4112

KKA
REVISI : TANGGAL
4110

4108
KKA
4103 TKI
TKI 4106
4101
TKA
KKA
4102 Drawing Information
BOBOK KERAMIK SHOP DRAWING
TKI
Drawing Title
4104
WEST WING GUESTROOM BLOCK 1
M

LOWER LEVEL 2 FLOOR PLAN

BOBOK KERAMIK
N

BOBOK KERAMIK
Scale :
Date :
Drawn By :
Checked By :
BLOCK I LANTAI 4 Drawn No.
Q

2 A1 104
R
 PROYEK

INTAN AGOON
R SORT

BINTAN LAGOON BEACH AND GOLF RESORT

ON PARCEL A12, BBIR
PULAU BINTAN , INDONESIA

KONSULTAN ARSITEK

ARCHITECTURE CONSULTANT

SINDHU HADIPRANA
Design Consultant

KONSULTAN STRUKTUR

ENGINEERING CONSULTANTS
4129 4131
4125 4127 4133 4135
TKI TKA
TKA TKA
KONSULTAN M.E
KKI KKI
PT. POLICIPTA MULTIDESAIN
MECHANIKAL & ELECTRICAL ENGINEERING SERVICES

KONSULTAN INTERIOR
ARCHITECTURE CONSULTANT

SINDHU HADIPRANA
Design Consultant

MANAJEMEN KONSTRUKSI

KONTRAKTOR INTERIOR

REVISI : TANGGAL

BOBOK KERAMIK LANTAI

BOBOK KERAMIK LANTAI

BOBOK KERAMIK LANTAI

BOBOK KERAMIK LANTAI

KKA KKI KKA TKI Drawing Information

TKA TKI SHOP DRAWING
4126 4128 4134 4136
4130 4132 Drawing Title
WEST WING GUESTROOM BLOCK 3
LOWER LEVEL 2 FLOOR PLAN

Scale :
Date :
Drawn By :
Checked By :
Drawn No.
BLOCK 3 LANTAI 4 2 A1 104
 PROYEK

INTAN AGOON
R SORT

BINTAN LAGOON BEACH AND GOLF RESORT

ON PARCEL A12, BBIR
PULAU BINTAN , INDONESIA

KONSULTAN ARSITEK

ARCHITECTURE CONSULTANT

SINDHU HADIPRANA
Design Consultant

KONSULTAN STRUKTUR
BOBOK LANTAI 5129 5131
5125 5127 5133 5135 ENGINEERING CONSULTANTS

BOBOK LANTAI TKI TKA

KKA TKI KKA
TKI KONSULTAN M.E

BOBOK LANTAI
PT. POLICIPTA MULTIDESAIN
MECHANIKAL & ELECTRICAL ENGINEERING SERVICES

KONSULTAN INTERIOR
ARCHITECTURE CONSULTANT

SINDHU HADIPRANA
Design Consultant

MANAJEMEN KONSTRUKSI

KONTRAKTOR INTERIOR

REVISI : TANGGAL

KKA KKA KKI

5126 5128 5134 5136 Drawing Information
5130 5132 SHOP DRAWING
TKI Drawing Title
WEST WING GUESTROOM BLOCK 3
KKA TKI LOWER LEVEL 1 FLOOR PLAN

BOBOK LANTAI
Scale :
Date :
Drawn By :
BOBOK LANTAI
Checked By :
Drawn No.
BLOCK 3 LANTAI 5
2 A1 105