BCA-LU-NAPPQP01
THE BUILDING CONTROL ACT (CAP 29)
NOTIFICATION OF APPOINTMENT / AUTHORIZATION OF
QUALIFIED PERSON(S) / ACCREDITED CHECKER / BUILDER / STRUCTURAL
ENGINEER
INSTRUCTIONS:
(1) This notification shall be used for electronic
submission of application made to the
Commissioner of Building Control under the
Corenet e-Submission system and where the
Applicant / Owner does not sign the
application form / documents digitally.
Commissioner of Building Control
Building & Construction Authority
(2) The Qualified Person / Structural Engineer
52 Jurong Gateway Road, #11-01
shall scan and attach a copy of this notification
Singapore 608550
to the application.
He shall keep this
Website: http://www.bca.gov.sg
notification as a proof of his appointment /
authorization by the Applicant / Owner.
(3)
(4)
/*
Tick / Delete accordingly.
Please fill this form in BLACK INK, for clarity
during scanning.
SECTION A - PARTICULARS OF APPLICATION
Project Reference Number :
E3198-00002-2020
Description of *building works /
building (to be inspected) :
PROPOSED ERECTION OF A 4-STOREY SINGLE
USER DETACHED FACTORY WITH 1ST AND 2ND
STOREY MEZZANINE
Location Description :
LOT 01197T MK06 AT 22 CHIN BEE ROAD (JURONG
WEST PLANNING AREA)
SECTION B - (To be completed by the Developer/Owner)
As required under the Building Control Act, *I / we hereby appoint the following person(s) :
Mr/Ms
[ BOA Reg. No.
]
as the QP for architectural works under Section 8(1) of the said Act.
Mr/Ms
[ PEB Reg. No.
]
as the QP for electrical & mechanical engineering works under Section 8(1) of the
said Act.
Mr/Ms
√
Ng Kian Pang
[ PEB Reg. No. 4780
]
as the QP for civil & structural engineering works under Section 8(1)(a) of the said
Act.
Er.
[ PEB Reg. No.
]
as the QP for geotechnical aspects of building works under section 8(1)(d)(i) of the
said Act.
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Mr/Ms
as the Builder under Section 8(1)(c) of the said Act.
Mr/Ms
[ PEB Reg. No.
]
as the Structural Engineer for the inspection of building under Section 28(3) of the
said Act.
Mr/Ms
[*AC/ACO Reg. No.
as the Accredited Checker under Section 8(1)(e) of the said Act.
Er.
[*AC Reg. No.
as the Specialist Accredited Checker under section 8(1)(f)(i) of the said.
]
]
* I / We also hereby authorize the *Qualified Person / Structural Engineer to submit, on *my /
our behalf, any application, notification or document related to the said works / building
bearing the above-stated Project Reference Number without *my / our digital signature,
whenever *my / our endorsement is required. This authorization shall continue to be in force
until *I / we revoke it in writing and you have received notice of such revocation.
Address of Developer/Owner
Tel No.:
Name & Signature of Developer/Owner (In
the case of a Company include the
designation of the authorized Signatory)
NRIC /Passport No. :
Date:
SECTION C - (To be completed by the Builder for D&B project)
As required under the Building Control Act, *I / we hereby appoint the following person(s) :
Mr/Ms
[ BOA Reg. No.
]
as the QP for architectural works under Section 8(1) of the said Act.
Mr/Ms
[ PEB Reg. No.
]
as the QP for electrical & mechanical engineering works under Section 8(1) of the
said Act.
Mr/Ms
[ PEB Reg. No.
]
as the QP for civil & structural engineering works under Section 11(1)(d)(i) of the
said Act.
Er.
[ PEB Reg. No.
]
as the QP for geotechnical aspects of building works under section 11(1)(d)(iii)(A)of
the said Act.
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* I / We also hereby authorize the *Qualified Person / Structural Engineer to submit, on *my /
our behalf, any application, notification or document related to the said works / building
bearing the above-stated Project Reference Number without *my / our digital signature,
whenever *my / our endorsement is required. This authorization shall continue to be in force
until *I / we revoke it in writing and you have received notice of such revocation.
Address of Builder
Tel No.:
Name & Signature of Builder (In the case of
a Company include the designation of the
authorized Signatory)
NRIC /Passport No. :
Date:
SECTION D - DETAILS FOR REFUND OF PLAN FEES (if applicable)
(To be completed by the Developer/Owner)
*I / we hereby confirm the following details for purpose of refund of plan fees (if any):
Name (as per Bank records): ________________________________________________
Contact information
Person to Contact: ________________________________________________________
Tel No.: ________________________ (Office) ____________________________(Mobile)
Email: _______________________________________________________________
Address: ________________________________________________________________
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