ࡱ> ac`_ bjbj 1JjA\jA\xx8<X!t,!.!.!.!.!.!.!$!#%R!R!g!j,!,!4  0pvL !}!0!T ,& & & R!R! !&x> : HThis form may take you 5-10 minutes to complete. THE BUILDING CONTROL ACT (CAP 29) DECLARATION BY QUALIFIED PERSON FOR THE APPLICATION OF TEMPORARY OCCUPATION PERMIT/CERTIFICATE OF STATUTORY COMPLETION FOR BUILDING WORKS Commissioner of Building Control Building & Construction Authority 52 Jurong Gateway Road #11-01 Singapore 608550 Website: http://www.bca.gov.sg/ INSTRUCTION: (1) One copy to be submitted with Form BPD_CSC01. (2) *To delete whichever is not applicable. (3) Tick (() in the appropriate box. (4) This form is to be filled in BLACK INK only.  Project Ref. No.: ____________________________________________________________________________________________ Description of building(s)/building works: ________________________________________________________________________ __________________________________________________________________________________________________________ *Lot/Plot: _______________________________________________ *TS/MK __________________________________________ Address: ___________________________________________________________________________________________________ __________________________________________________________________________________________________________  I, ___________________________________, the Qualified Person appointed under the Building Control Act in respect of the building works herein described hereby certify and declare that - (a) I have inspected the completed building works on _________________ (date) and confirmed that the works are completed in accordance with:- The provisions of the Building Control Act and Building Control Regulations. The relevant Plans approved and the conditions under which the plans were approved. (b)For building works with building plans submission: I certify that the building works do not deviate from the approved plans. The last approved plan is BP: ___  Record Plan RP: ___ submitted to show the immaterial changes from the approved plans. (c)I further certify that there are:  with deviations and a copy of the relevant Written Permission from the Competent Authority (URA) is attached. with minor deviations that are covered in the list of items exempted from Planning Permission as issued by the Competent Authority (URA).  (d)  (i) For non-residential buildings: the applicable requirements which I have ticked in the schedule hereto have been complied with. (ii) For residential buildings: the applicable requirements stipulated in the Standard Site Inspection Checklist for TOP/CSC Application (PC.08-1999) have been complied with. UEN (if a company) and Name & Address of Professional Firm Name & Signature of Qualified Person  Tel No.:  Fax No.: Regn No. (*Arch/PE): Date:  Applicable Not Standard RequirementsComplied WithNot Complied With/Waiver Sought Applicable 1 NO OCCUPATION OF BUILDING The building must not be occupied before a TOP/CSC has been issued as provided for under Section 12(1) of the Act. 2 SITE OFFICES/STRUCTURES All site offices/stores/work-sheds/hoardings have been demolished and the site completely cleared of all construction materials and debris. 3 PARTIAL TOP For partial TOP applications, all areas to which the application relates have been satisfactorily separated from those areas under construction by means of robust hoardings/fencing. 4 BOUNDARY CLEARANCE The boundary clearance, building set backs and general layout are generally in accordance with the plans approved by the Competent Authority. 5 FLOOR DIAGRAM For non-residential building floor diagrams stating the imposed load in accordance with Regulation 46 have been prominently displayed on every floor. ________________________ Signature of Qualified Person FOOTNOTE: (1) The qualified person is required to tick [(] against every item in the appropriate column in the schedule to indicate whether the particular item is applicable or not applicable to the building or building works. (2) The date of inspection in this declaration should not be earlier than 3 months from the date of this application for TOP/CSC.      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