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Form BCA-BE-Permit
JOINT APPLICATION FOR PERMIT TO CARRY OUT STRUCTURAL WORKS
[Section 6 of The Bui!in" Cont#o Act$
Commissioner of Building Control
Building and Construction Authority
5 a!"ell #oad $%&-%%
To"er Block' () Comple!
*ingapore %+,11%
Please tick the appropriate -o! if the re-application of permit is made for the change of
any of the follo"ing pro.ect party/
)e0eloper
1P for super0ision of structural "orks
Builder
1P for architectural "orks
2e here-y apply for a permit to commence the follo"ing "orks and undertake to comply "ith The Building Control Act and its Building #egulations
)emolition 2orks
3i4 Building Type 3for mi!ed de0elopments' more than 1 -o! may-e ticked4/
#esidential 35anded4 #esidential 3(on-landed4 Commercial 6ndustrial 6nstitutional and others
3ii4 )escription of )emolition 2ork/7777777777777777777777777777777777777777777777777777777777777777777777777777777777777777777
3e.g. 1 unit of 2-storey semi-detached dwelling house4
3iii4 )etails of )emolition 2ork/
(o. of -locks8-uildings/ 7777777777
(o. of *toreys per -lk/ 77777777777
Total Floor Area to -e demolished 3m&4/ 77777777777
)emolition 2aste 1uantity 3in tonnes4/
1uantity of concrete "aste/ 7777777777777777777
1uantity of -rick "aste/ 777777777777777777777
1uantity of other "aste (eg. metals, timber, glass, steel re-bars, etc)/ 777777777777777777
Total )emolition 2aste Collected/ 777777777777777777
3i04 2hen "as the -uilding first -uilt 3-ased on C*C or T9P date4: -efore 1,,1 after 1,,1
304 ;as an as-estos sur0ey -een conducted: <es (o
304 6s as-estos-containing material present in the -uilding: <es (o
Under the Workplace afety and !ealth ("sbestos) #egulations, you are re$uired to appoint a competent person to conduct an asbestos sur%ey if the
building to be demolished was built before 1 &anuary 1''1 (based on the (( or the )*+ date).
"ny asbestos-containing material found in the building must be remo%ed by an ,*,-s "ppro%ed "sbestos #emo%al (ontractor before the building is
demolished.
*tructural 2orks 3include *ite Formation' Piling' Earth #etaining *tructural 2orks and =eotechnical Building 2orks4
A% PROJECT &ETAILS
Pro.ect #ef. (o./ E&1+>-%%%%?-&%1&
Pro.ect Title/ Proposed #eclamation at Tuas Finger 9ne
T* 8 @/ #oad
(ame/
%> 5ot 8 Plot/ 3*4 %A5>B(
;ouse (o./ #oad/
Total Pro.ect Cost/ E!pected )ate of Commencement/
)uration of "orks/
Type of )e0elopment/ )esign C Build pro.ect )e0eloper cum Builder pro.ect 3"here de0eloper has
financial interest in -uilderDs company4
9thers
B% &ECLARATION BY &E'ELOPER
6 confirm that 6 ha0e appointed the follo"ing/
3i4 Er. Teo <en Pai777777777777777777777777777777777777 of PE #egistration (o./ A&5%7777777777777777 as the 1ualified Person for super0ision of
structural "orks under *ection B3143-4 of the Building Control Act.
3ii4 Er. 5ee ;iang eng7777777777777777777777777777777777 of PE #egistration (o./ A%+>777777777777777 as the 1ualified Person for super0ision of
geotechnical "orks under *ection B3143d43ii4 of the Building Control Act.
3iii4 777777777777777777777777777777777777777777777 of EE( 77777777777 as the Builder under *ection B3143c4 of the Building Control Act.
FTC Corporation
B Furong To"n ;all #oad' *ingapore +%,A?A
*ignature of Authorised *ignatory
5ee in Gun 8 Pro.ect anager
(ame C Address (ame C )esignation 3 if applicant is a company4
EE(/ 7777777777 Tel (o./ +BB? ?+5577 Fa! (o./ +BB5 5,1+77 (#6C (o./ *>+15B>?; 7777777777 )ate777777777777777777
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C% &ECLARATION BY T(E )UALIFIE& PERSON FOR SUPER'ISION OF STRUCTURAL WORKS
6 confirm that
3i4 6 ha0e -een appointed as the 1ualified Person for super0ision of structural "orks under *ection B3143-4 or 113143d43ii4 of the Building Control Act in respect of
the "orks descri-ed a-o0e -y FTC Corporation
3ii4 6 am not a partner' officer or employee of the -uilder or any associate of the -uilder (only applicable to pro.ect that re$uires an "ccredited (hecker).
3iii4 6 ha0e appointed 77777777777 3state total no.4 of #esident Engineer3s4 and 77777777777 3state total no.4 of #esident Technical 9fficer3s4 to undertake/
6mmediate super0ision of critical structural "orks as reIuired in *ection >3143c4 of the Building Control Act
Full-time super0ision of structural "orks as reIuired in *ection >3143-4 of the Building Control Act
3i04 the particulars of the site super0isors are as sho"n in section 3E4.
1+B Falan Bukit erah' *ur-ana 9ne' *ingapore 15%1+B Er. Teo <en Pai
Address of 1ualified Person *tamp C *ignature of 1ualified Person
EE(/ 7777777777777 Tel no./ +&AB 1?B577 Fa! no./ +&AB 1&,&77777777777
;8P no. / ,+AB 1%%&777777
)ate/ 777777777777
&% &ECLARATION BY T(E )UALIFIE& PERSON FOR SUPER'ISION *+EOTEC(NICAL,
6 confirm that
3i4 6 ha0e -een appointed as the 1ualified Person for *uper0ision of geotechnical aspect of geotechnical -uilding "orks under section B3143d43ii4 or 113143d43iii4
3B4 of the Building Control Act in respect of the "orks descri-ed a-o0e -y FTC Corporation77777777777
3ii4 6 am not a partner' officer or employee of the -uilder or any associate of the -uilder (only applicable to pro.ect that re$uires an "ccredited (hecker)
3iii4 6 ha0e appointed 77777777777 3state total no.4 of #esident Engineer3s4 and 77777777777 3state total no.4 of #esident Technical 9fficer3s4 to undertake
Full-time super0ision of structural "orks as reIuired in *ection >3&43-4 of the Building Control Act
3i04 the particulars of the site super0isors are as sho"n in section 3E4.
B Boon 5ay 2ay' $%5-11' *ingapore +%,,+A Er. 5ee ;iang eng
Address of 1ualified Person *tamp C *ignature of 1ualified Person
EE(/ 7777777777777 Tel no./ +B,+ ,5B?777777 Fa! no./ 777777777777777
;8P no. / ,>?% %1B&7777777777
)ate/ 777777777777
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E% &ECLARATION BY SITE SUPER'ISORS*S, OF STRUCTURAL WORKS
J6 8 2e confirm that J6 am 8 "e are
3i4 the appointed site super0isor under *ection 1% of the Building Control Act -y the J1ualified Person of super0ision of structural "orks 8 1ualified Person of
super0ision of geotechnical "orks.
3ii4 not a partner' officer or employee of the -uilder8de0eloper or any associate of the -uilder8de0eloper (only applicable to pro.ect that re$uires an "ccredited
(hecker).
3iii4 not super0ising any other pro.ects on a full-time -asis.
3i04 currently super0ising 77777 Ksite super0isor 314L' 77777Ksite super0isor 3&4L'77777 Ksite super0isor 3?4L' 77777Ksite super0isor 3A4L' 77777Ksite super0isor 354L'
77777Ksite super0isor 3+4L ' 77777Ksite super0isor 3>4L pro.ects "hich do not reIuire full-time super0ision.
314 (ame C Address of *ite *uper0isor/
*ignature of *ite *uper0isor
J#esident Technical 9fficer 8 #esident Engineer
;8P no./ 777777777777 (#6C no. 8 Passport no. / 777777777777
3&4 (ame C Address of *ite *uper0isor/
*ignature of *ite *uper0isor
J #esident Technical 9fficer 8 #esident Engineer
;8P no./ 777777777777 (#6C no. 8 Passport no. / 777777777777
3?4 (ame C Address of *ite *uper0isor/
*ignature of *ite *uper0isor
J#esident Technical 9fficer 8 #esident Engineer
;8P no./ 777777777777 (#6C no. 8 Passport no. / 777777777777
3A4 (ame C Address of *ite *uper0isor/
*ignature of *ite *uper0isor
J #esident Technical 9fficer 8 #esident Engineer
;8P no./ 777777777777 (#6C no. 8 Passport no. / 777777777777
354 (ame C Address of *ite *uper0isor/
*ignature of *ite *uper0isor
J#esident Technical 9fficer 8 #esident Engineer
;8P no./ 777777777777 (#6C no. 8 Passport no. / 777777777777
3+4 (ame C Address of *ite *uper0isor/
*ignature of *ite *uper0isor
J#esident Technical 9fficer 8 #esident Engineer
;8P no./ 777777777777 (#6C no. 8 Passport no. / 777777777777
3>4 (ame C Address of *ite *uper0isor/
*ignature of *ite *uper0isor
J#esident Technical 9fficer 8 #esident Engineer
;8P no./ 777777777777 (#6C no. 8 Passport no. / 777777777777
/ 0elete accordingly
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F% &ECLARATION BY BUIL&ER
6 confirm that 6 am appointed as the Builder under *ection B3143c4 of the Building Control Act in respect of the "orks descri-ed a-o0e.
$
6 confirm that 6 ha0e appointed the follo"ing/
3i4 Er. 777777777777777777777777777777777777777777777 of PE #egistration (o./ 7777777777777777777 as the 1ualified Person for super0ision of
structural "orks under *ection B3143-4 of the Building Control Act.
3ii4 Er. 777777777777777777777777777777777777777777777 of PE #egistration (o./ 7777777777777777777 as the 1ualified Person for super0ision of
geotechnical "orks under *ection B3143d43ii4 of the Building Control Act.
Ender the Building Control 3Builda-ility4 #egulations' su-mission of constructa-ility score is/
1
Applica-le

1
(ot Applica-le
Constructa-ility *core has -een su-mitted.
Constructa-ility *core e-*u-mission (o. / 777777777777777777777777777
Constructa-ility *core/ 777777777 points
2ill -e su-mitted "ithin ? months from the date of issuance of permit to
carry out structural "orks.
2ill -e su-mitted "ithin + months from the date of issuance of permit to
carry out structural "orks 3for )esign C Build pro.ects only4.
&
The e!pected start date of the superstructure "orks is on 7777777777777777777
=FA M 5%%%m
&
Planning permission applied -efore 15 Fuly &%11
2ai0er is o-tained
E!empted
1
=FA/ 7777777777777777777 *Iuare metres
1
The planning permission "as first applied on / 777777777777777
7777777777777777777777777777777777777777777777
7777777777777777777777777777777777777777777777
(ame C Address of Company
EE(/ 7777777777777777 Tel (o./ 777777777777777
Fa! (o./ 77777777777777 ;8P no./ 777777777777777
77777777777777777777777777777777777777777777777777777
*ignature of Technical Controller
7777777777777777777777777777777777777777777777777777
(ame of Technical Controller
(#6C (o./777777777777777777777 )ate 777777777777777777
+% &ECLARATION OF )UALIFIE& PERSON FOR SUPER'ISION OF ARC(ITECTURAL WORKS
6 confirm that 6 am appointed as the 1ualified Person for architectural "orks under section B3143-4 or 113143d43ii4 in respect of the "orks descri-ed a-o0e.
Address of 1ualified Person (ame C *ignature of 1ualified Person
EE(/ 7777777777777 Tel no./ 777777777777777 Fa! no./
777777777777777
;8P no. / 777777777777
)ate/ 777777777777
$
2or 034 pro.ects, appointment of 5+s can also be made by the 4uilder.
1
+lease tick either one of the bo6es
2
,andatory field if constructability score is 7"pplicable8
1
,andatory field
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