APPOINTMENT OF STRUCTURAL ENGINEER The Building Control Act (Cap 29) [Section 28] Commissioner of Building Control Building and Construction Authority 52 Jurong Gateway Road #11-01 Singapore 608550 1 INSTRUCTION Please use black ink to complete the form (estimated time required is 10 minutes). * Delete where not applicable Particulars of the Building to be Inspected Notice Reference No : _______________________________ Building Address : __________________________________________________________________________ *BP/ST No : _______________________________ *Lot/Plot : _______________________________ *TS/ MK : _____________________________ *Name of Building (if applicable) : ________________________________________________________________ 2 Declaration of Appointment by Owner / Management Corporation I have appointed Er. ___________________________________PE Registration No: ______________ as the Structural Engineer to carry out the *visual inspection / full structural investigation of the above building as required under Section 28 of The Building Control Act (Cap 29). 3 Name & Signature of *Owner/MCST Plan No. Address of *Owner/MCST Plan No. Date : Tel : Confirmation of Appointment by Structural Engineer I, Er. ___________________________________, hereby : a) confirm that I have been appointed by the above *owner / management corporation to carry out a *visual inspection / full structural investigation of the above building; b) confirm that I will submit the *visual inspection / full structural inspection report to Commissioner of Building Control within two months of my appointment; and c) declare that I have no professional or financial interest in the above building as required under Section 29 of The Building Control Act (Cap 29). Stamp & Signature of Structural Engineer Name & Address of Professional Firm Date : Tel : SF_ESID_SIS/SF-D2 [Ver 3.1_Dec_2014] Page 1 of 1